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Re: Labs 5/16/11

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Need to get them in a spread sheet so we can help us and you and your team see what is going on. Did you get contrast with MRI? This can affect kidneys.CE Grim MDSince when dr. The last MRI was in 2009, to check cyst on Kidney and most recent a sonogram. Need to speak with Neph, at end of month about those results. L. Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 8:16 PM GFR=32.2=Outrageous Either medications you take are poison or your kidney requires immediate medical attention!! (my Ltd understanding) Max.Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component ResultsComponentYour ValueStandard RangeUnitsFlagBUN296 - 20mg/dLHCREATININE1.70.7 - 1.5mg/dLHSODIUM137135 - 146mmol/LPOTASSIUM4.93.5 - 5.1mmol/LCHLORIDE10598 - 111mmol/LCO22122 - 32mmol/LLGLUCOSE11370 - 120mg/dLANION GAP117 - 15mmol/LCALCIUM10.08.3 - 10.5mg/dLGFR ESTIMATED32.2>60 - mL/minL

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You can use any spread sheet application or just make a table in a word doc.CE Grim MDThanks. It looks like my sodium is down. How did u do the spread sheet, from a excel app? Or just chart it as far as u can go back to present with dates? well my gen dr, told me that my GFR is stable not really thinking I will need dialysis anytime soon. I have an appt 2moro afternoon. I will ask what that fluctuation is all about with the GFR. Seem the when I was on diovan and bistolic the GFR was getting stronger. Just so frustrating. How are your numbers? LiciaHow long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component ResultsComponentYour ValueStandard RangeUnitsFlagBUN296 - 20mg/dLHCREATININE1.70.7 - 1.5mg/dLHSODIUM137135 - 146mmol/LPOTASSIUM4.93.5 - 5.1mmol/LCHLORIDE10598 - 111mmol/LCO22122 - 32mmol/LLGLUCOSE11370 - 120mg/dLANION GAP117 - 15mmol/LCALCIUM10.08.3 - 10.5mg/dLGFR ESTIMATED32.2>60 - mL/minL

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Further evidence you have PA. Still waiting for Licia's story.CE Grim MDYes, it has Dr. It was 110/78 today.LiciaHere are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component ResultsComponentYour ValueStandard RangeUnitsFlagBUN296 - 20mg/dLHCREATININE1.70.7 - 1.5mg/dLHSODIUM137135 - 146mmol/LPOTASSIUM4.93.5 - 5.1mmol/LCHLORIDE10598 - 111mmol/LCO22122 - 32mmol/LLGLUCOSE11370 - 120mg/dLANION GAP117 - 15mmol/LCALCIUM10.08.3 - 10.5mg/dLGFR ESTIMATED32.2>60 - mL/minL

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This is much better. Thanks. If you can add BP and meds at each date across the table that will be even better. Lisino can worsen kidney function in certain kinds of difficult HTN. Were all bloods at same time of day? This can affect PCr. Note big jump between 12/08 and 3/09. Was that when you had the MRI?What else was going on then.Did BP fall remarkably with Lisionpril?CE Grim MDGOOD MORNING DR. GRIM VAL ET AL:OK HERE IS A CHART:ChartNameCREATININEGFR ESTIMATED6/25/20010.5 L 12/23/20020.9 7/24/20031.0 8/22/20071.157.4 L12/8/20081.443.2 L12/23/20081.347.1 L3/13/20092.1 H27.1 L3/24/20091.6 H37.0 L6/2/20091.7 H34.5 L10/13/20092.1 H27.0 L11/2/20102.2 H23.9 L11/23/20102.3 H22.7 L11/29/20102.2 H23.9 L2/2/20111.537.2 L2/23/20111.248.2 L2/24/20111.8 H30.2 L4/22/20111.537.2 L5/13/20111.7 H32.2 L HERE ARE THE MEDS I WAS ON IN 2007 WHE MY CREATIN WAS 57. THE THE H, IS GOING ON?? I WAS TAKING LISINOPRIL, WHY WAS I TAKEN OFF OF IT? IF IT WAS GIVING KEEPING MY LEVELS AT A HEALTHY LEVEL? NameStart DateDiscontinued DateTOPROL XL 100 MG PO TB248/22/200712/3/2008SYNTHROID 75 MCG OR TABS8/22/20078/31/2007MY SYNTHROID WAS INCREASE TO 88MCGRoutine OrdersNameTypeGYN REFERRAL OPReferralTSHLabLIPID PANELLabCOMPR METAB PANELLabCBCLabFuture OrdersNameExpected DateExpiration DateTypeTSH8/22/20078/21/2008LabLIPID PANEL8/22/20078/21/2008LabCOMPR METAB PANEL8/22/20078/21/2008LabCBC8/22/20078/21/2008LabDiscontinued MedicationsNameStart DateDiscontinued DateLISINOPRIL 40 MG OR TABS8/27/20038/22/2007LISINOPRIL 20 MG OR TABS7/15/20038/22/2007BLEPH-10 10 % OP SOLN3/24/20038/22/2007Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 6:57 PM How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component ResultsComponentYour ValueStandard RangeUnitsFlagBUN296 - 20mg/dLHCREATININE1.70.7 - 1.5mg/dLHSODIUM137135 - 146mmol/LPOTASSIUM4.93.5 - 5.1mmol/LCHLORIDE10598 - 111mmol/LCO22122 - 32mmol/LLGLUCOSE11370 - 120mg/dLANION GAP117 - 15mmol/LCALCIUM10.08.3 - 10.5mg/dLGFR ESTIMATED32.2>60 - mL/minL

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Suspect CT or MRI or new meds or other illness after Dec 08. Just add your meds to the right in this table and any other comments you might have such as illnesses, etc. List all meds and OTC stuff and supplements. Also plasma K and BP. We are getting there with this table. Now we can begin to put together your story but need your word to describe what has been going on. See our Conn's stories fills for examples.CE Grim MDoK dR. TELL ME THE STORY: IS IT THE MEDS? NameSODIUMCREATININECALCIUMGFR ESTIMATED6/25/20011380.5 L9.5 12/23/20021430.98.8 7/24/20031401.09.5 8/22/20071411.19.457.4 L12/8/20081411.49.543.2 L12/23/20081411.39.247.1 L3/13/20091372.1 H10.227.1 L3/24/20091361.6 H9.837.0 L6/2/20091371.7 H9.934.5 L10/13/20091372.1 H9.827.0 L3/29/2010 10.5 8/12/2010 9.5 11/2/20101352.2 H9.523.9 L11/23/20101362.3 H10.322.7 L11/29/2010134 L2.2 H8.623.9 L2/2/20111411.59.737.2 L2/23/20111391.210.148.2 L2/24/20111401.8 H9.330.2 L4/22/20111401.59.937.2 L5/13/20111371.7 H10.032.2 LHere are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component ResultsComponentYour ValueStandard RangeUnitsFlagBUN296 - 20mg/dLHCREATININE1.70.7 - 1.5mg/dLHSODIUM137135 - 146mmol/LPOTASSIUM4.93.5 - 5.1mmol/LCHLORIDE10598 - 111mmol/LCO22122 - 32mmol/LLGLUCOSE11370 - 120mg/dLANION GAP117 - 15mmol/LCALCIUM10.08.3 - 10.5mg/dLGFR ESTIMATED32.2>60 - mL/minL

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This is much better. Thanks. If you can add BP and meds at each date across the table that will be even better. Lisino can worsen kidney function in certain kinds of difficult HTN. Were all bloods at same time of day? This can affect PCr. Note big jump between 12/08 and 3/09. Was that when you had the MRI?What else was going on then.Did BP fall remarkably with Lisionpril?CE Grim MDGOOD MORNING DR. GRIM VAL ET AL:OK HERE IS A CHART:ChartNameCREATININEGFR ESTIMATED6/25/20010.5 L 12/23/20020.9 7/24/20031.0 8/22/20071.157.4 L12/8/20081.443.2 L12/23/20081.347.1 L3/13/20092.1 H27.1 L3/24/20091.6 H37.0 L6/2/20091.7 H34.5 L10/13/20092.1 H27.0 L11/2/20102.2 H23.9 L11/23/20102.3 H22.7 L11/29/20102.2 H23.9 L2/2/20111.537.2 L2/23/20111.248.2 L2/24/20111.8 H30.2 L4/22/20111.537.2 L5/13/20111.7 H32.2 L HERE ARE THE MEDS I WAS ON IN 2007 WHE MY CREATIN WAS 57. THE THE H, IS GOING ON?? I WAS TAKING LISINOPRIL, WHY WAS I TAKEN OFF OF IT? IF IT WAS GIVING KEEPING MY LEVELS AT A HEALTHY LEVEL? NameStart DateDiscontinued DateTOPROL XL 100 MG PO TB248/22/200712/3/2008SYNTHROID 75 MCG OR TABS8/22/20078/31/2007MY SYNTHROID WAS INCREASE TO 88MCGRoutine OrdersNameTypeGYN REFERRAL OPReferralTSHLabLIPID PANELLabCOMPR METAB PANELLabCBCLabFuture OrdersNameExpected DateExpiration DateTypeTSH8/22/20078/21/2008LabLIPID PANEL8/22/20078/21/2008LabCOMPR METAB PANEL8/22/20078/21/2008LabCBC8/22/20078/21/2008LabDiscontinued MedicationsNameStart DateDiscontinued DateLISINOPRIL 40 MG OR TABS8/27/20038/22/2007LISINOPRIL 20 MG OR TABS7/15/20038/22/2007BLEPH-10 10 % OP SOLN3/24/20038/22/2007Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 6:57 PM How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component ResultsComponentYour ValueStandard RangeUnitsFlagBUN296 - 20mg/dLHCREATININE1.70.7 - 1.5mg/dLHSODIUM137135 - 146mmol/LPOTASSIUM4.93.5 - 5.1mmol/LCHLORIDE10598 - 111mmol/LCO22122 - 32mmol/LLGLUCOSE11370 - 120mg/dLANION GAP117 - 15mmol/LCALCIUM10.08.3 - 10.5mg/dLGFR ESTIMATED32.2>60 - mL/minL

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As you will note in one of the recent articles we uploaded PA can disturb CA metabolism in several ways.My record pt is one from India I saw with Dr. Conn who had a Ca of 12 as I recall that resolved with ADX. If you search Indian Med Lit for Dr. Conn you will see the report.So don't get too excited about CA problems till PA under control. CE Grim MDVal,With high calcium & parathyroid problems, what symptoms did you have? I ask because I have been running high calcium for years.Glenda> > > How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium?> > Val> > From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia > > > Here are my labs from 5/13/11.> > Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/> > So maybe the Spiro IS Working?? > > > Component Results> > > Component> Your Value> Standard Range> Units> Flag> > BUN> 29> 6 - 20> mg/dL> H> > CREATININE> 1.7> 0.7 - 1.5> mg/dL> H> > SODIUM> 137> 135 - 146> mmol/L> > > POTASSIUM> 4.9> 3.5 - 5.1> mmol/L> > > CHLORIDE> 105> 98 - 111> mmol/L> > > CO2> 21> 22 - 32> mmol/L> L> > GLUCOSE> 113> 70 - 120> mg/dL> > > ANION GAP> 11> 7 - 15> mmol/L> > > CALCIUM> 10.0> 8.3 - 10.5> mg/dL> > > GFR ESTIMATED> 32.2> >60 - > mL/min> L>

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Ham

Cheese

Bread

Canned

soup

=

awful sodium load

= HTN

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Licia

Sent: Wednesday, May 18, 2011 3:25 PM

To: hyperaldosteronism

Subject: Re: Labs 5/16/11

THANK

YOU. I ONLY EAT ONE SOLID MEAL A DAY, LIKE RIGHT NOW. I HAVE A CAMPBELL'S

HEARTY SOUP W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM AND CHEESE

SANDWICH. I MAY GET A CUP A COFFEE AND A COUPLE COOKIES MAYBE, BUT THAT

IS IT. I HAVE NOT USED OR BOUGHT SALT IN OVER A YR. I USE PEPPER, LEMON

PEPPER, CRUSHED RED PEPPER, PAPRIKA, GARLIC POWDER( NOT THE SALT) CILANTRO,

ITALIAN SEASONING. LIKE I MENTIONED EARLIER, I DON'T EAT, SO THE WEIGHT HAS

TO BE COMING FROM MEDS, WATER RETENSION, MAYBE BEER, BUT I HAVE CUT BACK ON

DRINKING BEER SINCE B4 EASTER. Metabolism??

Licia

Subject: RE: Labs 5/16/11

To: hyperaldosteronism

Date: Monday, May 16, 2011, 6:57 PM

How long

have you been on spiro? Why are you on

norvasc and labetalol? What's your blood

pressure doing? Do

you take calcium?

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia

Here are my labs from 5/13/11.

Licia, African American, PA, 148/150/lbs, norvasc,

spiro-100mg, day/semastin/labetalol/iron/vitamin D/

So maybe the Spiro IS Working??

Component

Results

Component

Your Value

Standard Range

Units

Flag

BUN

29

6 - 20

mg/dL

H

CREATININE

1.7

0.7 - 1.5

mg/dL

H

SODIUM

137

135 - 146

mmol/L

POTASSIUM

4.9

3.5 - 5.1

mmol/L

CHLORIDE

105

98 - 111

mmol/L

CO2

21

22 - 32

mmol/L

L

GLUCOSE

113

70 - 120

mg/dL

ANION GAP

11

7 - 15

mmol/L

CALCIUM

10.0

8.3 - 10.5

mg/dL

GFR ESTIMATED

32.2

>60 -

mL/min

L

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I'm estimating here, probably on the low side. We're trying to keep our salt/sodium intake around 1500 mg per day and you've exceeded that amount in one meal. You can see why "I don't add salt to anything" doesn't mean anything.

Bowl of s Soup 800 mg sodium

2 slices white bread 250 mg

1 slice cheese 250 mg

3 slices deli ham 700 mg

Total 2000 mg sodium

Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 6:57 PM

How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium?

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia

Here are my labs from 5/13/11.

Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/

So maybe the Spiro IS Working??

Component Results

Component

Your Value

Standard Range

Units

Flag

BUN

29

6 - 20

mg/dL

H

CREATININE

1.7

0.7 - 1.5

mg/dL

H

SODIUM

137

135 - 146

mmol/L

POTASSIUM

4.9

3.5 - 5.1

mmol/L

CHLORIDE

105

98 - 111

mmol/L

CO2

21

22 - 32

mmol/L

L

GLUCOSE

113

70 - 120

mg/dL

ANION GAP

11

7 - 15

mmol/L

CALCIUM

10.0

8.3 - 10.5

mg/dL

GFR ESTIMATED

32.2

>60 -

mL/min

L

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Once

you really do eat low salt, you'll be able to pick out sodium at the first bite,

and won't be able to tolerate it.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of a Hall

I'm

estimating here, probably on the low side. We're trying to keep

our salt/sodium intake around 1500 mg per day and you've exceeded that amount

in one meal. You can see why " I don't add salt to anything "

doesn't mean anything.

Bowl

of s

Soup

800 mg sodium

2

slices white

bread

250 mg

1

slice

cheese

250 mg

3

slices deli

ham

700 mg

Total

2000 mg sodium

Subject: RE: Labs 5/16/11

To: hyperaldosteronism

Date: Monday, May 16, 2011, 6:57 PM

How

long have you been on spiro? Why are you on

norvasc and labetalol? What's your

blood pressure doing? Do you take

calcium?

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia

Here are my labs from 5/13/11.

Licia, African American, PA,

148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin

D/

So maybe the Spiro IS Working??

Component

Results

Component

Your Value

Standard Range

Units

Flag

BUN

29

6 - 20

mg/dL

H

CREATININE

1.7

0.7 - 1.5

mg/dL

H

SODIUM

137

135 - 146

mmol/L

POTASSIUM

4.9

3.5 - 5.1

mmol/L

CHLORIDE

105

98 - 111

mmol/L

CO2

21

22 - 32

mmol/L

L

GLUCOSE

113

70 - 120

mg/dL

ANION GAP

11

7 - 15

mmol/L

CALCIUM

10.0

8.3 - 10.5

mg/dL

GFR ESTIMATED

32.2

>60 -

mL/min

L

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Hi Licia,

I have tried the "one meal a day." to lose weight and it doesn't

work and ends up causing more problems. How about 6 small meals a

day?  I am doing a combo Weight Wathchers/DASH diet which is 3

meals, two snacks. Granted the weight is coming off slowly but it is coming off which is

better than I have done by myself in several years.

Kellie

 

THANK YOU. I ONLY EAT ONE SOLID MEAL A DAY,

LIKE RIGHT NOW. I HAVE A CAMPBELL'S HEARTY SOUP

W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM

AND CHEESE SANDWICH. I MAY GET A  CUP A COFFEE

AND A COUPLE COOKIES MAYBE, BUT THAT IS IT. I

HAVE NOT USED OR BOUGHT SALT IN OVER A YR. I USE

PEPPER, LEMON PEPPER, CRUSHED RED PEPPER,

PAPRIKA, GARLIC POWDER( NOT THE SALT) CILANTRO,

ITALIAN SEASONING. LIKE I MENTIONED EARLIER, I

DON'T EAT, SO THE WEIGHT HAS TO BE COMING FROM

MEDS, WATER RETENSION, MAYBE BEER, BUT I HAVE

CUT BACK ON DRINKING BEER SINCE B4 EASTER.

Metabolism??

 

Licia

From: Valarie

Subject: RE:

Labs 5/16/11

To: hyperaldosteronism

Date: Monday,

May 16, 2011,

6:57 PM

 

How

long have you

been on spiro?  Why are you on

norvasc and labetalol?  What's your

blood pressure

doing?  Do you take

calcium?

 

Val

 

From: hyperaldosteronism  [mailto:hyperaldosteronism ] On Behalf Of Licia

 

Here

are my labs

from 5/13/11.

 

Licia,

African

American, PA,

148/150/lbs, norvasc,

spiro-100mg,

day/semastin/labetalol/iron/vitamin

D/

 

So

maybe the

Spiro IS

Working??

 

Component

Results

Component

Your

Value

Standard

Range

Units

Flag

BUN

29

6

- 20

mg/dL

H

CREATININE

1.7

0.7

- 1.5

mg/dL

H

SODIUM

137

135

- 146

mmol/L

POTASSIUM

4.9

3.5

- 5.1

mmol/L

CHLORIDE

105

98

- 111

mmol/L

CO2

21

22

- 32

mmol/L

L

GLUCOSE

113

70

- 120

mg/dL

ANION

GAP

11

7

- 15

mmol/L

CALCIUM

10.0

8.3

- 10.5

mg/dL

GFR

ESTIMATED

32.2

>60

-  

mL/min

L

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Before the fiery darts. . . .if you look the postings youll see that you ladies

mention weight way more than the men and for some it is mentioned every posting.

it is often more central to a woman than a man. . . . . .but once again often it

is hormonal but please do not forget men have hormones too and it is not just

middle age, a beer belly, and or inactivity

now come on some oe you have pinned a man like that without thinking it was

hormonal. . . . .probably isnt, but still

>THANK YOU. I ONLY EAT ONE SOLID MEAL A DAY, LIKE RIGHT NOW. I HAVE A CAMPBELL'S

HEARTY SOUP W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM AND CHEESE SANDWICH.

I MAY GET A  CUP A COFFEE AND A COUPLE COOKIES MAYBE, BUT THAT IS IT. I HAVE NOT

USED OR BOUGHT SALT IN OVER A YR. I USE PEPPER, LEMON PEPPER, CRUSHED RED

PEPPER, PAPRIKA, GARLIC POWDER( NOT THE SALT) CILANTRO, ITALIAN SEASONING. LIKE

I MENTIONED EARLIER, I DON'T EAT, SO THE WEIGHT HAS TO BE COMING FROM MEDS,

WATER RETENSION, MAYBE BEER, BUT I HAVE CUT BACK ON DRINKING BEER SINCE B4

EASTER. Metabolism??

> 

>Licia

>

>

>

>

>

>Subject: RE: Labs 5/16/11

>To: hyperaldosteronism

>Date: Monday, May 16, 2011, 6:57 PM

>

>

> 

>

>

>

>How long have you been on spiro?  Why are you on norvasc and labetalol?  What's

your blood pressure doing?  Do you take calcium?

> 

>

>

>Val

> 

>

>From: hyperaldosteronism  [mailto:hyperaldosteronism@yahoogroups\

..com] On Behalf Of Licia

> 

>

>

>

>

>

>

>

>

>Here are my labs from 5/13/11.

>

> 

>

>

>Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg,

day/semastin/labetalol/iron/vitamin D/

>

> 

>

>

>So maybe the Spiro IS Working??

>

> 

>

>

>Component Results

>

>

>

>

>

>Component

>

>Your Value

>

>Standard Range

>

>Units

>

>Flag

>

>

>

>BUN

>

>29

>

>6 - 20

>

>mg/dL

>

>H

>

>

>CREATININE

>

>1.7

>

>0.7 - 1.5

>

>mg/dL

>

>H

>

>

>SODIUM

>

>137

>

>135 - 146

>

>mmol/L

>

>

>

>POTASSIUM

>

>4.9

>

>3.5 - 5.1

>

>mmol/L

>

>

>

>CHLORIDE

>

>105

>

>98 - 111

>

>mmol/L

>

>

>

>CO2

>

>21

>

>22 - 32

>

>mmol/L

>

>L

>

>

>GLUCOSE

>

>113

>

>70 - 120

>

>mg/dL

>

>

>

>ANION GAP

>

>11

>

>7 - 15

>

>mmol/L

>

>

>

>CALCIUM

>

>10.0

>

>8.3 - 10.5

>

>mg/dL

>

>

>

>GFR ESTIMATED

>

>32.2

>

>>60 -  

>

>mL/min

>

>L

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

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Guest guest

Read the labels on the soup and the ham and cheese and I bet u have exceeded 1500 Mg NA for DASH. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

THANK YOU. I ONLY EAT ONE SOLID MEAL A DAY, LIKE RIGHT NOW. I HAVE A CAMPBELL'S HEARTY SOUP W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM AND CHEESE SANDWICH. I MAY GET A CUP A COFFEE AND A COUPLE COOKIES MAYBE, BUT THAT IS IT. I HAVE NOT USED OR BOUGHT SALT IN OVER A YR. I USE PEPPER, LEMON PEPPER, CRUSHED RED PEPPER, PAPRIKA, GARLIC POWDER( NOT THE SALT) CILANTRO, ITALIAN SEASONING. LIKE I MENTIONED EARLIER, I DON'T EAT, SO THE WEIGHT HAS TO BE COMING FROM MEDS, WATER RETENSION, MAYBE BEER, BUT I HAVE CUT BACK ON DRINKING BEER SINCE B4 EASTER. Metabolism??

Licia

GOOD MORNING DR. GRIM VAL ET AL:

OK HERE IS A CHART:

Chart

Name

CREATININE

GFR ESTIMATED

6/25/2001

0.5 L

12/23/2002

0.9

7/24/2003

1.0

8/22/2007

1.1

57.4 L

12/8/2008

1.4

43.2 L

12/23/2008

1.3

47.1 L

3/13/2009

2.1 H

27.1 L

3/24/2009

1.6 H

37.0 L

6/2/2009

1.7 H

34.5 L

10/13/2009

2.1 H

27.0 L

11/2/2010

2.2 H

23.9 L

11/23/2010

2.3 H

22.7 L

11/29/2010

2.2 H

23.9 L

2/2/2011

1.5

37.2 L

2/23/2011

1.2

48.2 L

2/24/2011

1.8 H

30.2 L

4/22/2011

1.5

37.2 L

5/13/2011

1.7 H

32.2 L

HERE ARE THE MEDS I WAS ON IN 2007 WHE MY CREATIN WAS 57. THE THE H, IS GOING ON?? I WAS TAKING LISINOPRIL, WHY WAS I TAKEN OFF OF IT? IF IT WAS GIVING KEEPING MY LEVELS AT A HEALTHY LEVEL?

Name

Start Date

Discontinued Date

TOPROL XL 100 MG PO TB24

8/22/2007

12/3/2008

SYNTHROID 75 MCG OR TABS

8/22/2007

8/31/2007

MY SYNTHROID WAS INCREASE TO 88MCG

Routine Orders

Name

Type

GYN REFERRAL OP

Referral

TSH

Lab

LIPID PANEL

Lab

COMPR METAB PANEL

Lab

CBC

Lab

Future Orders

Name

Expected Date

Expiration Date

Type

TSH

8/22/2007

8/21/2008

Lab

LIPID PANEL

8/22/2007

8/21/2008

Lab

COMPR METAB PANEL

8/22/2007

8/21/2008

Lab

CBC

8/22/2007

8/21/2008

Lab

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Cookies are also a god source of salt. BiIt read the labels. Weight gain always is always due to eating more calories than u burn. Start recording every thing u eat using an online or app. I use loseit as it does NA AND calories an u can input exercise such as walking to see how many calories you need to burn one cookie. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

THANK YOU. I ONLY EAT ONE SOLID MEAL A DAY, LIKE RIGHT NOW. I HAVE A CAMPBELL'S HEARTY SOUP W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM AND CHEESE SANDWICH. I MAY GET A CUP A COFFEE AND A COUPLE COOKIES MAYBE, BUT THAT IS IT. I HAVE NOT USED OR BOUGHT SALT IN OVER A YR. I USE PEPPER, LEMON PEPPER, CRUSHED RED PEPPER, PAPRIKA, GARLIC POWDER( NOT THE SALT) CILANTRO, ITALIAN SEASONING. LIKE I MENTIONED EARLIER, I DON'T EAT, SO THE WEIGHT HAS TO BE COMING FROM MEDS, WATER RETENSION, MAYBE BEER, BUT I HAVE CUT BACK ON DRINKING BEER SINCE B4 EASTER. Metabolism??

Licia

GOOD MORNING DR. GRIM VAL ET AL:

OK HERE IS A CHART:

Chart

Name

CREATININE

GFR ESTIMATED

6/25/2001

0.5 L

12/23/2002

0.9

7/24/2003

1.0

8/22/2007

1.1

57.4 L

12/8/2008

1.4

43.2 L

12/23/2008

1.3

47.1 L

3/13/2009

2.1 H

27.1 L

3/24/2009

1.6 H

37.0 L

6/2/2009

1.7 H

34.5 L

10/13/2009

2.1 H

27.0 L

11/2/2010

2.2 H

23.9 L

11/23/2010

2.3 H

22.7 L

11/29/2010

2.2 H

23.9 L

2/2/2011

1.5

37.2 L

2/23/2011

1.2

48.2 L

2/24/2011

1.8 H

30.2 L

4/22/2011

1.5

37.2 L

5/13/2011

1.7 H

32.2 L

HERE ARE THE MEDS I WAS ON IN 2007 WHE MY CREATIN WAS 57. THE THE H, IS GOING ON?? I WAS TAKING LISINOPRIL, WHY WAS I TAKEN OFF OF IT? IF IT WAS GIVING KEEPING MY LEVELS AT A HEALTHY LEVEL?

Name

Start Date

Discontinued Date

TOPROL XL 100 MG PO TB24

8/22/2007

12/3/2008

SYNTHROID 75 MCG OR TABS

8/22/2007

8/31/2007

MY SYNTHROID WAS INCREASE TO 88MCG

Routine Orders

Name

Type

GYN REFERRAL OP

Referral

TSH

Lab

LIPID PANEL

Lab

COMPR METAB PANEL

Lab

CBC

Lab

Future Orders

Name

Expected Date

Expiration Date

Type

TSH

8/22/2007

8/21/2008

Lab

LIPID PANEL

8/22/2007

8/21/2008

Lab

COMPR METAB PANEL

8/22/2007

8/21/2008

Lab

CBC

8/22/2007

8/21/2008

Lab

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Keep up the good work Kellie Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Hi Licia,

I have tried the "one meal a day." to lose weight and it doesn't

work and ends up causing more problems. How about 6 small meals a

day? I am doing a combo Weight Wathchers/DASH diet which is 3

meals, two snacks. Granted the weight is coming off slowly but it is coming off which is

better than I have done by myself in several years.

Kellie

THANK YOU. I ONLY EAT ONE SOLID MEAL A DAY,

LIKE RIGHT NOW. I HAVE A CAMPBELL'S HEARTY SOUP

W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM

AND CHEESE SANDWICH. I MAY GET A CUP A COFFEE

AND A COUPLE COOKIES MAYBE, BUT THAT IS IT. I

HAVE NOT USED OR BOUGHT SALT IN OVER A YR. I USE

PEPPER, LEMON PEPPER, CRUSHED RED PEPPER,

PAPRIKA, GARLIC POWDER( NOT THE SALT) CILANTRO,

ITALIAN SEASONING. LIKE I MENTIONED EARLIER, I

DON'T EAT, SO THE WEIGHT HAS TO BE COMING FROM

MEDS, WATER RETENSION, MAYBE BEER, BUT I HAVE

CUT BACK ON DRINKING BEER SINCE B4 EASTER.

Metabolism??

Licia

All the

blood work was

taken in the

afternoon. My

pressure

started to get

out of whack,

when I

switched from

Lisinopril and

Norvasc, To

Diovan,

Bistolic and

the water

pill, then to

diaovan and

spiro, then

stopped the

spiro, and

picked up the

labetalol,

then back to

the spiro

labetalol, and

stopped the

bistolic and

diovan. All

starting out

from 12/2008.

now i'm

currently on

spiro 100 4x's

a day 25mgs,

sembastin, vit

d, 1 a week,

and then 1

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The problem hormone is the mouth.Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Before the fiery darts. . . .if you look the postings youll see that you ladies mention weight way more than the men and for some it is mentioned every posting. it is often more central to a woman than a man. . . . . .but once again often it is hormonal but please do not forget men have hormones too and it is not just middle age, a beer belly, and or inactivity now come on some oe you have pinned a man like that without thinking it was hormonal. . . . .probably isnt, but still

>THANK YOU. I ONLY EAT ONE SOLID MEAL A DAY, LIKE RIGHT NOW. I HAVE A CAMPBELL'S HEARTY SOUP W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM AND CHEESE SANDWICH. I MAY GET A CUP A COFFEE AND A COUPLE COOKIES MAYBE, BUT THAT IS IT. I HAVE NOT USED OR BOUGHT SALT IN OVER A YR. I USE PEPPER, LEMON PEPPER, CRUSHED RED PEPPER, PAPRIKA, GARLIC POWDER( NOT THE SALT) CILANTRO, ITALIAN SEASONING. LIKE I MENTIONED EARLIER, I DON'T EAT, SO THE WEIGHT HAS TO BE COMING FROM MEDS, WATER RETENSION, MAYBE BEER, BUT I HAVE CUT BACK ON DRINKING BEER SINCE B4 EASTER. Metabolism??

>

>Licia

>

>

>

>

>

>Subject: RE: Labs 5/16/11

>To: hyperaldosteronism

>Date: Monday, May 16, 2011, 6:57 PM

>

>

>

>

>

>

>How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium?

>

>

>

>Val

>

>

>From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia

>

>

>

>

>

>

>

>

>

>Here are my labs from 5/13/11.

>

>

>

>

>Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/

>

>

>

>

>So maybe the Spiro IS Working??

>

>

>

>

>Component Results

>

>

>

>

>

>Component

>

>Your Value

>

>Standard Range

>

>Units

>

>Flag

>

>

>

>BUN

>

>29

>

>6 - 20

>

>mg/dL

>

>H

>

>

>CREATININE

>

>1.7

>

>0.7 - 1.5

>

>mg/dL

>

>H

>

>

>SODIUM

>

>137

>

>135 - 146

>

>mmol/L

>

>

>

>POTASSIUM

>

>4.9

>

>3.5 - 5.1

>

>mmol/L

>

>

>

>CHLORIDE

>

>105

>

>98 - 111

>

>mmol/L

>

>

>

>CO2

>

>21

>

>22 - 32

>

>mmol/L

>

>L

>

>

>GLUCOSE

>

>113

>

>70 - 120

>

>mg/dL

>

>

>

>ANION GAP

>

>11

>

>7 - 15

>

>mmol/L

>

>

>

>CALCIUM

>

>10.0

>

>8.3 - 10.5

>

>mg/dL

>

>

>

>GFR ESTIMATED

>

>32.2

>

>>60 -

>

>mL/min

>

>L

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

Reply to sender |

Reply to group |

Reply via web post |

Start a New Topic

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Guest guest

Not to mention s is notorious for high sodium as is ham, cheese and

bread. bet that lunch reached over 1000

>Cookies are also a god source of salt. Bi

>It read the labels.

>

>Weight gain always is always due to eating more calories than u burn. Start

recording every thing u eat using an online or app. I use loseit as it does NA

AND calories an u can input exercise such as walking to see how many calories

you need to burn one cookie.

>

>Tiped sad Send form mi

>iPhone ;-)

>

>May your pressure be low!

>

>CE Grim MD

>Specializing in Difficult

>Hypertension

>

>

>

>> THANK YOU. I ONLY EAT ONE SOLID MEAL A DAY, LIKE RIGHT NOW. I HAVE A

CAMPBELL'S HEARTY SOUP W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM AND

CHEESE SANDWICH. I MAY GET A CUP A COFFEE AND A COUPLE COOKIES MAYBE, BUT THAT

IS IT. I HAVE NOT USED OR BOUGHT SALT IN OVER A YR. I USE PEPPER, LEMON PEPPER,

CRUSHED RED PEPPER, PAPRIKA, GARLIC POWDER( NOT THE SALT) CILANTRO, ITALIAN

SEASONING. LIKE I MENTIONED EARLIER, I DON'T EAT, SO THE WEIGHT HAS TO BE COMING

FROM MEDS, WATER RETENSION, MAYBE BEER, BUT I HAVE CUT BACK ON DRINKING BEER

SINCE B4 EASTER. Metabolism??

>>

>> Licia

>>

>>

>>>>

>>>>>

>>>>> GOOD MORNING DR. GRIM VAL ET AL:

>>>>> OK HERE IS A CHART:

>>>>> Chart

>>>>>

>>>>> Name CREATININE GFR ESTIMATED

>>>>> 6/25/2001 0.5 L

>>>>> 12/23/2002 0.9

>>>>> 7/24/2003 1.0

>>>>> 8/22/2007 1.1 57.4 L

>>>>> 12/8/2008 1.4 43.2 L

>>>>> 12/23/2008 1.3 47.1 L

>>>>> 3/13/2009 2.1 H 27.1 L

>>>>> 3/24/2009 1.6 H 37.0 L

>>>>> 6/2/2009 1.7 H 34.5 L

>>>>> 10/13/2009 2.1 H 27.0 L

>>>>> 11/2/2010 2.2 H 23.9 L

>>>>> 11/23/2010 2.3 H 22.7 L

>>>>> 11/29/2010 2.2 H 23.9 L

>>>>> 2/2/2011 1.5 37.2 L

>>>>> 2/23/2011 1.2 48.2 L

>>>>> 2/24/2011 1.8 H 30.2 L

>>>>> 4/22/2011 1.5 37.2 L

>>>>> 5/13/2011 1.7 H 32.2 L

>>>>>

>>>>>

>>>>>

>>>>> HERE ARE THE MEDS I WAS ON IN 2007 WHE MY CREATIN WAS 57. THE THE H, IS

GOING ON?? I WAS TAKING LISINOPRIL, WHY WAS I TAKEN OFF OF IT? IF IT WAS GIVING

KEEPING MY LEVELS AT A HEALTHY LEVEL?

>>>>>

>>>>> Name Start Date Discontinued Date

>>>>> TOPROL XL 100 MG PO TB24 8/22/2007 12/3/2008

>>>>> SYNTHROID 75 MCG OR TABS 8/22/2007 8/31/2007

>>>>> MY SYNTHROID WAS INCREASE TO 88MCG

>>>>> Routine Orders

>>>>>

>>>>> Name Type

>>>>> GYN REFERRAL OP Referral

>>>>> TSH Lab

>>>>> LIPID PANEL Lab

>>>>> COMPR METAB PANEL Lab

>>>>> CBC Lab

>>>>> Future Orders

>>>>>

>>>>> Name Expected Date Expiration Date Type

>>>>> TSH 8/22/2007 8/21/2008 Lab

>>>>> LIPID PANEL 8/22/2007 8/21/2008 Lab

>>>>> COMPR METAB PANEL 8/22/2007 8/21/2008 Lab

>>>>> CBC 8/22/2007 8/21/2008 Lab

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Thats got to be the truest statement ever!

>The problem hormone is the mouth.

>Tiped sad Send form mi

>iPhone ;-)

>

>May your pressure be low!

>

>CE Grim MD

>Specializing in Difficult

>Hypertension

>

>

>

>> Before the fiery darts. . . .if you look the postings youll see that you

ladies mention weight way more than the men and for some it is mentioned every

posting. it is often more central to a woman than a man. . . . . .but once again

often it is hormonal but please do not forget men have hormones too and it is

not just middle age, a beer belly, and or inactivity now come on some oe you

have pinned a man like that without thinking it was hormonal. . . . .probably

isnt, but still

>>

>>

>>

>> >THANK YOU. I ONLY EAT ONE SOLID MEAL A DAY, LIKE RIGHT NOW. I HAVE A

CAMPBELL'S HEARTY SOUP W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM AND

CHEESE SANDWICH. I MAY GET A CUP A COFFEE AND A COUPLE COOKIES MAYBE, BUT THAT

IS IT. I HAVE NOT USED OR BOUGHT SALT IN OVER A YR. I USE PEPPER, LEMON PEPPER,

CRUSHED RED PEPPER, PAPRIKA, GARLIC POWDER( NOT THE SALT) CILANTRO, ITALIAN

SEASONING. LIKE I MENTIONED EARLIER, I DON'T EAT, SO THE WEIGHT HAS TO BE COMING

FROM MEDS, WATER RETENSION, MAYBE BEER, BUT I HAVE CUT BACK ON DRINKING BEER

SINCE B4 EASTER. Metabolism??

>> >

>> >Licia

>> >

>> >

>> >

>> >

>> >

>> >Subject: RE: Labs 5/16/11

>> >To: hyperaldosteronism

>> >Date: Monday, May 16, 2011, 6:57 PM

>> >

>> >

>> >

>> >

>> >

>> >

>> >How long have you been on spiro? Why are you on norvasc and labetalol?

What's your blood pressure doing? Do you take calcium?

>> >

>> >

>> >

>> >Val

>> >

>> >

>> >From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Licia

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >Here are my labs from 5/13/11.

>> >

>> >

>> >

>> >

>> >Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg,

day/semastin/labetalol/iron/vitamin D/

>> >

>> >

>> >

>> >

>> >So maybe the Spiro IS Working??

>> >

>> >

>> >

>> >

>> >Component Results

>> >

>> >

>> >

>> >

>> >

>> >Component

>> >

>> >Your Value

>> >

>> >Standard Range

>> >

>> >Units

>> >

>> >Flag

>> >

>> >

>> >

>> >BUN

>> >

>> >29

>> >

>> >6 - 20

>> >

>> >mg/dL

>> >

>> >H

>> >

>> >

>> >CREATININE

>> >

>> >1.7

>> >

>> >0.7 - 1.5

>> >

>> >mg/dL

>> >

>> >H

>> >

>> >

>> >SODIUM

>> >

>> >137

>> >

>> >135 - 146

>> >

>> >mmol/L

>> >

>> >

>> >

>> >POTASSIUM

>> >

>> >4.9

>> >

>> >3.5 - 5.1

>> >

>> >mmol/L

>> >

>> >

>> >

>> >CHLORIDE

>> >

>> >105

>> >

>> >98 - 111

>> >

>> >mmol/L

>> >

>> >

>> >

>> >CO2

>> >

>> >21

>> >

>> >22 - 32

>> >

>> >mmol/L

>> >

>> >L

>> >

>> >

>> >GLUCOSE

>> >

>> >113

>> >

>> >70 - 120

>> >

>> >mg/dL

>> >

>> >

>> >

>> >ANION GAP

>> >

>> >11

>> >

>> >7 - 15

>> >

>> >mmol/L

>> >

>> >

>> >

>> >CALCIUM

>> >

>> >10.0

>> >

>> >8.3 - 10.5

>> >

>> >mg/dL

>> >

>> >

>> >

>> >GFR ESTIMATED

>> >

>> >32.2

>> >

>> >>60 -

>> >

>> >mL/min

>> >

>> >L

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>> >

>>

>>

>> Reply to sender | Reply to group | Reply via web post | Start a New Topic

>> Messages in this topic (49)

>> RECENT ACTIVITY: New Members 6 New Files 2

>> Visit Your Group

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And Licia weve all learned the hard way (well maybe a few of us) its not the

salt shaker but the salt taker. That damn salt is in any packaged food. i

almost bought a chocolate milk this am as i saw the potassium was 16% til i saw

the sodium was 19%

>Not to mention s is notorious for high sodium as is ham, cheese and

bread. bet that lunch reached over 1000

>

>

>

>>Cookies are also a god source of salt. Bi

>>It read the labels.

>>

>>Weight gain always is always due to eating more calories than u burn. Start

recording every thing u eat using an online or app. I use loseit as it does NA

AND calories an u can input exercise such as walking to see how many calories

you need to burn one cookie.

>>

>>Tiped sad Send form mi

>>iPhone ;-)

>>

>>May your pressure be low!

>>

>>CE Grim MD

>>Specializing in Difficult

>>Hypertension

>>

>>

>>

>>> THANK YOU. I ONLY EAT ONE SOLID MEAL A DAY, LIKE RIGHT NOW. I HAVE A

CAMPBELL'S HEARTY SOUP W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM AND

CHEESE SANDWICH. I MAY GET A CUP A COFFEE AND A COUPLE COOKIES MAYBE, BUT THAT

IS IT. I HAVE NOT USED OR BOUGHT SALT IN OVER A YR. I USE PEPPER, LEMON PEPPER,

CRUSHED RED PEPPER, PAPRIKA, GARLIC POWDER( NOT THE SALT) CILANTRO, ITALIAN

SEASONING. LIKE I MENTIONED EARLIER, I DON'T EAT, SO THE WEIGHT HAS TO BE COMING

FROM MEDS, WATER RETENSION, MAYBE BEER, BUT I HAVE CUT BACK ON DRINKING BEER

SINCE B4 EASTER. Metabolism??

>>>

>>> Licia

>>>

>>>

>>>>>

>>>>>>

>>>>>> GOOD MORNING DR. GRIM VAL ET AL:

>>>>>> OK HERE IS A CHART:

>>>>>> Chart

>>>>>>

>>>>>> Name CREATININE GFR ESTIMATED

>>>>>> 6/25/2001 0.5 L

>>>>>> 12/23/2002 0.9

>>>>>> 7/24/2003 1.0

>>>>>> 8/22/2007 1.1 57.4 L

>>>>>> 12/8/2008 1.4 43.2 L

>>>>>> 12/23/2008 1.3 47.1 L

>>>>>> 3/13/2009 2.1 H 27.1 L

>>>>>> 3/24/2009 1.6 H 37.0 L

>>>>>> 6/2/2009 1.7 H 34.5 L

>>>>>> 10/13/2009 2.1 H 27.0 L

>>>>>> 11/2/2010 2.2 H 23.9 L

>>>>>> 11/23/2010 2.3 H 22.7 L

>>>>>> 11/29/2010 2.2 H 23.9 L

>>>>>> 2/2/2011 1.5 37.2 L

>>>>>> 2/23/2011 1.2 48.2 L

>>>>>> 2/24/2011 1.8 H 30.2 L

>>>>>> 4/22/2011 1.5 37.2 L

>>>>>> 5/13/2011 1.7 H 32.2 L

>>>>>>

>>>>>>

>>>>>>

>>>>>> HERE ARE THE MEDS I WAS ON IN 2007 WHE MY CREATIN WAS 57. THE THE H, IS

GOING ON?? I WAS TAKING LISINOPRIL, WHY WAS I TAKEN OFF OF IT? IF IT WAS GIVING

KEEPING MY LEVELS AT A HEALTHY LEVEL?

>>>>>>

>>>>>> Name Start Date Discontinued Date

>>>>>> TOPROL XL 100 MG PO TB24 8/22/2007 12/3/2008

>>>>>> SYNTHROID 75 MCG OR TABS 8/22/2007 8/31/2007

>>>>>> MY SYNTHROID WAS INCREASE TO 88MCG

>>>>>> Routine Orders

>>>>>>

>>>>>> Name Type

>>>>>> GYN REFERRAL OP Referral

>>>>>> TSH Lab

>>>>>> LIPID PANEL Lab

>>>>>> COMPR METAB PANEL Lab

>>>>>> CBC Lab

>>>>>> Future Orders

>>>>>>

>>>>>> Name Expected Date Expiration Date Type

>>>>>> TSH 8/22/2007 8/21/2008 Lab

>>>>>> LIPID PANEL 8/22/2007 8/21/2008 Lab

>>>>>> COMPR METAB PANEL 8/22/2007 8/21/2008 Lab

>>>>>> CBC 8/22/2007 8/21/2008 Lab

>

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Guest guest

Its still easier to spend than the liberals $3 bill

>Look at the real $1 bill again. You will note Bush 1's wife's picture on it.

>

>CE Grim MD

>

>

>>

>>

>> WILL WORK FOR LOW-SODIUM FOOD (after intervention by Dr. Grim)!

>>

>> And Bush was elected how?

>>

>>

>>> When 98% of a large ethnic population vote for someone based on skin color

then well get what we pay for. and we are. thats racism. He had the same

distressed look on his face Clinton did in the monica era had until the actual

certificate came out then it was jokes and spin. Look at the photos yourself.

odd and send us a pic of your obama hair :-)

>>>

>>>

>>>

>>

>>

>>

>>

>

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horrendous statement? can always be racist, politically incorrect, gender

hating etc so long as it is a republican

>Bunch of fat white men haha

>

>

>

>

>

>> And Bush was elected how?

>>

>>

>>

>>> When 98% of a large ethnic population vote for someone based on skin color

then well get what we pay for. and we are. thats racism. He had the same

distressed look on his face Clinton did in the monica era had until the actual

certificate came out then it was jokes and spin. Look at the photos yourself.

odd and send us a pic of your obama hair :-)

>>>

>>>

>>>

>>> >Hey. One big problem out of the way. He showed us his birth certificate.

>>> >

>>> >I am hoping for 6 more years actually.

>>> >

>>> >CE Grim MD

>>> >

>>> >

>>> >> But obama says its all bushs fault. obama is almost as perfect as B

Clinton. Almost. we have 2 years still

>>> >>

>>> >>

>>> >>

>>> >> >LOL. " it is all Bush's Fault..... " u r funny Val!!! The problem is with

ur mouth. I know what u mean tho

>>> >> >seems like our bodies take on a different direction no matter what

direction

>>> >> >we try to take it. Crazy.

>>> >> >

>>> >> >

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>>> >> >>

>>> >> >>>The problem hormone is the mouth.

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>>>

>>>

>>

>>

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That voted. or at least could punch out the chads or that got driven to the

polls or that werent turned away by the black panthers

On Thu May 19th, 2011 3:44 PM CDT Francis Bill SUSPECTED PA wrote:

>While the African-American turnout rose to 13% compared to 11% in 2004. This

wasn't realy 98% of of the ethnic population.

>

>

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>

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If not for Democrats there would be no Social Security. Many of us would paying

to have someone to take care on elderly parents or be taking care of them

selves. @ $60000+ per year for nurseing home care how long could you pay this

bill?

> >>>

> >>

> >>

> >>

> >>

> >

>

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Ive been in and out of nursing homes all my adult life. i love my family too

much to put them in one. I pay into SSI btw. . . .alot more than some because

oe my income. AND i have my own retirement. But i work. The dems did it to

create some cash for them. plus they needed the vote back then because their

push for segregation and the dem govs shooting people and looking the other way

as the KKK lynched and burned churches and people wasnt working out too well

politically. Those were demorats. look it up.

On Thu May 19th, 2011 5:16 PM CDT Francis Bill SUSPECTED PA wrote:

>If not for Democrats there would be no Social Security. Many of us would

paying to have someone to take care on elderly parents or be taking care of them

selves. @ $60000+ per year for nurseing home care how long could you pay this

bill?

>

>

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>

>

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I went through taking care on my parentsto keep them out of a nursing home. Only

was able to do it with help of Gov programs and help from families. It is more

then a full time job. Also heled that I wasn't married. I was luckey that they

were able to do many things with out much help altho my father wasn't able to

walk and needed help useing the tolit and getting in and out of bed. Had things

gotten much worse I would have had no choice but to put them in a nursing home.

> >> >>>

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