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Meds from MYGeisenger's website:

VITAMIN D (ERGOCALCIFEROL) 50000 UNIT CAP

About This Medication

Instructions: 50,000 units weekly times 4 weeks, then monthly for 6 additional months

Prescribed by DiFilippo, MD on 4/26/2011Request a refill HYDROCHLOROTHIAZIDE 12.5 MG CAP

About This Medication

Instructions: One pill by mouth daily

Prescribed by Aliasgar Z Chittalia, MD on 4/1/2011Request a refill AMLODIPINE 5 MG TAB

About This Medication

Instructions: 1 tablet daily

Prescribed by DiFilippo, MD on 3/25/2011Request a refill LABETALOL 200 MG TAB

About This Medication

Instructions: 1 tab oral 3 times a day

Prescribed by Gerald Maloney, DO on 2/24/2011Request a refill RETURN TO WORK

About This Medication

Instructions: Ok to resume work on 2/28/2011

Prescribed by Gerald Maloney, DO on 2/24/2011Request a refill SIMVASTATIN 40 MG TAB

About This Medication

Instructions: One pill by mouth once a day at bedtime

Prescribed by Aliasgar Z Chittalia, MD on 2/3/2011Request a refill FERROUS SULFATE 325 (65 FE) MG TAB

About This Medication

Instructions: One pill by mouth twice a day

Prescribed by Aliasgar Z Chittalia, MD on 2/3/2011Request a refill LEVOTHYROXINE SODIUM 125 MCG TAB

About This Medication

Instructions: One pill by mouth once a day with a glass of water

Prescribed by Aliasgar Z Chittalia, MD on 8/13/2010Request a refill

ALBUMIN

4.7

3.8 - 5.0

g/dL

CALCIUM

9.9

8.3 - 10.5

mg/dL

CO2

31

22 - 32

mmol/L

CHLORIDE

98

98 - 111

mmol/L

CREATININE

1.5

0.7 - 1.5

mg/dL

GLUCOSE

92

70 - 120

mg/dL

PHOSPHORUS

4.1

2.5 - 4.8

mg/dL

POTASSIUM

3.2

3.5 - 5.1

mmol/L

L

SODIUM

140

135 - 146

mmol/L

BUN

19

6 - 20

mg/dL

GFR ESTIMATED

37.2

>60 -

mL/min

L

ANION GAP

11

7 - 15

mmol/L

Also: ana - 640 " speckled", Vit D: 19.2, PTH, Intact: 127, RNP- SMAntibody 13.1, (negative) Sodium urine: 48, Potassium: 78.4, Chlordie: 38, t3, free: 2.4,

PRA LC MS MS

1.92

0.25 - 5.82

ng/mL/h

ALDOSTERONE/PRA RAT

13.0

0.9 - 28.9

Ratio

ALDOSTERONE

25

ng/dL

ALDOSTERONE

(NOTE)Adult Reference Ranges for Aldosterone,LC/MS/MS:Upright 8:00-10:00 am < or = 28 ng/dLUpright 4:00-6:00 pm < or = 21 ng/dLSupine 8:00-10:00 am 3-16 ng/dL

ALDO/REN RESULT RECD

04/27/11

ALDO/REN RESULT RECD

(NOTE)Reference lab accession: 46803001Test performed by:Quest Diagnostics Nichols Institute33608 Ortega HwySan Capistrano, CA 92675Phone: Director: Jon M. Nakamoto, M.D.

CORTISOL

29.0

ug/dL

CORTISOL

PM REFERENCE RANGE 2.3-11.9 ug/dL

General Information

Collected:

4/22/2011 3:50 PM

Resulted:

4/23/2011 2:08 AM

Ordered By:

DiFilippo, MD

Result Status:

Final result

Component

Your Value

Standard Range

Units

Flag

THYROGLOBULIN AB

<20.0

<20 -

IU/ML

THYROID PEROXIDASE AB

227.0

0 - 35

IU/ML

H

TSH

0.93

0.27 - 4.2

uIU/mL

General Information

Collected:

4/22/2011 3:50 PM

Resulted:

4/23/2011 2:08 AM

Ordered By:

DiFilippo, MD

Result Status:

Final result

Component Results

Component

Your Value

Standard Range

Units

Flag

T3, FREE

2.4

2.6 - 4.4

pg/mL

L

Component

Your Value

Standard Range

Units

Flag

T4, FREE

1.59

0.7 - 1.7

ng/dL

Component Results

Component

Your Value

Standard Range

Units

Flag

PTH, INTACT

130

15 - 65

pg/mL

H

General Information

Collected:

4/22/2011 3:50 PM

Resulted:

4/23/2011 11:18 AM

Ordered By:

DiFilippo, MD

Result Status:

Component

Your Value

Standard Range

Units

Flag

HEMOGLOBIN, A1C

6.6

3.4 - 6.4

%

H

EST AVG GLUCOSE

143

<126 -

MG/DL

H

Component

Your Value

Standard Range

Units

Flag

WBC

4.19

4.00 - 10.80

K/uL

RBC

4.36

3.85 - 5.15

M/uL

HGB

13.1

12.0 - 14.5

g/dL

HCT

38.2

36.0 - 44.5

%

MCV

87.6

81.5 - 97.5

fL

MCH

30.0

27.0 - 34.0

pg

MCHC

34.3

32.0 - 36.0

g/dL

RDW

13.0

11.5 - 15.5

%

PLATELET COUNT

248

140 - 400

K/uL

MPV

10.7

6.6 - 11.1

fL

Component

Your Value

Standard Range

Units

Flag

IRON

90

30 - 160

ug/dL

IRON BINDING CAP

260

228 - 428

ug/dL

TRANSFERRIN SAT %

35

15 - 55

%

Your Value

Standard Range

Units

Flag

WBC

5.24

4.00 - 10.80

K/uL

RBC

3.96

3.85 - 5.15

M/uL

HGB

11.8

12.0 - 14.5

g/dL

L

HCT

36.3

36.0 - 44.5

%

MCV

91.7

81.5 - 97.5

fL

MCH

29.8

27.0 - 34.0

pg

MCHC

32.5

32.0 - 36.0

g/dL

RDW

13.0

11.5 - 15.5

%

PLATELET COUNT

222

140 - 400

K/uL

MPV

10.3

6.6 - 11.1

fL

General Information

Collected:

2/24/2011 6:20 AM

Resulted:

2/24/2011 6:56 AM

Ordered By:

Cordelia V Sharma, MD

Result Status:

Final result

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Component Results

Component

Your Value

Standard Range

Units

Flag

WBC

5.24

4.00 - 10.80

K/uL

RBC

3.96

3.85 - 5.15

M/uL

HGB

11.8

12.0 - 14.5

g/dL

L

HCT

36.3

36.0 - 44.5

%

MCV

91.7

81.5 - 97.5

fL

MCH

29.8

27.0 - 34.0

pg

MCHC

32.5

32.0 - 36.0

g/dL

RDW

13.0

11.5 - 15.5

%

PLATELET COUNT

222

140 - 400

K/uL

MPV

10.3

6.6 - 11.1

fL

-----------------------------------------------------------------------------

Component

Your Value

Standard Range

Units

Flag

BUN

24

6 - 20

mg/dL

H

CREATININE

1.8

0.7 - 1.5

mg/dL

H

SODIUM

140

135 - 146

mmol/L

POTASSIUM

3.6

3.5 - 5.1

mmol/L

CHLORIDE

104

98 - 111

mmol/L

CO2

26

22 - 32

mmol/L

GLUCOSE

102

70 - 120

mg/dL

ANION GAP

10

7 - 15

mEq/L

CALCIUM

9.3

8.3 - 10.5

mg/dL

GFR ESTIMATED

30.2

>60 -

mL/min

L

General Information

Collected:

2/24/2011 6:20 AM

Resulted:

2/24/2011 7:19 AM

Ordered By:

Cordelia V Sharma, MD

Result Status:

Final result

**************************************************

Component

Your Value

Standard Range

Units

Flag

COLOR, UA

STRAW

YEL -

A

CLARITY, UA

CLEAR

CLEAR -

GLUCOSE, UA

NEGATIVE

NEG -

mg/dL

BILIRUBIN, UA

NEGATIVE

NEG -

KETONE, UA

NEGATIVE

NEG -

mg/dL

SPECIFIC GRAVITY

1.005

1.003 - 1.030

BLOOD, UA

TRACE

NEG -

A

PH, UA

7.0

5 - 6

units

H

PROTEIN, UA

NEGATIVE

NEG -

mg/dL

UROBILINOGEN, UA

NORMAL

NORM -

EU/dL

NITRITE, UA

NEGATIVE

NEG -

ESTERASE, UA

NEGATIVE

NEG -

BACTERIA, UA

NONE

NONE -

WBC, UA

NONE

/HPF

RBC, UA

1-4

/HPF

General Information

Collected:

2/23/2011 4:45 PM

Resulted:

2/23/2011 5:54 PM

Ordered By:

Ernest M Sully, DO

Result Status:

Final result

ALBUMIN

4.7

3.8 - 5.0

g/dL

CALCIUM

9.9

8.3 - 10.5

mg/dL

CO2

31

22 - 32

mmol/L

CHLORIDE

98

98 - 111

mmol/L

CREATININE

1.5

0.7 - 1.5

mg/dL

GLUCOSE

92

70 - 120

mg/dL

PHOSPHORUS

4.1

2.5 - 4.8

mg/dL

POTASSIUM

3.2

3.5 - 5.1

mmol/L

L

SODIUM

140

135 - 146

mmol/L

BUN

19

6 - 20

mg/dL

GFR ESTIMATED

37.2

>60 -

mL/min

L

ANION GAP

11

7 - 15

mmol/L

Also: ana - 640 " speckled", Vit D: 19.2, PTH, Intact: 127, RNP- SMAntibody 13.1, (negative) Sodium urine: 48, Potassium: 78.4, Chlordie: 38, t3, free: 2.4,

PRA LC MS MS

1.92

0.25 - 5.82

ng/mL/h

ALDOSTERONE/PRA RAT

13.0

0.9 - 28.9

Ratio

ALDOSTERONE

25

ng/dL

ALDOSTERONE

(NOTE)Adult Reference Ranges for Aldosterone,LC/MS/MS:Upright 8:00-10:00 am < or = 28 ng/dLUpright 4:00-6:00 pm < or = 21 ng/dLSupine 8:00-10:00 am 3-16 ng/dL

ALDO/REN RESULT RECD

04/27/11

ALDO/REN RESULT RECD

(NOTE)Reference lab accession: 46803001Test performed by:Quest Diagnostics Nichols Institute33608 Ortega HwySan Capistrano, CA 92675Phone: Director: Jon M. Nakamoto, M.D.

CORTISOL

29.0

ug/dL

CORTISOL

PM REFERENCE RANGE 2.3-11.9 ug/dL

General Information

Collected:

4/22/2011 3:50 PM

Resulted:

4/23/2011 2:08 AM

Ordered By:

DiFilippo, MD

Result Status:

Final result

Component

Your Value

Standard Range

Units

Flag

THYROGLOBULIN AB

<20.0

<20 -

IU/ML

THYROID PEROXIDASE AB

227.0

0 - 35

IU/ML

H

TSH

0.93

0.27 - 4.2

uIU/mL

General Information

Collected:

4/22/2011 3:50 PM

Resulted:

4/23/2011 2:08 AM

Ordered By:

DiFilippo, MD

Result Status:

Final result

Component Results

Component

Your Value

Standard Range

Units

Flag

T3, FREE

2.4

2.6 - 4.4

pg/mL

L

Component

Your Value

Standard Range

Units

Flag

T4, FREE

1.59

0.7 - 1.7

ng/dL

Component Results

Component

Your Value

Standard Range

Units

Flag

PTH, INTACT

130

15 - 65

pg/mL

H

General Information

Collected:

4/22/2011 3:50 PM

Resulted:

4/23/2011 11:18 AM

Ordered By:

DiFilippo, MD

Result Status:

Component

Your Value

Standard Range

Units

Flag

HEMOGLOBIN, A1C

6.6

3.4 - 6.4

%

H

EST AVG GLUCOSE

143

<126 -

MG/DL

H

Component

Your Value

Standard Range

Units

Flag

WBC

4.19

4.00 - 10.80

K/uL

RBC

4.36

3.85 - 5.15

M/uL

HGB

13.1

12.0 - 14.5

g/dL

HCT

38.2

36.0 - 44.5

%

MCV

87.6

81.5 - 97.5

fL

MCH

30.0

27.0 - 34.0

pg

MCHC

34.3

32.0 - 36.0

g/dL

RDW

13.0

11.5 - 15.5

%

PLATELET COUNT

248

140 - 400

K/uL

MPV

10.7

6.6 - 11.1

fL

Component

Your Value

Standard Range

Units

Flag

IRON

90

30 - 160

ug/dL

IRON BINDING CAP

260

228 - 428

ug/dL

TRANSFERRIN SAT %

35

15 - 55

%

Your Value

Standard Range

Units

Flag

WBC

5.24

4.00 - 10.80

K/uL

RBC

3.96

3.85 - 5.15

M/uL

HGB

11.8

12.0 - 14.5

g/dL

L

HCT

36.3

36.0 - 44.5

%

MCV

91.7

81.5 - 97.5

fL

MCH

29.8

27.0 - 34.0

pg

MCHC

32.5

32.0 - 36.0

g/dL

RDW

13.0

11.5 - 15.5

%

PLATELET COUNT

222

140 - 400

K/uL

MPV

10.3

6.6 - 11.1

fL

General Information

Collected:

2/24/2011 6:20 AM

Resulted:

2/24/2011 6:56 AM

Ordered By:

Cordelia V Sharma, MD

Result Status:

Final result

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This is when I started taking Norvasc and the whole thyroid thing blew up.

Component

Your Value

Standard Range

Units

Flag

BUN

10

6 - 20

mg/dL

CREATININE

1.0

0.7 - 1.5

mg/dL

SODIUM

140

135 - 146

mmol/L

POTASSIUM

3.5

3.5 - 5.1

mmol/L

CHLORIDE

102

98 - 111

mmol/L

CO2

31

22 - 32

mmol/L

GLUCOSE

88

70 - 120

mg/dL

CALCIUM

9.5

8.3 - 10.5

mg/dL

Sojourn

General Information

ALBUMIN

4.7

3.8 - 5.0

g/dL

CALCIUM

9.9

8.3 - 10.5

mg/dL

CO2

31

22 - 32

mmol/L

CHLORIDE

98

98 - 111

mmol/L

CREATININE

1.5

0.7 - 1.5

mg/dL

GLUCOSE

92

70 - 120

mg/dL

PHOSPHORUS

4.1

2.5 - 4.8

mg/dL

POTASSIUM

3.2

3.5 - 5.1

mmol/L

L

SODIUM

140

135 - 146

mmol/L

BUN

19

6 - 20

mg/dL

GFR ESTIMATED

37.2

>60 -

mL/min

L

ANION GAP

11

7 - 15

mmol/L

Also: ana - 640 " speckled", Vit D: 19.2, PTH, Intact: 127, RNP- SMAntibody 13.1, (negative) Sodium urine: 48, Potassium: 78.4, Chlordie: 38, t3, free: 2.4,

PRA LC MS MS

1.92

0.25 - 5.82

ng/mL/h

ALDOSTERONE/PRA RAT

13.0

0.9 - 28.9

Ratio

ALDOSTERONE

25

ng/dL

ALDOSTERONE

(NOTE)Adult Reference Ranges for Aldosterone,LC/MS/MS:Upright 8:00-10:00 am < or = 28 ng/dLUpright 4:00-6:00 pm < or = 21 ng/dLSupine 8:00-10:00 am 3-16 ng/dL

ALDO/REN RESULT RECD

04/27/11

ALDO/REN RESULT RECD

(NOTE)Reference lab accession: 46803001Test performed by:Quest Diagnostics Nichols Institute33608 Ortega HwySan Capistrano, CA 92675Phone: Director: Jon M. Nakamoto, M.D.

CORTISOL

29.0

ug/dL

CORTISOL

PM REFERENCE RANGE 2.3-11.9 ug/dL

General Information

Collected:

4/22/2011 3:50 PM

Resulted:

4/23/2011 2:08 AM

Ordered By:

DiFilippo, MD

Result Status:

Final result

Component

Your Value

Standard Range

Units

Flag

THYROGLOBULIN AB

<20.0

<20 -

IU/ML

THYROID PEROXIDASE AB

227.0

0 - 35

IU/ML

H

TSH

0.93

0.27 - 4.2

uIU/mL

General Information

Collected:

4/22/2011 3:50 PM

Resulted:

4/23/2011 2:08 AM

Ordered By:

DiFilippo, MD

Result Status:

Final result

Component Results

Component

Your Value

Standard Range

Units

Flag

T3, FREE

2.4

2.6 - 4.4

pg/mL

L

Component

Your Value

Standard Range

Units

Flag

T4, FREE

1.59

0.7 - 1.7

ng/dL

Component Results

Component

Your Value

Standard Range

Units

Flag

PTH, INTACT

130

15 - 65

pg/mL

H

General Information

Collected:

4/22/2011 3:50 PM

Resulted:

4/23/2011 11:18 AM

Ordered By:

DiFilippo, MD

Result Status:

Component

Your Value

Standard Range

Units

Flag

HEMOGLOBIN, A1C

6.6

3.4 - 6.4

%

H

EST AVG GLUCOSE

143

<126 -

MG/DL

H

Component

Your Value

Standard Range

Units

Flag

WBC

4.19

4.00 - 10.80

K/uL

RBC

4.36

3.85 - 5.15

M/uL

HGB

13.1

12.0 - 14.5

g/dL

HCT

38.2

36.0 - 44.5

%

MCV

87.6

81.5 - 97.5

fL

MCH

30.0

27.0 - 34.0

pg

MCHC

34.3

32.0 - 36.0

g/dL

RDW

13.0

11.5 - 15.5

%

PLATELET COUNT

248

140 - 400

K/uL

MPV

10.7

6.6 - 11.1

fL

Component

Your Value

Standard Range

Units

Flag

IRON

90

30 - 160

ug/dL

IRON BINDING CAP

260

228 - 428

ug/dL

TRANSFERRIN SAT %

35

15 - 55

%

Your Value

Standard Range

Units

Flag

WBC

5.24

4.00 - 10.80

K/uL

RBC

3.96

3.85 - 5.15

M/uL

HGB

11.8

12.0 - 14.5

g/dL

L

HCT

36.3

36.0 - 44.5

%

MCV

91.7

81.5 - 97.5

fL

MCH

29.8

27.0 - 34.0

pg

MCHC

32.5

32.0 - 36.0

g/dL

RDW

13.0

11.5 - 15.5

%

PLATELET COUNT

222

140 - 400

K/uL

MPV

10.3

6.6 - 11.1

fL

General Information

Collected:

2/24/2011 6:20 AM

Resulted:

2/24/2011 6:56 AM

Ordered By:

Cordelia V Sharma, MD

Result Status:

Final result

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Guest guest

this test below was in 2003.

Also can you tell what stage I'm in. I think I'm @ stage 4 I was told

a while ago.

Sojourn

ALBUMIN

4.7

3.8 - 5.0

g/dL

CALCIUM

9.9

8.3 - 10.5

mg/dL

CO2

31

22 - 32

mmol/L

CHLORIDE

98

98 - 111

mmol/L

CREATININE

1.5

0.7 - 1.5

mg/dL

GLUCOSE

92

70 - 120

mg/dL

PHOSPHORUS

4.1

2.5 - 4.8

mg/dL

POTASSIUM

3.2

3.5 - 5.1

mmol/L

L

SODIUM

140

135 - 146

mmol/L

BUN

19

6 - 20

mg/dL

GFR ESTIMATED

37.2

>60 -

mL/min

L

ANION GAP

11

7 - 15

mmol/L

Also: ana - 640 " speckled", Vit D: 19.2, PTH, Intact: 127, RNP- SMAntibody 13.1, (negative) Sodium urine: 48, Potassium: 78.4, Chlordie: 38, t3, free: 2.4,

PRA LC MS MS

1.92

0.25 - 5.82

ng/mL/h

ALDOSTERONE/PRA RAT

13.0

0.9 - 28.9

Ratio

ALDOSTERONE

25

ng/dL

ALDOSTERONE

(NOTE)Adult Reference Ranges for Aldosterone,LC/MS/MS:Upright 8:00-10:00 am < or = 28 ng/dLUpright 4:00-6:00 pm < or = 21 ng/dLSupine 8:00-10:00 am 3-16 ng/dL

ALDO/REN RESULT RECD

04/27/11

ALDO/REN RESULT RECD

(NOTE)Reference lab accession: 46803001Test performed by:Quest Diagnostics Nichols Institute33608 Ortega HwySan Capistrano, CA 92675Phone: Director: Jon M. Nakamoto, M.D.

CORTISOL

29.0

ug/dL

CORTISOL

PM REFERENCE RANGE 2.3-11.9 ug/dL

General Information

Collected:

4/22/2011 3:50 PM

Resulted:

4/23/2011 2:08 AM

Ordered By:

DiFilippo, MD

Result Status:

Final result

Component

Your Value

Standard Range

Units

Flag

THYROGLOBULIN AB

<20.0

<20 -

IU/ML

THYROID PEROXIDASE AB

227.0

0 - 35

IU/ML

H

TSH

0.93

0.27 - 4.2

uIU/mL

General Information

Collected:

4/22/2011 3:50 PM

Resulted:

4/23/2011 2:08 AM

Ordered By:

DiFilippo, MD

Result Status:

Final result

Component Results

Component

Your Value

Standard Range

Units

Flag

T3, FREE

2.4

2.6 - 4.4

pg/mL

L

Component

Your Value

Standard Range

Units

Flag

T4, FREE

1.59

0.7 - 1.7

ng/dL

Component Results

Component

Your Value

Standard Range

Units

Flag

PTH, INTACT

130

15 - 65

pg/mL

H

General Information

Collected:

4/22/2011 3:50 PM

Resulted:

4/23/2011 11:18 AM

Ordered By:

DiFilippo, MD

Result Status:

Component

Your Value

Standard Range

Units

Flag

HEMOGLOBIN, A1C

6.6

3.4 - 6.4

%

H

EST AVG GLUCOSE

143

<126 -

MG/DL

H

Component

Your Value

Standard Range

Units

Flag

WBC

4.19

4.00 - 10.80

K/uL

RBC

4.36

3.85 - 5.15

M/uL

HGB

13.1

12.0 - 14.5

g/dL

HCT

38.2

36.0 - 44.5

%

MCV

87.6

81.5 - 97.5

fL

MCH

30.0

27.0 - 34.0

pg

MCHC

34.3

32.0 - 36.0

g/dL

RDW

13.0

11.5 - 15.5

%

PLATELET COUNT

248

140 - 400

K/uL

MPV

10.7

6.6 - 11.1

fL

Component

Your Value

Standard Range

Units

Flag

IRON

90

30 - 160

ug/dL

IRON BINDING CAP

260

228 - 428

ug/dL

TRANSFERRIN SAT %

35

15 - 55

%

Your Value

Standard Range

Units

Flag

WBC

5.24

4.00 - 10.80

K/uL

RBC

3.96

3.85 - 5.15

M/uL

HGB

11.8

12.0 - 14.5

g/dL

L

HCT

36.3

36.0 - 44.5

%

MCV

91.7

81.5 - 97.5

fL

MCH

29.8

27.0 - 34.0

pg

MCHC

32.5

32.0 - 36.0

g/dL

RDW

13.0

11.5 - 15.5

%

PLATELET COUNT

222

140 - 400

K/uL

MPV

10.3

6.6 - 11.1

fL

General Information

Collected:

2/24/2011 6:20 AM

Resulted:

2/24/2011 6:56 AM

Ordered By:

Cordelia V Sharma, MD

Result Status:

Final result

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Your

creatinine is too high and your GFR is too low. 

What does your doctor say?  I hope

you are getting immediate medical attention.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Licia

Component

Your Value

Standard Range

Units

Flag

BUN

24

6

- 20

mg/dL

H

CREATININE

1.8

0.7

- 1.5

mg/dL

H

GFR

ESTIMATED

30.2

>60

-

mL/min

L

2/24/2011

6:20 AM

You have significant renal

disease. Please get all of ur creatives you can find as far back as u can and

send to us.

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I have been going to specialists and general dr. I don't know what immediate medical

attention means. How much more immediate is taking about 2 scripts @ 3 & 4x's a day, iron, sembastatin, thyroid meds, vitimin B100 and A and A and D. and prescripbed vitimin D. What more do I need to be doing? All I know is I gained too much weight and that is pissing me off! I don't eat like a bottomless pit, so I know it must be water in me. Then when I read, it says it is dangerous to consume water. So frustrating. And I don't have all this time to stay in the dr's offices. I work at night ext. It is a drag. U think I need to take leave of abscene?

Thanks

You have significant renal disease. Please get all of ur creatives you can find as far back as u can and send to us.

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This was an older test . I was rushed to the hospital w/hbp 230/130 at the time. What should our creatine be?

Sojourn

You have significant renal disease. Please get all of ur creatives you can find as far back as u can and send to us.

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It would be great experience for me to learn whether such a low GFR is due to kidney damage, and whether such kidney damage is due to something like alcohol consumption or even alcohol consumptions of parents/grandparents....etc.

Max.

I have been going to specialists and general dr. I don't know what immediate medical

attention means. How much more immediate is taking about 2 scripts @ 3 & 4x's a day, iron, sembastatin, thyroid meds, vitimin B100 and A and A and D. and prescripbed vitimin D. What more do I need to be doing? All I know is I gained too much weight and that is pissing me off! I don't eat like a bottomless pit, so I know it must be water in me. Then when I read, it says it is dangerous to consume water. So frustrating. And I don't have all this time to stay in the dr's offices. I work at night ext. It is a drag. U think I need to take leave of abscene?

Thanks

Subject: RE: Dr Grim Lab Results FinallyTo: hyperaldosteronism Date: Wednesday, May 11, 2011, 10:49 PM

Your creatinine is too high and your GFR is too low. What does your doctor say? I hope you are getting immediate medical attention.

Val

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

2/24/2011 6:20 AM

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I could see if these results were twenty years ago then I'd say, yep. but I don't drink

like I did when I was in my twenties. dr's have never mentioned that and wouldn't that

be relevant in the battery of tests and liver damage etc? It is a hyperactive aldersterone disease, issue, with me that is. Or else everyone that went to college etc would have kidney damage.

Sojourn.

Subject: RE: Dr Grim Lab Results FinallyTo: hyperaldosteronism Date: Wednesday, May 11, 2011, 10:49 PM

Your creatinine is too high and your GFR is too low. What does your doctor say? I hope you are getting immediate medical attention.

Val

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

2/24/2011 6:20 AM

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You are not looking at liver damage.  You are looking at kidney damage.  What scripts are you taking?  Where is your blood pressure?  Do you take it every day at home?  Dr. Grim, could it be a result of uncontrolled

HTN?

Val

From:

hyperaldosteronism [mailto:hyperaldosteronism ] On

Behalf Of Licia

I

could see if these results were twenty years ago then I'd say, yep. but I

don't drink

like

I did when I was in my twenties. dr's have never mentioned that and wouldn't

that

be

relevant in the battery of tests and liver damage etc? It is a hyperactive

aldersterone disease, issue, with me that is. Or else everyone that went

to college etc would have kidney damage.

Sojourn.

Your creatinine is

too high and your GFR is

too low. What does your doctor say? I hope you are getting

immediate medical attention.

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Each

of your labs lists normal bands for creatinine and other tests.  I thought this last test was in February - 2/24/2011. 

No?

It

would be helpful if you'd go back and make a table listing date, creatinine,

bun and GFR values, each with its normal band, for all the blood tests you've

had over time. 

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Licia

This

was an older test . I was rushed to the hospital w/hbp 230/130 at the

time. What should our creatine be?

Sojourn

You have significant renal disease. Please

get all of ur creatives you can find as far back as u can and send to

us.

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Guest guest

Yes it is. I have my Blood pressure under control and check my pressure reg. It is finally down to 120's/80's, sometimes lower.

sojourn

Your creatinine is too high and your GFR is too low. What does your doctor say? I hope you are getting immediate medical attention.

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Guest guest

I can go back ten years. It's really exhausting, those test were recently taken btwn Feb - May of this yr. When I look back tho through to 2001, it was still about the same. So what could have prevented, that because my pressure was soo darn high, maybe I should have had the adrenalectomy then. Now my kidneys prob, wouldn't withstand the operation. Jack ass Dr's. Excuse my French. How is a women of 28/with drastic high blood pressure not a red flag for something else? I wish I could sew these incompetent, laxadazicle(spl) half ass racist!! Whooo, now I feel better.

Sojourn

You have significant renal disease. Please get all of ur creatives you can find as far back as u can and send to us.

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Guest guest

Race has nothing to do with it I am certain given the variety of people on here going throught the same thing. As for half ass and incompetent - THAT may be it! Most of us on here have been through the same thing and I assure you we sense your frustration with not getting the diagnosis. A few on here are from other countries outside the US (not me), some have national health care, some private insurance and many don't have any insurance at all. Some are doctors, PA-C's, nurses, and many a smart professional person who still couldn't get their colleagues or the "best" to listen to them and the diagnosis was slow coming and for some the damage was well on it's way. I think it's the disease and the unfamiliarity with it (but SHOULD be known by every medical provider) and not the person with it causing the issue in the delay of

diagnosing PA.

THIS is what we all have to help change so the next one doesn't go through what we have gone through.

Your story is very similar to nearly everyone else on here so we again certainly can feel your frustration with going so long - but you can vent on us - they long timers (not me) have been taking it for a while . I think Dr G or someone wrote once on here the average seemed to be 5 or so years before someone put the symptoms with the actual diagnosis. Sad but too true.

43 yo 5'10" 170lbs male PA-C and EMT-P w/ PA responded ONLY to spiro and DASH after many years with HTN (have gone from 25mg q day to 12.5 q day on spiro). Average BP 160/120 (170/130 AVERAGE when TSH was also low!) for many years on 5 BP meds and now 130/80 on only 25mg/day spiro and DASH alone!

You have significant renal disease. Please get all of ur creatives you can find as far back as u can and send to us.

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Guest guest

Unless you are having excellent BP control and kidney protection if you have proteinuria you may need dialysis in the next few years. Please listen to your Neph.Tell anyone who wants to do CTs etc with contrast about your kidney problem.Review all meds you are on and anything else you take to see if they may be causing kidney damage.By tracking back on you creatinine we may be able to see and event that got you into trouble that you want to be certain to avoid.CE Grim MDYour creatinine is too high and your GFR is too low. What does your doctor say? I hope you are getting immediate medical attention. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia ComponentYour ValueStandard RangeUnitsFlagBUN246 - 20mg/dLHCREATININE1.80.7 - 1.5mg/dLHGFR ESTIMATED30.2>60 - mL/minL2/24/2011 6:20 AMYou have significant renal disease. Please get all of ur creatives you can find as far back as u can and send to us.

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Again by plotting your creatinines we and you can get a better idea of where you are going and where you have been.CE Grim MDI have been going to specialists and general dr. I don't know what immediate medicalattention means. How much more immediate is taking about 2 scripts @ 3 & 4x's a day, iron, sembastatin, thyroid meds, vitimin B100 and A and A and D. and prescripbed vitimin D. What more do I need to be doing? All I know is I gained too much weight and that is pissing me off! I don't eat like a bottomless pit, so I know it must be water in me. Then when I read, it says it is dangerous to consume water. So frustrating. And I don't have all this time to stay in the dr's offices. I work at night ext. It is a drag. U think I need to take leave of abscene? Thanks You have significant renal disease. Please get all of ur creatives you can find as far back as u can and send to us.

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Guest guest

Then it is likely that lowering your BP may have elevated your Cr as often happens in severe HTN. It should get better however with the lower BP.Need more details of the time course and your Hx. Diabetes for example.This was an older test . I was rushed to the hospital w/hbp 230/130 at the time. What should our creatine be? SojournYou have significant renal disease. Please get all of ur creatives you can find as far back as u can and send to us.

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Stress adds to HTN but is not the cause of it typically. All adult Americans

seem to be beyond stressed right now but not all have HTN. you are on this list

so you must have PA and that would be the cause - well we can say for us salt

and our condition are the cause. I spent many years " stressed and depressed " in

the opinion of many a doc, though i wasnt, with a 160/120 BP daily and i had PA

all along : - )

>HBP does. And stress gives u HbP. Am I even close?

>

>

>

>

>

>

> 

>

>

>

>

>

>

>Ok Dr. It normal ten years ago and ovr the past 5yrs nose dived. Why?

> 

>Sojourn

> 

>2009:

> 

>

>Component Results

>

>

>

>

>

>

>

>

>

>

>Component

>Your Value

>Standard Range

>Units

>Flag

>

>

>BUN

>26

>6 - 20

>mg/dL

>H

>

>CREATININE

>2.1

>0.7 - 1.5

>mg/dL

>H

>

>SODIUM

>137

>135 - 146

>mmol/L

>

>

>POTASSIUM

>5.1

>3.5 - 5.1

>mmol/L

>

>

>CHLORIDE

>99

>98 - 111

>mmol/L

>

>

>CO2

>27

>22 - 32

>mmol/L

>

>

>GLUCOSE

>102

>70 - 120

>mg/dL

>

>

>ALBUMIN

>4.4

>3.8 - 5.0

>g/dL

>

>

>AST

>24

>10 - 35

>U/L

>

>

>ALKALINE PHOSPHATASE

>68

>25 - 125

>U/L

>

>

>BILIRUBIN, TOTAL

>0.4

>0.3 - 1.3

>mg/dL

>

>

>CALCIUM

>9.8

>8.3 - 10.5

>mg/dL

>

>

>PROTEIN

>7.8

>6.0 - 8.3

>g/dL

>

>

>ALT

>19

>10 - 35

>U/L

>

>

>ANION GAP

>11

>7 - 15

>mEq/L

>

>

>GFR ESTIMATED

>27.0

>>60 -  

>mL/min

>L

>

>

>

>General Information

>

>Collected:

>10/13/2009 2:31 PM

>Resulted:

>10/13/2009 10:15 PM

>Ordered By:

>Aliasgar Z Chittalia, MD

>Result Status:

>Final result

>**************************************************************************

> 

>out This Test

>

>Component Results

>

>

>

>

>

>

>

>

>

>

>Component

>Your Value

>Standard Range

>Units

>Flag

>

>

>BUN

>14

>6 - 20

>mg/dL

>

>

>CREATININE

>1.4

>0.7 - 1.5

>mg/dL

>

>

>SODIUM

>141

>135 - 146

>mmol/L

>

>

>POTASSIUM

>3.3

>3.5 - 5.1

>mmol/L

>L

>

>CHLORIDE

>95

>98 - 111

>mmol/L

>L

>

>CO2

>32

>22 - 32

>mmol/L

>

>

>GLUCOSE

>95

>70 - 120

>mg/dL

>

>

>ALBUMIN

>4.2

>3.8 - 5.0

>g/dL

>

>

>AST

>37

>8 - 46

>U/L

>

>

>ALKALINE PHOSPHATASE

>90

>25 - 125

>U/L

>

>

>BILIRUBIN, TOTAL

>0.2

>0.3 - 1.3

>mg/dL

>L

>

>CALCIUM

>9.5

>8.3 - 10.5

>mg/dL

>

>

>PROTEIN

>8.0

>6.0 - 8.3

>g/dL

>

>

>ALT

>26

>8 - 50

>U/L

>

>

>ANION GAP

>14

>7 - 15

>mEq/L

>

>

>GFR ESTIMATED

>43.2

>>60 -  

>mL/min

>L

>

>

>

>General Information

>

>Collected:

>12/8/2008 9:23 AM

>Resulted:

>12/8/2008 6:31 PM

>Ordered By:

>Aliasgar Z Chittalia, MD

>Result Status:

>Final result

> 

> 

>*************************************************************************

> 

>

>

>

>

>

>

>

>

>

>

>Component

>Your Value

>Standard Range

>Units

>Flag

>

>

>ALDOSTERONE,SERUM

>74

>*** -  

>ng/dL

>

>

>ALDOSTERONE,SERUM

>(NOTE)

>*** Unable to flag abnormal result(s), please refer

>to reference range(s) below:

>Adult Reference Ranges for Aldosterone, LC/MS/MS:

>Upright 8:00 - 10:00 am < or = 28 ng/dL

>Upright 4:00 - 6:00 pm < or = 21 ng/dL

>Supine 8:00 - 10:00 am 3 - 16 ng/dL

>

> 

>

>

>PLASMA RENIN ACT

>0.1

>*** -  

>ng/mL/h

>

>

>PLASMA RENIN ACT

>(NOTE)

>*** Unable to flag abnormal result(s), please refer

>to reference range(s) below:

>Reference Ranges for Plasma Renin Activity:

>Nonhypertensive adults

>(upright/sitting): 0.65-5.0 ng/mL/h

>Nonhypertensive children:

>Supine Upright/Sitting

>(ng/mL/h) (ng/mL/h)

>3-12 Months 15.0 or Less

>1-3 Years 10.0 or Less

>4-6 Years 7.5 or Less 15.0 or Less

>7-9 Years 5.9 or Less 17.0 or Less

>10-12 Years 5.3 or Less 16.0 or Less

>13-15 Years 4.4 or Less 16.0 or Less

>**Pediatric data from J Pediatrics (1976) 89:256;

>Pediat Res (1979) 13:817; and Eur J Pediatr (1994)

>153:284.

>Clinical Cutoffs for Hypertensive Individuals(ng/mL/h)

>Low-renin sodium/volume-mediated

>hypertension likely: <0.65

>Primary aldosteronism possible: <0.65

>Renin-mediated hypertension likely: >=0.65

>Renovascular hypertension possible: >1.5

>Renovascular hypertension more likely: >10.0

>Approximately 1/3 of subjects with essential hyper-

>tension have low-renin (PRA <0.65 ng/mL/h) hyper-

>tension, while the remainder have PRA values above

>0.65 ng/mL/h. Treatment with medications such as

>diuretics or ACE inhibitors increase PRA levels.

>This test was developed and its performance

>characteristics have been determined by Quest

>Diagnostics Nichols Institute, Chantilly, VA.

>It has not been cleared or approved by the U.S.

>Food and Drug Administration. The FDA has determined

>that such clearance or approval is not necessary.

>Performance characteristics refer to the analytical

>performance of the test.

>

> 

>

>

>ALDOSTERONE/PRA RAT

>740.0

>1.5 - 18.2

>Ratio

>H

>

>

>

>

>

>General Information

>

>Collected:

>12/23/2008 3:40 PM

>Resulted:

>12/31/2008 3:25 AM

>Ordered By:

>Aliasgar Z Chittalia, MD

>Result Status:

>Final result

> 

>**********************************************

> 

>

>Component Results

>

>

>

>

>

>

>

>

>

>

>Component

>Your Value

>Standard Range

>Units

>Flag

>

>

>FOBT (EIA)

>NEGATIVE

>NEG -  

> 

>

>

>

>

>General Information

>

>Collected:

>12/16/2008 3:00 PM

>Resulted:

>12/17/2008 12:01 PM

>Ordered By:

>Aliasgar Z Chittalia, MD

>Result Status:

>Final result

> 

>*************************************************************************

> 

>

>

>

>

>Component

>Your Value

>Standard Range

>Units

>Flag

>

>

>BUN

>8

>6 - 20

>mg/dL

>

>

>CREATININE

>1.1

>0.7 - 1.5

>mg/dL

>

>

>SODIUM

>141

>135 - 146

>mmol/L

>

>

>POTASSIUM

>3.9

>3.5 - 5.1

>mmol/L

>

>

>CHLORIDE

>100

>98 - 111

>mmol/L

>

>

>CO2

>30

>22 - 32

>mmol/L

>

>

>GLUCOSE

>91

>70 - 120

>mg/dL

>

>

>ALBUMIN

>4.2

>3.8 - 5.0

>g/dL

>

>

>AST

>26

>8 - 46

>U/L

>

>

>ALKALINE PHOSPHATASE

>56

>25 - 125

>U/L

>

>

>BILIRUBIN, TOTAL

>0.3

>0.3 - 1.3

>mg/dL

>

>

>CALCIUM

>9.4

>8.3 - 10.5

>mg/dL

>

>

>PROTEIN

>7.7

>6.0 - 8.3

>g/dL

>

>

>ALT

>14

>8 - 50

>U/L

>

>

>ANION GAP

>11

>7 - 15

>mEq/L

>

>

>GFR ESTIMATED

>57.4

>>60.0 -  

>mL/min

>L

>

>

>

>

>General Information

>

>Collected:

>8/22/2007 11:42 AM

>Resulted:

>8/22/2007 9:54 PM

>Ordered By:

> , DO

>Result Status:

>Final result

> 

>**************************************************************

> 

>

>Component Results

>

>

>

>

>

>

>

>

>

>

>Component

>Your Value

>Standard Range

>Units

>Flag

>

>

>BUN

>10

>6 - 20

>mg/dL

>

>

>CREATININE

>1.0

>0.7 - 1.5

>mg/dL

>

>

>SODIUM

>140

>135 - 146

>mmol/L

>

>

>POTASSIUM

>3.5

>

>

>

>

>

>

>

>

>

>

>

>

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