Re: - Update from PCP appt. 7/29

July 30, 2011

Does/Can Spirolactone cause males to loose body hair (Note, I did NOT say

facial)? I've noticed I have almost none now, not that I was overly hairy

before. That caused me to wonder what else Spiro might be doing and should I

consider switching to Eplerenone (Inspra). I started to ask Dr. Webster

yesterday and got as far as. " I'm thinking of switching from Spirolactone to

Eplerenone.. " and she screamed " NO " !

(My original intent was to discuss it as a possible future agenda item, I'm

seeing too many good results right now.)

She did ask if my " Man boobs " (a term I taught her) were bothering a lot. I

said no but they might be getting bigger. She came right back with, " Oh, that's

just an illusion because your belly is getting smaller! " She may be right, it

looks like I haave lost most to the 22lbs right above the belt line and very

little below, a spacesaver spare tire now!

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank &

testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP(last week ave): 123/71

Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2.

and PTSD

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

> Ment with my PCP yesterday and feel I should update everyone. I first saw the

assistant and was disappointed since I had only lost 5lbs. since the previous

Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic has been

running 10-15 higher in the office but still below my target of 130/80 at home,

actually last week's average was 123/71!)

>

> Dr. Webster, my PCP, took a moment to look at those numbers and turned her

chair to squarely face me, nothing between us, and said, " Okay, what's going on?

Why don't you start and also tell me what you,ve learned since I last saw you! "

>

> I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she kept

switching between them and shaking her head! After a short pause for effect I

said, " Remember I told you I was going to start DASHing when my mouth healed? I

started Psydo-dashing a week ago! " (I explained that was my term because I

hadn't received 's book so it was my version.) Her only comment,

" Unbelieveable! "

>

> I then suggested that if she thought that was unbelievable what was she going

to say when I told her my COPD was better also. She literally sat there in

disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries). I

told her I had verified it with the one her Tech. used and it was accurate. (I

paid $43 on line when the VA told me they didn't supply them because they were

too expensive!) Told her about walking to the mailbox and O2 had dropped to 90

and rebounded to 95 immediately when I got back and sat down.

>

> I then explained Dr. G.'s theory that LVH started to correct in as little as

12 weeks (count back to Apr.23) and as the pump got stronger more blood would

flow to the lungs, hence picking up more O2 and since he is a HTN specialist I

thought he might be onto something!

>

> I then explained that while getting PA and the excess Aldosterone under

control was the underlying cause/effect, I thought there were a couple other

factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into

REM (Rapid Eye Movement) sleep and that is where I understand a lot of the

excess body fat gets burned. The less weight around my middle allowed less

stress on my diaphragm and thereby making it easier to breath. (She really

liked this because it was her suggestion when COPD was DXed, make sure you give

them credit where credit is due!_

>

> I then shared a couple of articles I had copied: " Fluid homeostasis in cronic

obstructive lung disease " by P.W. deLeeuw & A. Dees published in 2003 by ERS

Journals, Ltd. and a review article, " Common Secondary Causes of Hypertension and

Rational for Treatment " by Faselis, Doumas and Papademetriou published in Jan.

of this year in International Journal of Hypertension.(should be in our files if

it isn't but I don't know how to get it there

>

> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf

>

> I particularly like this one because it speaks directly to three of the

complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary

Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16

hrs/day to persue and an excellent online support group, too bad she had to work

for a living!

>

> About the ony other thing we discussed was the proper way to take a BP

reading. I simply told her we would be using mine unless & untill the VA got the

procedure right according to AHA and DoD Standards! (Told her that BP & BS

would be taken every morning prior to am meds.

> I no longer report the time since my Neproligist assumed I was " stacking the

deck " by taking it at 10:30 (AFTER am meda) when in reality being retired I can

get up anytime I want and usually it is between 10 and noon!)

>

> Since my appt. time was just about up I asked her what she had on her agenda!

She asked if she could listen to my lungs and I agreed! She announced she

didn't see any reason for me to be on O2 ad long as I checked and to remained

>90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep it,

" They need a Lesson also! " - that got a smile!

>

> She then asked if she could setup a recall for 2mos (I think normally she

would have gone from 3mos to 6mos). It was cute the way she said it, something

like, " Can we meet again in 2 months, I want to keep an eye on your progress and

continue to be your biggest cheerleader! " She deserves a 20 min break!

>

> SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I proposed

to my Wife!)

>

> - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

& testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP(last week ave): 123/71

> Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19,

DM2. and PTSD

> Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

July 30, 2011

Just a word about your weight. Not all the scals are the same at the VA.

>

> Ment with my PCP yesterday and feel I should update everyone. I first saw the

assistant and was disappointed since I had only lost 5lbs. since the previous

Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic has been

running 10-15 higher in the office but still below my target of 130/80 at home,

actually last week's average was 123/71!)

>

> Dr. Webster, my PCP, took a moment to look at those numbers and turned her

chair to squarely face me, nothing between us, and said, " Okay, what's going on?

Why don't you start and also tell me what you,ve learned since I last saw you! "

>

> I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she kept

switching between them and shaking her head! After a short pause for effect I

said, " Remember I told you I was going to start DASHing when my mouth healed? I

started Psydo-dashing a week ago! " (I explained that was my term because I

hadn't received 's book so it was my version.) Her only comment,

" Unbelieveable! "

>

> I then suggested that if she thought that was unbelievable what was she going

to say when I told her my COPD was better also. She literally sat there in

disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries). I

told her I had verified it with the one her Tech. used and it was accurate. (I

paid $43 on line when the VA told me they didn't supply them because they were

too expensive!) Told her about walking to the mailbox and O2 had dropped to 90

and rebounded to 95 immediately when I got back and sat down.

>

> I then explained Dr. G.'s theory that LVH started to correct in as little as

12 weeks (count back to Apr.23) and as the pump got stronger more blood would

flow to the lungs, hence picking up more O2 and since he is a HTN specialist I

thought he might be onto something!

>

> I then explained that while getting PA and the excess Aldosterone under

control was the underlying cause/effect, I thought there were a couple other

factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into

REM (Rapid Eye Movement) sleep and that is where I understand a lot of the

excess body fat gets burned. The less weight around my middle allowed less

stress on my diaphragm and thereby making it easier to breath. (She really

liked this because it was her suggestion when COPD was DXed, make sure you give

them credit where credit is due!_

>

> I then shared a couple of articles I had copied: " Fluid homeostasis in cronic

obstructive lung disease " by P.W. deLeeuw & A. Dees published in 2003 by ERS

Journals, Ltd. and a review article, " Common Secondary Causes of Hypertension and

Rational for Treatment " by Faselis, Doumas and Papademetriou published in Jan.

of this year in International Journal of Hypertension.(should be in our files if

it isn't but I don't know how to get it there

>

> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf

>

> I particularly like this one because it speaks directly to three of the

complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary

Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16

hrs/day to persue and an excellent online support group, too bad she had to work

for a living!

>

> About the ony other thing we discussed was the proper way to take a BP

reading. I simply told her we would be using mine unless & untill the VA got the

procedure right according to AHA and DoD Standards! (Told her that BP & BS

would be taken every morning prior to am meds.

> I no longer report the time since my Neproligist assumed I was " stacking the

deck " by taking it at 10:30 (AFTER am meda) when in reality being retired I can

get up anytime I want and usually it is between 10 and noon!)

>

> Since my appt. time was just about up I asked her what she had on her agenda!

She asked if she could listen to my lungs and I agreed! She announced she

didn't see any reason for me to be on O2 ad long as I checked and to remained

>90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep it,

" They need a Lesson also! " - that got a smile!

>

> She then asked if she could setup a recall for 2mos (I think normally she

would have gone from 3mos to 6mos). It was cute the way she said it, something

like, " Can we meet again in 2 months, I want to keep an eye on your progress and

continue to be your biggest cheerleader! " She deserves a 20 min break!

>

> SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I proposed

to my Wife!)

>

> - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

& testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP(last week ave): 123/71

> Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19,

DM2. and PTSD

> Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

July 30, 2011

Just a word about your weight. Not all the scals are the same at the VA.

>

> Ment with my PCP yesterday and feel I should update everyone. I first saw the

assistant and was disappointed since I had only lost 5lbs. since the previous

Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic has been

running 10-15 higher in the office but still below my target of 130/80 at home,

actually last week's average was 123/71!)

>

> Dr. Webster, my PCP, took a moment to look at those numbers and turned her

chair to squarely face me, nothing between us, and said, " Okay, what's going on?

Why don't you start and also tell me what you,ve learned since I last saw you! "

>

> I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she kept

switching between them and shaking her head! After a short pause for effect I

said, " Remember I told you I was going to start DASHing when my mouth healed? I

started Psydo-dashing a week ago! " (I explained that was my term because I

hadn't received 's book so it was my version.) Her only comment,

" Unbelieveable! "

>

> I then suggested that if she thought that was unbelievable what was she going

to say when I told her my COPD was better also. She literally sat there in

disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries). I

told her I had verified it with the one her Tech. used and it was accurate. (I

paid $43 on line when the VA told me they didn't supply them because they were

too expensive!) Told her about walking to the mailbox and O2 had dropped to 90

and rebounded to 95 immediately when I got back and sat down.

>

> I then explained Dr. G.'s theory that LVH started to correct in as little as

12 weeks (count back to Apr.23) and as the pump got stronger more blood would

flow to the lungs, hence picking up more O2 and since he is a HTN specialist I

thought he might be onto something!

>

> I then explained that while getting PA and the excess Aldosterone under

control was the underlying cause/effect, I thought there were a couple other

factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into

REM (Rapid Eye Movement) sleep and that is where I understand a lot of the

excess body fat gets burned. The less weight around my middle allowed less

stress on my diaphragm and thereby making it easier to breath. (She really

liked this because it was her suggestion when COPD was DXed, make sure you give

them credit where credit is due!_

>

> I then shared a couple of articles I had copied: " Fluid homeostasis in cronic

obstructive lung disease " by P.W. deLeeuw & A. Dees published in 2003 by ERS

Journals, Ltd. and a review article, " Common Secondary Causes of Hypertension and

Rational for Treatment " by Faselis, Doumas and Papademetriou published in Jan.

of this year in International Journal of Hypertension.(should be in our files if

it isn't but I don't know how to get it there

>

> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf

>

> I particularly like this one because it speaks directly to three of the

complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary

Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16

hrs/day to persue and an excellent online support group, too bad she had to work

for a living!

>

> About the ony other thing we discussed was the proper way to take a BP

reading. I simply told her we would be using mine unless & untill the VA got the

procedure right according to AHA and DoD Standards! (Told her that BP & BS

would be taken every morning prior to am meds.

> I no longer report the time since my Neproligist assumed I was " stacking the

deck " by taking it at 10:30 (AFTER am meda) when in reality being retired I can

get up anytime I want and usually it is between 10 and noon!)

>

> Since my appt. time was just about up I asked her what she had on her agenda!

She asked if she could listen to my lungs and I agreed! She announced she

didn't see any reason for me to be on O2 ad long as I checked and to remained

>90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep it,

" They need a Lesson also! " - that got a smile!

>

> She then asked if she could setup a recall for 2mos (I think normally she

would have gone from 3mos to 6mos). It was cute the way she said it, something

like, " Can we meet again in 2 months, I want to keep an eye on your progress and

continue to be your biggest cheerleader! " She deserves a 20 min break!

>

> SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I proposed

to my Wife!)

>

> - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

& testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP(last week ave): 123/71

> Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19,

DM2. and PTSD

> Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

July 30, 2011

Thanks for the heads up but I am well aware of that. In this case it was the

exact same scales and Kaliey was running it (she pushed the button each time!)

> >

> > Ment with my PCP yesterday and feel I should update everyone. I first saw

the assistant and was disappointed since I had only lost 5lbs. since the

previous Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic

has been running 10-15 higher in the office but still below my target of 130/80

at home, actually last week's average was 123/71!)

> >

> > Dr. Webster, my PCP, took a moment to look at those numbers and turned her

chair to squarely face me, nothing between us, and said, " Okay, what's going on?

Why don't you start and also tell me what you,ve learned since I last saw you! "

> >

> > I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she

kept switching between them and shaking her head! After a short pause for

effect I said, " Remember I told you I was going to start DASHing when my mouth

healed? I started Psydo-dashing a week ago! " (I explained that was my term

because I hadn't received 's book so it was my version.) Her only comment,

" Unbelieveable! "

> >

> > I then suggested that if she thought that was unbelievable what was she

going to say when I told her my COPD was better also. She literally sat there

in disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries).

I told her I had verified it with the one her Tech. used and it was accurate.

(I paid $43 on line when the VA told me they didn't supply them because they

were too expensive!) Told her about walking to the mailbox and O2 had dropped

to 90 and rebounded to 95 immediately when I got back and sat down.

> >

> > I then explained Dr. G.'s theory that LVH started to correct in as little as

12 weeks (count back to Apr.23) and as the pump got stronger more blood would

flow to the lungs, hence picking up more O2 and since he is a HTN specialist I

thought he might be onto something!

> >

> > I then explained that while getting PA and the excess Aldosterone under

control was the underlying cause/effect, I thought there were a couple other

factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into

REM (Rapid Eye Movement) sleep and that is where I understand a lot of the

excess body fat gets burned. The less weight around my middle allowed less

stress on my diaphragm and thereby making it easier to breath. (She really

liked this because it was her suggestion when COPD was DXed, make sure you give

them credit where credit is due!_

> >

> > I then shared a couple of articles I had copied: " Fluid homeostasis in

cronic obstructive lung disease " by P.W. deLeeuw & A. Dees published in 2003 by

ERS Journals, Ltd. and a review article, " Common Secondary Causes of Hypertension

and Rational for Treatment " by Faselis, Doumas and Papademetriou published in

Jan. of this year in International Journal of Hypertension.(should be in our

files if it isn't but I don't know how to get it there

> >

> > http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf

> >

> > I particularly like this one because it speaks directly to three of the

complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary

Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16

hrs/day to persue and an excellent online support group, too bad she had to work

for a living!

> >

> > About the ony other thing we discussed was the proper way to take a BP

reading. I simply told her we would be using mine unless & untill the VA got the

procedure right according to AHA and DoD Standards! (Told her that BP & BS

would be taken every morning prior to am meds.

> > I no longer report the time since my Neproligist assumed I was " stacking the

deck " by taking it at 10:30 (AFTER am meda) when in reality being retired I can

get up anytime I want and usually it is between 10 and noon!)

> >

> > Since my appt. time was just about up I asked her what she had on her

agenda! She asked if she could listen to my lungs and I agreed! She announced

she didn't see any reason for me to be on O2 ad long as I checked and to

remained >90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep

it, " They need a Lesson also! " - that got a smile!

> >

> > She then asked if she could setup a recall for 2mos (I think normally she

would have gone from 3mos to 6mos). It was cute the way she said it, something

like, " Can we meet again in 2 months, I want to keep an eye on your progress and

continue to be your biggest cheerleader! " She deserves a 20 min break!

> >

> > SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I

proposed to my Wife!)

> >

> > - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt.

flank & testicle pain. I have decided against an adrenalectomy at this time

since Meds. are working so well. Current BP(last week ave): 123/71

> > Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19,

DM2. and PTSD

> > Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

> >

>

July 30, 2011

Thanks for the heads up but I am well aware of that. In this case it was the

exact same scales and Kaliey was running it (she pushed the button each time!)

> >

> > Ment with my PCP yesterday and feel I should update everyone. I first saw

the assistant and was disappointed since I had only lost 5lbs. since the

previous Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic

has been running 10-15 higher in the office but still below my target of 130/80

at home, actually last week's average was 123/71!)

> >

> > Dr. Webster, my PCP, took a moment to look at those numbers and turned her

chair to squarely face me, nothing between us, and said, " Okay, what's going on?

Why don't you start and also tell me what you,ve learned since I last saw you! "

> >

> > I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she

kept switching between them and shaking her head! After a short pause for

effect I said, " Remember I told you I was going to start DASHing when my mouth

healed? I started Psydo-dashing a week ago! " (I explained that was my term

because I hadn't received 's book so it was my version.) Her only comment,

" Unbelieveable! "

> >

> > I then suggested that if she thought that was unbelievable what was she

going to say when I told her my COPD was better also. She literally sat there

in disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries).

I told her I had verified it with the one her Tech. used and it was accurate.

(I paid $43 on line when the VA told me they didn't supply them because they

were too expensive!) Told her about walking to the mailbox and O2 had dropped

to 90 and rebounded to 95 immediately when I got back and sat down.

> >

> > I then explained Dr. G.'s theory that LVH started to correct in as little as

12 weeks (count back to Apr.23) and as the pump got stronger more blood would

flow to the lungs, hence picking up more O2 and since he is a HTN specialist I

thought he might be onto something!

> >

> > I then explained that while getting PA and the excess Aldosterone under

control was the underlying cause/effect, I thought there were a couple other

factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into

REM (Rapid Eye Movement) sleep and that is where I understand a lot of the

excess body fat gets burned. The less weight around my middle allowed less

stress on my diaphragm and thereby making it easier to breath. (She really

liked this because it was her suggestion when COPD was DXed, make sure you give

them credit where credit is due!_

> >

> > I then shared a couple of articles I had copied: " Fluid homeostasis in

cronic obstructive lung disease " by P.W. deLeeuw & A. Dees published in 2003 by

ERS Journals, Ltd. and a review article, " Common Secondary Causes of Hypertension

and Rational for Treatment " by Faselis, Doumas and Papademetriou published in

Jan. of this year in International Journal of Hypertension.(should be in our

files if it isn't but I don't know how to get it there

> >

> > http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf

> >

> > I particularly like this one because it speaks directly to three of the

complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary

Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16

hrs/day to persue and an excellent online support group, too bad she had to work

for a living!

> >

> > About the ony other thing we discussed was the proper way to take a BP

reading. I simply told her we would be using mine unless & untill the VA got the

procedure right according to AHA and DoD Standards! (Told her that BP & BS

would be taken every morning prior to am meds.

> > I no longer report the time since my Neproligist assumed I was " stacking the

deck " by taking it at 10:30 (AFTER am meda) when in reality being retired I can

get up anytime I want and usually it is between 10 and noon!)

> >

> > Since my appt. time was just about up I asked her what she had on her

agenda! She asked if she could listen to my lungs and I agreed! She announced

she didn't see any reason for me to be on O2 ad long as I checked and to

remained >90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep

it, " They need a Lesson also! " - that got a smile!

> >

> > She then asked if she could setup a recall for 2mos (I think normally she

would have gone from 3mos to 6mos). It was cute the way she said it, something

like, " Can we meet again in 2 months, I want to keep an eye on your progress and

continue to be your biggest cheerleader! " She deserves a 20 min break!

> >

> > SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I

proposed to my Wife!)

> >

> > - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt.

flank & testicle pain. I have decided against an adrenalectomy at this time

since Meds. are working so well. Current BP(last week ave): 123/71

> > Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19,

DM2. and PTSD

> > Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

> >

>

July 30, 2011

Excellent on the spare tire. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Does/Can Spirolactone cause males to loose body hair (Note, I did NOT say facial)? I've noticed I have almost none now, not that I was overly hairy before. That caused me to wonder what else Spiro might be doing and should I consider switching to Eplerenone (Inspra). I started to ask Dr. Webster yesterday and got as far as. "I'm thinking of switching from Spirolactone to Eplerenone.." and she screamed "NO"!

(My original intent was to discuss it as a possible future agenda item, I'm seeing too many good results right now.)

She did ask if my "Man boobs" (a term I taught her) were bothering a lot. I said no but they might be getting bigger. She came right back with, "Oh, that's just an illusion because your belly is getting smaller!" She may be right, it looks like I haave lost most to the 22lbs right above the belt line and very little below, a spacesaver spare tire now!

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/71

Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2. and PTSD

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

> Ment with my PCP yesterday and feel I should update everyone. I first saw the assistant and was disappointed since I had only lost 5lbs. since the previous Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic has been running 10-15 higher in the office but still below my target of 130/80 at home, actually last week's average was 123/71!)

>

> Dr. Webster, my PCP, took a moment to look at those numbers and turned her chair to squarely face me, nothing between us, and said, "Okay, what's going on? Why don't you start and also tell me what you,ve learned since I last saw you!"

>

> I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she kept switching between them and shaking her head! After a short pause for effect I said, "Remember I told you I was going to start DASHing when my mouth healed? I started Psydo-dashing a week ago!" (I explained that was my term because I hadn't received 's book so it was my version.) Her only comment, "Unbelieveable!"

>

> I then suggested that if she thought that was unbelievable what was she going to say when I told her my COPD was better also. She literally sat there in disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries). I told her I had verified it with the one her Tech. used and it was accurate. (I paid $43 on line when the VA told me they didn't supply them because they were too expensive!) Told her about walking to the mailbox and O2 had dropped to 90 and rebounded to 95 immediately when I got back and sat down.

>

> I then explained Dr. G.'s theory that LVH started to correct in as little as 12 weeks (count back to Apr.23) and as the pump got stronger more blood would flow to the lungs, hence picking up more O2 and since he is a HTN specialist I thought he might be onto something!

>

> I then explained that while getting PA and the excess Aldosterone under control was the underlying cause/effect, I thought there were a couple other factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into REM (Rapid Eye Movement) sleep and that is where I understand a lot of the excess body fat gets burned. The less weight around my middle allowed less stress on my diaphragm and thereby making it easier to breath. (She really liked this because it was her suggestion when COPD was DXed, make sure you give them credit where credit is due!_

>

> I then shared a couple of articles I had copied: "Fluid homeostasis in cronic obstructive lung disease" by P.W. deLeeuw & A. Dees published in 2003 by ERS Journals, Ltd. and a review article,"Common Secondary Causes of Hypertension and Rational for Treatment" by Faselis, Doumas and Papademetriou published in Jan. of this year in International Journal of Hypertension.(should be in our files if it isn't but I don't know how to get it there

>

> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf

>

> I particularly like this one because it speaks directly to three of the complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16 hrs/day to persue and an excellent online support group, too bad she had to work for a living!

>

> About the ony other thing we discussed was the proper way to take a BP reading. I simply told her we would be using mine unless & untill the VA got the procedure right according to AHA and DoD Standards! (Told her that BP & BS would be taken every morning prior to am meds.

> I no longer report the time since my Neproligist assumed I was "stacking the deck" by taking it at 10:30 (AFTER am meda) when in reality being retired I can get up anytime I want and usually it is between 10 and noon!)

>

> Since my appt. time was just about up I asked her what she had on her agenda! She asked if she could listen to my lungs and I agreed! She announced she didn't see any reason for me to be on O2 ad long as I checked and to remained >90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep it, "They need a Lesson also!" - that got a smile!

>

> She then asked if she could setup a recall for 2mos (I think normally she would have gone from 3mos to 6mos). It was cute the way she said it, something like, "Can we meet again in 2 months, I want to keep an eye on your progress and continue to be your biggest cheerleader!" She deserves a 20 min break!

>

> SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I proposed to my Wife!)

>

> - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/71

> Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2. and PTSD

> Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

July 30, 2011

No one has ever told me that and I have never asked: are u losing ur hair down there?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Does/Can Spirolactone cause males to loose body hair (Note, I did NOT say facial)? I've noticed I have almost none now, not that I was overly hairy before. That caused me to wonder what else Spiro might be doing and should I consider switching to Eplerenone (Inspra). I started to ask Dr. Webster yesterday and got as far as. "I'm thinking of switching from Spirolactone to Eplerenone.." and she screamed "NO"!

(My original intent was to discuss it as a possible future agenda item, I'm seeing too many good results right now.)

She did ask if my "Man boobs" (a term I taught her) were bothering a lot. I said no but they might be getting bigger. She came right back with, "Oh, that's just an illusion because your belly is getting smaller!" She may be right, it looks like I haave lost most to the 22lbs right above the belt line and very little below, a spacesaver spare tire now!

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/71

Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2. and PTSD

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

> Ment with my PCP yesterday and feel I should update everyone. I first saw the assistant and was disappointed since I had only lost 5lbs. since the previous Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic has been running 10-15 higher in the office but still below my target of 130/80 at home, actually last week's average was 123/71!)

>

> Dr. Webster, my PCP, took a moment to look at those numbers and turned her chair to squarely face me, nothing between us, and said, "Okay, what's going on? Why don't you start and also tell me what you,ve learned since I last saw you!"

>

> I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she kept switching between them and shaking her head! After a short pause for effect I said, "Remember I told you I was going to start DASHing when my mouth healed? I started Psydo-dashing a week ago!" (I explained that was my term because I hadn't received 's book so it was my version.) Her only comment, "Unbelieveable!"

>

> I then suggested that if she thought that was unbelievable what was she going to say when I told her my COPD was better also. She literally sat there in disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries). I told her I had verified it with the one her Tech. used and it was accurate. (I paid $43 on line when the VA told me they didn't supply them because they were too expensive!) Told her about walking to the mailbox and O2 had dropped to 90 and rebounded to 95 immediately when I got back and sat down.

>

> I then explained Dr. G.'s theory that LVH started to correct in as little as 12 weeks (count back to Apr.23) and as the pump got stronger more blood would flow to the lungs, hence picking up more O2 and since he is a HTN specialist I thought he might be onto something!

>

> I then explained that while getting PA and the excess Aldosterone under control was the underlying cause/effect, I thought there were a couple other factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into REM (Rapid Eye Movement) sleep and that is where I understand a lot of the excess body fat gets burned. The less weight around my middle allowed less stress on my diaphragm and thereby making it easier to breath. (She really liked this because it was her suggestion when COPD was DXed, make sure you give them credit where credit is due!_

>

> I then shared a couple of articles I had copied: "Fluid homeostasis in cronic obstructive lung disease" by P.W. deLeeuw & A. Dees published in 2003 by ERS Journals, Ltd. and a review article,"Common Secondary Causes of Hypertension and Rational for Treatment" by Faselis, Doumas and Papademetriou published in Jan. of this year in International Journal of Hypertension.(should be in our files if it isn't but I don't know how to get it there

>

> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf

>

> I particularly like this one because it speaks directly to three of the complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16 hrs/day to persue and an excellent online support group, too bad she had to work for a living!

>

> About the ony other thing we discussed was the proper way to take a BP reading. I simply told her we would be using mine unless & untill the VA got the procedure right according to AHA and DoD Standards! (Told her that BP & BS would be taken every morning prior to am meds.

> I no longer report the time since my Neproligist assumed I was "stacking the deck" by taking it at 10:30 (AFTER am meda) when in reality being retired I can get up anytime I want and usually it is between 10 and noon!)

>

> Since my appt. time was just about up I asked her what she had on her agenda! She asked if she could listen to my lungs and I agreed! She announced she didn't see any reason for me to be on O2 ad long as I checked and to remained >90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep it, "They need a Lesson also!" - that got a smile!

>

> She then asked if she could setup a recall for 2mos (I think normally she would have gone from 3mos to 6mos). It was cute the way she said it, something like, "Can we meet again in 2 months, I want to keep an eye on your progress and continue to be your biggest cheerleader!" She deserves a 20 min break!

>

> SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I proposed to my Wife!)

>

> - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/71

> Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2. and PTSD

> Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

July 31, 2011

Wow. That sounds excellent. Good for you .

Lettie 49yo PA ton Maine partial adrenalectomy 6/27/11

>

> Ment with my PCP yesterday and feel I should update everyone. I first saw the

assistant and was disappointed since I had only lost 5lbs. since the previous

Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic has been

running 10-15 higher in the office but still below my target of 130/80 at home,

actually last week's average was 123/71!)

>

> Dr. Webster, my PCP, took a moment to look at those numbers and turned her

chair to squarely face me, nothing between us, and said, " Okay, what's going on?

Why don't you start and also tell me what you,ve learned since I last saw you! "

>

> I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she kept

switching between them and shaking her head! After a short pause for effect I

said, " Remember I told you I was going to start DASHing when my mouth healed? I

started Psydo-dashing a week ago! " (I explained that was my term because I

hadn't received 's book so it was my version.) Her only comment,

" Unbelieveable! "

>

> I then suggested that if she thought that was unbelievable what was she going

to say when I told her my COPD was better also. She literally sat there in

disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries). I

told her I had verified it with the one her Tech. used and it was accurate. (I

paid $43 on line when the VA told me they didn't supply them because they were

too expensive!) Told her about walking to the mailbox and O2 had dropped to 90

and rebounded to 95 immediately when I got back and sat down.

>

> I then explained Dr. G.'s theory that LVH started to correct in as little as

12 weeks (count back to Apr.23) and as the pump got stronger more blood would

flow to the lungs, hence picking up more O2 and since he is a HTN specialist I

thought he might be onto something!

>

> I then explained that while getting PA and the excess Aldosterone under

control was the underlying cause/effect, I thought there were a couple other

factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into

REM (Rapid Eye Movement) sleep and that is where I understand a lot of the

excess body fat gets burned. The less weight around my middle allowed less

stress on my diaphragm and thereby making it easier to breath. (She really

liked this because it was her suggestion when COPD was DXed, make sure you give

them credit where credit is due!_

>

> I then shared a couple of articles I had copied: " Fluid homeostasis in cronic

obstructive lung disease " by P.W. deLeeuw & A. Dees published in 2003 by ERS

Journals, Ltd. and a review article, " Common Secondary Causes of Hypertension and

Rational for Treatment " by Faselis, Doumas and Papademetriou published in Jan.

of this year in International Journal of Hypertension.(should be in our files if

it isn't but I don't know how to get it there

>

> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf

>

> I particularly like this one because it speaks directly to three of the

complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary

Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16

hrs/day to persue and an excellent online support group, too bad she had to work

for a living!

>

> About the ony other thing we discussed was the proper way to take a BP

reading. I simply told her we would be using mine unless & untill the VA got the

procedure right according to AHA and DoD Standards! (Told her that BP & BS

would be taken every morning prior to am meds.

> I no longer report the time since my Neproligist assumed I was " stacking the

deck " by taking it at 10:30 (AFTER am meda) when in reality being retired I can

get up anytime I want and usually it is between 10 and noon!)

>

> Since my appt. time was just about up I asked her what she had on her agenda!

She asked if she could listen to my lungs and I agreed! She announced she

didn't see any reason for me to be on O2 ad long as I checked and to remained

>90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep it,

" They need a Lesson also! " - that got a smile!

>

> She then asked if she could setup a recall for 2mos (I think normally she

would have gone from 3mos to 6mos). It was cute the way she said it, something

like, " Can we meet again in 2 months, I want to keep an eye on your progress and

continue to be your biggest cheerleader! " She deserves a 20 min break!

>

> SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I proposed

to my Wife!)

>

> - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

& testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP(last week ave): 123/71

> Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19,

DM2. and PTSD

> Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

July 31, 2011

Pubic and arm hair is thinner and just about completely gone from legs, breast

(I mean Chest) and arm pits! Also just noticed I have stretch marks on my legs

from mid-calf to ankle, that shows how much they used to be swolen!

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank &

testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP(last week ave): 123/71

Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2.

and PTSD

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

> > >

> > > Ment with my PCP yesterday and feel I should update everyone. I first saw

the assistant and was disappointed since I had only lost 5lbs. since the

previous Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic

has been running 10-15 higher in the office but still below my target of 130/80

at home, actually last week's average was 123/71!)

> > >

> > > Dr. Webster, my PCP, took a moment to look at those numbers and turned her

chair to squarely face me, nothing between us, and said, " Okay, what's going on?

Why don't you start and also tell me what you,ve learned since I last saw you! "

> > >

> > > I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she

kept switching between them and shaking her head! After a short pause for effect

I said, " Remember I told you I was going to start DASHing when my mouth healed?

I started Psydo-dashing a week ago! " (I explained that was my term because I

hadn't received 's book so it was my version.) Her only comment,

" Unbelieveable! "

> > >

> > > I then suggested that if she thought that was unbelievable what was she

going to say when I told her my COPD was better also. She literally sat there in

disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries). I

told her I had verified it with the one her Tech. used and it was accurate. (I

paid $43 on line when the VA told me they didn't supply them because they were

too expensive!) Told her about walking to the mailbox and O2 had dropped to 90

and rebounded to 95 immediately when I got back and sat down.

> > >

> > > I then explained Dr. G.'s theory that LVH started to correct in as little

as 12 weeks (count back to Apr.23) and as the pump got stronger more blood would

flow to the lungs, hence picking up more O2 and since he is a HTN specialist I

thought he might be onto something!

> > >

> > > I then explained that while getting PA and the excess Aldosterone under

control was the underlying cause/effect, I thought there were a couple other

factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into

REM (Rapid Eye Movement) sleep and that is where I understand a lot of the

excess body fat gets burned. The less weight around my middle allowed less

stress on my diaphragm and thereby making it easier to breath. (She really

liked this because it was her suggestion when COPD was DXed, make sure you give

them credit where credit is due!_

> > >

> > > I then shared a couple of articles I had copied: " Fluid homeostasis in

cronic obstructive lung disease " by P.W. deLeeuw & A. Dees published in 2003 by

ERS Journals, Ltd. and a review article, " Common Secondary Causes of Hypertension

and Rational for Treatment " by Faselis, Doumas and Papademetriou published in

Jan. of this year in International Journal of Hypertension.(should be in our

files if it isn't but I don't know how to get it there

> > >

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf

> > >

> > > I particularly like this one because it speaks directly to three of the

complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary

Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16

hrs/day to persue and an excellent online support group, too bad she had to work

for a living!

> > >

> > > About the ony other thing we discussed was the proper way to take a BP

reading. I simply told her we would be using mine unless & untill the VA got the

procedure right according to AHA and DoD Standards! (Told her that BP & BS would

be taken every morning prior to am meds.

> > > I no longer report the time since my Neproligist assumed I was " stacking

the deck " by taking it at 10:30 (AFTER am meda) when in reality being retired I

can get up anytime I want and usually it is between 10 and noon!)

> > >

> > > Since my appt. time was just about up I asked her what she had on her

agenda! She asked if she could listen to my lungs and I agreed! She announced

she didn't see any reason for me to be on O2 ad long as I checked and to

remained >90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep

it, " They need a Lesson also! " - that got a smile!

> > >

> > > She then asked if she could setup a recall for 2mos (I think normally she

would have gone from 3mos to 6mos). It was cute the way she said it, something

like, " Can we meet again in 2 months, I want to keep an eye on your progress and

continue to be your biggest cheerleader! " She deserves a 20 min break!

> > >

> > > SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I

proposed to my Wife!)

> > >

> > > - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt.

flank & testicle pain. I have decided against an adrenalectomy at this time

since Meds. are working so well. Current BP(last week ave): 123/71

> > > Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19,

DM2. and PTSD

> > > Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

> > >

> >

>

July 31, 2011

Dianne, thanks for your post, guess it's not just a Guy thing! I'm going to

talk with my wife about it, she's been a hair dresser for 40something years

(about as long as Dr. G. has been treating PA!) Will see if she has any

observation of meds. related hair loss.

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank &

testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP(last week ave): 123/71

Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2.

and PTSD

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

> >

>

> > Ment with my PCP yesterday and feel I should update everyone. I first saw

the assistant and was disappointed since I had only lost 5lbs. since the

previous Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic

has been running 10-15 higher in the office but still below my target of 130/80

at home, actually last week's average was 123/71!)

>

> >

>

> > Dr. Webster, my PCP, took a moment to look at those numbers and turned her

chair to squarely face me, nothing between us, and said, " Okay, what's going on?

Why don't you start and also tell me what you,ve learned since I last saw you! "

>

> >

>

> > I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she

kept switching between them and shaking her head! After a short pause for

effect I said, " Remember I told you I was going to start DASHing when my mouth

healed? I started Psydo-dashing a week ago! " (I explained that was my term

because I hadn't received 's book so it was my version.) Her only comment,

" Unbelieveable! "

>

> >

>

> > I then suggested that if she thought that was unbelievable what was she

going to say when I told her my COPD was better also. She literally sat there

in disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries).

I told her I had verified it with the one her Tech. used and it was accurate.

(I paid $43 on line when the VA told me they didn't supply them because they

were too expensive!) Told her about walking to the mailbox and O2 had dropped

to 90 and rebounded to 95 immediately when I got back and sat down.

>

> >

>

> > I then explained Dr. G.'s theory that LVH started to correct in as little as

12 weeks (count back to Apr.23) and as the pump got stronger more blood would

flow to the lungs, hence picking up more O2 and since he is a HTN specialist I

thought he might be onto something!

>

> >

>

> > I then explained that while getting PA and the excess Aldosterone under

control was the underlying cause/effect, I thought there were a couple other

factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into

REM (Rapid Eye Movement) sleep and that is where I understand a lot of the

excess body fat gets burned. The less weight around my middle allowed less

stress on my diaphragm and thereby making it easier to breath. (She really

liked this because it was her suggestion when COPD was DXed, make sure you give

them credit where credit is due!_

>

> >

>

> > I then shared a couple of articles I had copied: " Fluid homeostasis in

cronic obstructive lung disease " by P.W. deLeeuw & A. Dees published in 2003 by

ERS Journals, Ltd. and a review article, " Common Secondary Causes of Hypertension

and Rational for Treatment " by Faselis, Doumas and Papademetriou published in

Jan. of this year in International Journal of Hypertension.(should be in our

files if it isn't but I don't know how to get it there

>

> >

>

> > http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf

>

> >

>

> > I particularly like this one because it speaks directly to three of the

complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary

Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16

hrs/day to persue and an excellent online support group, too bad she had to work

for a living!

>

> >

>

> > About the ony other thing we discussed was the proper way to take a BP

reading. I simply told her we would be using mine unless & untill the VA got the

procedure right according to AHA and DoD Standards! (Told her that BP & BS

would be taken every morning prior to am meds.

>

> > I no longer report the time since my Neproligist assumed I was " stacking the

deck " by taking it at 10:30 (AFTER am meda) when in reality being retired I can

get up anytime I want and usually it is between 10 and noon!)

>

> >

>

> > Since my appt. time was just about up I asked her what she had on her

agenda! She asked if she could listen to my lungs and I agreed! She announced

she didn't see any reason for me to be on O2 ad long as I checked and to

remained >90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep

it, " They need a Lesson also! " - that got a smile!

>

> >

>

> > She then asked if she could setup a recall for 2mos (I think normally she

would have gone from 3mos to 6mos). It was cute the way she said it, something

like, " Can we meet again in 2 months, I want to keep an eye on your progress and

continue to be your biggest cheerleader! " She deserves a 20 min break!

>

> >

>

> > SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I

proposed to my Wife!)

>

> >

>

> > - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt.

flank & testicle pain. I have decided against an adrenalectomy at this time

since Meds. are working so well. Current BP(last week ave): 123/71

>

> > Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19,

DM2. and PTSD

>

> > Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

> >

>

July 31, 2011

There is some that say PA has some cross over Sx of cushings. So hair loos could

be one of them.

> >

> > >

> >

> > > Ment with my PCP yesterday and feel I should update everyone. I first saw

the assistant and was disappointed since I had only lost 5lbs. since the

previous Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic

has been running 10-15 higher in the office but still below my target of 130/80

at home, actually last week's average was 123/71!)

> >

> > >

> >

> > > Dr. Webster, my PCP, took a moment to look at those numbers and turned her

chair to squarely face me, nothing between us, and said, " Okay, what's going on?

Why don't you start and also tell me what you,ve learned since I last saw you! "

> >

> > >

> >

> > > I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she

kept switching between them and shaking her head! After a short pause for

effect I said, " Remember I told you I was going to start DASHing when my mouth

healed? I started Psydo-dashing a week ago! " (I explained that was my term

because I hadn't received 's book so it was my version.) Her only comment,

" Unbelieveable! "

> >

> > >

> >

> > > I then suggested that if she thought that was unbelievable what was she

going to say when I told her my COPD was better also. She literally sat there

in disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries).

I told her I had verified it with the one her Tech. used and it was accurate.

(I paid $43 on line when the VA told me they didn't supply them because they

were too expensive!) Told her about walking to the mailbox and O2 had dropped

to 90 and rebounded to 95 immediately when I got back and sat down.

> >

> > >

> >

> > > I then explained Dr. G.'s theory that LVH started to correct in as little

as 12 weeks (count back to Apr.23) and as the pump got stronger more blood would

flow to the lungs, hence picking up more O2 and since he is a HTN specialist I

thought he might be onto something!

> >

> > >

> >

> > > I then explained that while getting PA and the excess Aldosterone under

control was the underlying cause/effect, I thought there were a couple other

factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into

REM (Rapid Eye Movement) sleep and that is where I understand a lot of the

excess body fat gets burned. The less weight around my middle allowed less

stress on my diaphragm and thereby making it easier to breath. (She really

liked this because it was her suggestion when COPD was DXed, make sure you give

them credit where credit is due!_

> >

> > >

> >

> > > I then shared a couple of articles I had copied: " Fluid homeostasis in

cronic obstructive lung disease " by P.W. deLeeuw & A. Dees published in 2003 by

ERS Journals, Ltd. and a review article, " Common Secondary Causes of Hypertension

and Rational for Treatment " by Faselis, Doumas and Papademetriou published in

Jan. of this year in International Journal of Hypertension.(should be in our

files if it isn't but I don't know how to get it there

> >

> > >

> >

> > >

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf

> >

> > >

> >

> > > I particularly like this one because it speaks directly to three of the

complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary

Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16

hrs/day to persue and an excellent online support group, too bad she had to work

for a living!

> >

> > >

> >

> > > About the ony other thing we discussed was the proper way to take a BP

reading. I simply told her we would be using mine unless & untill the VA got the

procedure right according to AHA and DoD Standards! (Told her that BP & BS

would be taken every morning prior to am meds.

> >

> > > I no longer report the time since my Neproligist assumed I was " stacking

the deck " by taking it at 10:30 (AFTER am meda) when in reality being retired I

can get up anytime I want and usually it is between 10 and noon!)

> >

> > >

> >

> > > Since my appt. time was just about up I asked her what she had on her

agenda! She asked if she could listen to my lungs and I agreed! She announced

she didn't see any reason for me to be on O2 ad long as I checked and to

remained >90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep

it, " They need a Lesson also! " - that got a smile!

> >

> > >

> >

> > > She then asked if she could setup a recall for 2mos (I think normally she

would have gone from 3mos to 6mos). It was cute the way she said it, something

like, " Can we meet again in 2 months, I want to keep an eye on your progress and

continue to be your biggest cheerleader! " She deserves a 20 min break!

> >

> > >

> >

> > > SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I

proposed to my Wife!)

> >

> > >

> >

> > > - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt.

flank & testicle pain. I have decided against an adrenalectomy at this time

since Meds. are working so well. Current BP(last week ave): 123/71

> >

> > > Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19,

DM2. and PTSD

> >

> > > Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200

MG, 81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

> >

> > >

> >

>

July 31, 2011

spiro has been used off label to treat hirsutism in Polyovarian Syndrome but have not looked for reports on how it helps.CE Grim MD Pubic and arm hair is thinner and just about completely gone from legs, breast (I mean Chest) and arm pits! Also just noticed I have stretch marks on my legs from mid-calf to ankle, that shows how much they used to be swolen! - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/71 Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2. and PTSD Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 75 MG. > > > > > > Ment with my PCP yesterday and feel I should update everyone. I first saw the assistant and was disappointed since I had only lost 5lbs. since the previous Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic has been running 10-15 higher in the office but still below my target of 130/80 at home, actually last week's average was 123/71!) > > > > > > Dr. Webster, my PCP, took a moment to look at those numbers and turned her chair to squarely face me, nothing between us, and said, "Okay, what's going on? Why don't you start and also tell me what you,ve learned since I last saw you!" > > > > > > I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she kept switching between them and shaking her head! After a short pause for effect I said, "Remember I told you I was going to start DASHing when my mouth healed? I started Psydo-dashing a week ago!" (I explained that was my term because I hadn't received 's book so it was my version.) Her only comment, "Unbelieveable!" > > > > > > I then suggested that if she thought that was unbelievable what was she going to say when I told her my COPD was better also. She literally sat there in disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries). I told her I had verified it with the one her Tech. used and it was accurate. (I paid $43 on line when the VA told me they didn't supply them because they were too expensive!) Told her about walking to the mailbox and O2 had dropped to 90 and rebounded to 95 immediately when I got back and sat down. > > > > > > I then explained Dr. G.'s theory that LVH started to correct in as little as 12 weeks (count back to Apr.23) and as the pump got stronger more blood would flow to the lungs, hence picking up more O2 and since he is a HTN specialist I thought he might be onto something! > > > > > > I then explained that while getting PA and the excess Aldosterone under control was the underlying cause/effect, I thought there were a couple other factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into REM (Rapid Eye Movement) sleep and that is where I understand a lot of the excess body fat gets burned. The less weight around my middle allowed less stress on my diaphragm and thereby making it easier to breath. (She really liked this because it was her suggestion when COPD was DXed, make sure you give them credit where credit is due!_ > > > > > > I then shared a couple of articles I had copied: "Fluid homeostasis in cronic obstructive lung disease" by P.W. deLeeuw & A. Dees published in 2003 by ERS Journals, Ltd. and a review article,"Common Secondary Causes of Hypertension and Rational for Treatment" by Faselis, Doumas and Papademetriou published in Jan. of this year in International Journal of Hypertension.(should be in our files if it isn't but I don't know how to get it there > > > > > > http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf > > > > > > I particularly like this one because it speaks directly to three of the complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16 hrs/day to persue and an excellent online support group, too bad she had to work for a living! > > > > > > About the ony other thing we discussed was the proper way to take a BP reading. I simply told her we would be using mine unless & untill the VA got the procedure right according to AHA and DoD Standards! (Told her that BP & BS would be taken every morning prior to am meds. > > > I no longer report the time since my Neproligist assumed I was "stacking the deck" by taking it at 10:30 (AFTER am meda) when in reality being retired I can get up anytime I want and usually it is between 10 and noon!) > > > > > > Since my appt. time was just about up I asked her what she had on her agenda! She asked if she could listen to my lungs and I agreed! She announced she didn't see any reason for me to be on O2 ad long as I checked and to remained >90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep it, "They need a Lesson also!" - that got a smile! > > > > > > She then asked if she could setup a recall for 2mos (I think normally she would have gone from 3mos to 6mos). It was cute the way she said it, something like, "Can we meet again in 2 months, I want to keep an eye on your progress and continue to be your biggest cheerleader!" She deserves a 20 min break! > > > > > > SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I proposed to my Wife!) > > > > > > - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/71 > > > Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2. and PTSD > > > Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 75 MG. > > > > > > > >

July 31, 2011

Velly interessting!CE Grim MD ,I've got to chime in on this hair loss question. I've probably had undiagnosed PA for at least 25 years, but by 1998 I noticed that I no longer needed to shave my legs. Then I began wondering why, and since my doctors had no answers I paid closer attention and discovered that as time went on the hair loss crept up my body. First the absence of leg hair followed by sparse pubic, underarm and even forearm hair (which, being female, wasn't much anyway) then finally head hair by 2004 or so.I went from a very thick head of hair to being able to see daylight on the crown of the head and on the front sides. Washing or combing my hair would leave a brush full of hair. Very alarming.This all began to change last Oct - Nov. when I started on Spiro and lowered my Na to 1500mg, or less, daily. Now I just lose hair at a normal replacement rate and my hair seems thicker again. I can't really say if it was the Spiro or lowered Na, but if I had to pick I'd guess it was the Na that had the biggest effect. Of course it could also have to do with lowered BP too or maybe it's the combo of all three.All I know is that there are some really good looking bald men out there; but bald women? Not so much. So I'm relieved to be able to hold on to my hair.DianneF. 68, bi-lateral 1 cm and 1.2 cm adenomas, 75mg Spiro, 37.5mg Atenolol. Does/Can Spirolactone cause males to loose body hair (Note, I did NOT say facial)? I've noticed I have almost none now, not that I was overly hairy before. That caused me to wonder what else Spiro might be doing and should I consider switching to Eplerenone (Inspra). I started to ask Dr. Webster yesterday and got as far as. "I'm thinking of switching from Spirolactone to Eplerenone.." and she screamed "NO"! (My original intent was to discuss it as a possible future agenda item, I'm seeing too many good results right now.) She did ask if my "Man boobs" (a term I taught her) were bothering a lot. I said no but they might be getting bigger. She came right back with, "Oh, that's just an illusion because your belly is getting smaller!" She may be right, it looks like I haave lost most to the 22lbs right above the belt line and very little below, a spacesaver spare tire now! - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/71 Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2. and PTSD Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 75 MG. > > Ment with my PCP yesterday and feel I should update everyone. I first saw the assistant and was disappointed since I had only lost 5lbs. since the previous Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic has been running 10-15 higher in the office but still below my target of 130/80 at home, actually last week's average was 123/71!) > > Dr. Webster, my PCP, took a moment to look at those numbers and turned her chair to squarely face me, nothing between us, and said, "Okay, what's going on? Why don't you start and also tell me what you,ve learned since I last saw you!" > > I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she kept switching between them and shaking her head! After a short pause for effect I said, "Remember I told you I was going to start DASHing when my mouth healed? I started Psydo-dashing a week ago!" (I explained that was my term because I hadn't received 's book so it was my version.) Her only comment, "Unbelieveable!" > > I then suggested that if she thought that was unbelievable what was she going to say when I told her my COPD was better also. She literally sat there in disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries). I told her I had verified it with the one her Tech. used and it was accurate. (I paid $43 on line when the VA told me they didn't supply them because they were too expensive!) Told her about walking to the mailbox and O2 had dropped to 90 and rebounded to 95 immediately when I got back and sat down. > > I then explained Dr. G.'s theory that LVH started to correct in as little as 12 weeks (count back to Apr.23) and as the pump got stronger more blood would flow to the lungs, hence picking up more O2 and since he is a HTN specialist I thought he might be onto something! > > I then explained that while getting PA and the excess Aldosterone under control was the underlying cause/effect, I thought there were a couple other factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into REM (Rapid Eye Movement) sleep and that is where I understand a lot of the excess body fat gets burned. The less weight around my middle allowed less stress on my diaphragm and thereby making it easier to breath. (She really liked this because it was her suggestion when COPD was DXed, make sure you give them credit where credit is due!_ > > I then shared a couple of articles I had copied: "Fluid homeostasis in cronic obstructive lung disease" by P.W. deLeeuw & A. Dees published in 2003 by ERS Journals, Ltd. and a review article,"Common Secondary Causes of Hypertension and Rational for Treatment" by Faselis, Doumas and Papademetriou published in Jan. of this year in International Journal of Hypertension.(should be in our files if it isn't but I don't know how to get it there > > http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf > > I particularly like this one because it speaks directly to three of the complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16 hrs/day to persue and an excellent online support group, too bad she had to work for a living! > > About the ony other thing we discussed was the proper way to take a BP reading. I simply told her we would be using mine unless & untill the VA got the procedure right according to AHA and DoD Standards! (Told her that BP & BS would be taken every morning prior to am meds. > I no longer report the time since my Neproligist assumed I was "stacking the deck" by taking it at 10:30 (AFTER am meda) when in reality being retired I can get up anytime I want and usually it is between 10 and noon!) > > Since my appt. time was just about up I asked her what she had on her agenda! She asked if she could listen to my lungs and I agreed! She announced she didn't see any reason for me to be on O2 ad long as I checked and to remained >90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep it, "They need a Lesson also!" - that got a smile! > > She then asked if she could setup a recall for 2mos (I think normally she would have gone from 3mos to 6mos). It was cute the way she said it, something like, "Can we meet again in 2 months, I want to keep an eye on your progress and continue to be your biggest cheerleader!" She deserves a 20 min break! > > SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I proposed to my Wife!) > > - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/71 > Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2. and PTSD > Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 75 MG. >

August 1, 2011

Same with me, except I haven't noticed it getting any better. I don't miss shaving my legs but I'm not much into the Chemo look.

a

60, F, Bilateral adenomas, bilateral thyroid nodules, PAD, hyperlipidemia, metabolic syndrome,

100 mg spiro, 50 mg toprol, 50mcg levothyroxin, 40 mg pravachol, 10 mg zetia, 75 mg plavix, metformin 500 mg bid

,

I've got to chime in on this hair loss question. I've probably had undiagnosed PA for at least 25 years, but by 1998 I noticed that I no longer needed to shave my legs. Then I began wondering why, and since my doctors had no answers I paid closer attention and discovered that as time went on the hair loss crept up my body. First the absence of leg hair followed by sparse pubic, underarm and even forearm hair (which, being female, wasn't much anyway) then finally head hair by 2004 or so.

I went from a very thick head of hair to being able to see daylight on the crown of the head and on the front sides. Washing or combing my hair would leave a brush full of hair. Very alarming.

This all began to change last Oct - Nov. when I started on Spiro and lowered my Na to 1500mg, or less, daily. Now I just lose hair at a normal replacement rate and my hair seems thicker again. I can't really say if it was the Spiro or lowered Na, but if I had to pick I'd guess it was the Na that had the biggest effect. Of course it could also have to do with lowered BP too or maybe it's the combo of all three.

All I know is that there are some really good looking bald men out there; but bald women? Not so much. So I'm relieved to be able to hold on to my hair.

Dianne

F. 68, bi-lateral 1 cm and 1.2 cm adenomas, 75mg Spiro, 37.5mg Atenolol.

Does/Can Spirolactone cause males to loose body hair (Note, I did NOT say facial)? I've noticed I have almost none now, not that I was overly hairy before. That caused me to wonder what else Spiro might be doing and should I consider switching to Eplerenone (Inspra). I started to ask Dr. Webster yesterday and got as far as. "I'm thinking of switching from Spirolactone to Eplerenone.." and she screamed "NO"!(My original intent was to discuss it as a possible future agenda item, I'm seeing too many good results right now.)She did ask if my "Man boobs" (a term I taught her) were bothering a lot. I said no but they might be getting bigger. She came right back with, "Oh, that's just an illusion because your belly is getting smaller!" She may be right, it looks like I haave lost most to the 22lbs right above the belt line and very little below, a spacesaver spare tire now! - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with

previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/71Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2. and PTSDMeds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 75 MG. >> Ment with my PCP yesterday and feel I should update everyone. I first saw the assistant and was disappointed since I had only lost 5lbs. since the previous Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic has been running 10-15 higher in the office but still below my target of 130/80 at home, actually last week's average was 123/71!)> > Dr. Webster, my PCP, took a moment to look at those

numbers and turned her chair to squarely face me, nothing between us, and said, "Okay, what's going on? Why don't you start and also tell me what you,ve learned since I last saw you!"> > I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she kept switching between them and shaking her head! After a short pause for effect I said, "Remember I told you I was going to start DASHing when my mouth healed? I started Psydo-dashing a week ago!" (I explained that was my term because I hadn't received 's book so it was my version.) Her only comment, "Unbelieveable!"> > I then suggested that if she thought that was unbelievable what was she going to say when I told her my COPD was better also. She literally sat there in disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries). I told her I had verified it with the one her Tech. used and it was accurate. (I paid $43 on line when the VA

told me they didn't supply them because they were too expensive!) Told her about walking to the mailbox and O2 had dropped to 90 and rebounded to 95 immediately when I got back and sat down.> > I then explained Dr. G.'s theory that LVH started to correct in as little as 12 weeks (count back to Apr.23) and as the pump got stronger more blood would flow to the lungs, hence picking up more O2 and since he is a HTN specialist I thought he might be onto something! > > I then explained that while getting PA and the excess Aldosterone under control was the underlying cause/effect, I thought there were a couple other factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into REM (Rapid Eye Movement) sleep and that is where I understand a lot of the excess body fat gets burned. The less weight around my middle allowed less stress on my diaphragm and thereby making it easier to breath. (She really liked this

because it was her suggestion when COPD was DXed, make sure you give them credit where credit is due!_> > I then shared a couple of articles I had copied: "Fluid homeostasis in cronic obstructive lung disease" by P.W. deLeeuw & A. Dees published in 2003 by ERS Journals, Ltd. and a review article,"Common Secondary Causes of Hypertension and Rational for Treatment" by Faselis, Doumas and Papademetriou published in Jan. of this year in International Journal of Hypertension.(should be in our files if it isn't but I don't know how to get it there> > http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf> > I particularly like this one because it speaks directly

to three of the complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16 hrs/day to persue and an excellent online support group, too bad she had to work for a living!> > About the ony other thing we discussed was the proper way to take a BP reading. I simply told her we would be using mine unless & untill the VA got the procedure right according to AHA and DoD Standards! (Told her that BP & BS would be taken every morning prior to am meds.> I no longer report the time since my Neproligist assumed I was "stacking the deck" by taking it at 10:30 (AFTER am meda) when in reality being retired I can get up anytime I want and usually it is between 10 and noon!)> > Since my appt. time was just about up I asked her what she had on her agenda! She asked if she could listen to my lungs and I agreed! She announced she didn't see any

reason for me to be on O2 ad long as I checked and to remained >90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep it, "They need a Lesson also!" - that got a smile!> > She then asked if she could setup a recall for 2mos (I think normally she would have gone from 3mos to 6mos). It was cute the way she said it, something like, "Can we meet again in 2 months, I want to keep an eye on your progress and continue to be your biggest cheerleader!" She deserves a 20 min break!> > SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I proposed to my Wife!)> > - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/71> Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2. and PTSD> Meds:

Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 75 MG.>

August 1, 2011

Never thought about it too much, but I also went through the same process with my body hair + I also have very brittle, bad nails with many vertical edges. Somebody mentioned it here too.Interesting, my father had the same nails and he had the first stroke at 52 and suffers from high BP. Probably I inherited that from him!NataliaTo:

hyperaldosteronism Sent: Sunday, July 31, 2011 1:51 PMSubject: Re: Re: - Update from PCP appt. 7/29

,I've got to chime in on this hair loss question. I've probably had undiagnosed PA for at least 25 years, but by 1998 I noticed that I no longer needed to shave my legs. Then I began wondering why, and since my doctors had no answers I paid closer attention and discovered that as time went on the hair loss crept up my body. First the absence of leg hair followed by sparse pubic, underarm and even forearm hair (which, being female, wasn't much anyway) then finally head hair by 2004 or

so.I went from a very thick head of hair to being able to see daylight on the crown of the head and on the front sides.

Washing or combing my hair would leave a brush full of hair. Very alarming.This all began to change last Oct - Nov. when I started on Spiro and lowered my Na to 1500mg, or less, daily. Now I just lose hair at a normal replacement rate and my hair seems thicker again. I can't really say if it was the Spiro or lowered Na, but if I had to pick I'd guess it was the Na that had the biggest effect. Of course it could also have to do with lowered BP too or maybe it's the combo of all three.All I know is that there are some really good looking bald men out there; but bald women? Not so much. So I'm relieved to be able to hold on to my hair.DianneF. 68, bi-lateral 1 cm and 1.2 cm adenomas, 75mg Spiro, 37.5mg Atenolol.

Does/Can Spirolactone cause males to loose body hair (Note, I did NOT say facial)? I've noticed I have almost none now, not that I was overly hairy before. That caused me to wonder what else Spiro might be doing and should I consider switching to Eplerenone (Inspra). I started to ask Dr. Webster yesterday and got as far as. "I'm thinking of switching from Spirolactone to Eplerenone.." and she screamed "NO"!

(My original intent was to discuss it as a possible future agenda item, I'm seeing too many good results right now.)

She did ask if my "Man boobs" (a term I taught her) were bothering a lot. I said no but they might be getting bigger. She came right back with, "Oh, that's just an illusion because your belly is getting smaller!" She may be right, it looks like I haave lost most to the 22lbs right above the belt line and very little below, a spacesaver spare tire now!

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/71

Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2. and PTSD

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

> Ment with my PCP yesterday and feel I should update everyone. I first saw the assistant and was disappointed since I had only lost 5lbs. since the previous Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic has been running 10-15 higher in the office but still below my target of 130/80 at home, actually last week's average was 123/71!)

>

> Dr. Webster, my PCP, took a moment to look at those numbers and turned her chair to squarely face me, nothing between us, and said, "Okay, what's going on? Why don't you start and also tell me what you,ve learned since I last saw you!"

>

> I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she kept switching between them and shaking her head! After a short pause for effect I said, "Remember I told you I was going to start DASHing when my mouth healed? I started Psydo-dashing a week ago!" (I explained that was my term because I hadn't received 's book so it was my version.) Her only comment, "Unbelieveable!"

>

> I then suggested that if she thought that was unbelievable what was she going to say when I told her my COPD was better also. She literally sat there in disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries). I told her I had verified it with the one her Tech. used and it was accurate. (I paid $43 on line when the VA told me they didn't supply them because they were too expensive!) Told her about walking to the mailbox and O2 had dropped to 90 and rebounded to 95 immediately when I got back and sat down.

>

> I then explained Dr. G.'s theory that LVH started to correct in as little as 12 weeks (count back to Apr.23) and as the pump got stronger more blood would flow to the lungs, hence picking up more O2 and since he is a HTN specialist I thought he might be onto something!

>

> I then explained that while getting PA and the excess Aldosterone under control was the underlying cause/effect, I thought there were a couple other factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into REM (Rapid Eye Movement) sleep and that is where I understand a lot of the excess body fat gets burned. The less weight around my middle allowed less stress on my diaphragm and thereby making it easier to breath. (She really liked this because it was her suggestion when COPD was DXed, make sure you give them credit where credit is due!_

>

> I then shared a couple of articles I had copied: "Fluid homeostasis in cronic obstructive lung disease" by P.W. deLeeuw & A. Dees published in 2003 by ERS Journals, Ltd. and a review article,"Common Secondary Causes of Hypertension and Rational for Treatment" by Faselis, Doumas and Papademetriou published in Jan. of this year in International Journal of Hypertension.(should be in our files if it isn't but I don't know how to get it there

>

> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf

>

> I particularly like this one because it speaks directly to three of the complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16 hrs/day to persue and an excellent online support group, too bad she had to work for a living!

>

> About the ony other thing we discussed was the proper way to take a BP reading. I simply told her we would be using mine unless & untill the VA got the procedure right according to AHA and DoD Standards! (Told her that BP & BS would be taken every morning prior to am meds.

> I no longer report the time since my Neproligist assumed I was "stacking the deck" by taking it at 10:30 (AFTER am meda) when in reality being retired I can get up anytime I want and usually it is between 10 and noon!)

>

> Since my appt. time was just about up I asked her what she had on her agenda! She asked if she could listen to my lungs and I agreed! She announced she didn't see any reason for me to be on O2 ad long as I checked and to remained >90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep it, "They need a Lesson also!" - that got a smile!

>

> She then asked if she could setup a recall for 2mos (I think normally she would have gone from 3mos to 6mos). It was cute the way she said it, something like, "Can we meet again in 2 months, I want to keep an eye on your progress and continue to be your biggest cheerleader!" She deserves a 20 min break!

>

> SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I proposed to my Wife!)

>

> - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/71

> Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2. and PTSD

> Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

August 1, 2011

WTG clark excelent history !!!!!! so so proud keep it up.

>

> Ment with my PCP yesterday and feel I should update everyone. I first saw the

assistant and was disappointed since I had only lost 5lbs. since the previous

Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic has been

running 10-15 higher in the office but still below my target of 130/80 at home,

actually last week's average was 123/71!)

>

> Dr. Webster, my PCP, took a moment to look at those numbers and turned her

chair to squarely face me, nothing between us, and said, " Okay, what's going on?

Why don't you start and also tell me what you,ve learned since I last saw you! "

>

> I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she kept

switching between them and shaking her head! After a short pause for effect I

said, " Remember I told you I was going to start DASHing when my mouth healed? I

started Psydo-dashing a week ago! " (I explained that was my term because I

hadn't received 's book so it was my version.) Her only comment,

" Unbelieveable! "

>

> I then suggested that if she thought that was unbelievable what was she going

to say when I told her my COPD was better also. She literally sat there in

disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries). I

told her I had verified it with the one her Tech. used and it was accurate. (I

paid $43 on line when the VA told me they didn't supply them because they were

too expensive!) Told her about walking to the mailbox and O2 had dropped to 90

and rebounded to 95 immediately when I got back and sat down.

>

> I then explained Dr. G.'s theory that LVH started to correct in as little as

12 weeks (count back to Apr.23) and as the pump got stronger more blood would

flow to the lungs, hence picking up more O2 and since he is a HTN specialist I

thought he might be onto something!

>

> I then explained that while getting PA and the excess Aldosterone under

control was the underlying cause/effect, I thought there were a couple other

factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into

REM (Rapid Eye Movement) sleep and that is where I understand a lot of the

excess body fat gets burned. The less weight around my middle allowed less

stress on my diaphragm and thereby making it easier to breath. (She really

liked this because it was her suggestion when COPD was DXed, make sure you give

them credit where credit is due!_

>

> I then shared a couple of articles I had copied: " Fluid homeostasis in cronic

obstructive lung disease " by P.W. deLeeuw & A. Dees published in 2003 by ERS

Journals, Ltd. and a review article, " Common Secondary Causes of Hypertension and

Rational for Treatment " by Faselis, Doumas and Papademetriou published in Jan.

of this year in International Journal of Hypertension.(should be in our files if

it isn't but I don't know how to get it there

>

> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf

>

> I particularly like this one because it speaks directly to three of the

complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary

Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16

hrs/day to persue and an excellent online support group, too bad she had to work

for a living!

>

> About the ony other thing we discussed was the proper way to take a BP

reading. I simply told her we would be using mine unless & untill the VA got the

procedure right according to AHA and DoD Standards! (Told her that BP & BS

would be taken every morning prior to am meds.

> I no longer report the time since my Neproligist assumed I was " stacking the

deck " by taking it at 10:30 (AFTER am meda) when in reality being retired I can

get up anytime I want and usually it is between 10 and noon!)

>

> Since my appt. time was just about up I asked her what she had on her agenda!

She asked if she could listen to my lungs and I agreed! She announced she

didn't see any reason for me to be on O2 ad long as I checked and to remained

>90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep it,

" They need a Lesson also! " - that got a smile!

>

> She then asked if she could setup a recall for 2mos (I think normally she

would have gone from 3mos to 6mos). It was cute the way she said it, something

like, " Can we meet again in 2 months, I want to keep an eye on your progress and

continue to be your biggest cheerleader! " She deserves a 20 min break!

>

> SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I proposed

to my Wife!)

>

> - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

& testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP(last week ave): 123/71

> Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19,

DM2. and PTSD

> Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

August 1, 2011

Does she believe in Dr Grim and the DASH Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

WTG clark excelent history !!!!!! so so proud keep it up.

>

> Ment with my PCP yesterday and feel I should update everyone. I first saw the assistant and was disappointed since I had only lost 5lbs. since the previous Fri. (I had expectations of going under 300!) BP was 134/76 (Systolic has been running 10-15 higher in the office but still below my target of 130/80 at home, actually last week's average was 123/71!)

>

> Dr. Webster, my PCP, took a moment to look at those numbers and turned her chair to squarely face me, nothing between us, and said, "Okay, what's going on? Why don't you start and also tell me what you,ve learned since I last saw you!"

>

> I showed her my 1 & 6 month graphs for BP & BS from MyhealthEvet and she kept switching between them and shaking her head! After a short pause for effect I said, "Remember I told you I was going to start DASHing when my mouth healed? I started Psydo-dashing a week ago!" (I explained that was my term because I hadn't received 's book so it was my version.) Her only comment, "Unbelieveable!"

>

> I then suggested that if she thought that was unbelievable what was she going to say when I told her my COPD was better also. She literally sat there in disbelief as I showed her my Oximeter (slightly larger than 2 AAA batteries). I told her I had verified it with the one her Tech. used and it was accurate. (I paid $43 on line when the VA told me they didn't supply them because they were too expensive!) Told her about walking to the mailbox and O2 had dropped to 90 and rebounded to 95 immediately when I got back and sat down.

>

> I then explained Dr. G.'s theory that LVH started to correct in as little as 12 weeks (count back to Apr.23) and as the pump got stronger more blood would flow to the lungs, hence picking up more O2 and since he is a HTN specialist I thought he might be onto something!

>

> I then explained that while getting PA and the excess Aldosterone under control was the underlying cause/effect, I thought there were a couple other factors: I am now able to get 8+hrs of uninterupted sleep, thereby getting into REM (Rapid Eye Movement) sleep and that is where I understand a lot of the excess body fat gets burned. The less weight around my middle allowed less stress on my diaphragm and thereby making it easier to breath. (She really liked this because it was her suggestion when COPD was DXed, make sure you give them credit where credit is due!_

>

> I then shared a couple of articles I had copied: "Fluid homeostasis in cronic obstructive lung disease" by P.W. deLeeuw & A. Dees published in 2003 by ERS Journals, Ltd. and a review article,"Common Secondary Causes of Hypertension and Rational for Treatment" by Faselis, Doumas and Papademetriou published in Jan. of this year in International Journal of Hypertension.(should be in our files if it isn't but I don't know how to get it there

>

> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057025/pdf/IJHT2011-236239.pdf

>

> I particularly like this one because it speaks directly to three of the complications I have/had ie. 5. Obstructive Sleep Apnea, 6. Primary Aldosteronism and 7. Cronic Kidney Disease! I told her I was lucky to have 16 hrs/day to persue and an excellent online support group, too bad she had to work for a living!

>

> About the ony other thing we discussed was the proper way to take a BP reading. I simply told her we would be using mine unless & untill the VA got the procedure right according to AHA and DoD Standards! (Told her that BP & BS would be taken every morning prior to am meds.

> I no longer report the time since my Neproligist assumed I was "stacking the deck" by taking it at 10:30 (AFTER am meda) when in reality being retired I can get up anytime I want and usually it is between 10 and noon!)

>

> Since my appt. time was just about up I asked her what she had on her agenda! She asked if she could listen to my lungs and I agreed! She announced she didn't see any reason for me to be on O2 ad long as I checked and to remained >90. I told her I had a Pulmonary appt. in 2 weeks and thought I'd keep it, "They need a Lesson also!" - that got a smile!

>

> She then asked if she could setup a recall for 2mos (I think normally she would have gone from 3mos to 6mos). It was cute the way she said it, something like, "Can we meet again in 2 months, I want to keep an eye on your progress and continue to be your biggest cheerleader!" She deserves a 20 min break!

>

> SHE'S A KEEPER! (A term my Dad taught me 44 short years ago after I proposed to my Wife!)

>

> - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/71

> Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, DM2. and PTSD

> Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 75 MG.

>

August 1, 2011

Was his K low?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension