Guest guest Posted October 12, 2011 Report Share Posted October 12, 2011 FYI, and their I, low renin HTN is early PA. Or at least this has been my Ho since about 1972. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Wrong Answer! It said "Low-renin sodium/volume-mediated hypertension likely" and "Primary aldosteronism possible" right in my lab reports, not once but twice!(once in 2007 and again in 2010.) - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 125/73 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Mirtazapine 7.5 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > Well if the medical team has documented that either has failed to DASH > > > > > > > > and take meds as directed then I would also recommend surgery. > > > > > > > > > > > > > > > > You seem to leave out one of the key messages here. If you DASH and > > > > > > > > fail to get to DASH GOALS and despite repeated urine testing that > > > > > > > > shows you cant do this then I would also recommend surgery after AVS. > > > > > > > > If AVS does not lateralize and BP cannot be controlled on meds and > > > > > > > > DASH then one can also do bilateral adrenalectomy which I have > > > > > > > > recommended and seen successful results but then medical management > > > > > > > > becomes a real task for both the pt and the team including more > > > > > > > > careful dietary management to prevent sudden death from Addision's. > > > > > > > > > > > > > > > > I have been there and done that and rarely recommend this now. > > > > > > > > > > > > > > > > CE Grim MD > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Reply to sender | Reply to group | Reply via web post | Start a New Topic > > Messages in this topic (25) > > RECENT ACTIVITY: New Members 3 New Files 1 > > Visit Your Group > > MARKETPLACE > > Stay on top of your group activity without leaving the page you're on - Get the Yahoo! Toolbar now. > > > > > > Switch to: Text-Only, Daily Digest • > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2011 Report Share Posted October 13, 2011 Know what they call a Dr that graduated at the bottom of his class? Dr > > > > > > > > > > > > > > > > > > > > > > > > Well if the medical team has documented that either has failed to DASH > > > > > > > > > > > > and take meds as directed then I would also recommend surgery. > > > > > > > > > > > > > > > > > > > > > > > > You seem to leave out one of the key messages here. If you DASH and > > > > > > > > > > > > fail to get to DASH GOALS and despite repeated urine testing that > > > > > > > > > > > > shows you cant do this then I would also recommend surgery after AVS. > > > > > > > > > > > > If AVS does not lateralize and BP cannot be controlled on meds and > > > > > > > > > > > > DASH then one can also do bilateral adrenalectomy which I have > > > > > > > > > > > > recommended and seen successful results but then medical management > > > > > > > > > > > > becomes a real task for both the pt and the team including more > > > > > > > > > > > > careful dietary management to prevent sudden death from Addision's. > > > > > > > > > > > > > > > > > > > > > > > > I have been there and done that and rarely recommend this now. > > > > > > > > > > > > > > > > > > > > > > > > CE Grim MD > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Reply to sender | Reply to group | Reply via web post | Start a New Topic > > > > > > Messages in this topic (25) > > > > > > RECENT ACTIVITY: New Members 3 New Files 1 > > > > > > Visit Your Group > > > > > > MARKETPLACE > > > > > > Stay on top of your group activity without leaving the page you're on - Get the Yahoo! Toolbar now. > > > > > > > > > > > > > > > > > > Switch to: Text-Only, Daily Digest • > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2011 Report Share Posted October 13, 2011 If I know it, I don't call them but what's your answer! > > > > > > > > > > > > > > > > > > > > > > > > > > Well if the medical team has documented that either has failed to DASH > > > > > > > > > > > > > and take meds as directed then I would also recommend surgery. > > > > > > > > > > > > > > > > > > > > > > > > > > You seem to leave out one of the key messages here. If you DASH and > > > > > > > > > > > > > fail to get to DASH GOALS and despite repeated urine testing that > > > > > > > > > > > > > shows you cant do this then I would also recommend surgery after AVS. > > > > > > > > > > > > > If AVS does not lateralize and BP cannot be controlled on meds and > > > > > > > > > > > > > DASH then one can also do bilateral adrenalectomy which I have > > > > > > > > > > > > > recommended and seen successful results but then medical management > > > > > > > > > > > > > becomes a real task for both the pt and the team including more > > > > > > > > > > > > > careful dietary management to prevent sudden death from Addision's. > > > > > > > > > > > > > > > > > > > > > > > > > > I have been there and done that and rarely recommend this now. > > > > > > > > > > > > > > > > > > > > > > > > > > CE Grim MD > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Reply to sender | Reply to group | Reply via web post | Start a New Topic > > > > > > > Messages in this topic (25) > > > > > > > RECENT ACTIVITY: New Members 3 New Files 1 > > > > > > > Visit Your Group > > > > > > > MARKETPLACE > > > > > > > Stay on top of your group activity without leaving the page you're on - Get the Yahoo! Toolbar now. > > > > > > > > > > > > > > > > > > > > > Switch to: Text-Only, Daily Digest • > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2011 Report Share Posted October 13, 2011 Doctor > > > > > > > > > > > > > > > > > > > > > > > > > > > > Well if the medical team has documented that either has failed to DASH > > > > > > > > > > > > > > and take meds as directed then I would also recommend surgery. > > > > > > > > > > > > > > > > > > > > > > > > > > > > You seem to leave out one of the key messages here. If you DASH and > > > > > > > > > > > > > > fail to get to DASH GOALS and despite repeated urine testing that > > > > > > > > > > > > > > shows you cant do this then I would also recommend surgery after AVS. > > > > > > > > > > > > > > If AVS does not lateralize and BP cannot be controlled on meds and > > > > > > > > > > > > > > DASH then one can also do bilateral adrenalectomy which I have > > > > > > > > > > > > > > recommended and seen successful results but then medical management > > > > > > > > > > > > > > becomes a real task for both the pt and the team including more > > > > > > > > > > > > > > careful dietary management to prevent sudden death from Addision's. > > > > > > > > > > > > > > > > > > > > > > > > > > > > I have been there and done that and rarely recommend this now. > > > > > > > > > > > > > > > > > > > > > > > > > > > > CE Grim MD > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Reply to sender | Reply to group | Reply via web post | Start a New Topic > > > > > > > > Messages in this topic (25) > > > > > > > > RECENT ACTIVITY: New Members 3 New Files 1 > > > > > > > > Visit Your Group > > > > > > > > MARKETPLACE > > > > > > > > Stay on top of your group activity without leaving the page you're on - Get the Yahoo! Toolbar now. > > > > > > > > > > > > > > > > > > > > > > > > Switch to: Text-Only, Daily Digest • > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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