Guest guest Posted November 30, 2011 Report Share Posted November 30, 2011 Yes stop the Spiro and they go away. Dashing more and lowering dose of Spiro could also be tried. If cost is no object then would switch to eplerenone or get VA TO supply due to d. Of PA and gyne on Spiro. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension Dr. Grim Do you have any experience treating PTNs w/spironlactone who develop gynocomastia and breast tumors? I am specifically interested in the effect on Estrogen and Testosterone in males and preparing for a CTJ (Come To Jesus) meeting with the VA in the morning. - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2011 Report Share Posted November 30, 2011 No experience with using test or estrogen and would not even try it till prev steps fail. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension Dr. Grim Do you have any experience treating PTNs w/spironlactone who develop gynocomastia and breast tumors? I am specifically interested in the effect on Estrogen and Testosterone in males and preparing for a CTJ (Come To Jesus) meeting with the VA in the morning. - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2011 Report Share Posted November 30, 2011 I am awaiting a decision re: eplerone from the VA since cost is a factor (going from disability to SS didn't increase my income!) Request was put in a week ago but I haven't heard back yet. Dr. also scheduled a mamogram, which I understand is std. proceedure for breast bumps. Request has been denied (twice) as it is " not service connected " ! I found this out late this afternoon and will be at the VA PTN Advocate's Office early in the morning as I understand ALL my medical needs would be addressed by the VA once I was accepted into the system. - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > Dr. Grim > > > > Do you have any experience treating PTNs w/spironlactone who develop gynocomastia and breast tumors? I am specifically interested in the effect on Estrogen and Testosterone in males and preparing for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > - 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): 131/76 HR 60 > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2011 Report Share Posted November 30, 2011 Mammogram not needed unless does not regress with stopping/switching to epler. How much does it cost to do a mammogram? Must be cheaper to give eplere to see if itGoes away. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension I am awaiting a decision re: eplerone from the VA since cost is a factor (going from disability to SS didn't increase my income!) Request was put in a week ago but I haven't heard back yet. Dr. also scheduled a mamogram, which I understand is std. proceedure for breast bumps. Request has been denied (twice) as it is "not service connected"! I found this out late this afternoon and will be at the VA PTN Advocate's Office early in the morning as I understand ALL my medical needs would be addressed by the VA once I was accepted into the system. - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > Dr. Grim > > > > Do you have any experience treating PTNs w/spironlactone who develop gynocomastia and breast tumors? I am specifically interested in the effect on Estrogen and Testosterone in males and preparing for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > - 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): 131/76 HR 60 > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2011 Report Share Posted November 30, 2011 Shouldn't make any differences if it service connected or not. Can say it isn't medically necessary. Can check out this link http://www.va.gov/healthbenefits/ > > > > > Dr. Grim > > > > > > Do you have any experience treating PTNs w/spironlactone who develop gynocomastia and breast tumors? I am specifically interested in the effect on Estrogen and Testosterone in males and preparing for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > - 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): 131/76 HR 60 > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2011 Report Share Posted November 30, 2011 You, I, and Bill at 1-877-222-VETS are all in agreement. The doctor that examined ordered the mamogram and when it was denied I understand she went back and said it was not optional. I do not know what her reaction was when it was denied a second time late this afternoon. BTW, the treating doctor is the other half of Team 4, the all female team set up to treat the female vets, so I trust her judgement and recommendations for treating " Breast Bumps " . I'd rather err on the side of caution than screw around a month or two and become one of the statistics " that waited too long " - Sorry Dr. Grim! I will be talking with a PTN Advocate first thing in the morning. - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > Dr. Grim > > > > > > > > Do you have any experience treating PTNs w/spironlactone who develop gynocomastia and breast tumors? I am specifically interested in the effect on Estrogen and Testosterone in males and preparing for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > - 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): 131/76 HR 60 > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2011 Report Share Posted November 30, 2011 Don't know how much aa mammogram costs as I never had one. At this point I'm beginning to wonder how much an andrenalectomy costs! - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > Dr. Grim > > > > > > > > Do you have any experience treating PTNs w/spironlactone who develop gynocomastia and breast tumors? I am specifically interested in the effect on Estrogen and Testosterone in males and preparing for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > - 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): 131/76 HR 60 > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Could be you have one of the Agent Orange cancers listed here. Hodgkin Disease A malignant lymphoma (cancer) characterized by progressive enlargement of the lymph nodes, liver, and spleen, and by progressive anemia. Non-Hodgkin Lymphoma A group of cancers that affect the lymph glands and other lymphatic tissue > > > > > > > > > Dr. Grim > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone who develop gynocomastia and breast tumors? I am specifically interested in the effect on Estrogen and Testosterone in males and preparing for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > > > - 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): 131/76 HR 60 > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Thanks Francis, I've been on the Agent Orange regestery list for over a year. Will include that on my list for this morning! - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone who develop gynocomastia and breast tumors? I am specifically interested in the effect on Estrogen and Testosterone in males and preparing for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Suspect your Dr. who ordered it has not followed many men on spiro or women even. But they know you best I hope. CE Grim MD Could be you have one of the Agent Orange cancers listed here. Hodgkin Disease A malignant lymphoma (cancer) characterized by progressive enlargement of the lymph nodes, liver, and spleen, and by progressive anemia. Non-Hodgkin Lymphoma A group of cancers that affect the lymph glands and other lymphatic tissue > > > > > > > > > Dr. Grim > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone who develop gynocomastia and breast tumors? I am specifically interested in the effect on Estrogen and Testosterone in males and preparing for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > > > - 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): 131/76 HR 60 > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 In VA should not cost?ADx would be about $40,000 I suspect but maybe some of our recent folks who have had one can give us total bill.CE Grim MD Don't know how much aa mammogram costs as I never had one. At this point I'm beginning to wonder how much an andrenalectomy costs! - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > Dr. Grim > > > > > > > > Do you have any experience treating PTNs w/spironlactone who develop gynocomastia and breast tumors? I am specifically interested in the effect on Estrogen and Testosterone in males and preparing for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > - 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): 131/76 HR 60 > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Good guess. My insurance bills include the following: Hospital $25,585 Surgeon $6335 Anesthesiologist $2780 And multiple $200-ish charges for pathology for all the blood tests done in hospital. My cost after all of this? $150, plus a few $30 doctor appointment follow-up co-pays. I am a very lucky person > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone who > > develop gynocomastia and breast tumors? I am specifically interested > > in the effect on Estrogen and Testosterone in males and preparing > > for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, > > DM2, and PTSD. > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg > > asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Don't think they have much experience at this VA with ADX or AVS. Best to go to Boston to have it done. > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone who > > develop gynocomastia and breast tumors? I am specifically interested > > in the effect on Estrogen and Testosterone in males and preparing > > for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, > > DM2, and PTSD. > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg > > asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Thanks for the note on costs. Please add it to your story when u have time. So someone needs to calculate how much eplerenone $40,000 would buy for the rest of ones life to do a quick cost benefit analysis. You say it only cost u 150$. So you don't pay any health insurance and never have? Another good reason for universal coverage. Or you and I will be paying for the thousands not covered. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension Good guess. My insurance bills include the following: Hospital $25,585 Surgeon $6335 Anesthesiologist $2780 And multiple $200-ish charges for pathology for all the blood tests done in hospital. My cost after all of this? $150, plus a few $30 doctor appointment follow-up co-pays. I am a very lucky person > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone who > > develop gynocomastia and breast tumors? I am specifically interested > > in the effect on Estrogen and Testosterone in males and preparing > > for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, > > DM2, and PTSD. > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg > > asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 I was told by the chief of Endocrology that they had access to the most experienced AVS pro in the N.E. when I was actively looking at surgery. My guess is s/he has a dual practice with DHMC. I wouldn't hesitate for a moment persuing ADx w/Dr. Laycock at DHMC if that was an option. (Options are mor limitted now since private ins. went away when I turned 65!) - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone who > > > develop gynocomastia and breast tumors? I am specifically interested > > > in the effect on Estrogen and Testosterone in males and preparing > > > for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, > > > DM2, and PTSD. > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg > > > asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Boston would be part of N.E. We have one on here that had AVS done at Dartmouth an wasn't happy with having it there. > > > > > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone who > > > > develop gynocomastia and breast tumors? I am specifically interested > > > > in the effect on Estrogen and Testosterone in males and preparing > > > > for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, > > > > DM2, and PTSD. > > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg > > > > asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 I bet they still take cash. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension I was told by the chief of Endocrology that they had access to the most experienced AVS pro in the N.E. when I was actively looking at surgery. My guess is s/he has a dual practice with DHMC. I wouldn't hesitate for a moment persuing ADx w/Dr. Laycock at DHMC if that was an option. (Options are mor limitted now since private ins. went away when I turned 65!) - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone who > > > develop gynocomastia and breast tumors? I am specifically interested > > > in the effect on Estrogen and Testosterone in males and preparing > > > for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, > > > DM2, and PTSD. > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg > > > asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 I'm sure you are right since we have discussed many times in the past the fact that I am the first PTN she has treated for PA and transgender changes are NOT covered by the VA! On the other side of the coin, I suspect she has treated many MANY " Breast Bumps " since she is one of the two doctors on the all female team that was formed to primarily treat our female veterans. In fact I would be surprised if she isn't following the " Gold Standard " for treatment when an anomoly is found in breast tissues. I'm surprised you would recommend anything less than the Gold Standard since the main reason published for poor prognosis for Male Breast Cancer survival is the delay of treatment! My guess is she would rather do thousands of needless Mammograms than miss one cancer, especially when is paid for at 100% and the radiation is compared with dental x-rays! - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone > > who develop gynocomastia and breast tumors? I am specifically > > interested in the effect on Estrogen and Testosterone in males and > > preparing for a CTJ (Come To Jesus) meeting with the VA in the > > morning. > > > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, > > DM2, and PTSD. > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, > > 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 I remember but I did not say it would be done at DHMC and I don't know who he was referring to. - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone who > > > > > develop gynocomastia and breast tumors? I am specifically interested > > > > > in the effect on Estrogen and Testosterone in males and preparing > > > > > for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, > > > > > DM2, and PTSD. > > > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg > > > > > asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Are you offering a Grant? Maybe an all expense paid trial of one? > > > > > > > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone who > > > > > develop gynocomastia and breast tumors? I am specifically interested > > > > > in the effect on Estrogen and Testosterone in males and preparing > > > > > for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, > > > > > DM2, and PTSD. > > > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg > > > > > asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 But trial of one requires repeating the treatment until u decide which one is best for u. Most only have 2 adrenals. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension Are you offering a Grant? Maybe an all expense paid trial of one? > > > > > > > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone who > > > > > develop gynocomastia and breast tumors? I am specifically interested > > > > > in the effect on Estrogen and Testosterone in males and preparing > > > > > for a CTJ (Come To Jesus) meeting with the VA in the morning. > > > > > > > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, > > > > > DM2, and PTSD. > > > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg > > > > > asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Radiation is cumulative of course. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension I'm sure you are right since we have discussed many times in the past the fact that I am the first PTN she has treated for PA and transgender changes are NOT covered by the VA! On the other side of the coin, I suspect she has treated many MANY "Breast Bumps" since she is one of the two doctors on the all female team that was formed to primarily treat our female veterans. In fact I would be surprised if she isn't following the "Gold Standard" for treatment when an anomoly is found in breast tissues. I'm surprised you would recommend anything less than the Gold Standard since the main reason published for poor prognosis for Male Breast Cancer survival is the delay of treatment! My guess is she would rather do thousands of needless Mammograms than miss one cancer, especially when is paid for at 100% and the radiation is compared with dental x-rays! - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone > > who develop gynocomastia and breast tumors? I am specifically > > interested in the effect on Estrogen and Testosterone in males and > > preparing for a CTJ (Come To Jesus) meeting with the VA in the > > morning. > > > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, > > DM2, and PTSD. > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, > > 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Men are not just women with a 3rd leg. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension I'm sure you are right since we have discussed many times in the past the fact that I am the first PTN she has treated for PA and transgender changes are NOT covered by the VA! On the other side of the coin, I suspect she has treated many MANY "Breast Bumps" since she is one of the two doctors on the all female team that was formed to primarily treat our female veterans. In fact I would be surprised if she isn't following the "Gold Standard" for treatment when an anomoly is found in breast tissues. I'm surprised you would recommend anything less than the Gold Standard since the main reason published for poor prognosis for Male Breast Cancer survival is the delay of treatment! My guess is she would rather do thousands of needless Mammograms than miss one cancer, especially when is paid for at 100% and the radiation is compared with dental x-rays! - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone > > who develop gynocomastia and breast tumors? I am specifically > > interested in the effect on Estrogen and Testosterone in males and > > preparing for a CTJ (Come To Jesus) meeting with the VA in the > > morning. > > > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, > > DM2, and PTSD. > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, > > 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Tell that to ChazSent from my Palm Pre on the Now Network from Sprint Men are not just women with a 3rd leg. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension I'm sure you are right since we have discussed many times in the past the fact that I am the first PTN she has treated for PA and transgender changes are NOT covered by the VA! On the other side of the coin, I suspect she has treated many MANY "Breast Bumps" since she is one of the two doctors on the all female team that was formed to primarily treat our female veterans. In fact I would be surprised if she isn't following the "Gold Standard" for treatment when an anomoly is found in breast tissues. I'm surprised you would recommend anything less than the Gold Standard since the main reason published for poor prognosis for Male Breast Cancer survival is the delay of treatment! My guess is she would rather do thousands of needless Mammograms than miss one cancer, especially when is paid for at 100% and the radiation is compared with dental x-rays! - 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): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone > > who develop gynocomastia and breast tumors? I am specifically > > interested in the effect on Estrogen and Testosterone in males and > > preparing for a CTJ (Come To Jesus) meeting with the VA in the > > morning. > > > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, > > DM2, and PTSD. > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, > > 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2011 Report Share Posted December 1, 2011 Yep and undiagnosed cancer usually eliminates the worry of too much radiation, of course the process is generally tramatic! > > > > > > > > > > > > > > > > > Dr. Grim > > > > > > > > > > > > > > > > > > Do you have any experience treating PTNs w/spironlactone > > > > who develop gynocomastia and breast tumors? I am specifically > > > > interested in the effect on Estrogen and Testosterone in males and > > > > preparing for a CTJ (Come To Jesus) meeting with the VA in the > > > > morning. > > > > > > > > > > > > > > > > > > - 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): 131/76 HR 60 > > > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, > > > > DM2, and PTSD. > > > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, > > > > 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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