Re: Breast lumps/spiro

[Guest guest]

I think it is the people who are uninsured that

wants this "doling that mediocrity out to everyone"

Even if s thinks he is not getting the 'best', at least

it is something. Hell, I had supposedly the best insurance for

15 years Blue Cross and Blue Shield and got

mediocre service. I still say it is the doctor and not the

plan administrator.

I always find it interesting that people that have insurance,

private, medicaid or medicare are against everyone else being

covered.

I have worked at VA's and private hospitals and the outcome 's

are nearly the same.

Phyllis

3.) About not being able to get

proper treatment through the government program you're

in, it figures, and it boggles my mind to think people

want government doling that mediocrity out to

everyone. Whatever happened to doctors

treating patients?

Val

[Guest guest]

Both and I should be seeing some of the best educated Dr there. Our VA is

part of the Dartmouth Med school Dr that are trained can expect to earn over

$1,00,000,000 in there life time then most other Dr will earn. All Dr at the VA

teach at Dartmouth. About 1/2 of Dartmouth Med students intern at the VA. Many

Dr work at both the VA and the Dartmouth medical center.

This being said at least for me care is less the expected. I have also been to

Dartmouth Medical because I didn't feel the care at the VA was what it should

be. I found that the care isn't any better there.

One Visit to the Dartmouth Ed I was seen by a Dr that didn't seem to know how to

put a B/P cuff on. Maybe he went to Yale As Dr Grim said about a year ago Yale

does not test there medical students. Said something like when found this out it

scared the hell out of him.

Mediocre service is what is now normal.

> >

> > 3.)About not being able to get proper treatment through the government

> > program you're in, it figures, and it boggles my mind to think people

> > want government doling that mediocrity out to everyone.Whatever

> > happened to doctors treating patients?

> >

> > Val

> >

> >

>

[Guest guest]

No one is getting concierge service under any insurance.

I had no insurance for years and I don't believe everyone deserves it for just any reason. As it is now, those on medicaid tend to visit the doctor more often than those who work hard and have their own insurance. Yet some pay NOTHING to state, federal, and if on food stamps, rarely local taxes unless just for her cigarrettes. Many do not work at all, like the single mom who has multpiple baby daddies. Why again are they deserving of something better than those who work hard?

Reality is this........that same mom HAS the best insurance (medicaid) and yet is not burdened in any way shape or form by paying in, she has no co-pay, surgeries are paid for, meds are paid for, there is no limit on the number of visits, if the clinic is closed they just go to the ER for a cold because "they can". HER kids get covered completely too - the Dads also pay NOTHING in, and yet her kids get the best care.

Of course she complains because she she has to come in and fill out paper work every three months, or like they did at our clinic when the medicaid taxi brought the 28 yo in for her oxycodone refill for her fibromyalgia that they wouldn't "run her by the store" to get some cigs where they're cheaper than at the gas station by her apartment - which by the way, is in subsidized housing where she doesn't have to pay rent like the rest of us.

Now lets counteract that. The hard working single mother, who does have some self-respect and s trying to make a better life for her 3 kids, works as a medical assistant making, if she's lucky, $1200 a month, goes to school on a pell grant and loans to become a nurse (who with overtime can make 6 figures one day - but then she'd become one of "those" rich people who don't understand every one else who is struggling right?). But she pays for her groceries, her rent, her gas (she doesn't have medicaid so the taxi costs her), and high taxes. BUT she makes just over the threshhold and doesn't qualify for welfare. Yet SHE actually PAYS in - but is not allowed to use it. The one who does absolutely 100% nothing gets it - on our money.

So Phyllis were not against people being covered - were against people getting coverage on our money, while we who pay taxes typically do not get it, yet pay for those who do. Yeah I know, of course some who pay taxes need it, but to get your vote, the "hate the rich" profits - oops I mean prophets - who speak from a golden pulpit, with the world's best insurance, with nannies watching their kids, with limo's driving them around, with long exotic vacations on taxpayer dollars, will make sure it goes first to the first lady above, because they need her vote first. I for one am against that.

I swear this envy against those that have is just as epidemic as rude doctors. If someone offered us tomorrow free insurance - even medicaid - no cost and no strings, and then a million dollars to put in the bank, you'd take it immediately. No one who preaches against those that have insurance or money, like all of our sit in people, would say, "No, give it to someone who needs it more!" or "I will only take it when every one else gets it too across the US!" We'd ALL find some way to justify why WE needed it, or deserved it, and so on. Were envious of what we don't have or what we want.

We don't hate those filty rich people - we just want to be them and join them.

Subject: Re: Breast lumps/spiroTo: hyperaldosteronism Date: Sunday, December 4, 2011, 7:44 PM

Both and I should be seeing some of the best educated Dr there. Our VA is part of the Dartmouth Med school Dr that are trained can expect to earn over $1,00,000,000 in there life time then most other Dr will earn. All Dr at the VA teach at Dartmouth. About 1/2 of Dartmouth Med students intern at the VA. Many Dr work at both the VA and the Dartmouth medical center. This being said at least for me care is less the expected. I have also been to Dartmouth Medical because I didn't feel the care at the VA was what it should be. I found that the care isn't any better there.One Visit to the Dartmouth Ed I was seen by a Dr that didn't seem to know how to put a B/P cuff on. Maybe he went to Yale As Dr Grim said about a year ago Yale does not test there medical students. Said something like when found this out it scared the hell out of him. Mediocre service is what is now normal.> >> > 3.)About not being able to get proper treatment through the government > > program you're in, it figures, and it boggles my mind to think people > > want government doling that mediocrity out to everyone.Whatever > > happened to doctors treating patients?> >> > Val> >> >>

[Guest guest]

What does how much they make have to do with it? They go to school a hell of a lot longer than the rest of us by far.

Subject: Re: Breast lumps/spiroTo: hyperaldosteronism Date: Sunday, December 4, 2011, 7:44 PM

Both and I should be seeing some of the best educated Dr there. Our VA is part of the Dartmouth Med school Dr that are trained can expect to earn over $1,00,000,000 in there life time then most other Dr will earn. All Dr at the VA teach at Dartmouth. About 1/2 of Dartmouth Med students intern at the VA. Many Dr work at both the VA and the Dartmouth medical center. This being said at least for me care is less the expected. I have also been to Dartmouth Medical because I didn't feel the care at the VA was what it should be. I found that the care isn't any better there.One Visit to the Dartmouth Ed I was seen by a Dr that didn't seem to know how to put a B/P cuff on. Maybe he went to Yale As Dr Grim said about a year ago Yale does not test there medical students. Said something like when found this out it scared the hell out of him. Mediocre service is what is now normal.> >> > 3.)About not being able to get proper treatment through the government > > program you're in, it figures, and it boggles my mind to think people > > want government doling that mediocrity out to everyone.Whatever > > happened to doctors treating patients?> >> > Val> >> >>

[Guest guest]

One more thing. Teaching hospitals and collegiate hospitals have a tendency to say their providers are also "on the faculty" because they precept students in their normal duties (when you work for one you agree to serve as a mentor or preceptor to students or resident. A private doctor in private practice can say no). This doesn't always mean they are professors in the sense we think of teaching or that they ever stand before a class.

Subject: Re: Breast lumps/spiroTo: hyperaldosteronism Date: Sunday, December 4, 2011, 7:44 PM

Both and I should be seeing some of the best educated Dr there. Our VA is part of the Dartmouth Med school Dr that are trained can expect to earn over $1,00,000,000 in there life time then most other Dr will earn. All Dr at the VA teach at Dartmouth. About 1/2 of Dartmouth Med students intern at the VA. Many Dr work at both the VA and the Dartmouth medical center. This being said at least for me care is less the expected. I have also been to Dartmouth Medical because I didn't feel the care at the VA was what it should be. I found that the care isn't any better there.One Visit to the Dartmouth Ed I was seen by a Dr that didn't seem to know how to put a B/P cuff on. Maybe he went to Yale As Dr Grim said about a year ago Yale does not test there medical students. Said something like when found this out it scared the hell out of him. Mediocre service is what is now normal.> >> > 3.)About not being able to get proper treatment through the government > > program you're in, it figures, and it boggles my mind to think people > > want government doling that mediocrity out to everyone.Whatever > > happened to doctors treating patients?> >> > Val> >> >>

[Guest guest]

Francis, I was merely commenting on what has to go through to get a damn mammogram and the correct medicine for PA. What happened to doctors making decisions for their patients? Never mind, I already know - government now spends 50% of all health care dollars. Francis, you're going to have to advocate for yourself. Phyllis, I didn't say one word about wanting or not wanting people to be insured. My comment in its entirety was to note that medicine by government panel kills people. Have you done a study on the outcomes in VA vs. other facilities, or is that just your opinion? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Francis Bill SUSPECTED PABoth and I should be seeing some of the best educated Dr there. Our VA is part of the Dartmouth Med school Dr that are trained can expect to earn over $1,00,000,000 in there life time then most other Dr will earn. All Dr at the VA teach at Dartmouth. About 1/2 of Dartmouth Med students intern at the VA. Many Dr work at both the VA and the Dartmouth medical center. This being said at least for me care is less the expected. I have also been to Dartmouth Medical because I didn't feel the care at the VA was what it should be. I found that the care isn't any better there.One Visit to the Dartmouth Ed I was seen by a Dr that didn't seem to know how to put a B/P cuff on. Maybe he went to Yale As Dr Grim said about a year ago Yale does not test there medical students. Said something like when found this out it scared the hell out of him. Mediocre service is what is now normal.> >> > 3.)About not being able to get proper treatment through the government > > program you're in, it figures, and it boggles my mind to think people > > want government doling that mediocrity out to everyone.Whatever > > happened to doctors treating patients?> >> > Val.

[Guest guest]

You missed what I said. All Dr spend a life time leaning and the good ones

deserve all the money they get. But just the fact that Dartmouth is one of best

Medical schools mean the Dr that study there will get paid more the Dr from

other medical schools. This should mean there are smarter Dr.

Since many of the Dr end up working at the Dartmouth Center it should be one of

the best places to get care and is for some things. Just not the place to go for

PA. As of 12 years ago they were teaching that One would be may see only one

case of PA in there life time.

I do know that they do not stop meds to test for PA. Not only this they are

teaching that you don't need to stops meds.

64 y old N.H. Vet with possible PA BP readings as high 199/100 K drop from 4.3

to 3.2 after being started 25 MG of HYDROCHLOROTHIAZIDE fluid retention

Dizziness Fatigue Tachycardia PVC shortness of breath Now believe this to be

hyperventilation as breathing into bag greatly reduces recovery time brain fog

Sleep Apnea Parkinson like shaking 2 cm tumor on left adrenal gland 2.2 cm

exophytic low density lesion off the mid pole of the left kidney which measures

34 HU, greater than expected for a simple cyst. 3 NEG stress tests 2 NEG EHCO

some adnormal EKG and some normal

meds I now take and was on for the two PRA ratio test. PAR ratio wasn't high to

DX PA

ATENOLOL25MG TRIAMTERENE50MG POTASSIUM CHLORIDE 20MEQ

FUROSEMIDE 60MG TAB.

Information from first Test done at the VA and quest labs. RENIN: 1.8 ng/mL/hr

Current Range 0.65-5.0 ng/mL/hr

SERUM ALDOS: 16 ng/dL Current adult reference range:

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

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

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

Test done At Dartmouth RENIN ACTIVITY .8 no range given

ALDOSTERONE 5.5 range <=21

> > >

> > > 3.)About not being able to get proper treatment through the government

> > > program you're in, it figures, and it boggles my mind to think people

> > > want government doling that mediocrity out to everyone.Whatever

> > > happened to doctors treating patients?

> > >

> > > Val

> > >

> > >

> >

>

[Guest guest]

And have them pay their fair share.CE GrimWe don't hate those filty rich people - we just want to be them and join them.

[Guest guest]

Ah but does it "kill" more that the non-govt team.CE Grim MD Francis, I was merely commenting on what has to go through to get a damn mammogram and the correct medicine for PA. What happened to doctors making decisions for their patients? Never mind, I already know - government now spends 50% of all health care dollars. Francis, you're going to have to advocate for yourself. Phyllis, I didn't say one word about wanting or not wanting people to be insured. My comment in its entirety was to note that medicine by government panel kills people. Have you done a study on the outcomes in VA vs. other facilities, or is that just your opinion? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Francis Bill SUSPECTED PABoth and I should be seeing some of the best educated Dr there. Our VA is part of the Dartmouth Med school Dr that are trained can expect to earn over $1,00,000,000 in there life time then most other Dr will earn. All Dr at the VA teach at Dartmouth. About 1/2 of Dartmouth Med students intern at the VA. Many Dr work at both the VA and the Dartmouth medical center. This being said at least for me care is less the expected. I have also been to Dartmouth Medical because I didn't feel the care at the VA was what it should be. I found that the care isn't any better there.One Visit to the Dartmouth Ed I was seen by a Dr that didn't seem to know how to put a B/P cuff on. Maybe he went to Yale As Dr Grim said about a year ago Yale does not test there medical students. Said something like when found this out it scared the hell out of him. Mediocre service is what is now normal.> >> > 3.)About not being able to get proper treatment through the government > > program you're in, it figures, and it boggles my mind to think people > > want government doling that mediocrity out to everyone.Whatever > > happened to doctors treating patients?> >> > Val.

[Guest guest]

I would reorder your thumbnail a bit.64 M NH vet with HTN since 19XX, K went to 3.2 with HCTZ (19XX). Sx of CHF. CT 2 cm L adrenal adenoma(19XX). Aldo Renin not classic for PA but done on meds. Never tried on spiro or eplere but trying to get VA to try. Better (? I think) with DASH and current meds. Normal Echo and stress tests. 64 y old N.H. Vet with possible PA BP readings as high 199/100 K drop from 4.3 to 3.2 after being started 25 MG of HYDROCHLOROTHIAZIDE fluid retention Dizziness Fatigue Tachycardia PVC shortness of breath Now believe this to be hyperventilation as breathing into bag greatly reduces recovery time brain fog Sleep Apnea Parkinson like shaking 2 cm tumor on left adrenal gland 2.2 cm exophytic low density lesion off the mid pole of the left kidney which measures 34 HU, greater than expected for a simple cyst. 3 NEG stress tests 2 NEG EHCO some adnormal EKG and some normal

[Guest guest]

Let's not forget that I am extremely happy with my team at the VA. While the

lack of knowledge of PA is evident, that appers to be the norm and not the

exception. I can't emphasize enough my PCP willingness to listen and learn.

All the tests I've needed, I've received.

I have been treated in a local ER and can assure you the treatment was

unacceptable. I found out at 8:30 pm that they were only supposed to administer

my BP meds if my BP was over a certain number. When I inquired how they would

know they assured me they were taking it every 2 hrs. They had NOT taken it

since 2:45 before the day nurse left! They were also happy to report that I had

no sign of a tumor in my uterus after an ultra-sound! (What a relief!)

Let's not forget the Norris Cotton Cancer Center at Darmouth if it is cancer.

They might have some interest in male breast cancer.

- 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.

> > >

> > > 3.)About not being able to get proper treatment through the government

> > > program you're in, it figures, and it boggles my mind to think people

> > > want government doling that mediocrity out to everyone.Whatever

> > > happened to doctors treating patients?

> > >

> > > Val

> > >

> > >

> >

>

[Guest guest]

Yes I think you are working are getting your team up to speed. Maybe you can get all at that VA with difficult HTN (ie not at goal with 2 BP meds) to your Dr?Suspect there are others like you there besides Bill. CE Grim MD Let's not forget that I am extremely happy with my team at the VA. While the lack of knowledge of PA is evident, that appers to be the norm and not the exception. I can't emphasize enough my PCP willingness to listen and learn. All the tests I've needed, I've received. I have been treated in a local ER and can assure you the treatment was unacceptable. I found out at 8:30 pm that they were only supposed to administer my BP meds if my BP was over a certain number. When I inquired how they would know they assured me they were taking it every 2 hrs. They had NOT taken it since 2:45 before the day nurse left! They were also happy to report that I had no sign of a tumor in my uterus after an ultra-sound! (What a relief!) Let's not forget the Norris Cotton Cancer Center at Darmouth if it is cancer. They might have some interest in male breast cancer. - 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. > > > > > > 3.)About not being able to get proper treatment through the government > > > program you're in, it figures, and it boggles my mind to think people > > > want government doling that mediocrity out to everyone.Whatever > > > happened to doctors treating patients? > > > > > > Val > > > > > > > > >

[Guest guest]

I think you have a clear picture of the problem, Val. It's not a problem with

my doctor, she's damn good. It's not the lack of availability of state of the

art testing. It's the damn rules that get in her way!

> > >

> > > 3.)About not being able to get proper treatment through the government

> > > program you're in, it figures, and it boggles my mind to think people

> > > want government doling that mediocrity out to everyone.Whatever

> > > happened to doctors treating patients?

> > >

> > > Val

>

>

> .

>

> http://geo.yahoo.com/serv?s=97359714/grpId=7299303/grpspId=1705132763/msgId=

> 38895/stime=1323049462/nc1=5191951/nc2=3848641/nc3=5191945

>

[Guest guest]

Need to update the rules I would think.But the VA is hard to change. CE Grim MD I think you have a clear picture of the problem, Val. It's not a problem with my doctor, she's damn good. It's not the lack of availability of state of the art testing. It's the damn rules that get in her way! > > > > > > 3.)About not being able to get proper treatment through the government > > > program you're in, it figures, and it boggles my mind to think people > > > want government doling that mediocrity out to everyone.Whatever > > > happened to doctors treating patients? > > > > > > Val > > > . > > http://geo.yahoo.com/serv?s=97359714/grpId=7299303/grpspId=1705132763/msgId= > 38895/stime=1323049462/nc1=5191951/nc2=3848641/nc3=5191945 >

[Guest guest]

I'm not sure she wants to be the HTN or PA expert, that would be her decission.

I suspect she is happy doing what she is doing. I will ask her how we get

everyone educated when the time is right after my life settles down a little.

- 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.

> > > > >

> > > > > 3.)About not being able to get proper treatment through the

> > government

> > > > > program you're in, it figures, and it boggles my mind to think

> > people

> > > > > want government doling that mediocrity out to everyone.Whatever

> > > > > happened to doctors treating patients?

> > > > >

> > > > > Val

> > > > >

> > > > >

> > > >

> > >

> >

> >

>

[Guest guest]

Slow but sure. CE Grim MD I'm not sure she wants to be the HTN or PA expert, that would be her decission. I suspect she is happy doing what she is doing. I will ask her how we get everyone educated when the time is right after my life settles down a little. - 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. > > > > > > > > > > 3.)About not being able to get proper treatment through the > > government > > > > > program you're in, it figures, and it boggles my mind to think > > people > > > > > want government doling that mediocrity out to everyone.Whatever > > > > > happened to doctors treating patients? > > > > > > > > > > Val > > > > > > > > > > > > > > > > > > > > > >

[Guest guest]

This is from the White River VA site. All permanent VA staff physicians at White

River Junction must qualify for DMS faculty appointment. Would seen to mean that

they are on Dartmouth faculty. Maybe I am not understanding it right.

BTW it isn't only the Dr that will earn the $1,00,000,000 more in the life time

but all students from Dartmouth.

> > >

> > > 3.)About not being able to get proper treatment through the government

> > > program you're in, it figures, and it boggles my mind to think people

> > > want government doling that mediocrity out to everyone.Whatever

> > > happened to doctors treating patients?

> > >

> > > Val

> > >

> > >

> >

>

[Guest guest]

Don't know specifics but qualifying and actually standing in front of a

classroom mean 2 different things to me. I know Dr. W. has had a student with

her on a couple of occasions so I suspect she was " percepting " . BTW, your $$$

number does not compute! Is it 100 million or a billion? (I think both are

grossly exagerated, I know my nephew graduated from Darthmouth and he would love

to hear that, somebody owes him a bunch of money!)

> > > >

> > > > 3.)About not being able to get proper treatment through the government

> > > > program you're in, it figures, and it boggles my mind to think people

> > > > want government doling that mediocrity out to everyone.Whatever

> > > > happened to doctors treating patients?

> > > >

> > > > Val

> > > >

> > > >

> > >

> >

>

[Guest guest]

Val, I responded to this post but my computer ate it! Thank-you for your candid

response. My family has been lucky and has never experienced breast cancer so I

appreciate the input. (I did watch my sister-in-law battle brain cancer for two

years, probably because she waited too long. She lost after 2 years at age 49!)

Steps 1 is scheduled for Thurs. and we will be discussing step 2 when I meet

with PCP to discuss the results and develop a new plan.

.....

>

> I have two thoughts on discussion:

> 1.) Having had breast cancer, I'd get a mammogram & probably

> biopsy ASAP. I had three spots of cancer in one breast, two intra-ductal

> and one 1.7 mm invasive which did not show on the mammogram. On the other

> breast, nothing showed but they found a 1.3 cm intra-ductal lesion.

> Intra-ductal (DCIS) is thought to have not spread. In fact, only slightly

> more than 50% of DCIS spread but since they don't know which DCIS is going

> to spread, aggressive treatment is necessary.

> 2.) Quite honestly, if I was in your predicament, I'd get AVS

> (at a competent center) and go for surgery if one side could be localized.

> Let them see if AVS and surgery are cheaper than Inspra.

> 3.) About not being able to get proper treatment through the

> government program you're in, it figures, and it boggles my mind to think

> people want government doling that mediocrity out to everyone. Whatever

> happened to doctors treating patients?

>

> Val

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of

>

>

> Val, you raise a couple very good points. I want to mention that it took me

> 10 months to get ALL SX of Conn's under control after BP resolution, this

> documented by resolution of frequent urinating and pain. We have attributed

> that to 10 months to get NA under control but I personally am not sure our

> body is all that simple! I agree that it appears something else is involved

> and as you uncover and resolve one issue often it allows something else to

> raise its ugly head.

>

> It's hard for me to talk in abstract so let me switch to my case. I feel

> quite strongly that while Spironlactone (25mg bid) has done wonders for my

> Conn's it has raised havoc with other systems. I've spoken recently about

> hormonal issues as I research Gynecomastia and breast masses. What I haven't

> spent a lot of time on is the lack of libido or the physical changes, it

> appears the increase in size upstairs is directly proportional to the

> reduction in size downstairs! (This is only a problem when I go to pee since

> libido is zero!)

>

> As I wrote this I decided to review potential side effects at:

>

> http://www.drugs.com/sfx/spironolactone-side-effects.html

>

> As I reviewed that I immediately realized there were other symptoms:

> Digestive, Endocrine and probably Nervous System/Psychiatric. I realize Dr.

> Grim will say I should have been switched to Eplerenone and I will agree and

> point out I attempted over a year ago when Gynecomasteia started to appear.

> Unfortunately politics, ins. regs., doctor apprehension and costs prevented

> that. (Now that I have scared the doctor with breast nodules she is on

> board! Maybe I get to learn how to treat cancer now that HTN is under

> control!) The switch has been actively pursued for over 2 weeks, refused

> once and we are at the VA Director's level now - he's zero for one with one

> outstanding so far!

>

> BTW Dr. Grim, I also found this stmt. At drugs.com:

>

> Oncologic

> Oncologic side effects have included isolated case reports of tumorigenesis

> but this has not been substantiated in large studies.

> Animal studies have suggested an association between spironolactone with

> benign adenomas of the thyroid and testes, malignant breast tumors,

> proliferative changes in the liver, including hepatocellular carcinoma, and

> leukemia. Dosages used in these studies were 25 to 250 times the maximum

> recommended human dosage (on a per kg basis).

>

> There is certainly plenty of room to discount it. It is hard or impossible

> to do a large study if the chances of a positive is only one or two in a

> million, besides why bother with those large odds (unless you are one of

> those one or two!) I'm also sure I will hear that those are extremely high

> doses, what if you are extremely sensitive?

>

> As for ita, I don't know how long ago she made the switch but it does

> appear she is on a huge dose of the meds, IMHO! What effect does the

> hormonal changes do to the female body system? When she switched and

> suddenly released the flow of testosterone what does it do? Is she

> experiencing Male Pattern Baldness? I'm not really qualified to even guess

> so I won't offer any more but I have never heard (or at least remember

> hearing) the proper way to switch meds, especially when on such large doses.

>

> In the interest of keeping this short (that's rhetoric if you missed it) I

> will close for now. I do hope I have piqued interest and this will generate

> some discussion.

>

> - 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.

>

> _._,_.___

> Reply to <mailto:jclark24p@...?subject=Re%3A%20Normal%20CT> sender |

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[Guest guest]

Morning and brain fog + cold doesn't do good in what I write. Should be 1

million. A review of how much money alumni give to Dartmouth doesn't seen to be

much exagerated.

One can choose what they do with education Not all want or get high pay high

stress jobs.

> > > > >

> > > > > 3.)About not being able to get proper treatment through the government

> > > > > program you're in, it figures, and it boggles my mind to think people

> > > > > want government doling that mediocrity out to everyone.Whatever

> > > > > happened to doctors treating patients?

> > > > >

> > > > > Val

> > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

Hmm I billion $ in a life time. I went to the wrong school. Unless the decimal is wrong or something. CE Grim MDBTW it isn't only the Dr that will earn the $1,00,000,000 more in the life time but all students from Dartmouth.

[Guest guest]

Fingers crossed. Beer is on spiro.CE Grim MD Val, I responded to this post but my computer ate it! Thank-you for your candid response. My family has been lucky and has never experienced breast cancer so I appreciate the input. (I did watch my sister-in-law battle brain cancer for two years, probably because she waited too long. She lost after 2 years at age 49!) Steps 1 is scheduled for Thurs. and we will be discussing step 2 when I meet with PCP to discuss the results and develop a new plan. .... > > I have two thoughts on discussion: > 1.) Having had breast cancer, I'd get a mammogram & probably > biopsy ASAP. I had three spots of cancer in one breast, two intra-ductal > and one 1.7 mm invasive which did not show on the mammogram. On the other > breast, nothing showed but they found a 1.3 cm intra-ductal lesion. > Intra-ductal (DCIS) is thought to have not spread. In fact, only slightly > more than 50% of DCIS spread but since they don't know which DCIS is going > to spread, aggressive treatment is necessary. > 2.) Quite honestly, if I was in your predicament, I'd get AVS > (at a competent center) and go for surgery if one side could be localized. > Let them see if AVS and surgery are cheaper than Inspra. > 3.) About not being able to get proper treatment through the > government program you're in, it figures, and it boggles my mind to think > people want government doling that mediocrity out to everyone. Whatever > happened to doctors treating patients? > > Val > > From: hyperaldosteronism > [mailto:hyperaldosteronism ] On Behalf Of > > > Val, you raise a couple very good points. I want to mention that it took me > 10 months to get ALL SX of Conn's under control after BP resolution, this > documented by resolution of frequent urinating and pain. We have attributed > that to 10 months to get NA under control but I personally am not sure our > body is all that simple! I agree that it appears something else is involved > and as you uncover and resolve one issue often it allows something else to > raise its ugly head. > > It's hard for me to talk in abstract so let me switch to my case. I feel > quite strongly that while Spironlactone (25mg bid) has done wonders for my > Conn's it has raised havoc with other systems. I've spoken recently about > hormonal issues as I research Gynecomastia and breast masses. What I haven't > spent a lot of time on is the lack of libido or the physical changes, it > appears the increase in size upstairs is directly proportional to the > reduction in size downstairs! (This is only a problem when I go to pee since > libido is zero!) > > As I wrote this I decided to review potential side effects at: > > http://www.drugs.com/sfx/spironolactone-side-effects.html > > As I reviewed that I immediately realized there were other symptoms: > Digestive, Endocrine and probably Nervous System/Psychiatric. I realize Dr. > Grim will say I should have been switched to Eplerenone and I will agree and > point out I attempted over a year ago when Gynecomasteia started to appear. > Unfortunately politics, ins. regs., doctor apprehension and costs prevented > that. (Now that I have scared the doctor with breast nodules she is on > board! Maybe I get to learn how to treat cancer now that HTN is under > control!) The switch has been actively pursued for over 2 weeks, refused > once and we are at the VA Director's level now - he's zero for one with one > outstanding so far! > > BTW Dr. Grim, I also found this stmt. At drugs.com: > > Oncologic > Oncologic side effects have included isolated case reports of tumorigenesis > but this has not been substantiated in large studies. > Animal studies have suggested an association between spironolactone with > benign adenomas of the thyroid and testes, malignant breast tumors, > proliferative changes in the liver, including hepatocellular carcinoma, and > leukemia. Dosages used in these studies were 25 to 250 times the maximum > recommended human dosage (on a per kg basis). > > There is certainly plenty of room to discount it. It is hard or impossible > to do a large study if the chances of a positive is only one or two in a > million, besides why bother with those large odds (unless you are one of > those one or two!) I'm also sure I will hear that those are extremely high > doses, what if you are extremely sensitive? > > As for ita, I don't know how long ago she made the switch but it does > appear she is on a huge dose of the meds, IMHO! What effect does the > hormonal changes do to the female body system? When she switched and > suddenly released the flow of testosterone what does it do? Is she > experiencing Male Pattern Baldness? I'm not really qualified to even guess > so I won't offer any more but I have never heard (or at least remember > hearing) the proper way to switch meds, especially when on such large doses. > > In the interest of keeping this short (that's rhetoric if you missed it) I > will close for now. I do hope I have piqued interest and this will generate > some discussion. > > - 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. > > _._,_.___ > Reply to <mailto:jclark24p@...?subject=Re%3A%20Normal%20CT> sender | > Reply to > <mailto:hyperaldosteronism ?subject=Re%3A%20Normal%20CT> > group | Reply > <http://groups.yahoo.com/group/hyperaldosteronism/post;_ylc=X3oDMTJxYTg0Z2Rl > BF9TAzk3MzU5NzE0BGdycElkAzcyOTkzMDMEZ3Jwc3BJZAMxNzA1MTMyNzYzBG1zZ0lkAzM4ODg4 > BHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTMyMzAzMzQzMg--?act=reply & messageNum=38888> > via web post | > <http://groups.yahoo.com/group/hyperaldosteronism/post;_ylc=X3oDMTJlMnI4ZGpu > BF9TAzk3MzU5NzE0BGdycElkAzcyOTkzMDMEZ3Jwc3BJZAMxNzA1MTMyNzYzBHNlYwNmdHIEc2xr > A250cGMEc3RpbWUDMTMyMzAzMzQzMg--> Start a New Topic > Messages in this topic > <http://groups.yahoo.com/group/hyperaldosteronism/message/38776;_ylc=X3oDMTM > 2dDZ2ZGpwBF9TAzk3MzU5NzE0BGdycElkAzcyOTkzMDMEZ3Jwc3BJZAMxNzA1MTMyNzYzBG1zZ0l > kAzM4ODg4BHNlYwNmdHIEc2xrA3Z0cGMEc3RpbWUDMTMyMzAzMzQzMgR0cGNJZAMzODc3Ng--> > (64) > Recent Activity: > . > <http://groups.yahoo.com/group/hyperaldosteronism/members;_ylc=X3oDMTJmcWNta > Wh1BF9TAzk3MzU5NzE0BGdycElkAzcyOTkzMDMEZ3Jwc3BJZAMxNzA1MTMyNzYzBHNlYwN2dGwEc > 2xrA3ZtYnJzBHN0aW1lAzEzMjMwMzM0MzI-?o=6> New Members 1 > . > <http://groups.yahoo.com/group/hyperaldosteronism/links;_ylc=X3oDMTJndmtzdXQ > 4BF9TAzk3MzU5NzE0BGdycElkAzcyOTkzMDMEZ3Jwc3BJZAMxNzA1MTMyNzYzBHNlYwN2dGwEc2x > rA3ZsaW5rcwRzdGltZQMxMzIzMDMzNDMy> New Links 2 > > <http://groups.yahoo.com/group/hyperaldosteronism;_ylc=X3oDMTJlanV1bmU4BF9TA > zk3MzU5NzE0BGdycElkAzcyOTkzMDMEZ3Jwc3BJZAMxNzA1MTMyNzYzBHNlYwN2dGwEc2xrA3Zna > HAEc3RpbWUDMTMyMzAzMzQzMg--> Visit Your Group > MARKETPLACE > Stay on top of your group activity without leaving the page you're on - Get > the Yahoo! Toolbar now. > <http://global.ard.yahoo.com/SIG=15rsh0os2/M=493064.14543979.14562481.132984 > 30/D=grphealth/S=1705132763:MKP1/Y=YAHOO/EXP=1323040632/L=557a6f3e-1ebd-11e1 > -91a4-5fda46753f33/B=ifl6Ntj8fcw-/J=1323033432979260/K=3bD0R3gep80TvH6mEQhqW > g/A=6060255/R=0/SIG=1194m4keh/*http:/us.toolbar.yahoo.com/?.cpdl=grpj> > > http://us.bc.yahoo.com/b?P=557a6f3e-1ebd-11e1-91a4-5fda46753f33 & T=1d7vlhpbd% > 2fX%3d1323033432%2fE%3d1705132763%2fR%3dgrphealth%2fK%3d5%2fV%3d2.1%2fW%3dH% > 2fY%3dYAHOO%2fF%3d818478704%2fH%3dY29udGVudD0iUG9kY2FzdHM7R3JvdXBzO1lhaG9vX1 > NlYXJjaF9NYXJrZXRpbmc7SGVhbHRoO0F1Y3Rpb25zOzM2MDtGbGlja3I7R2VvY2l0aWVzO0NsYX > NzaWZpZWRzO0Jvb2ttYXJrOyIgZGlzYWJsZXNodWZmbGluZz0iMSIgc2VydmVJZD0iNTU3YTZmM2 > UtMWViZC0xMWUxLTkxYTQtNWZkYTQ2NzUzZjMzIiBzaXRlSWQ9IjQ0NTI1NTEiIHRTdG1wPSIxMz > IzMDMzNDMyOTU2ODc5IiA-%2fQ%3d-1%2fS%3d1%2fJ%3dAD238962 & U=13c37oj0v%2fN%3difl > 6Ntj8fcw-%2fC%3d493064.14543979.14562481.13298430%2fD%3dMKP1%2fB%3d6060255%2 > fV%3d1 > <http://us.bc.yahoo.com/b?P=557a6f3e-1ebd-11e1-91a4-5fda46753f33 & T=1d7vlhpbd > /X=1323033432/E=1705132763/R=grphealth/K=5/V=2.1/W=H/Y=YAHOO/F=818478704/H=Y > 29udGVudD0iUG9kY2FzdHM7R3JvdXBzO1lhaG9vX1NlYXJjaF9NYXJrZXRpbmc7SGVhbHRoO0F1Y > 3Rpb25zOzM2MDtGbGlja3I7R2VvY> > > <http://groups.yahoo.com/;_ylc=X3oDMTJkMGhhMDByBF9TAzk3MzU5NzE0BGdycElkAzcyO > TkzMDMEZ3Jwc3BJZAMxNzA1MTMyNzYzBHNlYwNmdHIEc2xrA2dmcARzdGltZQMxMzIzMDMzNDMy> > Yahoo! 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[Guest guest]

Oh, only a million is quite different, I did that on a H.S. education and a 5

week computer operator course and I " retired " at 50! (And it didn't take 7

years of my life and I never had a college loan and owe 100,000's of dollars!)

You do realize that if you start at 16, work 8 hours a day with no holidays or

week ends that is less than $10/hour ($9.62/hr to be exact) and over a million

when you retire at age 66 (normal retirement age for us baby boomers! (No Dr

will be touching my body if he sells himself that cheaply!)

> > > > > >

> > > > > > 3.)About not being able to get proper treatment through the

government

> > > > > > program you're in, it figures, and it boggles my mind to think

people

> > > > > > want government doling that mediocrity out to everyone.Whatever

> > > > > > happened to doctors treating patients?

> > > > > >

> > > > > > Val

> > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

You've got to up the amount, I'm risking my life and you are risking a beer!

It doesn't take a much imagintion for that bet since something like 1,964 men

experience breast cancer a year! I'd bet negative also but I won't bet my life

on it when I can do an almost painless test and increase my odds drastically!

> > >

> > > I have two thoughts on discussion:

> > > 1.) Having had breast cancer, I'd get a mammogram & probably

> > > biopsy ASAP. I had three spots of cancer in one breast, two intra-

> > ductal

> > > and one 1.7 mm invasive which did not show on the mammogram. On

> > the other

> > > breast, nothing showed but they found a 1.3 cm intra-ductal lesion.

> > > Intra-ductal (DCIS) is thought to have not spread. In fact, only

> > slightly

> > > more than 50% of DCIS spread but since they don't know which DCIS

> > is going

> > > to spread, aggressive treatment is necessary.

> > > 2.) Quite honestly, if I was in your predicament, I'd get AVS

> > > (at a competent center) and go for surgery if one side could be

> > localized.

> > > Let them see if AVS and surgery are cheaper than Inspra.

> > > 3.) About not being able to get proper treatment through the

> > > government program you're in, it figures, and it boggles my mind

> > to think

> > > people want government doling that mediocrity out to everyone.

> > Whatever

> > > happened to doctors treating patients?

> > >

> > > Val

> > >

> > > From: hyperaldosteronism

> > > [mailto:hyperaldosteronism ] On Behalf Of

> > >

> > >

> > > Val, you raise a couple very good points. I want to mention that

> > it took me

> > > 10 months to get ALL SX of Conn's under control after BP

> > resolution, this

> > > documented by resolution of frequent urinating and pain. We have

> > attributed

> > > that to 10 months to get NA under control but I personally am not

> > sure our

> > > body is all that simple! I agree that it appears something else is

> > involved

> > > and as you uncover and resolve one issue often it allows something

> > else to

> > > raise its ugly head.

> > >

> > > It's hard for me to talk in abstract so let me switch to my case.

> > I feel

> > > quite strongly that while Spironlactone (25mg bid) has done

> > wonders for my

> > > Conn's it has raised havoc with other systems. I've spoken

> > recently about

> > > hormonal issues as I research Gynecomastia and breast masses. What

> > I haven't

> > > spent a lot of time on is the lack of libido or the physical

> > changes, it

> > > appears the increase in size upstairs is directly proportional to

> > the

> > > reduction in size downstairs! (This is only a problem when I go to

> > pee since

> > > libido is zero!)

> > >

> > > As I wrote this I decided to review potential side effects at:

> > >

> > > http://www.drugs.com/sfx/spironolactone-side-effects.html

> > >

> > > As I reviewed that I immediately realized there were other symptoms:

> > > Digestive, Endocrine and probably Nervous System/Psychiatric. I

> > realize Dr.

> > > Grim will say I should have been switched to Eplerenone and I will

> > agree and

> > > point out I attempted over a year ago when Gynecomasteia started

> > to appear.

> > > Unfortunately politics, ins. regs., doctor apprehension and costs

> > prevented

> > > that. (Now that I have scared the doctor with breast nodules she

> > is on

> > > board! Maybe I get to learn how to treat cancer now that HTN is

> > under

> > > control!) The switch has been actively pursued for over 2 weeks,

> > refused

> > > once and we are at the VA Director's level now - he's zero for one

> > with one

> > > outstanding so far!

> > >

> > > BTW Dr. Grim, I also found this stmt. At drugs.com:

> > >

> > > Oncologic

> > > Oncologic side effects have included isolated case reports of

> > tumorigenesis

> > > but this has not been substantiated in large studies.

> > > Animal studies have suggested an association between

> > spironolactone with

> > > benign adenomas of the thyroid and testes, malignant breast tumors,

> > > proliferative changes in the liver, including hepatocellular

> > carcinoma, and

> > > leukemia. Dosages used in these studies were 25 to 250 times the

> > maximum

> > > recommended human dosage (on a per kg basis).

> > >

> > > There is certainly plenty of room to discount it. It is hard or

> > impossible

> > > to do a large study if the chances of a positive is only one or

> > two in a

> > > million, besides why bother with those large odds (unless you are

> > one of

> > > those one or two!) I'm also sure I will hear that those are

> > extremely high

> > > doses, what if you are extremely sensitive?

> > >

> > > As for ita, I don't know how long ago she made the switch but

> > it does

> > > appear she is on a huge dose of the meds, IMHO! What effect does the

> > > hormonal changes do to the female body system? When she switched and

> > > suddenly released the flow of testosterone what does it do? Is she

> > > experiencing Male Pattern Baldness? I'm not really qualified to

> > even guess

> > > so I won't offer any more but I have never heard (or at least

> > remember

> > > hearing) the proper way to switch meds, especially when on such

> > large doses.

> > >

> > > In the interest of keeping this short (that's rhetoric if you

> > missed it) I

> > > will close for now. I do hope I have piqued interest and this will

> > generate

> > > some discussion.

> > >

> > > - 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.

> > >

> > > _._,_.___

> > > Reply to <mailto:jclark24p@?subject=Re%3A%20Normal%20CT> sender |

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[Guest guest]

. Just morbid Dr. talk-sorry.CE Grim MD You've got to up the amount, I'm risking my life and you are risking a beer! It doesn't take a much imagintion for that bet since something like 1,964 men experience breast cancer a year! I'd bet negative also but I won't bet my life on it when I can do an almost painless test and increase my odds drastically! > > > > > > I have two thoughts on discussion: > > > 1.) Having had breast cancer, I'd get a mammogram & probably > > > biopsy ASAP. I had three spots of cancer in one breast, two intra- > > ductal > > > and one 1.7 mm invasive which did not show on the mammogram. On > > the other > > > breast, nothing showed but they found a 1.3 cm intra-ductal lesion. > > > Intra-ductal (DCIS) is thought to have not spread. In fact, only > > slightly > > > more than 50% of DCIS spread but since they don't know which DCIS > > is going > > > to spread, aggressive treatment is necessary. > > > 2.) Quite honestly, if I was in your predicament, I'd get AVS > > > (at a competent center) and go for surgery if one side could be > > localized. > > > Let them see if AVS and surgery are cheaper than Inspra. > > > 3.) About not being able to get proper treatment through the > > > government program you're in, it figures, and it boggles my mind > > to think > > > people want government doling that mediocrity out to everyone. > > Whatever > > > happened to doctors treating patients? > > > > > > Val > > > > > > From: hyperaldosteronism > > > [mailto:hyperaldosteronism ] On Behalf Of > > > > > > > > > Val, you raise a couple very good points. I want to mention that > > it took me > > > 10 months to get ALL SX of Conn's under control after BP > > resolution, this > > > documented by resolution of frequent urinating and pain. We have > > attributed > > > that to 10 months to get NA under control but I personally am not > > sure our > > > body is all that simple! I agree that it appears something else is > > involved > > > and as you uncover and resolve one issue often it allows something > > else to > > > raise its ugly head. > > > > > > It's hard for me to talk in abstract so let me switch to my case. > > I feel > > > quite strongly that while Spironlactone (25mg bid) has done > > wonders for my > > > Conn's it has raised havoc with other systems. I've spoken > > recently about > > > hormonal issues as I research Gynecomastia and breast masses. What > > I haven't > > > spent a lot of time on is the lack of libido or the physical > > changes, it > > > appears the increase in size upstairs is directly proportional to > > the > > > reduction in size downstairs! (This is only a problem when I go to > > pee since > > > libido is zero!) > > > > > > As I wrote this I decided to review potential side effects at: > > > > > > http://www.drugs.com/sfx/spironolactone-side-effects.html > > > > > > As I reviewed that I immediately realized there were other symptoms: > > > Digestive, Endocrine and probably Nervous System/Psychiatric. I > > realize Dr. > > > Grim will say I should have been switched to Eplerenone and I will > > agree and > > > point out I attempted over a year ago when Gynecomasteia started > > to appear. > > > Unfortunately politics, ins. regs., doctor apprehension and costs > > prevented > > > that. (Now that I have scared the doctor with breast nodules she > > is on > > > board! Maybe I get to learn how to treat cancer now that HTN is > > under > > > control!) The switch has been actively pursued for over 2 weeks, > > refused > > > once and we are at the VA Director's level now - he's zero for one > > with one > > > outstanding so far! > > > > > > BTW Dr. Grim, I also found this stmt. At drugs.com: > > > > > > Oncologic > > > Oncologic side effects have included isolated case reports of > > tumorigenesis > > > but this has not been substantiated in large studies. > > > Animal studies have suggested an association between > > spironolactone with > > > benign adenomas of the thyroid and testes, malignant breast tumors, > > > proliferative changes in the liver, including hepatocellular > > carcinoma, and > > > leukemia. Dosages used in these studies were 25 to 250 times the > > maximum > > > recommended human dosage (on a per kg basis). > > > > > > There is certainly plenty of room to discount it. It is hard or > > impossible > > > to do a large study if the chances of a positive is only one or > > two in a > > > million, besides why bother with those large odds (unless you are > > one of > > > those one or two!) I'm also sure I will hear that those are > > extremely high > > > doses, what if you are extremely sensitive? > > > > > > As for ita, I don't know how long ago she made the switch but > > it does > > > appear she is on a huge dose of the meds, IMHO! What effect does the > > > hormonal changes do to the female body system? When she switched and > > > suddenly released the flow of testosterone what does it do? Is she > > > experiencing Male Pattern Baldness? I'm not really qualified to > > even guess > > > so I won't offer any more but I have never heard (or at least > > remember > > > hearing) the proper way to switch meds, especially when on such > > large doses. > > > > > > In the interest of keeping this short (that's rhetoric if you > > missed it) I > > > will close for now. I do hope I have piqued interest and this will > > generate > > > some discussion. > > > > > > - 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. > > > > > > _._,_.___ > > > Reply to <mailto:jclark24p@?subject=Re%3A%20Normal%20CT> sender | > > > Reply to > > > <mailto:hyperaldosteronism ?subject=Re%3A%20Normal%20CT > > > > > > group | Reply > > > <http://groups.yahoo.com/group/hyperaldosteronism/post;_ylc=X3oDMTJxYTg0Z2Rl > > > > > BF9TAzk3MzU5NzE0BGdycElkAzcyOTkzMDMEZ3Jwc3BJZAMxNzA1MTMyNzYzBG1zZ0lkAzM4ODg4 > > > BHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTMyMzAzMzQzMg--? > > act=reply & messageNum=38888> > > > via web post | > > > <http://groups.yahoo.com/group/hyperaldosteronism/post;_ylc=X3oDMTJlMnI4ZGpu > > > > > BF9TAzk3MzU5NzE0BGdycElkAzcyOTkzMDMEZ3Jwc3BJZAMxNzA1MTMyNzYzBHNlYwNmdHIEc2xr > > > A250cGMEc3RpbWUDMTMyMzAzMzQzMg--> Start a New Topic > > > Messages in this topic > > > <http://groups.yahoo.com/group/hyperaldosteronism/message/38776;_ylc=X3oDMTM > > > > > 2dDZ2ZGpwBF9TAzk3MzU5NzE0BGdycElkAzcyOTkzMDMEZ3Jwc3BJZAMxNzA1MTMyNzYzBG1zZ0l > > > > > kAzM4ODg4BHNlYwNmdHIEc2xrA3Z0cGMEc3RpbWUDMTMyMzAzMzQzMgR0cGNJZAMzODc3Ng > > --> > > > (64) > > > Recent Activity: > > > . > > > <http://groups.yahoo.com/group/hyperaldosteronism/members;_ylc=X3oDMTJmcWNta > > > > > Wh1BF9TAzk3MzU5NzE0BGdycElkAzcyOTkzMDMEZ3Jwc3BJZAMxNzA1MTMyNzYzBHNlYwN2dGwEc > > > 2xrA3ZtYnJzBHN0aW1lAzEzMjMwMzM0MzI-?o=6> New Members 1 > > > . > > > <http://groups.yahoo.com/group/hyperaldosteronism/links;_ylc=X3oDMTJndmtzdXQ > > > > > 4BF9TAzk3MzU5NzE0BGdycElkAzcyOTkzMDMEZ3Jwc3BJZAMxNzA1MTMyNzYzBHNlYwN2dGwEc2x > > > rA3ZsaW5rcwRzdGltZQMxMzIzMDMzNDMy> New Links 2 > > > > > > <http://groups.yahoo.com/group/hyperaldosteronism;_ylc=X3oDMTJlanV1bmU4BF9TA > > > > > zk3MzU5NzE0BGdycElkAzcyOTkzMDMEZ3Jwc3BJZAMxNzA1MTMyNzYzBHNlYwN2dGwEc2xrA3Zna > > > HAEc3RpbWUDMTMyMzAzMzQzMg--> Visit Your Group > > > MARKETPLACE > > > Stay on top of your group activity without leaving the page you're > > on - Get > > > the Yahoo! 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