Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 It is not the total they earn but is how much more they can expect to earn one in lifetime that someone that went University of Vermont. This information was from 30 years ago. So most likely would be more today. > > > > > > > > > > > > > > 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 > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 I think had they been able to do the the mammogram at the WRJ va center there wouldn't have been a problem. Were they trying to have it done at Dartmouth? If so this sometimes is a problem. > > > > > > > > 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 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 My best to you, . You know how to advocate for yourself so you should be fine. Someone said a mammogram was no better than CT. Not! An experienced radiologist can pick out suspicious spots. They can be confirmed or rejected often with ultrasound. If cancer cannot be ruled out, a biopsy is in order. Honestly, I couldn't discern my two visible spots from any other surrounding tissue, but the radiologist certainly could. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of 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?Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 A CT of adrenals does the same. IMHO.CE Grim MD My best to you, . You know how to advocate for yourself so you should be fine. Someone said a mammogram was no better than CT. Not! An experienced radiologist can pick out suspicious spots. They can be confirmed or rejected often with ultrasound. If cancer cannot be ruled out, a biopsy is in order. Honestly, I couldn't discern my two visible spots from any other surrounding tissue, but the radiologist certainly could. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of 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?Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 Hey, no need to appologize - they tell me we need to keep the mind active to stay young and word games and a good debate are a good way to do that! You need to try harder if you are going to offend me! > > > > > > > > > > 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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Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 Why is it a problem at DHMC? Last I knew they were current with technology and I would be really surprised if there was a problem with the Norris Cotton Cancer Center next door! Mammogran and ultrasound were scheduled at CVMC in Berlin, VT. 6 miles from home. Cancelled and rescheuled at Jamica Plains VA in Boston for a week later. - 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 > > > > > > > > > . > > > > > > http://geo.yahoo.com/serv?s=97359714/grpId=7299303/grpspId=1705132763/msgId= > > > 38895/stime=1323049462/nc1=5191951/nc2=3848641/nc3=5191945 > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 Thanks Val. Your summary is exactly what was explained to e by both the doctors on my team. When my backup PCP scheduled the first one she scheduled the ultrasound half later. Told me they always do the ultrasound for men because the breast tissue is usually denser. She explained they looked at shape and density and if there was any doubt they would recall and order a biopsy. I think that is exactly what you said. (I'm guessing between the two doctors they have in excess of 30 years treating female PTNs so in this case they are the experts!) I was comfortable discounting the previous comment because a visual check was exactly how they determined my adrenal adnoma was benign! As I remember it that procedure was confirmed on this site! - 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. > > > > 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? > > > Switch to: > <mailto:hyperaldosteronism-traditional ?subject=Change%20Deli > very%20Format:%20Traditional> Text-Only, > <mailto:hyperaldosteronism-digest ?subject=Email%20Delivery:% > 20Digest> Daily Digest . > <mailto:hyperaldosteronism-unsubscribe ?subject=Unsubscribe> > Unsubscribe . <http://docs.yahoo.com/info/terms/> Terms of Use > . > > <http://geo.yahoo.com/serv?s=97359714/grpId=7299303/grpspId=1705132763/msgId > =38944/stime=1323095923/nc1=5191949/nc2=5191951/nc3=3848644> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 The problem is any thing the VA pays for outside of the VA has to get special aproval. > > > > > > > > > > > > 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 > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 Norris Cotton Cancer Center is one of best places to be treated. > > > > > > > > > > > > > > 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 > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 Are you surprised by this new development? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Mammogran and ultrasound were scheduled at CVMC in Berlin, VT. 6 miles from home. Cancelled and rescheuled at Jamica Plains VA in Boston for a week later. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 Most ladies do it say it is painless. Keep us posted.May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension 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! 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 Posted December 5, 2011 Report Share Posted December 5, 2011 Oh it really has nothing to do with DHMC per se, it is the policy for " fee based " service. I understand if they were really saving money but they should take all costs into account. Is it fair that they transfer the $160 transportation expense to me? (especially after they got over $10,000 free money last year from my insurance company!) And the real issue for me is the sexual descrimination. How much will they save when I file a class action lawsuit? - 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. - In hyperaldosteronism , " Francis Bill SUSPECTED PA " wrote: > > The problem is any thing the VA pays for outside of the VA has to get special aproval. > > > > > > > > > > > > > > > > 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 > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 I've previously had ultrasound. This time, they didn't bother with it; just scheduled a biopsy. I think the radiologist was pretty certain of what she was seeing even though nothing was palpable and things were quite tiny. I'm betting with Dr. Grim that you have spiro breasts, but having had breast cancer, I would not bet my life on that. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Thanks Val. Your summary is exactly what was explained to e by both the doctors on my team. When my backup PCP scheduled the first one she scheduled the ultrasound half later. Told me they always do the ultrasound for men because the breast tissue is usually denser. She explained they looked at shape and density and if there was any doubt they would recall and order a biopsy. I think that is exactly what you said. (I'm guessing between the two doctors they have in excess of 30 years treating female PTNs so in this case they are the experts!)I was comfortable discounting the previous comment because a visual check was exactly how they determined my adrenal adnoma was benign! As I remember it that procedure was confirmed on this site!>> My best to you, . You know how to advocate for yourself so you should> be fine. Someone said a mammogram was no better than CT. Not! An> experienced radiologist can pick out suspicious spots. They can be> confirmed or rejected often with ultrasound. If cancer cannot be ruled out,> a biopsy is in order. Honestly, I couldn't discern my two visible spots> from any other surrounding tissue, but the radiologist certainly could.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 But you can take the VA van from WRJ. Belive it leaves about 7:30AM. > > > > > > > > > > > > > > > > 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 > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 Obviously you are not too well versed in some forms of PTSD. I avoid confined spaces where " War stories " are shared at all costs! I even refused bus trips to D.C. after an overzellous guide started expounding his views as I was driving down Constitution Ave. (I actually had to " unass " the bus for about 15 minutes and another driver was close to calling 911!) Avoidance is the term and a few weeks in the hospital can be the result - makes for an expensive mammogram! NOT AN OPTION and that is all I will say on the subject! - 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 > > > > > > > > > > > > > > > > > > > > > . > > > > > > > > > > > > > > http://geo.yahoo.com/serv?s=97359714/grpId=7299303/grpspId=1705132763/msgId= > > > > > > > 38895/stime=1323049462/nc1=5191951/nc2=3848641/nc3=5191945 > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2011 Report Share Posted December 5, 2011 The term I heard was " minimal discomfort " . My wife said, " How are they going to compress those little things? " (She's quite well endowed!) - 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. > > > > > > > > > > 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 Posted December 5, 2011 Report Share Posted December 5, 2011 LOL, I wouldn't exactly call it painless But I suppose compared to the the fine-needle biopsy that follows if something odd is found, it is. That biopsy was the worst pain I've ever felt in my life! > > > > > > > > > > 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! Groups > > > > > Switch to: > > > > > <mailto:hyperaldosteronism-traditional ?subject=Change%20Deli > > > > > very%20Format:%20Traditional> Text-Only, > > > > > <mailto:hyperaldosteronism-digest ?subject=Email%20Delivery > > > > :% > > > > > 20Digest> Daily Digest . > > > > > <mailto:hyperaldosteronism-unsubscribe ?subject=Unsubscribe > > > > > > > > > > Unsubscribe . <http://docs.yahoo.com/info/terms/> Terms of Use > > > > > . > > > > > > > > > > http://geo.yahoo.com/serv?s=97359714/grpId=7299303/grpspId=1705132763/msgId= > > > > > 38888/stime=1323033432/nc1=3848643/nc2=5191951/nc3=5191946 > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2011 Report Share Posted December 6, 2011 Thanks for your obversations m...! Isn't it just like man to belittle the pains a woman endures! I will pray harder for a normal Mammo with a comment like that coming from a woman that just had major surgery! Appreciate your candid input, keep up the good work. ..... > > > > > > > > > > > > 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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Guest guest Posted December 6, 2011 Report Share Posted December 6, 2011 Sending good thoughts your way for " normal " and " painless, " > > > > > > > > > > > > > > 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 Posted December 6, 2011 Report Share Posted December 6, 2011 I never found mammograms particularly painful. The biopsies were more mentally challenging than physical in nature. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Thanks for your obversations m...! Isn't it just like man to belittle the pains a woman endures! I will pray harder for a normal Mammo with a comment like that coming from a woman that just had major surgery! Appreciate your candid input, keep up the good work.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2011 Report Share Posted December 6, 2011 How big are you? JK!!!!! I'm beginning to find boobs mentally challenging! (That's Male Boobs BTW, the other style have always seemed challenging!) ..... > > I never found mammograms particularly painful. The biopsies were more > mentally challenging than physical in nature. > > Val > > From: hyperaldosteronism > [mailto:hyperaldosteronism ] On Behalf Of > > > Thanks for your obversations m...! Isn't it just like man to belittle the > pains a woman endures! I will pray harder for a normal Mammo with a comment > like that coming from a woman that just had major surgery! Appreciate your > candid input, keep up the good work. > > > . > Web Bug from > http://geo.yahoo.com/serv?s=97359714/grpId=7299303/grpspId=1705132763/msgId= > 38997/stime=1323191895/nc1=5191951/nc2=5191947/nc3=3848642 > <http://www.mailscanner.tv/1x1spacer.gif> > Quote Link to comment Share on other sites More sharing options...
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