Re: Normal CT

[Guest guest]

Are you saying that the test that most do to test blood CO2 is somewhat useless

in knowing what ones bicarb is?

> >

> > I though I was having shortness of breath until I tried breathing

> > into a bag found this to shorten recovery from sometimes 1/2 hour to

> > less then a minute.

> >

> >

>

[Guest guest]

No it tells the bicarb but she was talking about CO2. but suspect she meant bicarb.CE Grim MD Are you saying that the test that most do to test blood CO2 is somewhat useless in knowing what ones bicarb is? > > > > I though I was having shortness of breath until I tried breathing > > into a bag found this to shorten recovery from sometimes 1/2 hour to > > less then a minute. > > > > >

[Guest guest]

Dr. Grim, finally got his blood pressure to goal but as he wrote a few days ago, he is very sick and unable to work full time. Sounds like something besides Conn's is going on with ita as well. Certainly, spiro fixed my BP but nothing else. If wrote his story for a journal, he'd probably never get another job, what with national medical databases and whatever. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim: I would like you to add this to your story in your files when you have time. It discusses very well the problems that can occur with missed Dx of PA. And I still think we need to do an article on your experience in the health system in having the Dx missed. There are several Journals for PAs and NPs that we could submit the story to and show the benefits of proper Rx. I recall that you are doing better since getting the Dx right and on DASH and/or meds. Is that still true? Never never assume. I've been out of work and we've on welfare for over a year because of this illness - teaching has put some gas money in the car and paid car insurance, but that's about it. I told you my story is a deep one and the medical board, when I told them I wasn't renewing my license at that time because I was wanting to get some help for feeling so sick and using the $500 to pay for some labs at that time (I had no insurance - made a good salary - but $1000 a month went to student loans) back then, decided to NEVER let me renew it until I paid tens of thousands of dollars in " professional assessments " . saying I wasn't too sick to work I had the undiagnosed PA, with severe low K (I have low of 1.9 in the ER), combined with hyperthyroidism and I was VERY sick - to the point of hallucinations and week long insomnia among the million other things going on ( I could not even walk up 5 steps without being competely winded). The sense of doom was beyond imaginable during this period too. I easily had 170/130 or higher every day. Not sometimes, but everyday. I never slept, but the way my heart pounded through my chest I thought I was dropping dead any second. So I had said I HAD to find out or I was dying. Little did I know the hell to come. Of course, I KNEW I was sick organically, and not mentally, but I couldn't tell anyone about the hallucinations because that label would be even harder to overcome and I had already fought the " he's just stressed out " " he's depressed " road with the providers before and wasn't about to do it again. My HUGE mistake, and I have been lectured about this from lawyers and docs alike, was I told the board casually that I had to have sleeping pills to get ANY sleep and how I hated that and that was it. It exploded in their mind and now ALL burden of proof was on me to prove I wasn't too sick, or didn't have an addiction problem. But I had no money and they do not except any assessments but their own designated. One of their docs, who is the board assessment doc, charges $1000 a VISIT! He makes you bring extra money for labs if he so desires to do them. And he takes no cash, no insurance, and always insists on a follow up. This is what I have been up against. I am 100% dead serious about that. So you might see why I am not overflowing with sympathy for a truck driver who has to get his or her 150/94 down to 139/89 and only gets a yearly certificate when all they have to do is exercise a bit and NOT stop and eat at the truck stop - now if they have PA that's a different story, but still fixable.... Remember I have written how I feel we all tend to live in the world around us as if OUR problem is worse than the next guy or gal and I don't think that way? We act like my PA is worse than yours, I can't eat DASH way because I have this or that, I can't exercise because this or that, no one knows what I've been through, etc......well we all have a back story and there are exceptions to every rule. I went from 6 figures to NOTHING the very next day at the start of this nightmare. And I have 6 figure student loans and 7 children who I supported fine until I got sick. I have sold everything we own of value. I keep my prized Fender electric and my Fender acoustic. That's it. I ask for advice, and read most everything on the list, and want to hear from friends as to what they do and have done to get better, or find the problem, and so on, on the list, but I don't imply my problem is worse than the next. We all are one in our way , but somehow still that island to ourselves also. I am not one, no matter what, who's gonna sit on his ass though, so I found something to do which is teach (I am back at the clinic but not at full capacity). And I am a positive thinker who will exercise to whatever capacity I can, I will eat better and if there's something I can't eat (like nuts - high K - but my teeth issues don't let me) I will work around it. That's me, and I think others have that capacity, but refuse to use it. So I am a bit sarcastic and hard on those who make excuse after excuse, but only because I believe we can do more than we act like most of the time. Yes, I know it's hard.....but I like reasons not excuses. Most of all I am not giving up. Like many I tried to find out what was wrong, but was misdiagnosed or not diagnosed for years and years. After it led to all this I am angry beyond belief at some of those who brushed me aside and if I was with a few of them face to face - especially those who acted like it was stress - I am not sure I could keep myself back (I wouldn't kill someone, but sure let them know how mad I was). Thus I go to therapy just because I do not want to stay that way. So I am fighting this too. As to welfare..... I had a hard working dad who tried his best growing up but we were always on welfare. I know it better than most. I am not a high school graduate, neither were either of my parents (they were 17 when I was born), and yet I had no silver spoon, no help with schooling, no nothing. I busted my ass and I always see a light ahead, not let my past, my illnesses, my upbringing, anything, hold me back. I know rock bottom. The only exception is I have paid alot in taxes when I am working, and now back to work I will pay alot more for the rest of my life - though likely never reap the benefits of it again (contrary to what is trying to be preached today the more you make the more taxes you pay literally and %, and the less you get back on a return.) Many many many who do not, nor never work nor pay taxes will reap the benefit of my paying taxes though in the past and in the future (some, who pay NO taxes, actually get some back on a return - how the hell is that okay?). But I am sure I will never get a thank you from them. Sorry bro, I know most of us mean well, and writing on this list often doesn't always convey our humor, or empathy and sympathy well, but we are all fighting our different demons on our own turf. One thing my young 44 years has taught me is that my problem is just that - mine. Someone else may be fighting their own just as hard, whether I see it or not. I have mine too.........

[Guest guest]

We can do an anonymous case report or use a pseudonym I would think. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

Dr. Grim, finally got his blood pressure to goal but as he wrote a few days ago, he is very sick and unable to work full time. Sounds like something besides Conn's is going on with ita as well. Certainly, spiro fixed my BP but nothing else. If wrote his story for a journal, he'd probably never get another job, what with national medical databases and whatever. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim: I would like you to add this to your story in your files when you have time. It discusses very well the problems that can occur with missed Dx of PA. And I still think we need to do an article on your experience in the health system in having the Dx missed. There are several Journals for PAs and NPs that we could submit the story to and show the benefits of proper Rx. I recall that you are doing better since getting the Dx right and on DASH and/or meds. Is that still true? Never never assume. I've been out of work and we've on welfare for over a year because of this illness - teaching has put some gas money in the car and paid car insurance, but that's about it. I told you my story is a deep one and the medical board, when I told them I wasn't renewing my license at that time because I was wanting to get some help for feeling so sick and using the $500 to pay for some labs at that time (I had no insurance - made a good salary - but $1000 a month went to student loans) back then, decided to NEVER let me renew it until I paid tens of thousands of dollars in

"professional assessments". saying I wasn't too sick to work I had the undiagnosed PA, with severe low K (I have low of 1.9 in the ER), combined with hyperthyroidism and I was VERY sick - to the point of hallucinations and week long insomnia among the million other things going on ( I could not even walk up 5 steps without being competely winded). The sense of doom was beyond imaginable during this period too. I easily had 170/130 or higher every day. Not sometimes, but everyday. I never slept, but the way my heart pounded through my chest I thought I was dropping dead any second. So I had said I HAD to find out or I was dying. Little did I know the hell to come. Of course, I KNEW I was sick

organically, and not mentally, but I couldn't tell anyone about the hallucinations because that label would be even harder to overcome and I had already fought the "he's just stressed out" "he's depressed" road with the providers before and wasn't about to do it again. My HUGE mistake, and I have been lectured about this from lawyers and docs alike, was I told the board casually that I had to have sleeping pills to get ANY sleep and how I hated that and that was it. It exploded in their mind and now ALL burden of proof was on me to prove I wasn't too sick, or didn't have an addiction problem. But I had no money and they do not except any assessments but their own designated. One of their docs, who is the board assessment doc, charges $1000 a VISIT! He makes you bring extra money for labs if he so desires to do them. And he takes no

cash, no insurance, and always insists on a follow up. This is what I have been up against. I am 100% dead serious about that. So you might see why I am not overflowing with sympathy for a truck driver who has to get his or her 150/94 down to 139/89 and only gets a yearly certificate when all they have to do is exercise a bit and NOT stop and eat at the truck stop - now if they have PA that's a different story, but still fixable.... Remember I have written how I feel we all tend to live in the world around us as if OUR problem is worse than the next guy or gal and I don't think that way? We act like my PA is worse than yours, I can't eat DASH way because I have this or that, I can't exercise because this or that, no one knows what I've been through,

etc......well we all have a back story and there are exceptions to every rule. I went from 6 figures to NOTHING the very next day at the start of this nightmare. And I have 6 figure student loans and 7 children who I supported fine until I got sick. I have sold everything we own of value. I keep my prized Fender electric and my Fender acoustic. That's it. I ask for advice, and read most everything on the list, and want to hear from friends as to what they do and have done to get better, or find the problem, and so on, on the list, but I don't imply my problem is worse than the next. We all are one in our way , but somehow still that island to ourselves also. I am not one, no matter what, who's gonna sit on his ass though,

so I found something to do which is teach (I am back at the clinic but not at full capacity). And I am a positive thinker who will exercise to whatever capacity I can, I will eat better and if there's something I can't eat (like nuts - high K - but my teeth issues don't let me) I will work around it. That's me, and I think others have that capacity, but refuse to use it. So I am a bit sarcastic and hard on those who make excuse after excuse, but only because I believe we can do more than we act like most of the time. Yes, I know it's hard.....but I like reasons not excuses. Most of all I am not giving up. Like many I tried to find out what was wrong, but was misdiagnosed or not diagnosed for years and years. After it led to all this I am angry beyond belief at some of those who brushed me aside and if I was with a few of them face to face - especially

those who acted like it was stress - I am not sure I could keep myself back (I wouldn't kill someone, but sure let them know how mad I was). Thus I go to therapy just because I do not want to stay that way. So I am fighting this too. As to welfare..... I had a hard working dad who tried his best growing up but we were always on welfare. I know it better than most. I am not a high school graduate, neither were either of my parents (they were 17 when I was born), and yet I had no silver spoon, no help with schooling, no nothing. I busted my ass and I always see a light ahead, not let my past, my illnesses, my upbringing, anything, hold me back. I know rock bottom. The only exception is I have paid alot in taxes when I am working, and now back

to work I will pay alot more for the rest of my life - though likely never reap the benefits of it again (contrary to what is trying to be preached today the more you make the more taxes you pay literally and %, and the less you get back on a return.) Many many many who do not, nor never work nor pay taxes will reap the benefit of my paying taxes though in the past and in the future (some, who pay NO taxes, actually get some back on a return - how the hell is that okay?). But I am sure I will never get a thank you from them. Sorry bro, I know most of us mean well, and writing on this list often doesn't always convey our humor, or empathy and sympathy well, but we are all fighting our different demons on our own turf. One thing my young

44 years has taught me is that my problem is just that - mine. Someone else may be fighting their own just as hard, whether I see it or not. I have mine too.........

[Guest guest]

I believe the amount of sodium you need depends on on how your body works. Some

only need about 250MG. I read that most need about 500mg.

>

> No most with PA have normal scans at first. Review my evolution article and

take to your team. Scans are + MORE in advanced PA. WHAT stage are u in.

>

[Guest guest]

1500 mg sodium is too much for me.

Phyllis

I believe the amount of sodium you need depends on on how

your body works. Some only need about 250MG. I read that

most need about 500mg.

>

> No most with PA have normal scans at first. Review my

evolution article and take to your team. Scans are + MORE

in advanced PA. WHAT stage are u in.

>

[Guest guest]

1500 mg sodium is too much for me. Phyllis I believe the amount of sodium you need depends on on how your body works. Some only need about 250MG. I read that most need about 500mg. > > No most with PA have normal scans at first. Review my evolution article and take to your team. Scans are + MORE in advanced PA. WHAT stage are u in. >

[Guest guest]

Most will do very well on 250 mg a day as the Rice-diet research has shown. But most wont stay on it.CE Grim MDOn Dec 4, 2011, at 10:03 AM, Francis Bill SUSPECTED PA wrote: I believe the amount of sodium you need depends on on how your body works. Some only need about 250MG. I read that most need about 500mg. > > No most with PA have normal scans at first. Review my evolution article and take to your team. Scans are + MORE in advanced PA. WHAT stage are u in. >

[Guest guest]

I meant 500 as that is aha rec's but that still can depend on whether one is

completely sedate, how much H2O one drinks, whether you sweat, have diarrhea and

so on. We can survive on 250 but that is most people. Some would hit the floor.

Like some of us could tolerate a BP of 160/130. I bet some others couldn't and

aren't here to tell us right now. I bet alot of our bodies get used to a sodium

norm of 2000 to 4000 and feel it when we drop it

my point is extremes either way can have bad effects

On Sun, Dec 4, 2011 10:03 AM CST Francis Bill SUSPECTED PA wrote:

>I believe the amount of sodium you need depends on on how your body works. Some

only need about 250MG. I read that most need about 500mg.

>

>

>>

>> No most with PA have normal scans at first. Review my evolution article and

take to your team. Scans are + MORE in advanced PA. WHAT stage are u in.

>>

>

>

[Guest guest]

I was lucky as I told the story of how I had been hospitalized for week for

uncontrolled HTN, and yet they about killed me, didn't do a aldo or renin, and I

came out with nothing new and still HTN.

then I see a cardiologist and I go in at 180 something over 140 something and he

takesit again and again and does a good job taking it and I am on 5 meds at the

time.

At the end he kind of has an aha and asks if I tried spiro. I say no and he puts

me on spiro and has me hold the other meds - 2 doses and I am 120/80!. I also

stopped peeing 10 times a night. On spiro I do great. With DASH (and I am not

extreme in anything so I still

enjoy some things, but over 1500 and bp is up

>We can do an anonymous case report or use a pseudonym

> I would think.

>

>

>

>May your pressure be low!

>

>CE Grim MS, MD

>Specializing in Difficult

>Hypertension

>

>

>

>> Dr. Grim, finally got his blood pressure to goal but as he wrote a few

days ago, he is very sick and unable to work full time. Sounds like something

besides Conn's is going on with ita as well. Certainly, spiro fixed my BP

but nothing else.

>>

>>

>>

>> If wrote his story for a journal, he'd probably never get another job,

what with national medical databases and whatever.

>>

>>

>>

>> Val

>>

>>

>>

>> From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

>>

>> : I would like you to add this to your story in your files when you

have time. It discusses very well the problems that can occur with missed Dx of

PA. And I still think we need to do an article on your experience in the health

system in having the Dx missed. There are several Journals for PAs and NPs that

we could submit the story to and show the benefits of proper Rx.

>>

>> I recall that you are doing better since getting the Dx right and on DASH

and/or meds. Is that still true?

>>

>>

>>

>>

>>

>>

>>

>>

>> Never never assume. I've been out of work and we've on welfare for over a

year because of this illness - teaching has put some gas money in the car and

paid car insurance, but that's about it.

>>

>>

>>

>> I told you my story is a deep one and the medical board, when I told them I

wasn't renewing my license at that time because I was wanting to get some help

for feeling so sick and using the $500 to pay for some labs at that time (I had

no insurance - made a good salary - but $1000 a month went to student loans)

back then, decided to NEVER let me renew it until I paid tens of thousands of

dollars in " professional assessments " . saying I wasn't too sick to work I had

the undiagnosed PA, with severe low K (I have low of 1.9 in the ER), combined

with hyperthyroidism and I was VERY sick - to the point of hallucinations and

week long insomnia among the million other things going on ( I could not even

walk up 5 steps without being competely winded). The sense of doom was beyond

imaginable during this period too. I easily had 170/130 or higher every day. Not

sometimes, but everyday. I never slept, but the way my heart pounded through my

chest I thought I was

dropping dead any second. So I had said I HAD to find out or I was dying.

>>

>>

>>

>> Little did I know the hell to come.

>>

>>

>>

>> Of course, I KNEW I was sick organically, and not mentally, but I couldn't

tell anyone about the hallucinations because that label would be even harder to

overcome and I had already fought the " he's just stressed out " " he's depressed "

road with the providers before and wasn't about to do it again. My HUGE mistake,

and I have been lectured about this from lawyers and docs alike, was I told the

board casually that I had to have sleeping pills to get ANY sleep and how I

hated that and that was it. It exploded in their mind and now ALL burden of

proof was on me to prove I wasn't too sick, or didn't have an addiction problem.

>>

>>

>>

>> But I had no money and they do not except any assessments but their own

designated. One of their docs, who is the board assessment doc, charges $1000 a

VISIT! He makes you bring extra money for labs if he so desires to do them. And

he takes no cash, no insurance, and always insists on a follow up. This is what

I have been up against.

>>

>>

>>

>> I am 100% dead serious about that. So you might see why I am not overflowing

with sympathy for a truck driver who has to get his or her 150/94 down to 139/89

and only gets a yearly certificate when all they have to do is exercise a bit

and NOT stop and eat at the truck stop - now if they have PA that's a different

story, but still fixable....

>>

>>

>>

>> Remember I have written how I feel we all tend to live in the world around us

as if OUR problem is worse than the next guy or gal and I don't think that way?

We act like my PA is worse than yours, I can't eat DASH way because I have this

or that, I can't exercise because this or that, no one knows what I've been

through, etc......well we all have a back story and there are exceptions to

every rule. I went from 6 figures to NOTHING the very next day at the start of

this nightmare. And I have 6 figure student loans and 7 children who I supported

fine until I got sick. I have sold everything we own of value. I keep my prized

Fender electric and my Fender acoustic. That's it.

>>

>>

>>

>> I ask for advice, and read most everything on the list, and want to hear from

friends as to what they do and have done to get better, or find the problem,

and so on, on the list, but I don't imply my problem is worse than the next. We

all are one in our way , but somehow still that island to ourselves also.

>>

>>

>>

>> I am not one, no matter what, who's gonna sit on his ass though, so I found

something to do which is teach (I am back at the clinic but not at full

capacity). And I am a positive thinker who will exercise to whatever capacity I

can, I will eat better and if there's something I can't eat (like nuts - high K

- but my teeth issues don't let me) I will work around it. That's me, and I

think others have that capacity, but refuse to use it. So I am a bit sarcastic

and hard on those who make excuse after excuse, but only because I believe we

can do more than we act like most of the time. Yes, I know it's hard.....but I

like reasons not excuses.

>>

>>

>>

>> Most of all I am not giving up. Like many I tried to find out what was wrong,

but was misdiagnosed or not diagnosed for years and years. After it led to all

this I am angry beyond belief at some of those who brushed me aside and if I was

with a few of them face to face - especially those who acted like it was stress

- I am not sure I could keep myself back (I wouldn't kill someone, but sure let

them know how mad I was). Thus I go to therapy just because I do not want to

stay that way. So I am fighting this too.

>>

>>

>>

>> As to welfare..... I had a hard working dad who tried his best growing up

but we were always on welfare. I know it better than most. I am not a high

school graduate, neither were either of my parents (they were 17 when I was

born), and yet I had no silver spoon, no help with schooling, no nothing. I

busted my ass and I always see a light ahead, not let my past, my illnesses, my

upbringing, anything, hold me back. I know rock bottom.

>>

>>

>>

>> The only exception is I have paid alot in taxes when I am working, and now

back to work I will pay alot more for the rest of my life - though likely never

reap the benefits of it again (contrary to what is trying to be preached today

the more you make the more taxes you pay literally and %, and the less you get

back on a return.) Many many many who do not, nor never work nor pay taxes will

reap the benefit of my paying taxes though in the past and in the future (some,

who pay NO taxes, actually get some back on a return - how the hell is that

okay?).

>>

>>

>>

>> But I am sure I will never get a thank you from them.

>>

>>

>>

>> Sorry bro, I know most of us mean well, and writing on this list often

doesn't always convey our humor, or empathy and sympathy well, but we are all

fighting our different demons on our own turf. One thing my young 44 years has

taught me is that my problem is just that - mine. Someone else may be fighting

their own just as hard, whether I see it or not.

>>

>>

>>

>> I have mine too.........

>>

>>

>>

>>

>>

>>

>>

>>

>>

[Guest guest]

I was lucky as I told the story of how I had been hospitalized for week for

uncontrolled HTN, and yet they about killed me, didn't do a aldo or renin, and I

came out with nothing new and still HTN.

then I see a cardiologist and I go in at 180 something over 140 something and he

takesit again and again and does a good job taking it and I am on 5 meds at the

time.

At the end he kind of has an aha and asks if

I tried spiro. I say no and he puts me on spiro and has me hold the other meds

- 2 doses and I am 120/80!. I also stopped peeing 10

times a night. On spiro I do great. With DASH (and I am not extreme in anything

so I still

enjoy some things, but over 1500 and bp isup. I DASH well though and only take

12.5 SPIRO.

The endocrin tested aldo and renin after while on spiro so they are not

accurate. But because of spiro working so well he does not want to risk it so he

diagnosed Conns based on that and the fact I had no normal K for about 5 years.

Plus hctz each time I tried it put me in the hospital.

I thought my troubles were over but I am very anemic, have weird neuro issues,

the lymphadenopathy, runny or constipated, and other things. Thyroid has stayed

good with no problems since 2010.

>We can do an anonymous case report or use a pseudonym

> I would think.

>

>

>

>May your pressure be low!

>

>CE Grim MS, MD

>Specializing in Difficult

>Hypertension

>

>

>

>> Dr. Grim, finally got his blood pressure to goal but as he wrote a few

days ago, he is very sick and unable to work full time. Sounds like something

besides Conn's is going on with ita as well. Certainly, spiro fixed my BP

but nothing else.

>>

>>

>>

>> If wrote his story for a journal, he'd probably never get another job,

what with national medical databases and whatever.

>>

>>

>>

>> Val

>>

>>

>>

>> From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

>>

>> : I would like you to add this to your story in your files when you

have time. It discusses very well the problems that can occur with missed Dx of

PA. And I still think we need to do an article on your experience in the health

system in having the Dx missed. There are several Journals for PAs and NPs that

we could submit the story to and show the benefits of proper Rx.

>>

>> I recall that you are doing better since getting the Dx right and on DASH

and/or meds. Is that still true?

>>

>>

>>

>>

>>

>>

>>

>>

>> Never never assume. I've been out of work and we've on welfare for over a

year because of this illness - teaching has put some gas money in the car and

paid car insurance, but that's about it.

>>

>>

>>

>> I told you my story is a deep one and the medical board, when I told them I

wasn't renewing my license at that time because I was wanting to get some help

for feeling so sick and using the $500 to pay for some labs at that time (I had

no insurance - made a good salary - but $1000 a month went to student loans)

back then, decided to NEVER let me renew it until I paid tens of thousands of

dollars in " professional assessments " . saying I wasn't too sick to work I had

the undiagnosed PA, with severe low K (I have low of 1.9 in the ER), combined

with hyperthyroidism and I was VERY sick - to the point of hallucinations and

week long insomnia among the million other things going on ( I could not even

walk up 5 steps without being competely winded). The sense of doom was beyond

imaginable during this period too. I easily had 170/130 or higher every day. Not

sometimes, but everyday. I never slept, but the way my heart pounded through my

chest I thought I was

dropping dead any second. So I had said I HAD to find out or I was dying.

>>

>>

>>

>> Little did I know the hell to come.

>>

>>

>>

>> Of course, I KNEW I was sick organically, and not mentally, but I couldn't

tell anyone about the hallucinations because that label would be even harder to

overcome and I had already fought the " he's just stressed out " " he's depressed "

road with the providers before and wasn't about to do it again. My HUGE mistake,

and I have been lectured about this from lawyers and docs alike, was I told the

board casually that I had to have sleeping pills to get ANY sleep and how I

hated that and that was it. It exploded in their mind and now ALL burden of

proof was on me to prove I wasn't too sick, or didn't have an addiction problem.

>>

>>

>>

>> But I had no money and they do not except any assessments but their own

designated. One of their docs, who is the board assessment doc, charges $1000 a

VISIT! He makes you bring extra money for labs if he so desires to do them. And

he takes no cash, no insurance, and always insists on a follow up. This is what

I have been up against.

>>

>>

>>

>> I am 100% dead serious about that. So you might see why I am not overflowing

with sympathy for a truck driver who has to get his or her 150/94 down to 139/89

and only gets a yearly certificate when all they have to do is exercise a bit

and NOT stop and eat at the truck stop - now if they have PA that's a different

story, but still fixable....

>>

>>

>>

>> Remember I have written how I feel we all tend to live in the world around us

as if OUR problem is worse than the next guy or gal and I don't think that way?

We act like my PA is worse than yours, I can't eat DASH way because I have this

or that, I can't exercise because this or that, no one knows what I've been

through, etc......well we all have a back story and there are exceptions to

every rule. I went from 6 figures to NOTHING the very next day at the start of

this nightmare. And I have 6 figure student loans and 7 children who I supported

fine until I got sick. I have sold everything we own of value. I keep my prized

Fender electric and my Fender acoustic. That's it.

>>

>>

>>

>> I ask for advice, and read most everything on the list, and want to hear from

friends as to what they do and have done to get better, or find the problem,

and so on, on the list, but I don't imply my problem is worse than the next. We

all are one in our way , but somehow still that island to ourselves also.

>>

>>

>>

>> I am not one, no matter what, who's gonna sit on his ass though, so I found

something to do which is teach (I am back at the clinic but not at full

capacity). And I am a positive thinker who will exercise to whatever capacity I

can, I will eat better and if there's something I can't eat (like nuts - high K

- but my teeth issues don't let me) I will work around it. That's me, and I

think others have that capacity, but refuse to use it. So I am a bit sarcastic

and hard on those who make excuse after excuse, but only because I believe we

can do more than we act like most of the time. Yes, I know it's hard.....but I

like reasons not excuses.

>>

>>

>>

>> Most of all I am not giving up. Like many I tried to find out what was wrong,

but was misdiagnosed or not diagnosed for years and years. After it led to all

this I am angry beyond belief at some of those who brushed me aside and if I was

with a few of them face to face - especially those who acted like it was stress

- I am not sure I could keep myself back (I wouldn't kill someone, but sure let

them know how mad I was). Thus I go to therapy just because I do not want to

stay that way. So I am fighting this too.

>>

>>

>>

>> As to welfare..... I had a hard working dad who tried his best growing up

but we were always on welfare. I know it better than most. I am not a high

school graduate, neither were either of my parents (they were 17 when I was

born), and yet I had no silver spoon, no help with schooling, no nothing. I

busted my ass and I always see a light ahead, not let my past, my illnesses, my

upbringing, anything, hold me back. I know rock bottom.

>>

>>

>>

>> The only exception is I have paid alot in taxes when I am working, and now

back to work I will pay alot more for the rest of my life - though likely never

reap the benefits of it again (contrary to what is trying to be preached today

the more you make the more taxes you pay literally and %, and the less you get

back on a return.) Many many many who do not, nor never work nor pay taxes will

reap the benefit of my paying taxes though in the past and in the future (some,

who pay NO taxes, actually get some back on a return - how the hell is that

okay?).

>>

>>

>>

>> But I am sure I will never get a thank you from them.

>>

>>

>>

>> Sorry bro, I know most of us mean well, and writing on this list often

doesn't always convey our humor, or empathy and sympathy well, but we are all

fighting our different demons on our own turf. One thing my young 44 years has

taught me is that my problem is just that - mine. Someone else may be fighting

their own just as hard, whether I see it or not.

>>

>>

>>

>> I have mine too.........

>>

>>

>>

>>

>>

>>

>>

>>

>>

[Guest guest]

What year was the AHA moment? Spiro for difficult HTN was most recently reported by Calhoun about 10 years ago as I recall. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

I was lucky as I told the story of how I had been hospitalized for week for uncontrolled HTN, and yet they about killed me, didn't do a aldo or renin, and I came out with nothing new and still HTN.

then I see a cardiologist and I go in at 180 something over 140 something and he takesit again and again and does a good job taking it and I am on 5 meds at the time.

At the end he kind of has an aha and asks if I tried spiro. I say no and he puts me on spiro and has me hold the other meds - 2 doses and I am 120/80!. I also stopped peeing 10 times a night. On spiro I do great. With DASH (and I am not extreme in anything so I still

enjoy some things, but over 1500 and bp is up

>We can do an anonymous case report or use a pseudonym

> I would think.

>

>

>

>May your pressure be low!

>

>CE Grim MS, MD

>Specializing in Difficult

>Hypertension

>

>

>

>> Dr. Grim, finally got his blood pressure to goal but as he wrote a few days ago, he is very sick and unable to work full time. Sounds like something besides Conn's is going on with ita as well. Certainly, spiro fixed my BP but nothing else.

>>

>>

>>

>> If wrote his story for a journal, he'd probably never get another job, what with national medical databases and whatever.

>>

>>

>>

>> Val

>>

>>

>>

>> From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

>>

>> : I would like you to add this to your story in your files when you have time. It discusses very well the problems that can occur with missed Dx of PA. And I still think we need to do an article on your experience in the health system in having the Dx missed. There are several Journals for PAs and NPs that we could submit the story to and show the benefits of proper Rx.

>>

>> I recall that you are doing better since getting the Dx right and on DASH and/or meds. Is that still true?

>>

>>

>>

>>

>>

>>

>>

>>

>> Never never assume. I've been out of work and we've on welfare for over a year because of this illness - teaching has put some gas money in the car and paid car insurance, but that's about it.

>>

>>

>>

>> I told you my story is a deep one and the medical board, when I told them I wasn't renewing my license at that time because I was wanting to get some help for feeling so sick and using the $500 to pay for some labs at that time (I had no insurance - made a good salary - but $1000 a month went to student loans) back then, decided to NEVER let me renew it until I paid tens of thousands of dollars in "professional assessments". saying I wasn't too sick to work I had the undiagnosed PA, with severe low K (I have low of 1.9 in the ER), combined with hyperthyroidism and I was VERY sick - to the point of hallucinations and week long insomnia among the million other things going on ( I could not even walk up 5 steps without being competely winded). The sense of doom was beyond imaginable during this period too. I easily had 170/130 or higher every day. Not sometimes, but everyday. I never slept, but the way my heart pounded through my chest I thought I was

dropping dead any second. So I had said I HAD to find out or I was dying.

>>

>>

>>

>> Little did I know the hell to come.

>>

>>

>>

>> Of course, I KNEW I was sick organically, and not mentally, but I couldn't tell anyone about the hallucinations because that label would be even harder to overcome and I had already fought the "he's just stressed out" "he's depressed" road with the providers before and wasn't about to do it again. My HUGE mistake, and I have been lectured about this from lawyers and docs alike, was I told the board casually that I had to have sleeping pills to get ANY sleep and how I hated that and that was it. It exploded in their mind and now ALL burden of proof was on me to prove I wasn't too sick, or didn't have an addiction problem.

>>

>>

>>

>> But I had no money and they do not except any assessments but their own designated. One of their docs, who is the board assessment doc, charges $1000 a VISIT! He makes you bring extra money for labs if he so desires to do them. And he takes no cash, no insurance, and always insists on a follow up. This is what I have been up against.

>>

>>

>>

>> I am 100% dead serious about that. So you might see why I am not overflowing with sympathy for a truck driver who has to get his or her 150/94 down to 139/89 and only gets a yearly certificate when all they have to do is exercise a bit and NOT stop and eat at the truck stop - now if they have PA that's a different story, but still fixable....

>>

>>

>>

>> Remember I have written how I feel we all tend to live in the world around us as if OUR problem is worse than the next guy or gal and I don't think that way? We act like my PA is worse than yours, I can't eat DASH way because I have this or that, I can't exercise because this or that, no one knows what I've been through, etc......well we all have a back story and there are exceptions to every rule. I went from 6 figures to NOTHING the very next day at the start of this nightmare. And I have 6 figure student loans and 7 children who I supported fine until I got sick. I have sold everything we own of value. I keep my prized Fender electric and my Fender acoustic. That's it.

>>

>>

>>

>> I ask for advice, and read most everything on the list, and want to hear from friends as to what they do and have done to get better, or find the problem, and so on, on the list, but I don't imply my problem is worse than the next. We all are one in our way , but somehow still that island to ourselves also.

>>

>>

>>

>> I am not one, no matter what, who's gonna sit on his ass though, so I found something to do which is teach (I am back at the clinic but not at full capacity). And I am a positive thinker who will exercise to whatever capacity I can, I will eat better and if there's something I can't eat (like nuts - high K - but my teeth issues don't let me) I will work around it. That's me, and I think others have that capacity, but refuse to use it. So I am a bit sarcastic and hard on those who make excuse after excuse, but only because I believe we can do more than we act like most of the time. Yes, I know it's hard.....but I like reasons not excuses.

>>

>>

>>

>> Most of all I am not giving up. Like many I tried to find out what was wrong, but was misdiagnosed or not diagnosed for years and years. After it led to all this I am angry beyond belief at some of those who brushed me aside and if I was with a few of them face to face - especially those who acted like it was stress - I am not sure I could keep myself back (I wouldn't kill someone, but sure let them know how mad I was). Thus I go to therapy just because I do not want to stay that way. So I am fighting this too.

>>

>>

>>

>> As to welfare..... I had a hard working dad who tried his best growing up but we were always on welfare. I know it better than most. I am not a high school graduate, neither were either of my parents (they were 17 when I was born), and yet I had no silver spoon, no help with schooling, no nothing. I busted my ass and I always see a light ahead, not let my past, my illnesses, my upbringing, anything, hold me back. I know rock bottom.

>>

>>

>>

>> The only exception is I have paid alot in taxes when I am working, and now back to work I will pay alot more for the rest of my life - though likely never reap the benefits of it again (contrary to what is trying to be preached today the more you make the more taxes you pay literally and %, and the less you get back on a return.) Many many many who do not, nor never work nor pay taxes will reap the benefit of my paying taxes though in the past and in the future (some, who pay NO taxes, actually get some back on a return - how the hell is that okay?).

>>

>>

>>

>> But I am sure I will never get a thank you from them.

>>

>>

>>

>> Sorry bro, I know most of us mean well, and writing on this list often doesn't always convey our humor, or empathy and sympathy well, but we are all fighting our different demons on our own turf. One thing my young 44 years has taught me is that my problem is just that - mine. Someone else may be fighting their own just as hard, whether I see it or not.

>>

>>

>>

>> I have mine too.........

>>

>>

>>

>>

>>

>>

>>

>>

>>

[Guest guest]

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.

>

>

>

>

> Never never assume. I've been out of work and we've on welfare for over a

> year because of this illness - teaching has put some gas money in the car

> and paid car insurance, but that's about it.

>

> I told you my story is a deep one and the medical board, when I told them I

> wasn't renewing my license at that time because I was wanting to get some

> help for feeling so sick and using the $500 to pay for some labs at that

> time (I had no insurance - made a good salary - but $1000 a month went to

> student loans) back then, decided to NEVER let me renew it until I paid tens

> of thousands of dollars in " professional assessments " . saying I wasn't too

> sick to work I had the undiagnosed PA, with severe low K (I have low of 1.9

> in the ER), combined with hyperthyroidism and I was VERY sick - to the point

> of hallucinations and week long insomnia among the million other things

> going on ( I could not even walk up 5 steps without being competely winded).

> The sense of doom was beyond imaginable during this period too. I easily had

> 170/130 or higher every day. Not sometimes, but everyday. I never slept, but

> the way my heart pounded through my chest I thought I was dropping dead any

> second. So I had said I HAD to find out or I was dying.

>

> Little did I know the hell to come.

>

> Of course, I KNEW I was sick organically, and not mentally, but I couldn't

> tell anyone about the hallucinations because that label would be even harder

> to overcome and I had already fought the " he's just stressed out " " he's

> depressed " road with the providers before and wasn't about to do it again.

> My HUGE mistake, and I have been lectured about this from lawyers and docs

> alike, was I told the board casually that I had to have sleeping pills to

> get ANY sleep and how I hated that and that was it. It exploded in their

> mind and now ALL burden of proof was on me to prove I wasn't too sick, or

> didn't have an addiction problem.

>

> But I had no money and they do not except any assessments but their own

> designated. One of their docs, who is the board assessment doc, charges

> $1000 a VISIT! He makes you bring extra money for labs if he so desires to

> do them. And he takes no cash, no insurance, and always insists on a follow

> up. This is what I have been up against.

>

> I am 100% dead serious about that. So you might see why I am not overflowing

> with sympathy for a truck driver who has to get his or her 150/94 down to

> 139/89 and only gets a yearly certificate when all they have to do is

> exercise a bit and NOT stop and eat at the truck stop - now if they have PA

> that's a different story, but still fixable....

>

> Remember I have written how I feel we all tend to live in the world around

> us as if OUR problem is worse than the next guy or gal and I don't think

> that way? We act like my PA is worse than yours, I can't eat DASH way

> because I have this or that, I can't exercise because this or that, no one

> knows what I've been through, etc......well we all have a back story and

> there are exceptions to every rule. I went from 6 figures to NOTHING the

> very next day at the start of this nightmare. And I have 6 figure student

> loans and 7 children who I supported fine until I got sick. I have sold

> everything we own of value. I keep my prized Fender electric and my Fender

> acoustic. That's it.

>

> I ask for advice, and read most everything on the list, and want to hear

> from friends as to what they do and have done to get better, or find the

> problem, and so on, on the list, but I don't imply my problem is worse than

> the next. We all are one in our way , but somehow still that island to

> ourselves also.

>

> I am not one, no matter what, who's gonna sit on his ass though, so I found

> something to do which is teach (I am back at the clinic but not at full

> capacity). And I am a positive thinker who will exercise to whatever

> capacity I can, I will eat better and if there's something I can't eat (like

> nuts - high K - but my teeth issues don't let me) I will work around it.

> That's me, and I think others have that capacity, but refuse to use it. So I

> am a bit sarcastic and hard on those who make excuse after excuse, but only

> because I believe we can do more than we act like most of the time. Yes, I

> know it's hard.....but I like reasons not excuses.

>

> Most of all I am not giving up. Like many I tried to find out what was

> wrong, but was misdiagnosed or not diagnosed for years and years. After it

> led to all this I am angry beyond belief at some of those who brushed me

> aside and if I was with a few of them face to face - especially those who

> acted like it was stress - I am not sure I could keep myself back (I

> wouldn't kill someone, but sure let them know how mad I was). Thus I go to

> therapy just because I do not want to stay that way. So I am fighting this

> too.

>

> As to welfare..... I had a hard working dad who tried his best growing up

> but we were always on welfare. I know it better than most. I am not a high

> school graduate, neither were either of my parents (they were 17 when I was

> born), and yet I had no silver spoon, no help with schooling, no nothing. I

> busted my ass and I always see a light ahead, not let my past, my illnesses,

> my upbringing, anything, hold me back. I know rock bottom.

>

> The only exception is I have paid alot in taxes when I am working, and now

> back to work I will pay alot more for the rest of my life - though likely

> never reap the benefits of it again (contrary to what is trying to be

> preached today the more you make the more taxes you pay literally and %, and

> the less you get back on a return.) Many many many who do not, nor never

> work nor pay taxes will reap the benefit of my paying taxes though in the

> past and in the future (some, who pay NO taxes, actually get some back on a

> return - how the hell is that okay?).

>

> But I am sure I will never get a thank you from them.

>

> Sorry bro, I know most of us mean well, and writing on this list often

> doesn't always convey our humor, or empathy and sympathy well, but we are

> all fighting our different demons on our own turf. One thing my young 44

> years has taught me is that my problem is just that - mine. Someone else may

> be fighting their own just as hard, whether I see it or not.

>

> I have mine too.........

>

>

>

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

> 38820/stime=1322939406/nc1=3848643/nc2=5191951/nc3=5191949

>

[Guest guest]

I would recommend eplerenone as the way to get rid of the gyneco due to spiro. CE Grim, MD

[Guest guest]

I understand that and appreciate your opinion. Can you guarantee they are

non-cancerious and that will also eliminate the bumps under my arm? How many

cases of gyneo have you treated where there were 6 or more identifiable nodules

in the breast and 2 or more in the lymph nodes? You might very well be right

but as I understand it, if it is cancer then time (delay) is not my friend!

(Besides that is something I would just as soon not worry about for the next 40

years! Can you explain why only one breast is involved? (I know you did some

formular that " proved " that the odds were something like 1 in 8. If I run that

8 times doesn't it become 1 to 1?)

My PCP is very well versed in dealing with breast tissue and abnormalities since

she is one of two doctors whose primary responsibility is to treat female vets.

(In fact both of them and a PA have reviewed the SXs and have come to the same

conclusion!) My guess there is a SOP for handling such situations and they are

following protocal and as the responsible treating doctors are not leaving

options on this one. The mammogram is scheduled for 1pm at the Jamica Plains VA

Hospital in Boston, Massachusettes. I'll let you know the results and certainly

hope you are right!

BTW, you never responded to my question as to why you always require the " Gold

Standard " for identifying PA and will accept something less for Brest Masses!

- 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.

>

[Guest guest]

We'll pray it is not Ca though.........and if it is that they found it just at the right time!

Subject: Re: Normal CTTo: hyperaldosteronism Date: Sunday, December 4, 2011, 9:16 PM

I understand that and appreciate your opinion. Can you guarantee they are non-cancerious and that will also eliminate the bumps under my arm? How many cases of gyneo have you treated where there were 6 or more identifiable nodules in the breast and 2 or more in the lymph nodes? You might very well be right but as I understand it, if it is cancer then time (delay) is not my friend! (Besides that is something I would just as soon not worry about for the next 40 years! Can you explain why only one breast is involved? (I know you did some formular that "proved" that the odds were something like 1 in 8. If I run that 8 times doesn't it become 1 to 1?)My PCP is very well versed in dealing with breast tissue and abnormalities since she is one of two doctors whose primary responsibility is to treat female vets. (In fact both of them and a PA have reviewed the SXs and have come to the same conclusion!) My guess there is a SOP for handling such

situations and they are following protocal and as the responsible treating doctors are not leaving options on this one. The mammogram is scheduled for 1pm at the Jamica Plains VA Hospital in Boston, Massachusettes. I'll let you know the results and certainly hope you are right!BTW, you never responded to my question as to why you always require the "Gold Standard" for identifying PA and will accept something less for Brest Masses! - 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 60Other 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. >

[Guest guest]

Thanks .

> >

>

[Guest guest]

needs to talk to his breast expert at the VA and the Dr. giving him spiro who should both have a lot of experience in this issue I would hope.Mine is only about 48 years.CE Grim MD has already been turned down for Inspra by a government panel. He's trying again. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim I would recommend eplerenone as the way to get rid of the gyneco due to spiro. _,_._,___

[Guest guest]

I would guess it would be very hard to find any Dr at this VA that has much

experience DX or treating PA. 's will most likey have

the most and that is about a year worth.

>

> >

> > has already been turned down for Inspra by a government panel.

> > He's trying again.

> >

> >

> >

> > Val

> >

> >

> >

> > From: hyperaldosteronism

[mailto:hyperaldosteronism

> > ] On Behalf Of Clarence Grim

> >

> >

> > I would recommend eplerenone as the way to get rid of the

> > gyneco due to spiro.

> >

> >

> >

> >

> >

> >

> >

> > _,_._,___

> >

> >

> >

>

[Guest guest]

Obviously you know they don't have a HTN expert, you told us they did away with

that function! How can they DX if they can't even take a proper BP? Is that a

VA problem or a general problem? Maybe you should survey that and report it!

Maybe we can get the medical staff certified by the DOT so they can do correct

CDL physicals!

- 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.

> > >

> > > >

> > > > has already been turned down for Inspra by a government

> > panel.

> > > > He's trying again.

> > > >

> > > >

> > > >

> > > > Val

> > > >

> > > >

> > > >

> > > > From: hyperaldosteronism

[mailto:hyperaldosteronism

> > > > ] On Behalf Of Clarence Grim

> > > >

> > > >

> > > > I would recommend eplerenone as the way to get rid of the

> > > > gyneco due to spiro.

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > _,_._,___

> > > >

> > > >

> > > >

> > >

> >

> >

>

[Guest guest]

We have tried to get legislation requiring calibration of Drs office BP devices and validation of knowledge and performance of BP measurement.Response from Med groups and politicians was that Drs and nurses are professionals and do not need to be "over-regulated". And they don't have time to do it right.I am still working on it.CE Grim MD Obviously you know they don't have a HTN expert, you told us they did away with that function! How can they DX if they can't even take a proper BP? Is that a VA problem or a general problem? Maybe you should survey that and report it! Maybe we can get the medical staff certified by the DOT so they can do correct CDL physicals! - 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. > > > > > > > > > > > has already been turned down for Inspra by a government > > panel. > > > > He's trying again. > > > > > > > > > > > > > > > > Val > > > > > > > > > > > > > > > > From: hyperaldosteronism [mailto:hyperaldosteronism > > > > ] On Behalf Of Clarence Grim > > > > > > > > > > > > I would recommend eplerenone as the way to get rid of the > > > > gyneco due to spiro. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > _,_._,___ > > > > > > > > > > > > > > > > > > > >

[Guest guest]

If they don't have time to do it right, how will they find time to attend the

funeral! Maybe you need to aproach it as a cost issue instead of a health

issue, that'll get their attention! If I can refigure the length of the day I

have most of the info to come up with a pretty good guess back to late 2005. By

the time you figure 7 unnessary medicines, extra appts and my cost of getting

there, extra labs and tests, 3 sleep studies and two bi-pap machines and I'm

sure there is more! Wow it might even be real money!

- 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.

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> > > > > > has already been turned down for Inspra by a government

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> > > > > > He's trying again.

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> > > > > > Val

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> > > > > > From: hyperaldosteronism

[mailto:hyperaldosteronism

> > > > > > ] On Behalf Of Clarence Grim

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> > > > > > I would recommend eplerenone as the way to get rid of the

> > > > > > gyneco due to spiro.

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> > > > > > _,_._,___

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[Guest guest]

Even the cost issue does not seem to sell to the powers that be. Too simple to be important and everyone knows how to do a BP anyway.CE Grim MD If they don't have time to do it right, how will they find time to attend the funeral! Maybe you need to aproach it as a cost issue instead of a health issue, that'll get their attention! If I can refigure the length of the day I have most of the info to come up with a pretty good guess back to late 2005. By the time you figure 7 unnessary medicines, extra appts and my cost of getting there, extra labs and tests, 3 sleep studies and two bi-pap machines and I'm sure there is more! Wow it might even be real money! - 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. > > > > > > > > > > > > > > > > > has already been turned down for Inspra by a government > > > > panel. > > > > > > He's trying again. > > > > > > > > > > > > > > > > > > > > > > > > Val > > > > > > > > > > > > > > > > > > > > > > > > From: hyperaldosteronism [mailto:hyperaldosteronism > > > > > > ] On Behalf Of Clarence Grim > > > > > > > > > > > > > > > > > > I would recommend eplerenone as the way to get rid of the > > > > > > gyneco due to spiro. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > _,_._,___ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >