Re: Missed PA in the practice of medicine: why does it happen?

[Guest guest]

This needs to be done!

I mainly blame the ease of prescribing SSRIs. How many people here were first

" diagnosed " with a psych disorder the first time we presented in an ER with

elevated BP? I certainly was.

Another reason: because in med school they're still teaching that it's rare. So,

none of us could *possibly* have such a *rare* condition.

And, lastly: if untreated, PA makes most of us gain weight. By the we first

present with HTN, if we're anything larger than emaciated, I'm convinced that

the doctors blame the obesity for the HTN and refuse to consider anything else.

--- In hyperaldosteronism , Clarence Grim

> Maybe we should also do an abstract on Missed PA in the practice of medicine:

why does it happen?

> This would tabulate the reasons PA has been missed

[Guest guest]

But family doctors don't seem to get that. In the U.S. especially we have so

much government-issued and AHA-issued dogma about weight and exercise being the

cure-all for HTN and diabetes, but all of us here are proof that it's not that

simple.

>

> > This needs to be done!

> >

> > I mainly blame the ease of prescribing SSRIs. How many people here

> > were first " diagnosed " with a psych disorder the first time we

> > presented in an ER with elevated BP? I certainly was.

> >

> > Another reason: because in med school they're still teaching that

> > it's rare. So, none of us could *possibly* have such a *rare*

> > condition.

> >

> > And, lastly: if untreated, PA makes most of us gain weight. By the

> > we first present with HTN, if we're anything larger than emaciated,

> > I'm convinced that the doctors blame the obesity for the HTN and

> > refuse to consider anything else.

> >

> > --- In hyperaldosteronism , Clarence Grim

> > > Maybe we should also do an abstract on Missed PA in the practice

> > of medicine: why does it happen?

> > > This would tabulate the reasons PA has been missed

> >

> >

>

[Guest guest]

I agree M about the anxiety meds. However, one of the things I have had

time to reflect on is that most of us develop anxiety the longer we deal with PA

without a diagnosis. On a trip to the ER I'm sure that some of my high BP is

caused by the PA. However, a lot of it was/is caused by the anxiety of thinking

that the situation is hopeless and that no one is going to be able to help. It

is a very scary feeling thinking that you can drop dead at any moment. I

personally sought out help for anxiety and after hard work and 38 sessions later

I was able to get the anxiety under control without meds.

You know what though, the single best way to get it under control is finally

getting a diagnosis and seeing an expert in PA at Wash U and Mayo clinic.

Finally someone knows what I was experiencing and I have a game plan to stay

healthy for my family. That has trumped any of the 38 sessions I had with the

wonderful psych doctor that helped me through my diagnosis process and dealing

with a brain lesion/tumor diagnosis.

I am so happy for you M that you are cured by surgery. I am curious to

follow what happens to you anxiety wise now that you are cured. I sense a

different state of mind even in your posts on this site. I imagine that life is

much sweeter for you now. I praise God that he has given you health for the

rest of your life.

>

> > This needs to be done!

> >

> > I mainly blame the ease of prescribing SSRIs. How many people here

> > were first " diagnosed " with a psych disorder the first time we

> > presented in an ER with elevated BP? I certainly was.

> >

> > Another reason: because in med school they're still teaching that

> > it's rare. So, none of us could *possibly* have such a *rare*

> > condition.

> >

> > And, lastly: if untreated, PA makes most of us gain weight. By the

> > we first present with HTN, if we're anything larger than emaciated,

> > I'm convinced that the doctors blame the obesity for the HTN and

> > refuse to consider anything else.

> >

> > --- In hyperaldosteronism , Clarence Grim

> > > Maybe we should also do an abstract on Missed PA in the practice

> > of medicine: why does it happen?

> > > This would tabulate the reasons PA has been missed

> >

> >

>

[Guest guest]

Sadly I am guessing you allude to the fact they ignore other things to preach about something else. Yes, this. I'm all for healthy living - been doing it most of my life save for my punk-rock teens and early twenties. But when I made it clear to a half-dozen doctors that I do yoga, eat healthy (meaning natural and organic and not in excess), walk everywhere I can, go hiking regularly, blah blah and they ignore these facts (or choose to not believe them, since so many Americans DO NOT live this way), then offer solutions such as "maybe you should join a gym" or "maybe you should take a pill that affects your brain chemistry," something in the system is clearly broken. I just think it's insane when a doctor gives this same advice to an otherwise healthy, thin woman such as myself, and gives the same advice to a morbidly-obese couch potato, as though it's a one-size-fits-all solution. Heck, I've never even owned a television!We don't know why we have PA. I strongly believe it's environmental, caused by things that we once didn't know enough to control - a really messed up food supply, for one. BPA-containing plastic everywhere for most of our lives, which we now know contributes to metabolic disturbances. Stuff in the air and in the water. We'll probably never know.> > > > > This needs to be done!> > >> > > I mainly blame the ease of prescribing SSRIs. How many people here > > > were first "diagnosed" with a psych disorder the first time we > > > presented in an ER with elevated BP? I certainly was.> > >> > > Another reason: because in med school they're still teaching that > > > it's rare. So, none of us could *possibly* have such a *rare* > > > condition.> > >> > > And, lastly: if untreated, PA makes most of us gain weight. By the > > > we first present with HTN, if we're anything larger than emaciated, > > > I'm convinced that the doctors blame the obesity for the HTN and > > > refuse to consider anything else.> > >> > > --- In hyperaldosteronism , Clarence Grim> > > > Maybe we should also do an abstract on Missed PA in the practice > > > of medicine: why does it happen?> > > > This would tabulate the reasons PA has been missed> > >> > >> >>

[Guest guest]

Maybe someone who had HTN for a long time, low K, didn't respond to meds, then was found to have the ARR high and the other labs to back it up?, this is me EXACTLY. If you want to collaborate on something like this, please include me in!> > > Subject: Re: Missed PA in the practice of medicine: why does it happen?> To: hyperaldosteronism > Date: Saturday, November 5, 2011, 9:23 PM> > > > Â > > > > This needs to be done!> > I mainly blame the ease of prescribing SSRIs. How many people here were first "diagnosed" with a psych disorder the first time we presented in an ER with elevated BP? I certainly was.> > Another reason: because in med school they're still teaching that it's rare. So, none of us could *possibly* have such a *rare* condition.> > And, lastly: if untreated, PA makes most of us gain weight. By the we first present with HTN, if we're anything larger than emaciated, I'm convinced that the doctors blame the obesity for the HTN and refuse to consider anything else.> > --- In hyperaldosteronism , Clarence Grim > > Maybe we should also do an abstract on Missed PA in the practice of medicine: why does it happen?> > This would tabulate the reasons PA has been missed>