Re: Dr. here - DXed my first case of PA this morning!

[Guest guest]

I suppect that many have un Dx PA at this VA.

>

> With the weather problems promised and the car misbehaving, I changed my mind

and took the shuttle to Boston today. Took ear plugs in case I needed them

which I didn't!

>

> We were standing in the lobby at 6:45 am and this man was talking about going

down again for more testing! He had HTN and was experiencing many of the SX

many of you have associated with low K! I spoke up and asked if he had been

tested for PA (like I didn't know the answer!)

>

> I started by telling him a little about renin and aldo and how the excess aldo

caused a lot of the problems. When I told him it was often caused by a benign

tumor in an adrenl gland he came accross to where I was standing and said " I'VE

GOT ONE OF THOSE! " " They told me it was benign and to not worry about it, it

wasn't doing anything! " I told him it probably would not cause cancer but could

very well result in a heart attack or stroke from the HTN it was likely causing.

I also told him the other symptoms sounded like low potassium and even if they

told him it was normal, it could very likely be that they didn't draw correctly

or if just over the minimum like 3.7 or 3.8 it might be his body telling the

scolars that made the ranges they were wrong!

>

> I wrote down some info for him and suggested he join this group. I almost

" bet him a beer " that if he joined and followed instructions he would be feeling

better in a month or two - figured I could send the beer to Dr. G., I must owe

him one or two!

>

> I think I made his day, I overheard him telling 3 different people that he

thought he found his problem and then I'd see him pointing at nme from accross

the waiting room! Thought about holding a class! See, the VA delivers - You

never know wht you will learn on the bus! (I learned a lot in my 7 years

driving the bus!)

>

> - 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]

Excellent. Hope he will join us. Next time keep a copy of the evolution in your dr bag. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

With the weather problems promised and the car misbehaving, I changed my mind and took the shuttle to Boston today. Took ear plugs in case I needed them which I didn't!

We were standing in the lobby at 6:45 am and this man was talking about going down again for more testing! He had HTN and was experiencing many of the SX many of you have associated with low K! I spoke up and asked if he had been tested for PA (like I didn't know the answer!)

I started by telling him a little about renin and aldo and how the excess aldo caused a lot of the problems. When I told him it was often caused by a benign tumor in an adrenl gland he came accross to where I was standing and said "I'VE GOT ONE OF THOSE!" "They told me it was benign and to not worry about it, it wasn't doing anything!" I told him it probably would not cause cancer but could very well result in a heart attack or stroke from the HTN it was likely causing. I also told him the other symptoms sounded like low potassium and even if they told him it was normal, it could very likely be that they didn't draw correctly or if just over the minimum like 3.7 or 3.8 it might be his body telling the scolars that made the ranges they were wrong!

I wrote down some info for him and suggested he join this group. I almost "bet him a beer" that if he joined and followed instructions he would be feeling better in a month or two - figured I could send the beer to Dr. G., I must owe him one or two!

I think I made his day, I overheard him telling 3 different people that he thought he found his problem and then I'd see him pointing at nme from accross the waiting room! Thought about holding a class! See, the VA delivers - You never know wht you will learn on the bus! (I learned a lot in my 7 years driving the bus!)

- 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.