Francis

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Francis,If you are on ATENOLOL25MG TRIAMTERENE50MG POTASSIUM CHLORIDE 20MEQFUROSEMIDE 60MG TAB. and still have HBP, then you are staring at the answer right in front of you. Why won't you try spiro? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Francis Bill SUSPECTED PA Guess you missed it as it is there. Same meds as listed is what I was taking for both test also blood draw were done in after noon for both tests. > > > > > > > > >> > > > > > > > > > Dr. Grim, just wondering if you have any insights or > > theories into the cause of adrenal adenomas in the first place? The > > standard answer via Google seems to be " unknown, but may be related > > to genetic mutations not yet identified " (cite here: http://books.google.com/books?id=-HRJOElZch8C & pg=PA19 & lpg=PA19 & dq=%22cause+of+adrenal+adenomas%22 & source=bl & ots=9dIzrgvkHD & sig=RAztBIsNZHiX7B8W7un1xaV9J88 & hl=en & ei=TxSRTpbzFpD9iQKctbTMCA & sa=X & oi=book_result & ct=result & resnum=9 & ved=0CGcQ6AEwCA#v > > =onepage & q=%22cause%20of%20adrenal%20adenomas%22 & f=false and > > elsewhere).> > > > > > > > > >> > > > > > > > > > Figured your 40 years of experience might mean you > > have an answer other than " nobody knows " Thanks, as always, for > > the input.> > > > > > > > > >> > > > > > > > > > -msmith1928> > > > > > > > > > Nulliparous female, 46, 5'3 " , 120 lbs, > > polymenorrhea, hyperinsulinemia, hereditary fructose intolerance, > > lactose intolerance, probable gluten intolerance. Current meds are K > > 20 MEQ 4x/day, singulair 10mg, norethindrone .35mg to regulate > > polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine > > 180mg as needed. Low sodium, fructose- and grain-free diet. Known > > drug allergies include PCN, sulfa, tetracycline; spiro caused > > gynecomastia, polymenorrhea, depression, anxiety, and dizziness. 1cm > > left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium > > <2.9 (when not taking supplements); AVS determined disease is > > unilateral, left laparoscopic adrenalectomy is scheduled for > > 10/13/2011.> > > > > > > > > >> > > > > > > > > >> > > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > >> > > > > >> > > > > >> > > > >> > > >> > >> >> >>

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This issue has been not that he will not try spiro. The problem has been to convince his VA Drs to try spiro as he is doing well on this I thing but not completely normal.We have been trying to get VA to do this and perhaps I need to send a letter to his team. But Bill you will need to give me permission to do this.CE Grim MD Francis,If you are on ATENOLOL25MG TRIAMTERENE50MG POTASSIUM CHLORIDE 20MEQFUROSEMIDE 60MG TAB. and still have HBP, then you are staring at the answer right in front of you. Why won't you try spiro? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Francis Bill SUSPECTED PA Guess you missed it as it is there. Same meds as listed is what I was taking for both test also blood draw were done in after noon for both tests. > > > > > > > > >> > > > > > > > > > Dr. Grim, just wondering if you have any insights or > > theories into the cause of adrenal adenomas in the first place? The > > standard answer via Google seems to be "unknown, but may be related > > to genetic mutations not yet identified" (cite here: http://books.google.com/books?id=-HRJOElZch8C & pg=PA19 & lpg=PA19 & dq=%22cause+of+adrenal+adenomas%22 & source=bl & ots=9dIzrgvkHD & sig=RAztBIsNZHiX7B8W7un1xaV9J88 & hl=en & ei=TxSRTpbzFpD9iQKctbTMCA & sa=X & oi=book_result & ct=result & resnum=9 & ved=0CGcQ6AEwCA#v > > =onepage & q=%22cause%20of%20adrenal%20adenomas%22 & f=false and > > elsewhere).> > > > > > > > > >> > > > > > > > > > Figured your 40 years of experience might mean you > > have an answer other than "nobody knows" Thanks, as always, for > > the input.> > > > > > > > > >> > > > > > > > > > -msmith1928> > > > > > > > > > Nulliparous female, 46, 5'3", 120 lbs, > > polymenorrhea, hyperinsulinemia, hereditary fructose intolerance, > > lactose intolerance, probable gluten intolerance. Current meds are K > > 20 MEQ 4x/day, singulair 10mg, norethindrone .35mg to regulate > > polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine > > 180mg as needed. Low sodium, fructose- and grain-free diet. Known > > drug allergies include PCN, sulfa, tetracycline; spiro caused > > gynecomastia, polymenorrhea, depression, anxiety, and dizziness. 1cm > > left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium > > <2.9 (when not taking supplements); AVS determined disease is > > unilateral, left laparoscopic adrenalectomy is scheduled for > > 10/13/2011.> > > > > > > > > >> > > > > > > > > >> > > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > >> > > > > >> > > > > >> > > > >> > > >> > >> >> >>