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MY INTRODUCTION

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*******Hi Colleen, welcome to the group. I have a 14 year old son

diagnosed with Asperger's, OCD, Tourettes. I can see why you are

concerned about next year, as that is a very large kindergarten class. I

wouldn't go with the first Psychologists suggestion as 'needs being

mild'. The problem being, mild now, can escalate quickly to a bad

situation, especially with 25 kids in a class. Tell the school you are

very concerned, and ask for further testing by a Neuro-Psychologist.

With this type of testing your son's strengths and weaknesses will be

more apparent. Some schools will pay, some won't, the cost being

around$1,800.00 A more specific diagnosis would be good, so that someone

at the school can work out a plan possibly involving a behaviorist as

you mentioned. Even if he isn't eligible for an IEP, he most certainly

would be for a 504. My son was almost 10 before the As. diagnosis. He

was a very sweet child, so much got missed. In his case there was " too

little, too late " . We removed him from Public School when he was 10

(middle of 5th grade)for the sake of his mental health. He is doing

well. However, he would do well in a school, as he loves to learn, if

classes were small and organized differently, than they are at most

Ps.'s..... Today we had a pool table installed and we had a great time

playing. One of the liberating aspects of Home School, among many

others. See what the system can do for your son first, but don't wait

till he crashes to move on if necessary. If kindergarten is all day, I

would suggest going half days if possible. Take care, Gail A.

Hello,

My name is Colleen, and I'm the mom to 2 terrific children: a 10

year old girl and a 4 year old boy.

We had him observed by the school's " Project

Find " psychologist, and evaluated for special needs. His issues were

deemed to be mild, and didn't qualify him

for extra help. There was some talk of possible Asperger's then.

the

school system really doesn't know what to do with him because he

seems to need some help, but doesn't qualify for special assistance

yet from them

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Colleen, RED FLAG - HUGE RED FLAG!!! Have you had a private evaluation yet for him? Your child, if he has aspergers, needs to have an IEP in place - even if there are only very small modifications made. This is something that I have struggled with - and reminds me of my daughter (who is now 15), in kindergarten I repeatedly asked that she be evaluated - there idea of an eval at that time was an overall achievement test - which she tested low on but not in need of assistance. HOWEVER - this year I finally got her autism team services (her diagnosis is Aspergers, PTSD, Possible Mood Disorder- may just be the AS, and possible OCD - also may be part of the AS), when her OT and the Speech and Language Therapist (btw she graduated from speech in third grade initially) have her as markedly impaired - in other words, if there had been early intervention - (and not from lack of dragging her to doctors) she would be almost

undetectable - however, she is VERY low functioning Aspie - almost no skill whatsoever in decoding non verbal behavior - resulting in a physical and a sexual assault at the middle school last year, complete inability to have a give and take conversation in regards to something that she isn't into etc etc.,, Thank GOD for the Speech and Language Therapist they brought in from another school to work with Molly - she works exclusively with Aspies and HFA kids - and is amazing - she shadows her periodically, found a volunteer (a teacher) to meet with her several times a week to assist with organization, AND has put together packets for each and every teacher on what AS is. So, for the first time ever, the school understands that yes, she doodles in class - she does this because it is VERY difficult for her to concentrate on the subject AND attempt to make eye contact. Also - she called her art teacher a b@@ch the other day, I wasn't

notified because they called the School Psych and her case handler and they were over there in a flash - turns out Molly was thinking it - and didn't even realize that she had said it out loud. Bottom line -? My Aspie is lower functioning than my Autistic child - I would honestly persue finding a developmental psychologist and walk in there saying do every single test that you can think of - have the school copied on it. Sorry if this seems forceful - I am the mom of four special needs kiddos - and I have had to fight for every single thing - the school has gotten excellent over the years though lilies@... wrote: *******Hi Colleen, welcome to the group. I have a 14 year old sondiagnosed with Asperger's, OCD, Tourettes. I can see why you areconcerned about next year, as that is a very large kindergarten class. Iwouldn't go with the first Psychologists suggestion as 'needs beingmild'. The problem being, mild now, can escalate quickly to a badsituation, especially with 25 kids in a class. Tell the school you arevery concerned, and ask for further testing by a Neuro-Psychologist.With this type of testing your son's strengths and weaknesses will bemore apparent. Some schools will pay, some won't, the cost beingaround$1,800.00 A more specific diagnosis would be good, so that someoneat the school can work out a plan possibly involving a

behaviorist asyou mentioned. Even if he isn't eligible for an IEP, he most certainlywould be for a 504. My son was almost 10 before the As. diagnosis. Hewas a very sweet child, so much got missed. In his case there was "toolittle, too late". We removed him from Public School when he was 10(middle of 5th grade)for the sake of his mental health. He is doingwell. However, he would do well in a school, as he loves to learn, ifclasses were small and organized differently, than they are at mostPs.'s..... Today we had a pool table installed and we had a great timeplaying. One of the liberating aspects of Home School, among manyothers. See what the system can do for your son first, but don't waittill he crashes to move on if necessary. If kindergarten is all day, Iwould suggest going half days if possible. Take care, Gail A. Hello,My name is Colleen, and I'm the mom to 2 terrific children: a 10 year old girl and a

4 year old boy. We had him observed by the school's "Project Find" psychologist, and evaluated for special needs. His issues were deemed to be mild, and didn't qualify him for extra help. There was some talk of possible Asperger's then. the school system really doesn't know what to do with him because he seems to need some help, but doesn't qualify for special assistance yet from them "I want to be part of the solution. Not part of the agonizing, grinding, boring complacent problem..."

Henry Rollins; From "I hate U2"

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  • 1 month later...

Hi Greg! We also live in Little Rock. Our son was recently diagnosed at

the age of 3 at ID at Children's. He has had the fevers for almost 2 years and

has leg and foot pain, mouth ulcers, easy bruising and swollen nodes with this

disorder. He has the same results with the prednisone. His fevers went from once

every 4-6 weeks to every week. This lasted for almost 6 weeks. Just when we were

about to quit the prednisone, his fevers slowed down drastically. He hasn't had

a fever in 6 weeks now. We went to ID at Children's yesterday and were told that

the battery of test that were done were completely normal. This groups has been

so great for me. I can read what other parents are going through and am often

relieved by the similarities. From what you've shared, our situations are

extremely similar. Feel free to email me personally to get my phone number. You

are not alone!

God Bless,

Futterer

3/1/2-

Alayna 2

Ean 7 months

My introduction

Hello!

I am a new member of the group and wanted to give a brief introduction of

our family, our and our situation.

(2nd child) was born in 2002 from a healthy pregnancy. No issues at

birth, a standard vaginal delivery. He was breast-fed and really didn't have any

health concerns other than a mild cause of reflux, which was treated with

Zantac. As far as family background, my (father) history is pretty clean.

However, my wife's family has a history of autoimmune disorders. Her father had

multiple sclerosis and her grandmother had lupus.

Right around our son 's 3rd birthday, he would start running periodic

high fevers, around 105, that would last for around 4-5 days. He would be

lethargic during this time but really didn't have any other symptoms. Tylenol

and Advil would knock the fever down, but never enough to really do anything.

Our pediatrician just said it must be some kind of virus that he must be picking

up from preschool. This went off and on for several months, my wife and I were

getting worried since we were constantly having to take off a week of work

regularly due to his fever, plus worried about the drain it was putting on

. Once we started tracking it, we realized the onset of the fever was

almost exactly every 28 days. With my wife's family history, she was very

concerned about the possibility of auto-immune diseases. Our pedicatrician then

referred us to an Infectious Disease doc at Arkansas Children's Hospital, where

she came up with the diagnosis of . This was

around a year, when was 4 years.

We began treating with prednisolone, 10 mg would seem to knock out the fever in

about an hour. My wife was leary of treating with a steriod, since she had seen

the long-term effect it had on her dad in his treatment for MS. After talking to

a lot of experts (docs, pharmacists, etc.), and realizing it was a small,

infrequent dose, we went ahead with the treatment.

Lately the re-occurence of his fevers has gotten closer to 18 days. The amazing

thing to us is that knows about the onset before any symptoms (fever)

appear. He will be playing and be totally fine and then he will come up and sit

on one of our laps, put his head on our shoulder, and say, " I'm going to need my

magic medicine " (which is what he calls the prednisolone. ) Sure enough, within

about 10-20 minutes, you can just feel his body starting to heat up and his temp

will hit 104 in less than an hour. A dose of " magic medicine " and he's back to

normal.

We just returned to the ID doc, where she drew a bunch of blood to test a myriad

of things. We're still waiting for the results from these tests. We are

contemplating a tonsillectomy, but are waiting for the results of the tests

before we see a pediatric ENT.

That's pretty much our story in a nutshell (although it seems like a pretty big

nut!) I look forward to being part of this group!

Keep us in your prayers!

Greg Warren

Little Rock, Arkansas

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Hello, I read your intro and it amazes me as to how many people continue with

the prednisolone. The only reason I say this is because my son's Dr. at

Chidrens Medical Dr. Wasserman (Immunoligist) in Dallas told us that he did not

really want to continue with the steroid since in knock the fever down pretty

quickly. He said that since it did that he was sure it was and gave us

choices about treatment. Continue with the steriod, tylenol and motrin or a

tonsillectomy. I ask him which one he recommended and he said T & A.

We had the T & A and now no fever. Ive said this in the past Cade still has

some foot pain or hot feet every once in a while but no fevers. Yeah. But I am

just curious why some docs say take the steriod and some don't. Also, should I

take him to a Rhemutologist sorry spelling.

Leanne

Cade 4 yrs & no fevers for 4 months.

Waxahachie, Texas

Warren <gwarren25@...> wrote:

Hello!

I am a new member of the group and wanted to give a brief introduction of

our family, our and our situation.

(2nd child) was born in 2002 from a healthy pregnancy. No issues at

birth, a standard vaginal delivery. He was breast-fed and really didn't have any

health concerns other than a mild cause of reflux, which was treated with

Zantac. As far as family background, my (father) history is pretty clean.

However, my wife's family has a history of autoimmune disorders. Her father had

multiple sclerosis and her grandmother had lupus.

Right around our son 's 3rd birthday, he would start running periodic

high fevers, around 105, that would last for around 4-5 days. He would be

lethargic during this time but really didn't have any other symptoms. Tylenol

and Advil would knock the fever down, but never enough to really do anything.

Our pediatrician just said it must be some kind of virus that he must be picking

up from preschool. This went off and on for several months, my wife and I were

getting worried since we were constantly having to take off a week of work

regularly due to his fever, plus worried about the drain it was putting on

. Once we started tracking it, we realized the onset of the fever was

almost exactly every 28 days. With my wife's family history, she was very

concerned about the possibility of auto-immune diseases. Our pedicatrician then

referred us to an Infectious Disease doc at Arkansas Children's Hospital, where

she came up with the diagnosis of . This was

around a year, when was 4 years.

We began treating with prednisolone, 10 mg would seem to knock out the fever in

about an hour. My wife was leary of treating with a steriod, since she had seen

the long-term effect it had on her dad in his treatment for MS. After talking to

a lot of experts (docs, pharmacists, etc.), and realizing it was a small,

infrequent dose, we went ahead with the treatment.

Lately the re-occurence of his fevers has gotten closer to 18 days. The amazing

thing to us is that knows about the onset before any symptoms (fever)

appear. He will be playing and be totally fine and then he will come up and sit

on one of our laps, put his head on our shoulder, and say, " I'm going to need my

magic medicine " (which is what he calls the prednisolone.) Sure enough, within

about 10-20 minutes, you can just feel his body starting to heat up and his temp

will hit 104 in less than an hour. A dose of " magic medicine " and he's back to

normal.

We just returned to the ID doc, where she drew a bunch of blood to test a myriad

of things. We're still waiting for the results from these tests. We are

contemplating a tonsillectomy, but are waiting for the results of the tests

before we see a pediatric ENT.

That's pretty much our story in a nutshell (although it seems like a pretty big

nut!) I look forward to being part of this group!

Keep us in your prayers!

Greg Warren

Little Rock, Arkansas

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  • 1 month later...
Guest guest

cntrylily@... wrote: Hello,

I'm Lorene, my husband and I live on a small farm in Ohio, and have

horses, goats, a few calves, and some chickens. I'm a nursing student,

and I love to make my own anything when the opportunity arises. We

garden and can our food as much as possible, and I really enjoy

gathering from nature all that I can.

I'm the mother of 7...........yep I said 7 children, 4 boys and three

girls. The oldest is 21, and he's currently deployed in the Army. The

youngest is 2 and the reason I started making soap. She was a preemie,

32 weeks, and we discovered that she did better on goat milk than baby

formula, so we bought a goat, and then another.......... you get the

idea, I started making soap to use the extra milk.

One thing leads to another, and I started noticing things like

Magnolia extract, and saw how expensive they can be.

I wanted to try to make something from the petals off the magnolias in

my back yard, and someone on another group suggested that this would

be a great group to try.

So.........here I am, ready to learn all I can from all of you with

experience in this sort of thing, and probably more!

Lorene

A warm welcome Lorene

There is a wealth of material in the messages, files and any questions ask

away.... there are plenty of helpful folk here that will answer or point you in

the right direction. One of the moderators, Ruth also has seven children......

As per magnolias...... there has been quite a bit of thread concerning

enfleurage recently so take a look just tap in the name on your search......

there is also a description in the files I uploaded just a few days ago which

describes both hot and cold methods...... there is also tincturing again clear

instructions in the file section.

I live in Wales UK................and I just love everything to do with

Natural Perfume totally besotted and obsessed...... so sit back settle in and

enjoy....

fragrantly

Janita

Ascent http://www.hayspace.co.uk

travel log http://www.janitasattars.blogspot.com

Project http://www.flowersofmyddfai.blogspot.com

---------------------------------

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Guest guest

ummtasmiyah <ummtasmiyah@...> wrote: Hi everyone. I'm Meaghan and live

on an organic farm in South India. I love anything

natural and have always wanted to learn how to distill essential oils and make

flower

waters. I've a lot of reading to so here before I can contribute anything!

Hi Meaghan

Well you have come to the right place..! :-) Please tell us abit more about

your organic farm in India ..... sounds so interesting..... and I like you

approach about reading..... there is a wealth here..... bon appetit

Janita

Ascent http://www.hayspace.co.uk

project http://flowersofmyddfaiproject.blogspot.com

travel log http://janitasattars.blogspot.com

---------------------------------

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the Championships. Plus: play games and win prizes.

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Guest guest

>

> Hello,

***SNIP***

> I'm the mother of 7...........yep I said 7 children, 4 boys and three

> girls. The oldest is 21, and he's currently deployed in the Army. The

> youngest is 2

***SNIP***

> Lorene

Hi Lorene,

A belated welcome to the group. As Janita said I have 7 children too.

My eldest is 22 years old and the youngest is nearly 2.

I am about to embark on making goatsmilk soap from scratch and have

lots of plans for perfuming it naturally.

Ruth

http://www.whitewitch.ie

http://www.whitewitch.ie/shop

http://www.whitewitch.ie/natural_perfumers_journal/journal.html

http://www.whitewitch.ie/tarot_readings/tarot.html

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  • 6 months later...

Hi Angie -

I just read your posting and I am so sorry you and your son and your family had

to go through all you did and then find out about . Sounds like you are

not sure about the T & A, so I just wanted to tell you about our experience with

Orapred (steroids). My 4 year old daugther has been on Orapred since May of

2005 (1 1/2 tsp at the onset of a fever) and at first the a couple of episodes

came close together, then she went for 3 months (all summer) fever free and then

began on a somewhat regular schedule of 3-5 weeks of fevering. I don't like the

fact that she is on steroids, but it sure helps her feel better almost

immediately. Which makes me feel better too. She did not have swollen tonsils

or pus on them, but she does get a sore throat, headache and belly ache at the

beginning of the fever, and if the fever episode is not stopped she sometimes

gets pus in her throat and swollen glands. I don't know which way you are

leaning, but I thought I would

let you know about our experience. Hope this info. helps. Lynn

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  • 4 months later...

In a message dated 2/11/2008 4:47:58 P.M. Eastern Standard Time, sandra_g@... writes:

I started the SureSlim Wellness program,

Welcome. Explain this program. NEW to me.

N.H.The year's hottest artists on the red carpet at the Grammy Awards. AOL Music takes you there.

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  • 6 months later...

You have drug resistant HTN and thus likely have Conn's as the drugs

being used dont work well in Conn's: BB, ARBs, CCBs. A key question

is has your K ever been low?

If so you almost certainly have one of the Conn's type problems.

Recommend you print our my evolution paper in our files, read it and

take you to your Dr.

What he needs to do is to measure a renin and aldosterone.

And then we can guide him from there.

Have you ever been on spironolactone?

Assume he has advised you to follow the DASH Diet no matter what the

cause of the HTN?

If not get the book and give his office a copy to read as well. It

is only $8 in paperback.

On Aug 14, 2008, at 12:31 PM, LYNNE LYONS wrote:

> Hi,

>

> My name is Lynne and I live in the U.S.A. I have joined your group

> because I was diagnosed with an adrenal nodule (approx. 2.5) on the

> right side following a CT scan two years ago. That was an

> incidental finding as I was going through a battery of tests for

> another problem at the time. I did some research on the Internet

> and told my doctor that I suspected Conn's as the symptoms matched

> my own. To date, she has refused to run any tests as she says that

> adenomas are usually just watched. She admitted to having limited

> knowledge of the syndrome/disease.

>

> I am a Type II diabetic and have high blood pressure. I am taking

> Diltiazem CD ER 180mg, Diovan 320mg, and HCTZ 37.5/25 for my BP

> meds. The best BP that I have is around 140/90. The exception to

> this was when I was on a beta blocker. I had good numbers but

> couldn't tolerate the side effects.

>

> I am here to learn as much as I can. I have read most of the files

> so far but will continue to read more. Is having an adrenal nodule

> a definition of Conn's in and of itself or do I still need a blood

> test? I have a doctor's appointment in September and would like to

> send a letter to her in advance with relevant information.

>

> Thank you in advance.

>

> Lynne

>

>

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Thank you for answering so promptly Dr. Grim. I just checked my second labs

after diagnosis for diabetes and my K was low (3.4), but not severely so. I

have never been on spironolactane. I am familiar with the Dash Diet but go

lower carb than that in order to keep my BG in the normal range. I have already

printed your evolution paper and will take it or send it to my doctor and will

request her to measure renin and aldosterone as well. In addition, I will order

the book right away.

Thanks again,

Lynne

Re: My Introduction

You have drug resistant HTN and thus likely have Conn's as the drugs

being used dont work well in Conn's: BB, ARBs, CCBs. A key question

is has your K ever been low?

If so you almost certainly have one of the Conn's type problems.

Recommend you print our my evolution paper in our files, read it and

take you to your Dr.

What he needs to do is to measure a renin and aldosterone.

And then we can guide him from there.

Have you ever been on spironolactone?

Assume he has advised you to follow the DASH Diet no matter what the

cause of the HTN?

If not get the book and give his office a copy to read as well. It

is only $8 in paperback.

On Aug 14, 2008, at 12:31 PM, LYNNE LYONS wrote:

> Hi,

>

> My name is Lynne and I live in the U.S.A. I have joined your group

> because I was diagnosed with an adrenal nodule (approx. 2.5) on the

> right side following a CT scan two years ago. That was an

> incidental finding as I was going through a battery of tests for

> another problem at the time. I did some research on the Internet

> and told my doctor that I suspected Conn's as the symptoms matched

> my own. To date, she has refused to run any tests as she says that

> adenomas are usually just watched. She admitted to having limited

> knowledge of the syndrome/disease.

>

> I am a Type II diabetic and have high blood pressure. I am taking

> Diltiazem CD ER 180mg, Diovan 320mg, and HCTZ 37.5/25 for my BP

> meds. The best BP that I have is around 140/90. The exception to

> this was when I was on a beta blocker. I had good numbers but

> couldn't tolerate the side effects.

>

> I am here to learn as much as I can. I have read most of the files

> so far but will continue to read more. Is having an adrenal nodule

> a definition of Conn's in and of itself or do I still need a blood

> test? I have a doctor's appointment in September and would like to

> send a letter to her in advance with relevant information.

>

> Thank you in advance.

>

> Lynne

>

>

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Lynn, can you describe your symptoms for us?

Val

On Aug 14, 2008, at 12:31 PM, LYNNE LYONS wrote:

I did some research on the Internet and told my doctor that I suspected

Conn's as the symptoms matched my own.

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lynn,

be sure to make the doctor orders renin measured with high

sensitivity. otherwise the lab will simply report is as <#.0 and

there will be no way to assess the ratio of aldosterone to renin

(ARR).

this happened to me, and i remained undiagnosed and went through a

living hell unnecessarily for an additional 5 years. I had an

adrenalectomy about 2 years ago, and am mostly cured now.

by the way, do you have a year over year trend of K values from

historical labs. A declining trend would also indicate

hyperaldosteronism.

-Jeff

On 8/15/08, Valarie <val@...> wrote:

> Lynn, can you describe your symptoms for us?

>

> Val

> On Aug 14, 2008, at 12:31 PM, LYNNE LYONS wrote:

>

> I did some research on the Internet and told my doctor that I suspected

> Conn's as the symptoms matched my own.

>

>

>

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Hi ,

I would say that my most obvious symptom is an inability to find the right

combination of drugs to lower my BP. However, I am most bothered by a total

lack of energy. In addition, I have not been able to lose weight despite a low

calorie low carb diet. My doctor is very pleased because I have been able to

keep my blood glucose readings within normal limits. (5.4 to 5.9). This

requires a very stringent diet. She is treating me for my diabetes and I have

not been able to effectively describe my lethargy. I would do anything to get

my energy back. I am 66 and may be kidding myself about the outcome I would

like.

To sum it up: right adenoma, high blood pressure that does not respond well to

treatment, inability to lose weight, and I am just not able to bring myself to

care about anything.

Lynne

RE: My Introduction

Lynn, can you describe your symptoms for us?

Val

On Aug 14, 2008, at 12:31 PM, LYNNE LYONS wrote:

I did some research on the Internet and told my doctor that I suspected

Conn's as the symptoms matched my own.

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Hi Jeff,

I do have labs dating back to 2002. I was put on K after the first two labs and

have remained within respectable ranges since. Thanks for mentioning the

sensitivity level for renin. I am copying all of this information for inclusion

in my letter to my doctor.

Lynne

Re: My Introduction

lynn,

be sure to make the doctor orders renin measured with high

sensitivity. otherwise the lab will simply report is as <#.0 and

there will be no way to assess the ratio of aldosterone to renin

(ARR).

this happened to me, and i remained undiagnosed and went through a

living hell unnecessarily for an additional 5 years. I had an

adrenalectomy about 2 years ago, and am mostly cured now.

by the way, do you have a year over year trend of K values from

historical labs. A declining trend would also indicate

hyperaldosteronism.

-Jeff

On 8/15/08, Valarie <val@...> wrote:

> Lynn, can you describe your symptoms for us?

>

> Val

> On Aug 14, 2008, at 12:31 PM, LYNNE LYONS wrote:

>

> I did some research on the Internet and told my doctor that I suspected

> Conn's as the symptoms matched my own.

>

>

>

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Lynne,

I do understand what you're saying. When I went to the U of Colo three

years ago, one of the doc's comments was that I needed to change my

lifestyle (i.e., work out). She had virtually no concept of how weak I was.

I was on spironolactone from March - June of this year. Happily, I was able

to start walking again and was doing a mile at a fairly good clip until I

stopped spiro. Within five days of stopping spiro, I was swelling badly

enough that it affected my breathing when I tried to walk. Also, my leg

muscles started burning after just a short distance. I am back on spiro now

and am feeling stronger again.

Also, metabolic syndrome (inc diabetes type II) is often found in primary

aldosteronism.

It is really important that you get aldosterone/renin tests ASAP. Be sure

and post the results here.

Don't lose heart. At 66, you should look forward to getting your energy

back. Keep your chin up but know that many of us here have had a hard time

keeping our chins up.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of LYNNE LYONS

Hi ,

I would say that my most obvious symptom is an inability to find the right

combination of drugs to lower my BP. However, I am most bothered by a total

lack of energy. In addition, I have not been able to lose weight despite a

low calorie low carb diet. My doctor is very pleased because I have been

able to keep my blood glucose readings within normal limits. (5.4 to 5.9).

This requires a very stringent diet. She is treating me for my diabetes and

I have not been able to effectively describe my lethargy. I would do

anything to get my energy back. I am 66 and may be kidding myself about the

outcome I would like.

To sum it up: right adenoma, high blood pressure that does not respond well

to treatment, inability to lose weight, and I am just not able to bring

myself to care about anything.

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Thank you . I find your message to be very encouraging. I used to walk

a lot and would love to be able to again. I did notice that one of the symptoms

of aldosteronism was increased blood glucose.

Lynne

RE: My Introduction

Lynne,

I do understand what you're saying. When I went to the U of Colo three

years ago, one of the doc's comments was that I needed to change my

lifestyle (i.e., work out). She had virtually no concept of how weak I was.

I was on spironolactone from March - June of this year. Happily, I was able

to start walking again and was doing a mile at a fairly good clip until I

stopped spiro. Within five days of stopping spiro, I was swelling badly

enough that it affected my breathing when I tried to walk. Also, my leg

muscles started burning after just a short distance. I am back on spiro now

and am feeling stronger again.

Also, metabolic syndrome (inc diabetes type II) is often found in primary

aldosteronism.

It is really important that you get aldosterone/renin tests ASAP. Be sure

and post the results here.

Don't lose heart. At 66, you should look forward to getting your energy

back. Keep your chin up but know that many of us here have had a hard time

keeping our chins up.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of LYNNE LYONS

Hi ,

I would say that my most obvious symptom is an inability to find the right

combination of drugs to lower my BP. However, I am most bothered by a total

lack of energy. In addition, I have not been able to lose weight despite a

low calorie low carb diet. My doctor is very pleased because I have been

able to keep my blood glucose readings within normal limits. (5.4 to 5.9).

This requires a very stringent diet. She is treating me for my diabetes and

I have not been able to effectively describe my lethargy. I would do

anything to get my energy back. I am 66 and may be kidding myself about the

outcome I would like.

To sum it up: right adenoma, high blood pressure that does not respond well

to treatment, inability to lose weight, and I am just not able to bring

myself to care about anything.

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Hi again Lynne,

Another note about your symptoms. I was on HCTZ for years. My BG got

up to 118 and the docs had me on Actos (another 10 pound weight gain)

and later metformin (another 7 pound weight gain). Actos and metformin

did little or nothing. One of the doc's records even showed that she

thought I needed to be on MORE HCTZ.

When I got off HCTZ and onto spiro (two weeks), my BG fell to 91 (not

fasting).

It is really important that you learn all you can and advocate for

yourself. You may be the only one advocating for you.

Val

>

> Thank you . I find your message to be very encouraging. I used

to walk a lot and would love to be able to again. I did notice that one

of the symptoms of aldosteronism was increased blood glucose.

>

> Lynne

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this level of K will " cause " DM by interfering with Pancreatic

insulin control. Suspect you have PA.

On Aug 14, 2008, at 4:17 PM, LYNNE LYONS wrote:

> Thank you for answering so promptly Dr. Grim. I just checked my

> second labs after diagnosis for diabetes and my K was low (3.4),

> but not severely so. I have never been on spironolactane. I am

> familiar with the Dash Diet but go lower carb than that in order to

> keep my BG in the normal range. I have already printed your

> evolution paper and will take it or send it to my doctor and will

> request her to measure renin and aldosterone as well. In addition,

> I will order the book right away.

>

> Thanks again,

> Lynne

May your pressure be low!

Clarence Grim BS, MS, MD

High Blood Pressure Consulting

Senior Consultant to Shared Care Research and Education Consulting, Inc.

Clarence Grim BS, MS, MD

High Blood Pressure Consulting

Senior Consultant to Shared Care Research and Education Consulting, Inc.

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Yes in great detail.

CE Grim MD

On Aug 14, 2008, at 5:47 PM, Valarie wrote:

> Lynn, can you describe your symptoms for us?

>

> Val

> On Aug 14, 2008, at 12:31 PM, LYNNE LYONS wrote:

>

> I did some research on the Internet and told my doctor that I

> suspected

> Conn's as the symptoms matched my own.

>

>

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Most will use 0.1 as the result if it is zero. We recommend PRA not

total renin.

Blacks need different " normal " values than whites.

On Aug 14, 2008, at 7:23 PM, datawrhsdoc@... wrote:

> lynn,

>

> be sure to make the doctor orders renin measured with high

> sensitivity. otherwise the lab will simply report is as <#.0 and

> there will be no way to assess the ratio of aldosterone to renin

> (ARR).

>

> this happened to me, and i remained undiagnosed and went through a

> living hell unnecessarily for an additional 5 years. I had an

> adrenalectomy about 2 years ago, and am mostly cured now.

>

> by the way, do you have a year over year trend of K values from

> historical labs. A declining trend would also indicate

> hyperaldosteronism.

>

> -Jeff

>

> On 8/15/08, Valarie <val@...> wrote:

> > Lynn, can you describe your symptoms for us?

> >

> > Val

> > On Aug 14, 2008, at 12:31 PM, LYNNE LYONS wrote:

> >

> > I did some research on the Internet and told my doctor that I

> suspected

> > Conn's as the symptoms matched my own.

> >

> >

> >

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Lynne: please take my difficult HTN paper to your Dr and tell her we

will be happy to try to get you under good control and with you

feeling normal.

That is always my goal and I almost always get my pts to it.

CE Grim MD

On Aug 15, 2008, at 12:06 AM, Valarie wrote:

> Lynne,

>

> I do understand what you're saying. When I went to the U of Colo three

> years ago, one of the doc's comments was that I needed to change my

> lifestyle (i.e., work out). She had virtually no concept of how

> weak I was.

>

> I was on spironolactone from March - June of this year. Happily, I

> was able

> to start walking again and was doing a mile at a fairly good clip

> until I

> stopped spiro. Within five days of stopping spiro, I was swelling

> badly

> enough that it affected my breathing when I tried to walk. Also, my

> leg

> muscles started burning after just a short distance. I am back on

> spiro now

> and am feeling stronger again.

>

> Also, metabolic syndrome (inc diabetes type II) is often found in

> primary

> aldosteronism.

>

> It is really important that you get aldosterone/renin tests ASAP.

> Be sure

> and post the results here.

>

> Don't lose heart. At 66, you should look forward to getting your

> energy

> back. Keep your chin up but know that many of us here have had a

> hard time

> keeping our chins up.

>

> Val

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of LYNNE LYONS

>

> Hi ,

>

> I would say that my most obvious symptom is an inability to find

> the right

> combination of drugs to lower my BP. However, I am most bothered by

> a total

> lack of energy. In addition, I have not been able to lose weight

> despite a

> low calorie low carb diet. My doctor is very pleased because I have

> been

> able to keep my blood glucose readings within normal limits. (5.4

> to 5.9).

> This requires a very stringent diet. She is treating me for my

> diabetes and

> I have not been able to effectively describe my lethargy. I would do

> anything to get my energy back. I am 66 and may be kidding myself

> about the

> outcome I would like.

>

> To sum it up: right adenoma, high blood pressure that does not

> respond well

> to treatment, inability to lose weight, and I am just not able to

> bring

> myself to care about anything.

>

>

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Based on the low K in 2002 you almost certainly have PA of some sort.

What meds have failed?

Have you ever been on spiro?

CE Grim MD

On Aug 14, 2008, at 8:27 PM, LYNNE LYONS wrote:

> Hi Jeff,

>

> I do have labs dating back to 2002. I was put on K after the first

> two labs and have remained within respectable ranges since. Thanks

> for mentioning the sensitivity level for renin. I am copying all of

> this information for inclusion in my letter to my doctor.

>

> Lynne

>

> Re: My Introduction

>

> lynn,

>

> be sure to make the doctor orders renin measured with high

> sensitivity. otherwise the lab will simply report is as <#.0 and

> there will be no way to assess the ratio of aldosterone to renin

> (ARR).

>

> this happened to me, and i remained undiagnosed and went through a

> living hell unnecessarily for an additional 5 years. I had an

> adrenalectomy about 2 years ago, and am mostly cured now.

>

> by the way, do you have a year over year trend of K values from

> historical labs. A declining trend would also indicate

> hyperaldosteronism.

>

> -Jeff

>

> On 8/15/08, Valarie <val@...> wrote:

> > Lynn, can you describe your symptoms for us?

> >

> > Val

> > On Aug 14, 2008, at 12:31 PM, LYNNE LYONS wrote:

> >

> > I did some research on the Internet and told my doctor that I

> suspected

> > Conn's as the symptoms matched my own.

> >

> >

> >

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Thank you Dr. Grim. I am copying all of the information that you and other

members have mentioned and will show them to my Dr. Are there things I should

do just before having the tests for renin and aldosterone? Also, is there a

high incidence of hypothyroidism with PA? I have been on thyroid medication for

more years than I can remember. You asked in another post what blood pressure

meds had not worked for me. I was started on Diovan in the late 1990's which

has been increased to the maximum dose. Triamterene/HCTZ was added next and I

remain on that. Next, Verelan was included which caused me to faint. Novasc

followed and was discontinued due to edema. Atenolol caused symptoms in my legs

that felt very much like what people who have trouble with statins describe.

For the last couple of years I have been on another CCB which causes some edema

but not as much as the Norvasc. None of this has seemed to help much (with the

exception of the beta blocker). I think that's it but there may have been

something else along the way.

Re: My Introduction

Lynne: please take my difficult HTN paper to your Dr and tell her we

will be happy to try to get you under good control and with you

feeling normal.

That is always my goal and I almost always get my pts to it.

CE Grim MD

On Aug 15, 2008, at 12:06 AM, Valarie wrote:

> Lynne,

>

> I do understand what you're saying. When I went to the U of Colo three

> years ago, one of the doc's comments was that I needed to change my

> lifestyle (i.e., work out). She had virtually no concept of how

> weak I was.

>

> I was on spironolactone from March - June of this year. Happily, I

> was able

> to start walking again and was doing a mile at a fairly good clip

> until I

> stopped spiro. Within five days of stopping spiro, I was swelling

> badly

> enough that it affected my breathing when I tried to walk. Also, my

> leg

> muscles started burning after just a short distance. I am back on

> spiro now

> and am feeling stronger again.

>

> Also, metabolic syndrome (inc diabetes type II) is often found in

> primary

> aldosteronism.

>

> It is really important that you get aldosterone/renin tests ASAP.

> Be sure

> and post the results here.

>

> Don't lose heart. At 66, you should look forward to getting your

> energy

> back. Keep your chin up but know that many of us here have had a

> hard time

> keeping our chins up.

>

> Val

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of LYNNE LYONS

>

> Hi ,

>

> I would say that my most obvious symptom is an inability to find

> the right

> combination of drugs to lower my BP. However, I am most bothered by

> a total

> lack of energy. In addition, I have not been able to lose weight

> despite a

> low calorie low carb diet. My doctor is very pleased because I have

> been

> able to keep my blood glucose readings within normal limits. (5.4

> to 5.9).

> This requires a very stringent diet. She is treating me for my

> diabetes and

> I have not been able to effectively describe my lethargy. I would do

> anything to get my energy back. I am 66 and may be kidding myself

> about the

> outcome I would like.

>

> To sum it up: right adenoma, high blood pressure that does not

> respond well

> to treatment, inability to lose weight, and I am just not able to

> bring

> myself to care about anything.

>

>

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