Re: Adrenal tumor vs bilateral hyperplasia

[Guest guest]

Yes to the first one. You will not see the hyperplasia with a scan-usually.If you BP and K and renin and aldo are normal would suggest you are home free.CE GrimMDOn Feb 8, 2012, at 7:19 AM, parkinsoniowa wrote: Can someone have an adrenal tumor and bilateral hyperplasia at the same time? I had an adrenal tumor on the right side that was removed 6 years ago. I did not have AVS. How do I know the remaining adrenal gland is healthy if I did not have the AVS? Thank you.

[Guest guest]

My nephrologist insists that based on the results of AVS, I have bilateral hyperplasia, although I have a large adenoma on the left adrenal. Dr. Grim shares the same point of view. You cannot be sure that the remaining adrenal is completely healthy. How do you feel? It's the only factor, that you have to consider. Who knows, maybe you are lucky! Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma; diabetic; on 100 mg eplerenone, 80 mg Micardis, 2000 mg metformin, 60 mg Dexilant and 2 mg Lorazepam; Dashing; still have some occasional problems with BP, K and Na; on private consultation with Dr Grim. From: parkinsoniowa <parkinsoniowa@...> hyperaldosteronism Sent: Wednesday, February 8, 2012 9:19 AM Subject: Adrenal tumor vs bilateral hyperplasia

Can someone have an adrenal tumor and bilateral hyperplasia at the same time?

I had an adrenal tumor on the right side that was removed 6 years ago. I did not have AVS. How do I know the remaining adrenal gland is healthy if I did not have the AVS? Thank you.

[Guest guest]

Yes and u don't but if u do well (5,10,15 years later) when one comes out then u know. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Feb 11, 2012, at 15:04, Natalia Kamneva <natalia_kamneva@...> wrote:

My nephrologist insists that based on the results of AVS, I have bilateral hyperplasia, although I have a large adenoma on the left adrenal. Dr. Grim shares the same point of view. You cannot be sure that the remaining adrenal is completely healthy. How do you feel? It's the only factor, that you have to consider. Who knows, maybe you are lucky! Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma; diabetic; on 100 mg eplerenone, 80 mg Micardis, 2000 mg metformin, 60 mg Dexilant and 2 mg Lorazepam; Dashing; still have some occasional problems with BP, K and Na; on private consultation with Dr Grim. From: parkinsoniowa <parkinsoniowa@...> hyperaldosteronism Sent: Wednesday, February 8, 2012 9:19 AM Subject: Adrenal tumor vs bilateral hyperplasia

Can someone have an adrenal tumor and bilateral hyperplasia at the same time?

I had an adrenal tumor on the right side that was removed 6 years ago. I did not have AVS. How do I know the remaining adrenal gland is healthy if I did not have the AVS? Thank you.

[Guest guest]

OK so if you have one adrenal removed due to a suspected adenoma, and it turns out that you have bilateral hyperplasia. Wouldn't the drug therapy/diet control be the same as if you HADN'T had the surgery in the 1st place?! From: Clarence Grim <lowerbp2@...> "hyperaldosteronism " <hyperaldosteronism > Sent: Sunday, 12 February 2012, 4:20 Subject: Re: Adrenal tumor vs bilateral hyperplasia

Yes and u don't but if u do well (5,10,15 years later) when one comes out then u know. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Feb 11, 2012, at 15:04, Natalia Kamneva <natalia_kamneva@...> wrote:

My nephrologist insists that based on the results of AVS, I have bilateral hyperplasia, although I have a large adenoma on the left adrenal. Dr. Grim shares the same point of view. You cannot be sure that the remaining adrenal is completely healthy. How do you feel? It's the only factor, that you have to consider. Who knows, maybe you are lucky! Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma; diabetic; on 100 mg eplerenone, 80 mg Micardis, 2000 mg metformin, 60 mg Dexilant and 2 mg Lorazepam; Dashing; still have some occasional problems with BP, K and Na; on private consultation with Dr Grim. From: parkinsoniowa <parkinsoniowa@...> hyperaldosteronism Sent: Wednesday, February 8, 2012 9:19 AM Subject: Adrenal tumor vs bilateral hyperplasia

Can someone have an adrenal tumor and bilateral hyperplasia at the same time?

I had an adrenal tumor on the right side that was removed 6 years ago. I did not have AVS. How do I know the remaining adrenal gland is healthy if I did not have the AVS? Thank you.

[Guest guest]

Having one adrenal removed of you have bilateral hyperplasia may reduce the

amount of meds you need to take. But is the risk of surgery worth it?

>

>

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> >My nephrologist insists that based on the results of AVS, I have bilateral

hyperplasia, although I have a large adenoma on the left adrenal. Dr. Grim

shares the same point of view.

> >

> >

> >

> >You cannot be sure that the remaining adrenal is completely healthy. How do

you feel? It's the only factor, that you have to consider. Who knows, maybe you

are lucky!

> >

> > 

> >Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma; diabetic; on

100 mg eplerenone, 80 mg Micardis, 2000 mg metformin, 60 mg Dexilant and 2 mg

Lorazepam; Dashing; still have some occasional problems with BP, K and Na; on

private consultation with Dr Grim.

> >

> >

> >________________________________

> > From: parkinsoniowa <parkinsoniowa@...>

> >hyperaldosteronism

> >Sent: Wednesday, February 8, 2012 9:19 AM

> >Subject: Adrenal tumor vs bilateral hyperplasia

> >

> >

> > 

> >Can someone have an adrenal tumor and bilateral hyperplasia at the same time?

> >

> >I had an adrenal tumor on the right side that was removed 6 years ago. I did

not have AVS. How do I know the remaining adrenal gland is healthy if I did not

have the AVS? Thank you.

> >

> >

> >

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>

[Guest guest]

You might find this posting helpful. It is from snow.writer. Re: NEW PET CSAN

I mean NEW PET SCAN.

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> > >My nephrologist insists that based on the results of AVS, I have bilateral

hyperplasia, although I have a large adenoma on the left adrenal. Dr. Grim

shares the same point of view.

> > >

> > >

> > >

> > >You cannot be sure that the remaining adrenal is completely healthy. How do

you feel? It's the only factor, that you have to consider. Who knows, maybe you

are lucky!

> > >

> > > 

> > >Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma; diabetic; on

100 mg eplerenone, 80 mg Micardis, 2000 mg metformin, 60 mg Dexilant and 2 mg

Lorazepam; Dashing; still have some occasional problems with BP, K and Na; on

private consultation with Dr Grim.

> > >

> > >

> > >________________________________

> > > From: parkinsoniowa <parkinsoniowa@>

> > >hyperaldosteronism

> > >Sent: Wednesday, February 8, 2012 9:19 AM

> > >Subject: Adrenal tumor vs bilateral hyperplasia

> > >

> > >

> > > 

> > >Can someone have an adrenal tumor and bilateral hyperplasia at the same

time?

> > >

> > >I had an adrenal tumor on the right side that was removed 6 years ago. I

did not have AVS. How do I know the remaining adrenal gland is healthy if I did

not have the AVS? Thank you.

> > >

> > >

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>

[Guest guest]

First, I assume you mean " suspected adenoma " as confirmed by AVS. If the AVS

was done correctly, a unilateral adenoma found and the correct adrenal was

removed I think the odds of you having bilateral hyperplasia would be extremely

low.

After the adrenalectomy the odds of you having bilateral is zero because bi

means two and you only have one! ;>) Now that I've made my " smartassed "

comment, I'm sure you meant developing an adenoma in the other adrenal, the info

I have read indicates it is " very rare " . In fact, I believe there would be a

warning in every study that recommends removal of unilateral adenomas, the first

choice in every study I've seen!

Maybe we should look at pros and cons. If you elect MCBs and DASH you will

probably be on meds the rest of your life. Many still need K supplements. I've

heard with low NA it is possible to eliminate MCBs but don't recall anyone

reporting that situation. You should continue to monitor with scans (first at

6-12 months and if no change every 3 to 5 years, hopefully w/o contrast!)

If you elect surgery you MAY be off all meds for PA. From what I've read K

always resolves. BP resolves in 30% to 40% of the cases and improves in ~97% of

the cases. You should be on no or less meds and not need any followup scans!

If you have surgery and do develop PA in the other adrenal, I believe your

assumption is correct. If for some unlikely reason you loose both adrenals you

will be on meds for the rest of your life, just like the MCB/DASH option but it

will start later!

I have a couple questions I have yet to find answers to: Odds of an adenoma

growing? Odds of a benign adenoma becoming malignant? Odds of a producing

adenoma increasing amount of aldosterone? Risk of adverse/unexpected

consequences of long term medicine vs risk of surgery! (Feel free to add your

own!)

In case you haven't " heard " enough, here is some food for thought:

Laparoscopic adrenalectomy for bilateral metachronous aldosteronomas

http://www.ncbi.nlm.nih.gov/pubmed/21902953

Primary aldosteronism: results of adrenalectomy for nonsingle adenoma.

http://www.ncbi.nlm.nih.gov/pubmed/21489832

Bilateral, incidentally found adrenal tumours - results of observation of 1790

patients registered at a single endocrinological centre.

http://www.ncbi.nlm.nih.gov/pubmed/20205107

- 65 yo super ob., fastidious male - 12mm X 13mm rt. a.adnoma with

previous rt. flank pain. Treating with DASH. Stats w/o meds = BP 175/90 HR 59

BS 125. D/C Spironolactone 12/20/2011 due to adverse SX.

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD

and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, AmlodipineBesylate

5mg, 81mg aspirin and Metformin 2000MG. Started washing Spironolactone 12/20/11

to prepare for AVS.

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> >My nephrologist insists that based on the results of AVS, I have bilateral

hyperplasia, although I have a large adenoma on the left adrenal. Dr. Grim

shares the same point of view.

> >

> >

> >

> >You cannot be sure that the remaining adrenal is completely healthy. How do

you feel? It's the only factor, that you have to consider. Who knows, maybe you

are lucky!

> >

> > 

> >Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma; diabetic; on

100 mg eplerenone, 80 mg Micardis, 2000 mg metformin, 60 mg Dexilant and 2 mg

Lorazepam; Dashing; still have some occasional problems with BP, K and Na; on

private consultation with Dr Grim.

> >

> >

> >________________________________

> > From: parkinsoniowa <parkinsoniowa@...>

> >hyperaldosteronism

> >Sent: Wednesday, February 8, 2012 9:19 AM

> >Subject: Adrenal tumor vs bilateral hyperplasia

> >

> >

> > 

> >Can someone have an adrenal tumor and bilateral hyperplasia at the same time?

> >

> >I had an adrenal tumor on the right side that was removed 6 years ago. I did

not have AVS. How do I know the remaining adrenal gland is healthy if I did not

have the AVS? Thank you.

> >

> >

> >

> >

>

[Guest guest]

Atenolol, a beta blocker, had an effect on me when I stopped it suddenly! (I

was on Metoprolol) HR went from ~60 to 118 and I caught " Hell " from Dr. Grim

and ! PCP wants me to stay on it even during AVS but I will see what NIH

says about it.

.....

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> > >My nephrologist insists that based on the results of AVS, I have bilateral

hyperplasia, although I have a large adenoma on the left adrenal. Dr. Grim

shares the same point of view.

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> > >You cannot be sure that the remaining adrenal is completely healthy. How do

you feel? It's the only factor, that you have to consider. Who knows, maybe you

are lucky!

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> > >Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma; diabetic; on

100 mg eplerenone, 80 mg Micardis, 2000 mg metformin, 60 mg Dexilant and 2 mg

Lorazepam; Dashing; still have some occasional problems with BP, K and Na; on

private consultation with Dr Grim.

>

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> > >________________________________

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> > > From: parkinsoniowa <parkinsoniowa@>

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> > >hyperaldosteronism

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> > >Sent: Wednesday, February 8, 2012 9:19 AM

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> > >Subject: Adrenal tumor vs bilateral hyperplasia

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> > >Can someone have an adrenal tumor and bilateral hyperplasia at the same

time?

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> > >I had an adrenal tumor on the right side that was removed 6 years ago. I

did not have AVS. How do I know the remaining adrenal gland is healthy if I did

not have the AVS? Thank you.

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[Guest guest]

I probably should mention I went from 400mg to zero and quickly learned the term

" step down " ! I'm now on 100mg bid and PCP is uncomfortable with me going any

lower at this time. (Probably due to such a long time of HTN and obvious LVH.

(I decided to let her have her way with this one since I've made most of the

rest of the decisions!)

Thanks for your good thoughts re. AVS. Going to NIH should increase the odds!

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> > > >My nephrologist insists that based on the results of AVS, I have

bilateral hyperplasia, although I have a large adenoma on the left adrenal. Dr.

Grim shares the same point of view.

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> > > >You cannot be sure that the remaining adrenal is completely healthy. How

do you feel? It's the only factor, that you have to consider. Who knows, maybe

you are lucky!

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> > > >Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma; diabetic;

on 100 mg eplerenone, 80 mg Micardis, 2000 mg metformin, 60 mg Dexilant and 2 mg

Lorazepam; Dashing; still have some occasional problems with BP, K and Na; on

private consultation with Dr Grim.

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> > > >________________________________

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> > > > From: parkinsoniowa <parkinsoniowa@>

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> > > >hyperaldosteronism

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> > > >Sent: Wednesday, February 8, 2012 9:19 AM

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> > > >Subject: Adrenal tumor vs bilateral hyperplasia

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> > > >Can someone have an adrenal tumor and bilateral hyperplasia at the same

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> > > >I had an adrenal tumor on the right side that was removed 6 years ago. I

did not have AVS. How do I know the remaining adrenal gland is healthy if I did

not have the AVS? Thank you.

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[Guest guest]

Beta blockers are also giver to treat PTSD.

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> > > > >My nephrologist insists that based on the results of AVS, I have

bilateral hyperplasia, although I have a large adenoma on the left adrenal. Dr.

Grim shares the same point of view.

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> > > > >You cannot be sure that the remaining adrenal is completely healthy.

How do you feel? It's the only factor, that you have to consider. Who knows,

maybe you are lucky!

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> > > > >Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma; diabetic;

on 100 mg eplerenone, 80 mg Micardis, 2000 mg metformin, 60 mg Dexilant and 2 mg

Lorazepam; Dashing; still have some occasional problems with BP, K and Na; on

private consultation with Dr Grim.

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> > > > >________________________________

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> > > > > From: parkinsoniowa <parkinsoniowa@>

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> > > > >hyperaldosteronism

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> > > > >Sent: Wednesday, February 8, 2012 9:19 AM

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> > > > >Subject: Adrenal tumor vs bilateral hyperplasia

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> > > > >Can someone have an adrenal tumor and bilateral hyperplasia at the same

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> > > > >I had an adrenal tumor on the right side that was removed 6 years ago.

I did not have AVS. How do I know the remaining adrenal gland is healthy if I

did not have the AVS? Thank you.

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[Guest guest]

I would do more than consider talking w/PCP, I would do it tomorrow morning!

How much atenolol are you on and any other meds?

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> > > > > ÂÂ

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> > > > > > >My nephrologist insists that based on the results of AVS, I have

bilateral hyperplasia, although I have a large adenoma on the left adrenal. Dr.

Grim shares the same point of view.

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> > > > > > >You cannot be sure that the remaining adrenal is completely

healthy. How do you feel? It's the only factor, that you have to consider. Who

knows, maybe you are lucky!

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> > > > > > >Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma;

diabetic; on 100 mg eplerenone, 80 mg Micardis, 2000 mg metformin, 60 mg

Dexilant and 2 mg Lorazepam; Dashing; still have some occasional problems with

BP, K and Na; on private consultation with Dr Grim.

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> > > > > > >________________________________

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> > > > > > > From: parkinsoniowa <parkinsoniowa@>

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> > > > >

> > > >

> > > > > > >hyperaldosteronism

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> > > > > > >Sent: Wednesday, February 8, 2012 9:19 AM

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> > > > > > >Subject: Adrenal tumor vs bilateral

hyperplasia

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> > > > > > >Can someone have an adrenal tumor and bilateral hyperplasia at the

same time?

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> > > > > > >I had an adrenal tumor on the right side that was removed 6 years

ago. I did not have AVS. How do I know the remaining adrenal gland is healthy if

I did not have the AVS? Thank you.

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[Guest guest]

If you are implying my PCP is using a bblocker to treat my PTSD, that is not the

case since she does not treat my PTSD - I have two Phsyco Docs for that! They

use Cymbalta and hours of therapy, many hours like tens of thousands of $$$ of

therapy!

I did a quick look and found bblockers are used " off label " by some, here is a

good discussion for those interested:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2563336/?tool=pubmed

I really liked the suggestion to administer the bblocker before going into

battle, go ahead and mess with your " fight or flight " before and then sit there

and wonder why I'm not coming back to save your Ass! Since 1969 I have thought

Presidents should be required to serve in the military, add research doctors to

that requirement! (Imgine an EMT or Fireman without " fight or flight " , when

would they know it was too risky to continue?)

.....

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> > > > > >My nephrologist insists that based on the results of AVS, I have

bilateral hyperplasia, although I have a large adenoma on the left adrenal. Dr.

Grim shares the same point of view.

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> > > > > >You cannot be sure that the remaining adrenal is completely healthy.

How do you feel? It's the only factor, that you have to consider. Who knows,

maybe you are lucky!

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> > > > > >Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma;

diabetic; on 100 mg eplerenone, 80 mg Micardis, 2000 mg metformin, 60 mg

Dexilant and 2 mg Lorazepam; Dashing; still have some occasional problems with

BP, K and Na; on private consultation with Dr Grim.

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> > > > > > From: parkinsoniowa <parkinsoniowa@>

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> > > > > >hyperaldosteronism

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> > > > > >Sent: Wednesday, February 8, 2012 9:19 AM

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> > > > > >Subject: Adrenal tumor vs bilateral hyperplasia

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> > > > > >Can someone have an adrenal tumor and bilateral hyperplasia at the

same time?

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> > > > > >I had an adrenal tumor on the right side that was removed 6 years

ago. I did not have AVS. How do I know the remaining adrenal gland is healthy

if I did not have the AVS? Thank you.

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[Guest guest]

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> > >

> > > Â

> > > >My nephrologist insists that based on the results of AVS, I have

> > bilateral hyperplasia, although I have a large adenoma on the left

> > adrenal. Dr. Grim shares the same point of view.

> > > >

> > > >

> > > >

> > > >You cannot be sure that the remaining adrenal is completely

> > healthy. How do you feel? It's the only factor, that you have to

> > consider. Who knows, maybe you are lucky!

> > > >

> > > >Â

> > > >Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma;

> > diabetic; on 100 mg eplerenone, 80 mg Micardis, 2000 mg metformin,

> > 60 mg Dexilant and 2 mg Lorazepam; Dashing; still have some

> > occasional problems with BP, K and Na; on private consultation with

> > Dr Grim.

> > > >

> > > >

> > > >________________________________

> > > > From: parkinsoniowa <parkinsoniowa@>

> > > >hyperaldosteronism

> > > >Sent: Wednesday, February 8, 2012 9:19 AM

> > > >Subject: Adrenal tumor vs bilateral

> > hyperplasia

> > > >

> > > >

> > > >Â

> > > >Can someone have an adrenal tumor and bilateral hyperplasia at

> > the same time?

> > > >

> > > >I had an adrenal tumor on the right side that was removed 6 years

> > ago. I did not have AVS. How do I know the remaining adrenal gland

> > is healthy if I did not have the AVS? Thank you.

> > > >

> > > >

> > > >

> > > >

> > >

> >

> >

>

[Guest guest]

I think we are on two different agendas. and I were talking about

removing the first adrenal which is the one you have done a detailed analysis

of. Then we were trying to figure out how often the second adrenal (the last

remaining) would develop problems. It does sound like what you are saying means

she should not be overly concerned with two tumors in a defective adrenal since

a second one is more the norm than the exception, her's might just be little

more advanced.

> > > > >

> > > > >

> > > > > Â

> > > > > >My nephrologist insists that based on the results of AVS, I have

> > > > bilateral hyperplasia, although I have a large adenoma on the left

> > > > adrenal. Dr. Grim shares the same point of view.

> > > > > >

> > > > > >

> > > > > >

> > > > > >You cannot be sure that the remaining adrenal is completely

> > > > healthy. How do you feel? It's the only factor, that you have to

> > > > consider. Who knows, maybe you are lucky!

> > > > > >

> > > > > >Â

> > > > > >Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma;

> > > > diabetic; on 100 mg eplerenone, 80 mg Micardis, 2000 mg metformin,

> > > > 60 mg Dexilant and 2 mg Lorazepam; Dashing; still have some

> > > > occasional problems with BP, K and Na; on private consultation with

> > > > Dr Grim.

> > > > > >

> > > > > >

> > > > > >________________________________

> > > > > > From: parkinsoniowa <parkinsoniowa@>

> > > > > >hyperaldosteronism

> > > > > >Sent: Wednesday, February 8, 2012 9:19 AM

> > > > > >Subject: Adrenal tumor vs bilateral

> > > > hyperplasia

> > > > > >

> > > > > >

> > > > > >Â

> > > > > >Can someone have an adrenal tumor and bilateral hyperplasia at

> > > > the same time?

> > > > > >

> > > > > >I had an adrenal tumor on the right side that was removed 6 years

> > > > ago. I did not have AVS. How do I know the remaining adrenal gland

> > > > is healthy if I did not have the AVS? Thank you.

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

> >

>

[Guest guest]

Fern,Scan down through these messages and you will see what I mean about how the group is very active. You might want to join the group, see the instructions at the bottom of the messages. You can always drop it later if it is not applicable to you after all.

dkOn Wed, Feb 8, 2012 at 9:19 AM, parkinsoniowa <parkinsoniowa@...> wrote:

 

Can someone have an adrenal tumor and bilateral hyperplasia at the same time?

I had an adrenal tumor on the right side that was removed 6 years ago. I did not have AVS. How do I know the remaining adrenal gland is healthy if I did not have the AVS? Thank you.

[Guest guest]

,

When are you scheduled for NIH?

> > >

> > > > ÂÂ

> > >

> > > >

> > >

> > > > > >My nephrologist insists that based on the results of AVS, I

> > have bilateral hyperplasia, although I have a large adenoma on the

> > left adrenal. Dr. Grim shares the same point of view.

> > >

> > > >

> > >

> > > > > >

> > >

> > > >

> > >

> > > > > >

> > >

> > > >

> > >

> > > > > >

> > >

> > > >

> > >

> > > > > >You cannot be sure that the remaining adrenal is completely

> > healthy. How do you feel? It's the only factor, that you have to

> > consider. Who knows, maybe you are lucky!

> > >

> > > >

> > >

> > > > > >

> > >

> > > >

> > >

> > > > > >ÂÂÂ

> > >

> > > >

> > >

> > > > > >Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma;

> > diabetic; on 100 mg eplerenone, 80 mg Micardis, 2000 mg metformin,

> > 60 mg Dexilant and 2 mg Lorazepam; Dashing; still have some

> > occasional problems with BP, K and Na; on private consultation with

> > Dr Grim.

> > >

> > > >

> > >

> > > > > >

> > >

> > > >

> > >

> > > > > >

> > >

> > > >

> > >

> > > > > >________________________________

> > >

> > > >

> > >

> > > > > > From: parkinsoniowa <parkinsoniowa@>

> > >

> > > >

> > >

> > > > > >hyperaldosteronism

> > >

> > > >

> > >

> > > > > >Sent: Wednesday, February 8, 2012 9:19 AM

> > >

> > > >

> > >

> > > > > >Subject: Adrenal tumor vs bilateral

> > hyperplasia

> > >

> > > >

> > >

> > > > > >

> > >

> > > >

> > >

> > > > > >

> > >

> > > >

> > >

> > > > > >ÂÂÂ

> > >

> > > >

> > >

> > > > > >Can someone have an adrenal tumor and bilateral hyperplasia

> > at the same time?

> > >

> > > >

> > >

> > > > > >

> > >

> > > >

> > >

> > > > > >I had an adrenal tumor on the right side that was removed 6

> > years ago. I did not have AVS. How do I know the remaining adrenal

> > gland is healthy if I did not have the AVS? Thank you.

> > >

> > > >

> > >

> > > > > >

> > >

> > > >

> > >

> > > > > >

> > >

> > > >

> > >

> > > > > >

> > >

> > > >

> > >

> > > > > >

> > >

> > > >

> > >

> > > > >

> > >

> > > >

> > >

> >

> >

>

[Guest guest]

Is your BP and K normal with no medications the u do not have hyperplasia probably. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Feb 13, 2012, at 11:09, Don Krebs <donkrebs@...> wrote:

Fern,Scan down through these messages and you will see what I mean about how the group is very active. You might want to join the group, see the instructions at the bottom of the messages. You can always drop it later if it is not applicable to you after all.

dkOn Wed, Feb 8, 2012 at 9:19 AM, parkinsoniowa <parkinsoniowa@...> wrote:

Can someone have an adrenal tumor and bilateral hyperplasia at the same time?

I had an adrenal tumor on the right side that was removed 6 years ago. I did not have AVS. How do I know the remaining adrenal gland is healthy if I did not have the AVS? Thank you.

[Guest guest]

I haven't heard yet. Dr. L. asked for a referal, meds and ct-scans. I left a

message for PCP and she responded Thurs afternoon that she would make the

referral and I sent a release for the scans which the VA should have received

today. Hopefully will know later this week.

> > > >

> > > > > ÂÂ

> > > >

> > > > >

> > > >

> > > > > > >My nephrologist insists that based on the results of AVS, I

> > > have bilateral hyperplasia, although I have a large adenoma on the

> > > left adrenal. Dr. Grim shares the same point of view.

> > > >

> > > > >

> > > >

> > > > > > >

> > > >

> > > > >

> > > >

> > > > > > >

> > > >

> > > > >

> > > >

> > > > > > >

> > > >

> > > > >

> > > >

> > > > > > >You cannot be sure that the remaining adrenal is completely

> > > healthy. How do you feel? It's the only factor, that you have to

> > > consider. Who knows, maybe you are lucky!

> > > >

> > > > >

> > > >

> > > > > > >

> > > >

> > > > >

> > > >

> > > > > > >ÂÂÂ

> > > >

> > > > >

> > > >

> > > > > > >Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma;

> > > diabetic; on 100 mg eplerenone, 80 mg Micardis, 2000 mg metformin,

> > > 60 mg Dexilant and 2 mg Lorazepam; Dashing; still have some

> > > occasional problems with BP, K and Na; on private consultation with

> > > Dr Grim.

> > > >

> > > > >

> > > >

> > > > > > >

> > > >

> > > > >

> > > >

> > > > > > >

> > > >

> > > > >

> > > >

> > > > > > >________________________________

> > > >

> > > > >

> > > >

> > > > > > > From: parkinsoniowa <parkinsoniowa@>

> > > >

> > > > >

> > > >

> > > > > > >hyperaldosteronism

> > > >

> > > > >

> > > >

> > > > > > >Sent: Wednesday, February 8, 2012 9:19 AM

> > > >

> > > > >

> > > >

> > > > > > >Subject: Adrenal tumor vs bilateral

> > > hyperplasia

> > > >

> > > > >

> > > >

> > > > > > >

> > > >

> > > > >

> > > >

> > > > > > >

> > > >

> > > > >

> > > >

> > > > > > >ÂÂÂ

> > > >

> > > > >

> > > >

> > > > > > >Can someone have an adrenal tumor and bilateral hyperplasia

> > > at the same time?

> > > >

> > > > >

> > > >

> > > > > > >

> > > >

> > > > >

> > > >

> > > > > > >I had an adrenal tumor on the right side that was removed 6

> > > years ago. I did not have AVS. How do I know the remaining adrenal

> > > gland is healthy if I did not have the AVS? Thank you.

> > > >

> > > > >

> > > >

> > > > > > >

> > > >

> > > > >

> > > >

> > > > > > >

> > > >

> > > > >

> > > >

> > > > > > >

> > > >

> > > > >

> > > >

> > > > > > >

> > > >

> > > > >

> > > >

> > > > > >

> > > >

> > > > >

> > > >

> > >

> > >

> >

>

[Guest guest]

ok, let me know when you get scheduled...curious to see if we are scheduled at

the same time. I doubt it, since it's based on AVS, or interventional radiology

dept schedule, but who knows?

> > > > >

> > > > > > ÂÂ

> > > > >

> > > > > >

> > > > >

> > > > > > > >My nephrologist insists that based on the results of AVS, I

> > > > have bilateral hyperplasia, although I have a large adenoma on the

> > > > left adrenal. Dr. Grim shares the same point of view.

> > > > >

> > > > > >

> > > > >

> > > > > > > >

> > > > >

> > > > > >

> > > > >

> > > > > > > >

> > > > >

> > > > > >

> > > > >

> > > > > > > >

> > > > >

> > > > > >

> > > > >

> > > > > > > >You cannot be sure that the remaining adrenal is completely

> > > > healthy. How do you feel? It's the only factor, that you have to

> > > > consider. Who knows, maybe you are lucky!

> > > > >

> > > > > >

> > > > >

> > > > > > > >

> > > > >

> > > > > >

> > > > >

> > > > > > > >ÂÂÂ

> > > > >

> > > > > >

> > > > >

> > > > > > > >Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma;

> > > > diabetic; on 100 mg eplerenone, 80 mg Micardis, 2000 mg metformin,

> > > > 60 mg Dexilant and 2 mg Lorazepam; Dashing; still have some

> > > > occasional problems with BP, K and Na; on private consultation with

> > > > Dr Grim.

> > > > >

> > > > > >

> > > > >

> > > > > > > >

> > > > >

> > > > > >

> > > > >

> > > > > > > >

> > > > >

> > > > > >

> > > > >

> > > > > > > >________________________________

> > > > >

> > > > > >

> > > > >

> > > > > > > > From: parkinsoniowa <parkinsoniowa@>

> > > > >

> > > > > >

> > > > >

> > > > > > > >hyperaldosteronism

> > > > >

> > > > > >

> > > > >

> > > > > > > >Sent: Wednesday, February 8, 2012 9:19 AM

> > > > >

> > > > > >

> > > > >

> > > > > > > >Subject: Adrenal tumor vs bilateral

> > > > hyperplasia

> > > > >

> > > > > >

> > > > >

> > > > > > > >

> > > > >

> > > > > >

> > > > >

> > > > > > > >

> > > > >

> > > > > >

> > > > >

> > > > > > > >ÂÂÂ

> > > > >

> > > > > >

> > > > >

> > > > > > > >Can someone have an adrenal tumor and bilateral hyperplasia

> > > > at the same time?

> > > > >

> > > > > >

> > > > >

> > > > > > > >

> > > > >

> > > > > >

> > > > >

> > > > > > > >I had an adrenal tumor on the right side that was removed 6

> > > > years ago. I did not have AVS. How do I know the remaining adrenal

> > > > gland is healthy if I did not have the AVS? Thank you.

> > > > >

> > > > > >

> > > > >

> > > > > > > >

> > > > >

> > > > > >

> > > > >

> > > > > > > >

> > > > >

> > > > > >

> > > > >

> > > > > > > >

> > > > >

> > > > > >

> > > > >

> > > > > > > >

> > > > >

> > > > > >

> > > > >

> > > > > > >

> > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

>