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> Reply-hyperaldosteronism

>

> Begin forwarded message:

>

> > From: Clarence Grim <lowerbp2@...>

> > Date: March 30, 2008 9:11:16 PM CDT

> > hyperaldosteronism

> > Subject: Fwd: Fwd: Unable to deliver your

> message

> > Reply-hyperaldosteronism

> >

> > Begin forwarded message:

> >

> > > From: Clarence Grim <lowerbp2@...>

> > > Date: March 29, 2008 10:47:35 PM CDT

> > > hyperaldosteronism

> > > Subject: Fwd: Unable to deliver your message

> > > Reply-hyperaldosteronism

> > >

> > > Begin forwarded message:

> > >

> > > > From: <notify >

> > > > Date: March 29, 2008 10:32:22 PM CDT

> > > > LOWERBP2@...

> > > > Subject: Unable to deliver your message

> > > >

> > > > We are unable to deliver the message from <LOWERBP2@...>

> > > > to <hyperaldosteronism >.

> > > >

> > > > The email address used to send your message is not subscribed to

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> > > >

> > > > From: Clarence Grim <lowerbp2@...>

> > > > Date: March 29, 2008 10:32:30 PM CDT

> > > > hyperaldosteronism

> > > > Subject: Re: Aldo and sodium, panic &

> anxiety

> > > >

> > > > On Mar 29, 2008, at 3:03 PM, Valarie wrote:

> > > >

> > > >> Thanks, Dave, for the acknowledgment. After I unloaded last

> > night,

> > > I

> > > >> felt

> > > >> kinda' bad. I generally try to be better controlled and

> > deliberate.

> > > >>

> > > >> This morning, I had two eggs, 1 toast, 1 T Smart Start, 1/2 &

> 1/2

> > > >> (15 mg Na)

> > > >> in coffee - 395 mg Na total. The familiar " gripping " started. I

> > > took

> > > >> two

> > > >> Valerian Root and calmed down. I would rather use that than

> > Ativan.

> > > >

> > > > Suggest you find a lower Na bread.

> > > >>

> > > >> My bump up to mid 140's BP came after I ingested 1,400 mg Na

> one

> > > >> day. This

> > > >> morning, it was back down to mid 120's. I've been avoiding salt

> > > like

> > > >> the

> > > >> plague.

> > > >

> > > > No salt IS the plague in most with HTN. Esp if they also have

> PA.

> > > >

> > > >> I am going to have to work with this and find some combination

> of

> > > >> sodium and spiro that works. In all honesty, I believe the

> level

> > of

> > > >> anxiety

> > > >> is lessening but I'm still not normal. I keep a log and try to

> > > record

> > > >> " anxiety " for the day (scale = 1 - 10). It is difficult because

> > the

> > > >> level

> > > >> varies so much from hour to hour. In general, however, I'm

> seeing

> > > >> fewer 7 -

> > > >> 10 levels than I was a few weeks ago. There were many days back

> > > from

> > > >> September through February, when the level was 10+ and fairly

> > > >> constant (BP

> > > >> was 160 - 210).

> > > >>

> > > >> I have said before here that anti-depressants are perhaps one

> of

> > > the

> > > >> worst

> > > >> drugs ever invented. When I went to CU Medical, that's the

> first

> > > >> thing they

> > > >> threw at me. In spite of sometimes unloading here, I am not an

> > > >> hysterical

> > > >> woman. I guess it is easier to mask symptoms than to find

> causes.

> > > >>

> > > >> Your mention of PA masking hypercalcemia, thyroid, etc is so

> > > >> interesting,

> > > >> and so, so lacking in research. I read a case study last night

> > > about

> > > >> a 50-yo

> > > >> woman presenting with significant stomach pain, hypertension,

> > > weight

> > > >> gain

> > > >> (40 lbs in three years), and generalized anxiety disorder.

> > > >> Ordinarily, I

> > > >> would presume, she would have been given Prozac, HCTZ, and be

> > told

> > > >> to eat

> > > >> less and take Prevacid. A stomach CT disclosed an incidentaloma

> > on

> > > >> her

> > > >> adrenal. AVS proved it to be an aldo-producing adenoma. Two

> years

> > > >> after

> > > >> surgery, she was well with normal BP. It didn't report on the

> > level

> > > >> of

> > > >> anxiety nor if there had been any weight loss. I think

> " anxiety "

> > is

> > > >> not

> > > >> regarded with much respect, even though its presence can be

> > > >> debilitating.

> > > >> Maybe I need to start describing it as " gripping " instead of

> > > >> " anxiety. "

> > > >

> > > > There is not a good anxiety scale that I know of. I suggest our

> > > group

> > > > work on this.

> > > >

> > > >>

> > > >> I'm going to again start tracking every morsel that goes into

> my

> > > >> mouth. I

> > > >> will keep a graph for the next doc who says to " eat less. " I

> had

> > > been

> > > >> tracking it when I went to CU Medical. The young, flippant endo

> > > >> looked at

> > > >> it and said, " Looks like something's really out of balance. "

> End

> > of

> > > >> conversation. She had virtually no scientific curiosity.

> Perhaps

> > an

> > > >> affirmative action hire?

> > > >

> > > > Most likely has not recognized PA in her own Pts and not

> followed

> > > any

> > > > for a long time.

> > > >>

> > > >> In reading through old posts, I find recurring mention of

> > anxiety,

> > > >> sweats,

> > > >> hyped up, coffee high, etc. Surely, we're not all nuts.

> > > >>

> > > >> I just got 300- 25 mg spiro in the mail. Now, my husband can

> stop

> > > >> worrying

> > > >> about the truckers' strike . I'm not going to take any

> > additional

> > > >> until I

> > > >> see where K is.

> > > >>

> > > >> Feel free to bounce stuff off me. I'll talk yur ear off .

> Feel

> > > >> free to

> > > >> use any of my writing or ideas any way you want.

> > > >>

> > > >> BTW, back in my " nerves of stone " days, I had two " location

> > theory "

> > > >> articles

> > > >> published and even presented one at an economics conference. I

> > > >> traded that

> > > >> life for motherhood. That took nerves of stone, too - two

> > preemies,

> > > >> and an

> > > >> educational system that cultivates and lauds mediocrity.

> > > >>

> > > >> Val

> > > >>

> > > >> From: hyperaldosteronism

> > > >>

> > > >> [mailto:hyperaldosteronism ] On Behalf Of Dave

> > > >>

> > > >> Val this is such a great entry for the registry Dr Grim wants

> to

> > > >> make in

> > > >> here - but for a database expert. I am learning things from it

> in

> > > >> increasing amounts.

> > > >>

> > > >> If PA can mask hypercalcemia (which does not have to be where

> it

> > > >> should

> > > >> be - in the ones, hair, calming mechanisms, etc) and

> > hypothyroidism

> > > >> (as

> > > >> it did with me too), I wonder what else this systemic metabolic

> > > >> condition can do if left alone (or, neglected) long enough?

> > > >>

> > > >> There seem to be receptors left w/o aldo blocking action from

> > spiro

> > > >> or

> > > >> eplerenone. Calcium deposits, arthritic spines, Ca residue in

> > extra

> > > >> sweats, electrolyte problems (e.g. hypomagesia, already a food

> > > >> problem

> > > >> in industrial societies), temporary paralysis, pins and

> needles,

> > > >> positive Chvostek & Trousseau sign, parasthesias, kidney " funny

> > > >> labile

> > > >> function " (eg. nocturnal polyuria). Neurological

> (non-congestive)

> > > >> breathing stoppages, along with other autonomic problems. These

> > are

> > > >> among the things which seem to go on after the BP and potassium

> > are

> > > >> normalized --and called " anxiety " by some doctors.

> > > >>

> > > >> Before I can respond with a few things from my anxiety study, I

> > > will

> > > >> have to reconnoiter. Staying on-topic with PA seems easy in

> this

> > > >> subject area. One field in my qualitative research is

> > professional

> > > >> (lawyers and physicians) coping mechanisms (without getting too

> > > >> psychological). The most common reaction from professionals, in

> > our

> > > >> interview and participant observation ethnographies has been -

> > you

> > > >> guessed it - some variation of saying the client or patient is

> > > crazy,

> > > >> anxious, depressed, OCD, etc.

> > > >>

> > > >> If they don't know it, or it isn't easy to find, isn't in

> caselaw

> > > or

> > > >> practicum, or most of all - isn't yielding to their

> professional

> > > >> efforts

> > > >> - AHA! It's psychological (doesn't exist except in the client's

> > or

> > > >> pts'

> > > >> mind).

> > > >>

> > > >> More soon,

> > > >>

> > > >> Dave

> > > >>

> > > >> Valarie wrote:

> > > >> >

> > > >> > The anxiety I talk about is hard to explain, Dave. I will

> try.

> > > >> These are

> > > >> > numbered so when distorts them, they may retain some

> > > >> semblance of

> > > >> > order.

> > > >> >

> > > >> > When I eat too much salt,

> > > >> > 1) I can feel my muscles cramp up, especially back neck and

> > > >> shoulders;

> > > >> > sometimes in the front of my neck and chest.

> > > >> > 2) I get a terrible feeling of panic, like a vice is grabbing

> > my

> > > >> heart and

> > > >> > squeezing hard

> > > >> > 3) My heart feels " funny " like it is beating lightly (or

> maybe

> > > not

> > > >> even

> > > >> > beating) but I cannot discern that it is irregular. I used to

> > get

> > > >> heart

> > > >> > " flutters " but don't have them much right now.

> > > >> > 4) I don't breathe fully; sometimes I become aware that I'm

> > > almost

> > > >> holding

> > > >> > my breath. Paralysis of some sort?

> > > >> > 5) I am not hyperventilating.

> > > >> > 6) Sometimes, I try to take deep belly breaths and find I'm

> not

> > > in

> > > >> control

> > > >> > enough to do that.

> > > >> > 7) Sometimes, it beats really hard in my chest. I've had both

> > > >> sensations.

> > > >> > The hard beating usually happens directly after eating salt

> and

> > > >> > doesn't last

> > > >> > long.

> > > >> > 8) Imagine chewing on tinfoil - that's how my whole body

> feels.

> > > >> > 9) I've had two episodes of nighttime paralysis after eating

> > > salty

> > > >> > meals in

> > > >> > the last few months.

> > > >> > 10) Estradiol (transdermal) started giving me the sensations

> of

> > > >> the vice

> > > >> > grip. I quit it over a month ago, but don't want to stay off

> > > >> indefinitely.

> > > >> > 11) My heart rate highest was mid 90's. Since spiro, it has

> > gone

> > > >> down to

> > > >> > mostly the 70's.

> > > >> > 12) I do not get dizzy and certainly, have no hypotension

> > > >> >

> > > >> > Tonight we had salmon (from that yummy mail order place I

> > posted)

> > > >> and

> > > >> > shell

> > > >> > pasta salad w/broccoli (from the Healthy Heart Mart - 0 Mg

> > Na). I

> > > >> put a

> > > >> > tiny bit of salty marinade on the salmon and a few

> tablespoons

> > of

> > > >> mayo in

> > > >> > the salad. I had probably 400 mg Na and could feel the vice

> > grip

> > > >> for a

> > > >> > while. Sometimes, eating makes me feel better - especially a

> > > baked

> > > >> potato.

> > > >> > When I went to the CU Med School in 2005, I remember telling

> my

> > > >> doc that I

> > > >> > felt a real need to control my salt. She said she thought

> that

> > > >> might be a

> > > >> > good idea. The whole experience there was dismal, but I know

> > you

> > > >> know all

> > > >> > about dismal experiences.

> > > >> >

> > > >> > When the anxiety and sweats come in the early mornings, the

> > > >> foreboding

> > > >> > " thoughts " always get to me. Feelings of " out of control

> > > >> thoughts, " or

> > > >> > " flooding of

> > > >> > thoughts? " Yes! Ativan has helped me sleep longer and has

> > > >> generally calmed

> > > >> > the thoughts. I believe now, when the sweats come, I don't

> get

> > as

> > > >> anxious.

> > > >> > I hate depending on Ativan. I'm theorizing that the sweats

> are

> > my

> > > >> body's

> > > >> > attempt to dump potassium or salt or something.

> > > >> >

> > > >> > The other face of the anxiety is my complete inability to

> deal

> > > with

> > > >> > anything

> > > >> > even mildly upsetting. Mind you, I used to be a college

> > teacher.

> > > I

> > > >> could

> > > >> > whip 450 students into shape and make them learn economics

> in a

> > > >> huge

> > > >> > lecture

> > > >> > hall. They knew better than to give me any lip. Its as

> though I

> > > >> was born

> > > >> > knowing how to do it. They loved me. I raised five educated,

> > > >> successful

> > > >> > children. They love me too. I've managed political

> campaigns. I

> > > >> could

> > > >> > tear a rental apart and restore it to grand elegance. I built

> > > some

> > > >> of my

> > > >> > furniture. In 2004, I built my daughter a wedding dress with

> 54

> > > >> yards of

> > > >> > silk and 2,000,000 embroidery stitches (I was getting sick

> then

> > > >> but just

> > > >> > pushed through it). My point is that, before this ugly

> > disease, I

> > > >> was

> > > >> > powerful. I could do anything. I was not a wimp. Now, I am

> > > >> reclusive and

> > > >> > avoid talking to anyone or answering the telephone. I just

> > can't

> > > >> take any

> > > >> > pressure. I never shop anymore as I get too overwhelmed

> looking

> > > >> for what I

> > > >> > want or I get too weak. I make all my own clothes because I'm

> > too

> > > >> short to

> > > >> > buy anything. I can't sew right now and will soon be naked.

> > > >> >

> > > >> > Today, I tried to calm myself with 300 mg of Pantethine. It

> > sent

> > > me

> > > >> > into an

> > > >> > anxious sweat that lasted several hours. No luck there. Extra

> > > >> Vitamin D

> > > >> > increases the anxiety. I've become terribly sensitive to

> > > >> everything it

> > > >> > seems. The only thing that seems good is my cal/mag/D

> > > >> (1000/500/200). My

> > > >> > bones are bad so I'm grateful about that.

> > > >> >

> > > >> > My husband tries to be understanding and protective but he's

> > such

> > > >> a klutz.

> > > >> > He walked into my office a few minutes ago with the

> foreboding

> > > >> > pronouncement

> > > >> > that we're going to have to figure out how to stay alive for

> > the

> > > >> next

> > > >> > three

> > > >> > weeks. I immediately went into panic mode, everything

> tightened

> > > >> up, and I

> > > >> > was a nervous wreck. Then he gave me the rest of the story -

> a

> > > >> possible

> > > >> > trucker strike. He was thinking about how I will get spiro. I

> > > have

> > > >> not

> > > >> > cried through this but tonight it was the only way I cope.

> > > >> Irrational, I

> > > >> > know.

> > > >> >

> > > >> > This has been getting worse and worse since 2002. I'm sure a

> > good

> > > >> part of

> > > >> > the anxiety is the waiting and wondering and trying to figure

> > > >> things

> > > >> > out. I

> > > >> > was greatly relieved when my endo agreed with Dr. Grim that I

> > > have

> > > >> PA. I

> > > >> > was greatly relieved when my BP dropped down into the 120's

> > after

> > > >> > three days

> > > >> > of spiro. It has bumped back up now to the mid 140's for the

> > last

> > > >> > couple of

> > > >> > days. I need more spiro but endo is tight-fisted until she

> > gets a

> > > >> K level

> > > >> > next Thursday. I'm trying to get FitDay set up again so I can

> > > >> tract Na

> > > >> > precisely but haven't been able to concentrate on it.

> > > >> >

> > > >> > I was this somewhat this way back in 1999, trying to get an

> HMO

> > > >> doctor to

> > > >> > approve parathyroid surgery. I talked to Dr. Norman in Tampa

> > but

> > > >> > ultimately

> > > >> > concluded I was too weak and wracked to make the trip. Plus,

> > the

> > > >> damn HMO

> > > >> > would only pay 10%. Maybe anxiety is just my way of dealing

> > with

> > > >> any

> > > >> > stress. The thing is, I used to be tough as nails.

> > > >> >

> > > >> > You asked for an abstract and here, I've written a book.

> Sorry.

> > > >> >

> > > >> > I'm so sick of this.

> > > >> >

> > > >> > Val

> > > >> >

> > > >> > From: hyperaldosteronism

> > > >> <mailto:hyperaldosteronism%40>

> > > >> > <mailto:hyperaldosteronism%40>

> > > >> > [mailto:hyperaldosteronism

> > > >> <mailto:hyperaldosteronism%40>

> > > >> > <mailto:hyperaldosteronism%40>] On Behalf Of

> > Dave

> > > >> >

> > > >> > Val, this salt sensitivity you describe is something I have

> > also,

> > > >> and

> > > >> > have minimized through balancing my aldo-blocker and sodium

> > > >> intake. To

> > > >> > get sodium up to a little under 1500mg per day I had to

> spread

> > it

> > > >> out

> > > >> > (no more than 350-500mg per meal) and get my spiro to 37mg.

> > That

> > > >> was

> > > >> > my optimum. The reason I tried to stay at 1500mg sodium is

> that

> > > >> was my

> > > >> > sensitivity point at first. As time wore on, that was not

> > enough

> > > >> as I

> > > >> > got precisely the symptoms you mention, plus postural

> > hypotension

> > > >> dizzy

> > > >> > spells. So, tweaking again to about 2400mg sodium. Now inspra

> > at

> > > >> 75mg.

> > > >> >

> > > >> > Does your " anxiety " include suspiratory (fast, hard)

> in-breaths

> > > >> during

> > > >> > the start, middle or after? Any hyperventialation (faster,

> more

> > > >> > breaths)? Is there some tachycardia or disrhythmia - before,

> > > >> during or

> > > >> > after? Feelings of " out of control thoughts, " or " flooding of

> > > >> > thoughts? " I'm interested because of work on so-called panic

> > > >> attacks at

> > > >> > Stanford.

> > > >> >

> > > >> > My cardiologist worried about too little sodium in my stage 4

> > > case

> > > >> of PA

> > > >> > (25-30 yrs undiagnosed or treated) because my metabolism had

> > > >> adjusted to

> > > >> > so much more (probably 10-12 grams per day) for 30 years.

> > > >> >

> > > >> > Too little and my body complained.

> > > >> >

> > > >> > Dave

> > > >> >

> > > >> > Valarie wrote:

> > > >> > >

> > > >> > > I believe I've had a profound response to 50 mg spiro. My

> BP

> > is

> > > >> > running at

> > > >> > > about 126/79. Pulse has dropped from mid 80's to high 60's.

> > > >> That's on

> > > >> > > extremely low sodium (~800 mg/day). If I eat more than

> that,

> > BP

> > > >> > rises back

> > > >> > > up. After having lower BP for a few days, I ate about 1,000

> > mg

> > > >> of sodium

> > > >> > > last night. I'd had about 400 mg during the day. Within a

> few

> > > >> hours, BP

> > > >> > > was 143/80, anxiety was considerably heightened, heart

> > > pounding.

> > > >> I have

> > > >> > > been aware for at least four years that I am very sensitive

> > to

> > > >> salt.

> > > >> > Only

> > > >> > > recently, however, have I been carefully keeping it less

> than

> > > >> 800 mg.

> > > >> > > Before, I just didn't eat obviously salty food and never

> used

> > > >> the salt

> > > >> > > shaker. ly, I don't want to have to maintain on less

> > than

> > > >> 800 mg.

> > > >> > > so I

> > > >> > > guess I need a bit more spiro.

> > > >> > >

> > > >> > > I am thinking more and more about getting AVS at Mayo. I

> want

> > > the

> > > >> > > chance to

> > > >> > > be well. If I don't at least try, I'll spend the rest of my

> > > years

> > > >> > > wondering

> > > >> > > if I could have felt really well, just once. I've spent so

> > many

> > > >> years

> > > >> > > being

> > > >> > > sick (hyperparathyroid, hypothyroid).

> > > >> > >

> > > >> > > Still having sweats. Maybe my doc can figure them out. I'm

> > > going

> > > >> to

> > > >> > pursue

> > > >> > > MEN 1 genetic testing.

> > > >>

March 30, 2008

On Mar 30, 2008, at 9:23 PM, Clarence Grim wrote:

>

> Begin forwarded message:

>

> > From: Clarence Grim <lowerbp2@...>

> > Date: March 30, 2008 9:11:16 PM CDT

> > hyperaldosteronism

> > Subject: Fwd: Fwd: Unable to deliver your

> message

> > Reply-hyperaldosteronism

> >

> > Begin forwarded message:

> >

> > > From: Clarence Grim <lowerbp2@...>

> > > Date: March 29, 2008 10:47:35 PM CDT

> > > hyperaldosteronism

> > > Subject: Fwd: Unable to deliver your message

> > > Reply-hyperaldosteronism

> > >

> > > Begin forwarded message:

> > >

> > > > From: <notify >

> > > > Date: March 29, 2008 10:32:22 PM CDT

> > > > LOWERBP2@...

> > > > Subject: Unable to deliver your message

> > > >

> > > > We are unable to deliver the message from <LOWERBP2@...>

> > > > to <hyperaldosteronism >.

> > > >

> > > > The email address used to send your message is not subscribed to

> > > this

> > > > group. If you are a member of this group, please be aware that

> you

> > > may

> > > > only send messages to this group using the email address(es) you

> > > have

> > > > registered with .

> > > >

> > > > If you would like to subscribe to this group:

> > > > 1. visit

> > > > hyperaldosteronism/join

> > > > -OR-

> > > > 2. send email to hyperaldosteronism-subscribe

> > > >

> > > > For further assistance, please visit

> > > > http://help./l/us//groups/original/members/web/

> > > > index.html

> > > >

> > > > From: Clarence Grim <lowerbp2@...>

> > > > Date: March 29, 2008 10:32:30 PM CDT

> > > > hyperaldosteronism

> > > > Subject: Re: Aldo and sodium, panic &

> anxiety

> > > >

> > > > On Mar 29, 2008, at 3:03 PM, Valarie wrote:

> > > >

> > > >> Thanks, Dave, for the acknowledgment. After I unloaded last

> > night,

> > > I

> > > >> felt

> > > >> kinda' bad. I generally try to be better controlled and

> > deliberate.

> > > >>

> > > >> This morning, I had two eggs, 1 toast, 1 T Smart Start, 1/2 &

> 1/2

> > > >> (15 mg Na)

> > > >> in coffee - 395 mg Na total. The familiar " gripping " started. I

> > > took

> > > >> two

> > > >> Valerian Root and calmed down. I would rather use that than

> > Ativan.

> > > >

> > > > Suggest you find a lower Na bread.

> > > >>

> > > >> My bump up to mid 140's BP came after I ingested 1,400 mg Na

> one

> > > >> day. This

> > > >> morning, it was back down to mid 120's. I've been avoiding salt

> > > like

> > > >> the

> > > >> plague.

> > > >

> > > > No salt IS the plague in most with HTN. Esp if they also have

> PA.

> > > >

> > > >> I am going to have to work with this and find some combination

> of

> > > >> sodium and spiro that works. In all honesty, I believe the

> level

> > of

> > > >> anxiety

> > > >> is lessening but I'm still not normal. I keep a log and try to

> > > record

> > > >> " anxiety " for the day (scale = 1 - 10). It is difficult because

> > the

> > > >> level

> > > >> varies so much from hour to hour. In general, however, I'm

> seeing

> > > >> fewer 7 -

> > > >> 10 levels than I was a few weeks ago. There were many days back

> > > from

> > > >> September through February, when the level was 10+ and fairly

> > > >> constant (BP

> > > >> was 160 - 210).

> > > >>

> > > >> I have said before here that anti-depressants are perhaps one

> of

> > > the

> > > >> worst

> > > >> drugs ever invented. When I went to CU Medical, that's the

> first

> > > >> thing they

> > > >> threw at me. In spite of sometimes unloading here, I am not an

> > > >> hysterical

> > > >> woman. I guess it is easier to mask symptoms than to find

> causes.

> > > >>

> > > >> Your mention of PA masking hypercalcemia, thyroid, etc is so

> > > >> interesting,

> > > >> and so, so lacking in research. I read a case study last night

> > > about

> > > >> a 50-yo

> > > >> woman presenting with significant stomach pain, hypertension,

> > > weight

> > > >> gain

> > > >> (40 lbs in three years), and generalized anxiety disorder.

> > > >> Ordinarily, I

> > > >> would presume, she would have been given Prozac, HCTZ, and be

> > told

> > > >> to eat

> > > >> less and take Prevacid. A stomach CT disclosed an incidentaloma

> > on

> > > >> her

> > > >> adrenal. AVS proved it to be an aldo-producing adenoma. Two

> years

> > > >> after

> > > >> surgery, she was well with normal BP. It didn't report on the

> > level

> > > >> of

> > > >> anxiety nor if there had been any weight loss. I think

> " anxiety "

> > is

> > > >> not

> > > >> regarded with much respect, even though its presence can be

> > > >> debilitating.

> > > >> Maybe I need to start describing it as " gripping " instead of

> > > >> " anxiety. "

> > > >

> > > > There is not a good anxiety scale that I know of. I suggest our

> > > group

> > > > work on this.

> > > >

> > > >>

> > > >> I'm going to again start tracking every morsel that goes into

> my

> > > >> mouth. I

> > > >> will keep a graph for the next doc who says to " eat less. " I

> had

> > > been

> > > >> tracking it when I went to CU Medical. The young, flippant endo

> > > >> looked at

> > > >> it and said, " Looks like something's really out of balance. "

> End

> > of

> > > >> conversation. She had virtually no scientific curiosity.

> Perhaps

> > an

> > > >> affirmative action hire?

> > > >

> > > > Most likely has not recognized PA in her own Pts and not

> followed

> > > any

> > > > for a long time.

> > > >>

> > > >> In reading through old posts, I find recurring mention of

> > anxiety,

> > > >> sweats,

> > > >> hyped up, coffee high, etc. Surely, we're not all nuts.

> > > >>

> > > >> I just got 300- 25 mg spiro in the mail. Now, my husband can

> stop

> > > >> worrying

> > > >> about the truckers' strike . I'm not going to take any

> > additional

> > > >> until I

> > > >> see where K is.

> > > >>

> > > >> Feel free to bounce stuff off me. I'll talk yur ear off .

> Feel

> > > >> free to

> > > >> use any of my writing or ideas any way you want.

> > > >>

> > > >> BTW, back in my " nerves of stone " days, I had two " location

> > theory "

> > > >> articles

> > > >> published and even presented one at an economics conference. I

> > > >> traded that

> > > >> life for motherhood. That took nerves of stone, too - two

> > preemies,

> > > >> and an

> > > >> educational system that cultivates and lauds mediocrity.

> > > >>

> > > >> Val

> > > >>

> > > >> From: hyperaldosteronism

> > > >>

> > > >> [mailto:hyperaldosteronism ] On Behalf Of Dave

> > > >>

> > > >> Val this is such a great entry for the registry Dr Grim wants

> to

> > > >> make in

> > > >> here - but for a database expert. I am learning things from it

> in

> > > >> increasing amounts.

> > > >>

> > > >> If PA can mask hypercalcemia (which does not have to be where

> it

> > > >> should

> > > >> be - in the ones, hair, calming mechanisms, etc) and

> > hypothyroidism

> > > >> (as

> > > >> it did with me too), I wonder what else this systemic metabolic

> > > >> condition can do if left alone (or, neglected) long enough?

> > > >>

> > > >> There seem to be receptors left w/o aldo blocking action from

> > spiro

> > > >> or

> > > >> eplerenone. Calcium deposits, arthritic spines, Ca residue in

> > extra

> > > >> sweats, electrolyte problems (e.g. hypomagesia, already a food

> > > >> problem

> > > >> in industrial societies), temporary paralysis, pins and

> needles,

> > > >> positive Chvostek & Trousseau sign, parasthesias, kidney " funny

> > > >> labile

> > > >> function " (eg. nocturnal polyuria). Neurological

> (non-congestive)

> > > >> breathing stoppages, along with other autonomic problems. These

> > are

> > > >> among the things which seem to go on after the BP and potassium

> > are

> > > >> normalized --and called " anxiety " by some doctors.

> > > >>

> > > >> Before I can respond with a few things from my anxiety study, I

> > > will

> > > >> have to reconnoiter. Staying on-topic with PA seems easy in

> this

> > > >> subject area. One field in my qualitative research is

> > professional

> > > >> (lawyers and physicians) coping mechanisms (without getting too

> > > >> psychological). The most common reaction from professionals, in

> > our

> > > >> interview and participant observation ethnographies has been -

> > you

> > > >> guessed it - some variation of saying the client or patient is

> > > crazy,

> > > >> anxious, depressed, OCD, etc.

> > > >>

> > > >> If they don't know it, or it isn't easy to find, isn't in

> caselaw

> > > or

> > > >> practicum, or most of all - isn't yielding to their

> professional

> > > >> efforts

> > > >> - AHA! It's psychological (doesn't exist except in the client's

> > or

> > > >> pts'

> > > >> mind).

> > > >>

> > > >> More soon,

> > > >>

> > > >> Dave

> > > >>

> > > >> Valarie wrote:

> > > >> >

> > > >> > The anxiety I talk about is hard to explain, Dave. I will

> try.

> > > >> These are

> > > >> > numbered so when distorts them, they may retain some

> > > >> semblance of

> > > >> > order.

> > > >> >

> > > >> > When I eat too much salt,

> > > >> > 1) I can feel my muscles cramp up, especially back neck and

> > > >> shoulders;

> > > >> > sometimes in the front of my neck and chest.

> > > >> > 2) I get a terrible feeling of panic, like a vice is grabbing

> > my

> > > >> heart and

> > > >> > squeezing hard

> > > >> > 3) My heart feels " funny " like it is beating lightly (or

> maybe

> > > not

> > > >> even

> > > >> > beating) but I cannot discern that it is irregular. I used to

> > get

> > > >> heart

> > > >> > " flutters " but don't have them much right now.

> > > >> > 4) I don't breathe fully; sometimes I become aware that I'm

> > > almost

> > > >> holding

> > > >> > my breath. Paralysis of some sort?

> > > >> > 5) I am not hyperventilating.

> > > >> > 6) Sometimes, I try to take deep belly breaths and find I'm

> not

> > > in

> > > >> control

> > > >> > enough to do that.

> > > >> > 7) Sometimes, it beats really hard in my chest. I've had both

> > > >> sensations.

> > > >> > The hard beating usually happens directly after eating salt

> and

> > > >> > doesn't last

> > > >> > long.

> > > >> > 8) Imagine chewing on tinfoil - that's how my whole body

> feels.

> > > >> > 9) I've had two episodes of nighttime paralysis after eating

> > > salty

> > > >> > meals in

> > > >> > the last few months.

> > > >> > 10) Estradiol (transdermal) started giving me the sensations

> of

> > > >> the vice

> > > >> > grip. I quit it over a month ago, but don't want to stay off

> > > >> indefinitely.

> > > >> > 11) My heart rate highest was mid 90's. Since spiro, it has

> > gone

> > > >> down to

> > > >> > mostly the 70's.

> > > >> > 12) I do not get dizzy and certainly, have no hypotension

> > > >> >

> > > >> > Tonight we had salmon (from that yummy mail order place I

> > posted)

> > > >> and

> > > >> > shell

> > > >> > pasta salad w/broccoli (from the Healthy Heart Mart - 0 Mg

> > Na). I

> > > >> put a

> > > >> > tiny bit of salty marinade on the salmon and a few

> tablespoons

> > of

> > > >> mayo in

> > > >> > the salad. I had probably 400 mg Na and could feel the vice

> > grip

> > > >> for a

> > > >> > while. Sometimes, eating makes me feel better - especially a

> > > baked

> > > >> potato.

> > > >> > When I went to the CU Med School in 2005, I remember telling

> my

> > > >> doc that I

> > > >> > felt a real need to control my salt. She said she thought

> that

> > > >> might be a

> > > >> > good idea. The whole experience there was dismal, but I know

> > you

> > > >> know all

> > > >> > about dismal experiences.

> > > >> >

> > > >> > When the anxiety and sweats come in the early mornings, the

> > > >> foreboding

> > > >> > " thoughts " always get to me. Feelings of " out of control

> > > >> thoughts, " or

> > > >> > " flooding of

> > > >> > thoughts? " Yes! Ativan has helped me sleep longer and has

> > > >> generally calmed

> > > >> > the thoughts. I believe now, when the sweats come, I don't

> get

> > as

> > > >> anxious.

> > > >> > I hate depending on Ativan. I'm theorizing that the sweats

> are

> > my

> > > >> body's

> > > >> > attempt to dump potassium or salt or something.

> > > >> >

> > > >> > The other face of the anxiety is my complete inability to

> deal

> > > with

> > > >> > anything

> > > >> > even mildly upsetting. Mind you, I used to be a college

> > teacher.

> > > I

> > > >> could

> > > >> > whip 450 students into shape and make them learn economics

> in a

> > > >> huge

> > > >> > lecture

> > > >> > hall. They knew better than to give me any lip. Its as

> though I

> > > >> was born

> > > >> > knowing how to do it. They loved me. I raised five educated,

> > > >> successful

> > > >> > children. They love me too. I've managed political

> campaigns. I

> > > >> could

> > > >> > tear a rental apart and restore it to grand elegance. I built

> > > some

> > > >> of my

> > > >> > furniture. In 2004, I built my daughter a wedding dress with

> 54

> > > >> yards of

> > > >> > silk and 2,000,000 embroidery stitches (I was getting sick

> then

> > > >> but just

> > > >> > pushed through it). My point is that, before this ugly

> > disease, I

> > > >> was

> > > >> > powerful. I could do anything. I was not a wimp. Now, I am

> > > >> reclusive and

> > > >> > avoid talking to anyone or answering the telephone. I just

> > can't

> > > >> take any

> > > >> > pressure. I never shop anymore as I get too overwhelmed

> looking

> > > >> for what I

> > > >> > want or I get too weak. I make all my own clothes because I'm

> > too

> > > >> short to

> > > >> > buy anything. I can't sew right now and will soon be naked.

> > > >> >

> > > >> > Today, I tried to calm myself with 300 mg of Pantethine. It

> > sent

> > > me

> > > >> > into an

> > > >> > anxious sweat that lasted several hours. No luck there. Extra

> > > >> Vitamin D

> > > >> > increases the anxiety. I've become terribly sensitive to

> > > >> everything it

> > > >> > seems. The only thing that seems good is my cal/mag/D

> > > >> (1000/500/200). My

> > > >> > bones are bad so I'm grateful about that.

> > > >> >

> > > >> > My husband tries to be understanding and protective but he's

> > such

> > > >> a klutz.

> > > >> > He walked into my office a few minutes ago with the

> foreboding

> > > >> > pronouncement

> > > >> > that we're going to have to figure out how to stay alive for

> > the

> > > >> next

> > > >> > three

> > > >> > weeks. I immediately went into panic mode, everything

> tightened

> > > >> up, and I

> > > >> > was a nervous wreck. Then he gave me the rest of the story -

> a

> > > >> possible

> > > >> > trucker strike. He was thinking about how I will get spiro. I

> > > have

> > > >> not

> > > >> > cried through this but tonight it was the only way I cope.

> > > >> Irrational, I

> > > >> > know.

> > > >> >

> > > >> > This has been getting worse and worse since 2002. I'm sure a

> > good

> > > >> part of

> > > >> > the anxiety is the waiting and wondering and trying to figure

> > > >> things

> > > >> > out. I

> > > >> > was greatly relieved when my endo agreed with Dr. Grim that I

> > > have

> > > >> PA. I

> > > >> > was greatly relieved when my BP dropped down into the 120's

> > after

> > > >> > three days

> > > >> > of spiro. It has bumped back up now to the mid 140's for the

> > last

> > > >> > couple of

> > > >> > days. I need more spiro but endo is tight-fisted until she

> > gets a

> > > >> K level

> > > >> > next Thursday. I'm trying to get FitDay set up again so I can

> > > >> tract Na

> > > >> > precisely but haven't been able to concentrate on it.

> > > >> >

> > > >> > I was this somewhat this way back in 1999, trying to get an

> HMO

> > > >> doctor to

> > > >> > approve parathyroid surgery. I talked to Dr. Norman in Tampa

> > but

> > > >> > ultimately

> > > >> > concluded I was too weak and wracked to make the trip. Plus,

> > the

> > > >> damn HMO

> > > >> > would only pay 10%. Maybe anxiety is just my way of dealing

> > with

> > > >> any

> > > >> > stress. The thing is, I used to be tough as nails.

> > > >> >

> > > >> > You asked for an abstract and here, I've written a book.

> Sorry.

> > > >> >

> > > >> > I'm so sick of this.

> > > >> >

> > > >> > Val

> > > >> >

> > > >> > From: hyperaldosteronism

> > > >> <mailto:hyperaldosteronism%40>

> > > >> > <mailto:hyperaldosteronism%40>

> > > >> > [mailto:hyperaldosteronism

> > > >> <mailto:hyperaldosteronism%40>

> > > >> > <mailto:hyperaldosteronism%40>] On Behalf Of

> > Dave

> > > >> >

> > > >> > Val, this salt sensitivity you describe is something I have

> > also,

> > > >> and

> > > >> > have minimized through balancing my aldo-blocker and sodium

> > > >> intake. To

> > > >> > get sodium up to a little under 1500mg per day I had to

> spread

> > it

> > > >> out

> > > >> > (no more than 350-500mg per meal) and get my spiro to 37mg.

> > That

> > > >> was

> > > >> > my optimum. The reason I tried to stay at 1500mg sodium is

> that

> > > >> was my

> > > >> > sensitivity point at first. As time wore on, that was not

> > enough

> > > >> as I

> > > >> > got precisely the symptoms you mention, plus postural

> > hypotension

> > > >> dizzy

> > > >> > spells. So, tweaking again to about 2400mg sodium. Now inspra

> > at

> > > >> 75mg.

> > > >> >

> > > >> > Does your " anxiety " include suspiratory (fast, hard)

> in-breaths

> > > >> during

> > > >> > the start, middle or after? Any hyperventialation (faster,

> more

> > > >> > breaths)? Is there some tachycardia or disrhythmia - before,

> > > >> during or

> > > >> > after? Feelings of " out of control thoughts, " or " flooding of

> > > >> > thoughts? " I'm interested because of work on so-called panic

> > > >> attacks at

> > > >> > Stanford.

> > > >> >

> > > >> > My cardiologist worried about too little sodium in my stage 4

> > > case

> > > >> of PA

> > > >> > (25-30 yrs undiagnosed or treated) because my metabolism had

> > > >> adjusted to

> > > >> > so much more (probably 10-12 grams per day) for 30 years.

> > > >> >

> > > >> > Too little and my body complained.

> > > >> >

> > > >> > Dave

> > > >> >

> > > >> > Valarie wrote:

> > > >> > >

> > > >> > > I believe I've had a profound response to 50 mg spiro. My

> BP

> > is

> > > >> > running at

> > > >> > > about 126/79. Pulse has dropped from mid 80's to high 60's.

> > > >> That's on

> > > >> > > extremely low sodium (~800 mg/day). If I eat more than

> that,

> > BP

> > > >> > rises back

> > > >> > > up. After having lower BP for a few days, I ate about 1,000

> > mg

> > > >> of sodium

> > > >> > > last night. I'd had about 400 mg during the day. Within a

> few

> > > >> hours, BP

> > > >> > > was 143/80, anxiety was considerably heightened, heart

> > > pounding.

> > > >> I have

> > > >> > > been aware for at least four years that I am very sensitive

> > to

> > > >> salt.

> > > >> > Only

> > > >> > > recently, however, have I been carefully keeping it less

> than

> > > >> 800 mg.

> > > >> > > Before, I just didn't eat obviously salty food and never

> used

> > > >> the salt

> > > >> > > shaker. ly, I don't want to have to maintain on less

> > than

> > > >> 800 mg.

> > > >> > > so I

> > > >> > > guess I need a bit more spiro.

> > > >> > >

> > > >> > > I am thinking more and more about getting AVS at Mayo. I

> want

> > > the

> > > >> > > chance to

> > > >> > > be well. If I don't at least try, I'll spend the rest of my

> > > years

> > > >> > > wondering

> > > >> > > if I could have felt really well, just once. I've spent so

> > many

> > > >> years

> > > >> > > being

> > > >> > > sick (hyperparathyroid, hypothyroid).

> > > >> > >

> > > >> > > Still having sweats. Maybe my doc can figure them out. I'm

> > > going

> > > >> to

> > > >> > pursue

> > > >> > > MEN 1 genetic testing.

> > > >>

March 31, 2008

Begin forwarded message:

> From: <notify >

> Date: March 31, 2008 12:14:40 PM CDT

> LOWERBP2@...

> Subject: Unable to deliver your message

>

> We are unable to deliver the message from <LOWERBP2@...>

> to <hyperaldosteronism >.

>

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>

> From: Clarence Grim <lowerbp2@...>

> Date: March 31, 2008 12:13:33 PM CDT

>> http://www.emedicine.com/MED/topic3193.htm

> Subject: Re: Re: New file uploaded to

> hyperaldosteronism

>

> Some folks seem to get by with once a day.

>

> On Mar 31, 2008, at 12:32 AM, airlinerg wrote:

>

>> This file is also located on the original website at

>>

>>

>> from Emedicine website sponsored by WebMD

>>

>> I am surprised it has no mention of the DASH diet and talks very

>> little about the role of diet in hyperaldosteronsim and puts the

>> primary emphasis on medication.

>>

>> It says the maximum dose of Inspra should be 100 mg per day with the

>> average dose of Inspra 50 mg per day. I am taking quadruple that

>> amount, and I know that Inspra is needed at least every 12 hours for

>> blood pressure control if not 3 or 4 times a day if I had the

>> patience to divide it up.

>>

>> Inspra is definitely not a time released drug and its effect will

>> wear off completely in 12 hours. That is what I discovered from a

>> few years of using it.

>>

>> Airlinerg

>>

>> >

>> > Hello,

>> >

>> > This email message is a notification to let you know that

>> > a file has been uploaded to the Files area of the

>> hyperaldosteronism

>> > group.

>> >

>> > File : / Primary Hyperaldosteronism

>> > Uploaded by : airlinerg <airlinerg@...>

>> > Description : Author I Uwaifo MBBS, Clinical and

>> Research Attending, MedStar Clinical Research Center, Assistant

>> Professor of Medicine and Endocrinology, The MedStar Research

>> Institute and the Washington Hospital Center

>> >

>> > You can access this file at the URL:

>> > hyperaldosteronism/files/%20Primary%

>> 20Hyperaldosteronism

>> >

>> > To learn more about file sharing for your group, please visit:

>> >

>> http://help./l/us//groups/original/members/web/index.ht

>> mlfiles

>> >

>> > Regards,

>> >

>> > airlinerg <airlinerg@...>

>> >

>>

> May your pressure be low!

>

> CE Grim BS, MS, MD

> High Blood Pressure Consulting

> Specializing in Difficult to Manage High Blood Pressure

> Consult the following at for details

> bloodpressureline

> hyperaldosteronism

>

May your pressure be low!

CE Grim BS, MS, MD

High Blood Pressure Consulting

Specializing in Difficult to Manage High Blood Pressure

Consult the following at for details

bloodpressureline

hyperaldosteronism

April 2, 2008

Begin forwarded message:

> From: <notify >

> Date: April 2, 2008 11:35:27 AM CDT

> LOWERBP2@...

> Subject: Unable to deliver your message

>

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> to <hyperaldosteronism >.

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>

> From: Clarence Grim <lowerbp2@...>

> Date: April 2, 2008 11:35:46 AM CDT

> Subject: Re: Wild Rice

>

> Will check our prices here. Seems to me the MN brand is much darker

> than brown rice and I may have mispoke re black.

>

> On Apr 2, 2008, at 11:24 AM, kimsstay wrote:

>

>> Hey Dr. Grim & others:

>>

>> If you like wild rice, we grow some of the best here in northern MN.

>> I

>> have friends who market some that is locally processed in the native

>> american fashion (by canoe, parched, etc.), no additives. It is not

>> black, the black is commercially paddy grown. I find that the natural

>> wild rice doesn't take as long to cook and tastes 'nuttier'. If you

>> are interested I can see if they will ship to you, they sell it for

>> $7.50 per pound.

>>

>> Kim in MN

>>

> May your pressure be low!

>

> CE Grim BS, MS, MD

> High Blood Pressure Consulting

> Specializing in Difficult to Manage High Blood Pressure

> Consult the following at for details

> bloodpressureline

> hyperaldosteronism

>

May your pressure be low!

CE Grim BS, MS, MD

High Blood Pressure Consulting

Specializing in Difficult to Manage High Blood Pressure

Consult the following at for details

bloodpressureline

hyperaldosteronism

April 12, 2008

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>

> From: Clarence Grim <lowerbp2@...>

> Date: April 12, 2008 8:40:40 PM CDT

> Subject: Re: What does supine mean with an aldo

> test

>

> On Apr 12, 2008, at 8:28 PM, Valarie wrote:

>

>> Cortisol might as well have been ascertained as " high " ; it was ~8:30A

>> and I was not feeling stressed in the least; value was 21.4 (range

>> 3.1-22.4 ug/dl)

>

> This is a normal cortisol. Cortisol does not correlate with feeling

> stressed.

>>

>> Renin, plasma - 1.22 upright 1.31-3.95; supine .15-2.33 ng/ml/hr

>> Aldosterone - 17.1 upright; supine 1.0 - 16.0

>

> renin is low and aldo is high. She has PA early stage.

>

>> Again, LabCorps is supposed to note position and apparently they went

>> by recumbent or " supine " . Either way, something is off.

>>

> May your pressure be low!

>

> CE Grim BS, MS, MD

> High Blood Pressure Consulting

> Specializing in Difficult to Manage High Blood Pressure

> Consult the following at for details

> bloodpressureline

> hyperaldosteronism

>

May your pressure be low!

CE Grim BS, MS, MD

High Blood Pressure Consulting

Specializing in Difficult to Manage High Blood Pressure

Consult the following at for details

bloodpressureline

hyperaldosteronism

April 12, 2008

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>

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> to <hyperaldosteronism >.

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> From: Clarence Grim <lowerbp2@...>

> Date: April 12, 2008 8:31:35 PM CDT

> Subject: Re: Val's story (cont)

>

> LVH can be detected lower by 2 weeks of diuretics or low sodium diet.

>

> If you look at Kempner's 1944 pubs he saw complete reversal in 2-3

> months by chest xray and by EKG with the rice fruit diet.

>

> I think we have uploaded my slides on this one time.

>

> Need to get my talk on this in ppt so folks can view it. But dont

> know how to publish it on the web.

>

> On Apr 12, 2008, at 6:27 PM, Valarie wrote:

>

>> Dave, I'm not a baby. I want full information about everything. I

>> hardly

>> understand what you're saying so will study. Thanks.

>>

>> Val

>>

>> From: hyperaldosteronism

>>

>> [mailto:hyperaldosteronism ] On Behalf Of Dave

>>

>> Mine was 26mm. Took tow years of low BP to shrink to 17mm, at the

>> line

>> of statistical risk

>>

>> You know the difference between our " non-specific " (translation : we

>> don't know yet) cardiac patterns including (but not limited to) PVC's

>> and the (usually thought) " more serious " arrhythmias with lower

>> ejection

>> fractions (the ones that qualify - and have comensatory

>> defibrillating

>> programs written for - I.C.D.'s)? Our " non-specific " left ventricle

>> myopathies?

>>

>> If not please look it up. I just don't have, um; the heart to tell

>> you. No other expense will be in front of it in line. Some

>> cardiologists don't say anything; ignoring it and others figure

>> " she/he

>> will never know. " So most won't tell you.

>>

>> However, you don't strike me as someone who wants to be treated like

>> a

>> child or have things withheld. . .it is pat of the mathematical " by

>> the

>> numbers " risk medicine, so controversial, but I personally want to

>> take

>> any known precaution.

>>

>> dave

>>

>> Valarie wrote:

>> >

>> > How long did yours take to shrink? How bad was it? Will continue

>> to look

>> > for my records but am way behind today in book work and other

>> > necessities of

>> > life.

>> >

>> > Val

>> >

>> > From: hyperaldosteronism

>> <mailto:hyperaldosteronism%40>

>> > <mailto:hyperaldosteronism%40>

>> > [mailto:hyperaldosteronism

>> <mailto:hyperaldosteronism%40>

>> > <mailto:hyperaldosteronism%40>] On Behalf Of Dave

>> >

>> > The echo was nine years ago? Some left ventricular thickening? I'd

>> do

>> > it again now, and stick with the spiro to keep BP low. LVH (a

>> > condition of untreated HTN) can shrink back if you keep your BP

>> low. I

>> > shrank mine and stopped the arrhythmias.

>> >

>> > Dave

>> >

>> > Valarie wrote:

>> > >

>> > > I had an echo in 1999, just before PTH surgery. The technician

>> was

>> > amazed

>> > > with the strength. The radiologist noted a " slight LV

>> thickening " but

>> > > called the echo normal.

>> >

>>

April 13, 2008

Begin forwarded message:

> From: <notify >

> Date: April 13, 2008 8:12:30 PM CDT

> LOWERBP2@...

> Subject: Unable to deliver your message

>

> We are unable to deliver the message from <LOWERBP2@...>

> to <hyperaldosteronism >.

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> From: Clarence Grim <lowerbp2@...>

> Date: April 13, 2008 8:12:57 PM CDT

> Subject: Re: What does supine mean with an aldo

> test

>

> If her BP was always 90 and now is 139 I would recommend DASH.

>

> On Apr 12, 2008, at 9:11 PM, Valarie wrote:

>

>> I will invite her to join our group. How is early stage PA treated

>> with a

>> BP as low as hers?

>> >

>> > renin is low and aldo is high. She has PA early stage.

>>

April 19, 2008

Begin forwarded message:

> From: <notify >

> Date: April 19, 2008 8:12:53 PM CDT

> LOWERBP2@...

> Subject: Unable to deliver your message

>

> We are unable to deliver the message from <LOWERBP2@...>

> to <hyperaldosteronism >.

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>

> From: Clarence Grim <lowerbp2@...>

> Date: April 19, 2008 8:12:52 PM CDT

>> http://help./l/us//groups/original/members/web/

> Subject: Re: New file uploaded to

> hyperaldosteronism

>

> Can we create folders or update the file when new items are added by

> pasting into the first doc so that there is not a docuement for each

> article?

>

> On Apr 19, 2008, at 3:17 PM, hyperaldosteronism wrote:

>

>>

>> Hello,

>>

>> This email message is a notification to let you know that

>> a file has been uploaded to the Files area of the hyperaldosteronism

>> group.

>>

>> File : /HTN & Thyroid Metabolism/DIFFERENT EFFECTS OF BETA

>> BLOCKERS.doc

>> Uploaded by : val1198 <val@...>

>> Description : Beta blockers and thyroid

>>

>> You can access this file at the URL:

>> hyperaldosteronism/files/

>> HTN%20%26%20Thyroid%20Metabolism/

>> DIFFERENT%20EFFECTS%20OF%20BETA%20BLOCKERS.doc

>>

>> To learn more about file sharing for your group, please visit:

>> index.htmlfiles

>>

>> Regards,

>>

>> val1198 <val@...>

>>

> May your pressure be low!

>

> CE Grim BS, MS, MD

> High Blood Pressure Consulting

> Specializing in Difficult to Manage High Blood Pressure

> Consult the following at for details

> bloodpressureline

> hyperaldosteronism

>

May your pressure be low!

CE Grim BS, MS, MD

High Blood Pressure Consulting

Specializing in Difficult to Manage High Blood Pressure

Consult the following at for details

bloodpressureline

hyperaldosteronism

May 7, 2008

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> Date: May 7, 2008 5:01:08 PM CDT

> LOWERBP2@...

> Subject: Unable to deliver your message

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>

> From: lowerbp2@...

> Date: May 7, 2008 5:01:02 PM CDT

> Subject: Re: Changes to Hyperaldosteronism Group

>

> I am happy to become a co-owner if this is possible.

>

> Hope you will still keep us on our toes and share your expertise.

>

> From now on contact me at lowerbp2@...

>

> Changes to Hyperaldosteronism Group

>

> With great reluctance I have decided that I can no longer remain

> the " owner " of this group. Luckily Randy, one of the moderators, has

> volunteered to take over from me for which I am extremely grateful.

>

> Helen in Scotland

>

May 7, 2008

Begin forwarded message:

> From: Clarence Grim <lowerbp2@...>

> Date: May 7, 2008 7:56:16 PM CDT