Guest guest Posted March 19, 2008 Report Share Posted March 19, 2008 Hey Den Are we the same person?? I also have had crohns since 1983 and diagnosed in 2004 with Rheumotoid Arthiritis and not I have the c-4 5 and T5 and T6 herniation's with cord compression at the T-5 & 6 level. The herniations are new to me though. Are you followed by a Rheumotoid ologits [sp] ?? If not I highly recomend it strongly. When you looking at the inflamatory response from auto-immune disorders the connective tissue disorder comes very important. I have been on Remicaide infusion for the Crohn's and to prevent future joint distruction. Remicaide and Methotrexate are my mainstay as well as prednisone when I need to use it. I can relate 100 percent to the conditions as a whole. Your history will be very important to a Rheumotoligist. I am awaiting for a neuro-surgeon consult on April 15th, the pain has been overwhelming across the shoulders and a painful numbness in the ring and pinky fingers. As of now I have had 2 episodes of passing out due to intense pain. Holler back if I can help n South Louisiana > > Hello all. My name is Dennis (please call me Den). I am 38, married > and have a long history of Crohn's Disease (an auto immune disorder > causing inflammatory bowel disease). My Crohns Disease has taken a > huge toll on my body over the past 17 years including 8 surgeries for > bowel removal and other complications. I am proud to say however that > I have been working full time my whole life except for periods of > disability after my surgeries. > > In Sept. 2007, I woke up on a Sunday morning with pain in my neck and > had trouble turning my head. I had previously had this temporary > condition a number of times over the years, but it always went away > after a few days. As the day wore on, we were driving to my parent's > house for a visit and the pain traveled from my neck to between the > shoulder blades. It felt like I had been " punched " between the > shoulder blades. By that evening, I was in a lot of discomfort and my > hands were numb, but went to bed intending to get up work the next > day. I have a sales job and sit at a computer all day. I have been > with my employer fro 20 years as of next year. > > I woke up Monday morning at 5 a.m. and could not lift my arms for the > pain it caused. My wonderful wife got up and took me to the E.R. > After many hours, we were told that I had severe arthritis in the > cervical spine and was give Vicodin and 2 weeks off work. I was also > sent to my G.P. for a follow up. My G.P. advised that the x-rays also > showed some disc herniations and disc deterioration. The G.P. advised > physical therapy (which I did for almost a month) and more time off > work. The P.T. helped for a short period. I was made to purchase a > home traction unit and used this in conjunction with my regular P.T. > > My condition started to worsen as time went on, so P.T was > discontinued and I was sent to have an MRI done. The MRI showed > severe deterioration of discs C-3 thorugh C-7, herniations from C-3 > through C-7 and my spinal cord was compressed due to a particularly > bad herniation at C-4 C-5. > > My G.P. advised going to a pain clinic for steroid injections > directly into the cervical spine. I have two injections done and > experienced temporary improvement for a few days after each > injection, but went back to misery shortly thereafter. It was then > that I was referred to my neurosurgeon. > > The neurosurgeon determined that I had no reflexes at the elbows to > the hands and advised immediate surgery due to the spinal cord > compression. I was to have a three level discectomy and fusion (using > cadaver bone as my bones were too weak from years of steroids for my > Crohn's) to include plating. Surgery was Dec. 28, 2007. Up waking up > from surgery, I found that the neurosurgeon has actually done a four > level removing three discs and a 4 level plate. I was in the hospital > for 4 days and in my rigid neck collar for two months and then > advised to slowly discontinue its use. I actually went back to work > part time last week, but things have been going downhill as far as > pain in the neck radiating down into the shoulder blades and I'm > having trouble holding my head up. I haven't been back to work this > week so far. The neurosurgeon advised going back into the collar. I > am waiting on a callback this morning as to what else may need to be > done. > > Of all the surgeries I have had in my life, this has been the > toughest to heal from. I have been off work for almost six months, > not counting the half days I worked last week. I am looking to > network and maybe share some stories and advice. Thanks for reading! > > Den > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2008 Report Share Posted March 19, 2008 den, welcome to the group. is your neurosurgeon the only surgeon you saw prior to surgery? would it be possible for you to see other neuro and ortho surgeons now to get further advice or maybe to clean up what might need cleaning up? my heart goes out to you. keep the faith. marsha **************Create a Home Theater Like the Pros. Watch the video on AOL Home. (http://home.aol.com/diy/home-improvement-eric-stromer?video=15?ncid=aolhom00030\ 000000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 Hi . Nice to meet another Crohnie with the same spinal problems. I do not currently see a rhuemotologist although my mother was diagnosed with RA a few years ago, so I may have that gene. I am also an identical twin and my twin brother also has Crohns. I take Prednisone,Imuran,Cipro,Flagyl and most importantly-Humira. I was on Remicade since 1998 when it was approved by the FDA and was one of the first people here in Pa. to get it, but had too any antibodies built up after 10 years and was max'd out on dose and frequency-so they switched me to Humira which is great! All that aside I am coming up on 3 months post surgical, but because of the Crohns, I heal very slowly. Still hoping to go back part time next week. I had the numbness in the hands as well. It was not enjoyable at all. Have you had any spinal surgery yet for your condition? > > > > Hello all. My name is Dennis (please call me Den). I am 38, married > > and have a long history of Crohn's Disease (an auto immune disorder > > causing inflammatory bowel disease). My Crohns Disease has taken a > > huge toll on my body over the past 17 years including 8 surgeries > for > > bowel removal and other complications. I am proud to say however > that > > I have been working full time my whole life except for periods of > > disability after my surgeries. > > > > In Sept. 2007, I woke up on a Sunday morning with pain in my neck > and > > had trouble turning my head. I had previously had this temporary > > condition a number of times over the years, but it always went away > > after a few days. As the day wore on, we were driving to my > parent's > > house for a visit and the pain traveled from my neck to between the > > shoulder blades. It felt like I had been " punched " between the > > shoulder blades. By that evening, I was in a lot of discomfort and > my > > hands were numb, but went to bed intending to get up work the next > > day. I have a sales job and sit at a computer all day. I have been > > with my employer fro 20 years as of next year. > > > > I woke up Monday morning at 5 a.m. and could not lift my arms for > the > > pain it caused. My wonderful wife got up and took me to the E.R. > > After many hours, we were told that I had severe arthritis in the > > cervical spine and was give Vicodin and 2 weeks off work. I was > also > > sent to my G.P. for a follow up. My G.P. advised that the x-rays > also > > showed some disc herniations and disc deterioration. The G.P. > advised > > physical therapy (which I did for almost a month) and more time off > > work. The P.T. helped for a short period. I was made to purchase a > > home traction unit and used this in conjunction with my regular > P.T. > > > > My condition started to worsen as time went on, so P.T was > > discontinued and I was sent to have an MRI done. The MRI showed > > severe deterioration of discs C-3 thorugh C-7, herniations from C- 3 > > through C-7 and my spinal cord was compressed due to a particularly > > bad herniation at C-4 C-5. > > > > My G.P. advised going to a pain clinic for steroid injections > > directly into the cervical spine. I have two injections done and > > experienced temporary improvement for a few days after each > > injection, but went back to misery shortly thereafter. It was then > > that I was referred to my neurosurgeon. > > > > The neurosurgeon determined that I had no reflexes at the elbows to > > the hands and advised immediate surgery due to the spinal cord > > compression. I was to have a three level discectomy and fusion > (using > > cadaver bone as my bones were too weak from years of steroids for > my > > Crohn's) to include plating. Surgery was Dec. 28, 2007. Up waking > up > > from surgery, I found that the neurosurgeon has actually done a > four > > level removing three discs and a 4 level plate. I was in the > hospital > > for 4 days and in my rigid neck collar for two months and then > > advised to slowly discontinue its use. I actually went back to work > > part time last week, but things have been going downhill as far as > > pain in the neck radiating down into the shoulder blades and I'm > > having trouble holding my head up. I haven't been back to work this > > week so far. The neurosurgeon advised going back into the collar. I > > am waiting on a callback this morning as to what else may need to > be > > done. > > > > Of all the surgeries I have had in my life, this has been the > > toughest to heal from. I have been off work for almost six months, > > not counting the half days I worked last week. I am looking to > > network and maybe share some stories and advice. Thanks for reading! > > > > Den > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2008 Report Share Posted March 21, 2008 Hi Marsha. I was not seen by anyone other than the ER docs, my GP and physical therapists...and of course my neuro-surgeon. He did it all while he was in there. Removed three discs, added cadaver bone grafts, drilled out bone where the nerve bundles needed more room and removed any spurs and finally added the plate. I think I just need more healing time to get back into shape. My Crohns disease makes me heal quite slowly as can attest to. My wife is the office manager for a Chiropractor and we get free spinal care. He is very anti-surgery, but when he saw a copy of my MRI, he actually suggested the surgery as well. I was a mess. Thanks for the advice and take care Marsha! > > den, welcome to the group. is your neurosurgeon the only surgeon you saw > prior to surgery? > would it be possible for you to see other neuro and ortho surgeons now to > get further advice or maybe to clean up what might need cleaning up? my heart > goes out to you. keep the faith. marsha > > > > **************Create a Home Theater Like the Pros. Watch the video on AOL > Home. > (http://home.aol.com/diy/home-improvement-eric-stromer?video=15? ncid=aolhom00030000000001) > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2008 Report Share Posted March 22, 2008 Yes, your right about the healing. Any small cut or scrape can take me up to a month to heal and allways leaves scars. Once a paper cut grew to a mamath infection on my right hand .When there is a Auto- immune disoder present that complicates and distorts the entire playing field. Any options such as surgery must be well thought out and weighed. Crohn's and Rheumotoid is a nasty pair of demons to deal with if any surgery is needed. n South Louisiana > > > > den, welcome to the group. is your neurosurgeon the only surgeon > you saw > > prior to surgery? > > would it be possible for you to see other neuro and ortho surgeons > now to > > get further advice or maybe to clean up what might need cleaning > up? my heart > > goes out to you. keep the faith. marsha > > > > > > > > **************Create a Home Theater Like the Pros. Watch the video > on AOL > > Home. > > (http://home.aol.com/diy/home-improvement-eric-stromer?video=15? > ncid=aolhom00030000000001) > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2008 Report Share Posted March 22, 2008 Hi Den It is nice to see ya here. Before I forget it I would like for you to let me know about the signs and symptoms you was having when the Remicaide sickness hit ya.I beleive I am at that point now. Can you beleive that I still have 10-14 trips to the bathroom daily with all of the pain med's I take. CRAZY!!! The Demerol 150mg every 4 hrs hasn't stopped it up yet. I do not see the Neuro-surgeon until April the 15th. After reading the postings of other's here I beleive that I woud only surgery IF 1. There was increased danger of the spinal cord being compressed more . The pressure is unbearable now to say the least. Example-- if I move a certain way , I stand up to fast or if I get upset or startled ,during sex, ect . When/if these events occur a wave of pressure begans starting at the compression site T 5-6 and radiates up to my head and all the way down through the lumbar region. I have had 2 occasions that I passed out due to this. It will pass usually within 3 to 5 minutes generally. This is what I deal with anytime there is a release of adrenaline and it's pretty scarry. Allthough I have delt with cronic pain for years that is the straw that has broke the camel's back. Another example of what I feel is if my spinal colum is a inter- tube and you are adding air to it to the point of bursting. By what I have read here all that maybe all that may have to be done is the portion of the bone that is compressing the cord be removed. 2. The second indication for me to consider sugery would be if the area needs stabilazation to prevent the spinal cord being severed. As for having sugery to control the pain I do not think [as for now] it would help but I would if there was a chance to prevent futher profound cord damage . If others have delt with cord compression issues I wonder what your plan and or experiences was. Can ya help ? The herniation issues are in second place at this point. Best Wishes N South Louisiana > > > > > > Hello all. My name is Dennis (please call me Den). I am 38, > married > > > and have a long history of Crohn's Disease (an auto immune > disorder > > > causing inflammatory bowel disease). My Crohns Disease has taken > a > > > huge toll on my body over the past 17 years including 8 surgeries > > for > > > bowel removal and other complications. I am proud to say however > > that > > > I have been working full time my whole life except for periods of > > > disability after my surgeries. > > > > > > In Sept. 2007, I woke up on a Sunday morning with pain in my neck > > and > > > had trouble turning my head. I had previously had this temporary > > > condition a number of times over the years, but it always went > away > > > after a few days. As the day wore on, we were driving to my > > parent's > > > house for a visit and the pain traveled from my neck to between > the > > > shoulder blades. It felt like I had been " punched " between the > > > shoulder blades. By that evening, I was in a lot of discomfort > and > > my > > > hands were numb, but went to bed intending to get up work the > next > > > day. I have a sales job and sit at a computer all day. I have > been > > > with my employer fro 20 years as of next year. > > > > > > I woke up Monday morning at 5 a.m. and could not lift my arms for > > the > > > pain it caused. My wonderful wife got up and took me to the E.R. > > > After many hours, we were told that I had severe arthritis in the > > > cervical spine and was give Vicodin and 2 weeks off work. I was > > also > > > sent to my G.P. for a follow up. My G.P. advised that the x- rays > > also > > > showed some disc herniations and disc deterioration. The G.P. > > advised > > > physical therapy (which I did for almost a month) and more time > off > > > work. The P.T. helped for a short period. I was made to purchase > a > > > home traction unit and used this in conjunction with my regular > > P.T. > > > > > > My condition started to worsen as time went on, so P.T was > > > discontinued and I was sent to have an MRI done. The MRI showed > > > severe deterioration of discs C-3 thorugh C-7, herniations from C- > 3 > > > through C-7 and my spinal cord was compressed due to a > particularly > > > bad herniation at C-4 C-5. > > > > > > My G.P. advised going to a pain clinic for steroid injections > > > directly into the cervical spine. I have two injections done and > > > experienced temporary improvement for a few days after each > > > injection, but went back to misery shortly thereafter. It was > then > > > that I was referred to my neurosurgeon. > > > > > > The neurosurgeon determined that I had no reflexes at the elbows > to > > > the hands and advised immediate surgery due to the spinal cord > > > compression. I was to have a three level discectomy and fusion > > (using > > > cadaver bone as my bones were too weak from years of steroids for > > my > > > Crohn's) to include plating. Surgery was Dec. 28, 2007. Up waking > > up > > > from surgery, I found that the neurosurgeon has actually done a > > four > > > level removing three discs and a 4 level plate. I was in the > > hospital > > > for 4 days and in my rigid neck collar for two months and then > > > advised to slowly discontinue its use. I actually went back to > work > > > part time last week, but things have been going downhill as far > as > > > pain in the neck radiating down into the shoulder blades and I'm > > > having trouble holding my head up. I haven't been back to work > this > > > week so far. The neurosurgeon advised going back into the collar. > I > > > am waiting on a callback this morning as to what else may need to > > be > > > done. > > > > > > Of all the surgeries I have had in my life, this has been the > > > toughest to heal from. I have been off work for almost six > months, > > > not counting the half days I worked last week. I am looking to > > > network and maybe share some stories and advice. Thanks for > reading! > > > > > > Den > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2008 Report Share Posted March 22, 2008 I guess my only concern would be, but can't be addressed now, is the cadaver bone. I had a synthetic bone graft performed and I hear that is the better way to go. I would be interested to hear what the group thinks about this. I had a bone graft on my wrist years ago and they used my own bone from my hip. That healed well. They chose to use synthetic this time since it is less trauma to the body. I do have to wear a bone growth stimulator for 4 hours a day. Do you have to do that with the cadaver bone? Thanks for any input anyone can offer. Lynda > > > > den, welcome to the group. is your neurosurgeon the only surgeon > you saw > > prior to surgery? > > would it be possible for you to see other neuro and ortho surgeons > now to > > get further advice or maybe to clean up what might need cleaning > up? my heart > > goes out to you. keep the faith. marsha > > > > > > > > **************Create a Home Theater Like the Pros. Watch the video > on AOL > > Home. > > (http://home.aol.com/diy/home-improvement-eric-stromer?video=15? > ncid=aolhom00030000000001) > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 23, 2008 Report Share Posted March 23, 2008 lynda, they used a synthetic bone for my fusion. that was fine with me. no problems with it. my doctor much preferred it over the alternatives. i have heard bad things about healing in the hip after using hip bone. i just wonder how many people do this, have fusions and are very happy and successful with it. i strongly suspect that once they are cured they leave this group and therefore the only information we have with each other are those of us who have not been so successful. i strongly suspect that there might be people out there who have been very successful and we do not know this. marsha **************Create a Home Theater Like the Pros. Watch the video on AOL Home. (http://home.aol.com/diy/home-improvement-eric-stromer?video=15?ncid=aolhom00030\ 000000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2008 Report Share Posted March 25, 2008 Hi again . When the Remicade antibodies built up, I started having reactions like labored breathing and increased pulse....like 2x regular. They had to hit me with a massive dose of IV steroids the first time it happened. AFter that, I had to take a course of steroids before and after the infusion. I still ran high fevers for two days the infusion and in the end, the side effects were almost worse than the Crohns. The Humira is GREAT if your insurance will cover it. As for the spinal surgery, I had no choice really. I kept dropping things as I had almost no feeling in the hands and as I said in an earlier post, I had no reflex action from the elbows down. The healing for me has been the hardest part. Every time I think I'm ready to go back to work, another setback. Just typing this is painful as I sit on the sofa with my laptop I have to keep my head resting back on pillows. My wife and her friends call me bobblehead or pinhead....LOL. When my wife's employee, a very good chiropractor, told me after seeing my MRI that I should be careful of falling as I could end up paralyzed and then actually suggested surgery-I think that hit home as he is very anti-surgery. I would always advise folks to think it through because 1 week after my surgery, I told my wife(I was pretty drugged up), that I would never have spinal surgery again. In hindsight, I do feel better and hopefully will not need any more done, but my lumbar region isn't too good either. Best of luck to you ! > > > > > > > > Hello all. My name is Dennis (please call me Den). I am 38, > > married > > > > and have a long history of Crohn's Disease (an auto immune > > disorder > > > > causing inflammatory bowel disease). My Crohns Disease has > taken > > a > > > > huge toll on my body over the past 17 years including 8 > surgeries > > > for > > > > bowel removal and other complications. I am proud to say > however > > > that > > > > I have been working full time my whole life except for periods > of > > > > disability after my surgeries. > > > > > > > > In Sept. 2007, I woke up on a Sunday morning with pain in my > neck > > > and > > > > had trouble turning my head. I had previously had this > temporary > > > > condition a number of times over the years, but it always went > > away > > > > after a few days. As the day wore on, we were driving to my > > > parent's > > > > house for a visit and the pain traveled from my neck to between > > the > > > > shoulder blades. It felt like I had been " punched " between the > > > > shoulder blades. By that evening, I was in a lot of discomfort > > and > > > my > > > > hands were numb, but went to bed intending to get up work the > > next > > > > day. I have a sales job and sit at a computer all day. I have > > been > > > > with my employer fro 20 years as of next year. > > > > > > > > I woke up Monday morning at 5 a.m. and could not lift my arms > for > > > the > > > > pain it caused. My wonderful wife got up and took me to the > E.R. > > > > After many hours, we were told that I had severe arthritis in > the > > > > cervical spine and was give Vicodin and 2 weeks off work. I was > > > also > > > > sent to my G.P. for a follow up. My G.P. advised that the x- > rays > > > also > > > > showed some disc herniations and disc deterioration. The G.P. > > > advised > > > > physical therapy (which I did for almost a month) and more time > > off > > > > work. The P.T. helped for a short period. I was made to > purchase > > a > > > > home traction unit and used this in conjunction with my regular > > > P.T. > > > > > > > > My condition started to worsen as time went on, so P.T was > > > > discontinued and I was sent to have an MRI done. The MRI showed > > > > severe deterioration of discs C-3 thorugh C-7, herniations from > C- > > 3 > > > > through C-7 and my spinal cord was compressed due to a > > particularly > > > > bad herniation at C-4 C-5. > > > > > > > > My G.P. advised going to a pain clinic for steroid injections > > > > directly into the cervical spine. I have two injections done > and > > > > experienced temporary improvement for a few days after each > > > > injection, but went back to misery shortly thereafter. It was > > then > > > > that I was referred to my neurosurgeon. > > > > > > > > The neurosurgeon determined that I had no reflexes at the > elbows > > to > > > > the hands and advised immediate surgery due to the spinal cord > > > > compression. I was to have a three level discectomy and fusion > > > (using > > > > cadaver bone as my bones were too weak from years of steroids > for > > > my > > > > Crohn's) to include plating. Surgery was Dec. 28, 2007. Up > waking > > > up > > > > from surgery, I found that the neurosurgeon has actually done a > > > four > > > > level removing three discs and a 4 level plate. I was in the > > > hospital > > > > for 4 days and in my rigid neck collar for two months and then > > > > advised to slowly discontinue its use. I actually went back to > > work > > > > part time last week, but things have been going downhill as far > > as > > > > pain in the neck radiating down into the shoulder blades and > I'm > > > > having trouble holding my head up. I haven't been back to work > > this > > > > week so far. The neurosurgeon advised going back into the > collar. > > I > > > > am waiting on a callback this morning as to what else may need > to > > > be > > > > done. > > > > > > > > Of all the surgeries I have had in my life, this has been the > > > > toughest to heal from. I have been off work for almost six > > months, > > > > not counting the half days I worked last week. I am looking to > > > > network and maybe share some stories and advice. Thanks for > > reading! > > > > > > > > Den > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2010 Report Share Posted February 6, 2010 Hi Max, thank you for reading my story and sending replies! I had chemistries repeated on Feb 3rd at my FP doc; he has not called with results. He has to send everything out so it typically takes a few days. Suzanne > > Hi Suzanne, > > Your story says: > On Feb 1, I woke up with what seemed like a partially paralyzed hand; I > was not laying on the hand or arm so it was not constricted. The third, > fourth, and fifth fingers as well as the outer half of my hand were numb > and I could not move them; it was a different sensation from being > “asleepâ€. > > And in your test results I noticed K=5.1 at sometime. My best ignorant > guess is that sometimes such numbness in hands can be due to high > potassium. Check it out with doc. > > Max. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2010 Report Share Posted February 6, 2010 Hi Em, thank you for your reply. I appreciate you reading through my story and am happy to hear someone else developed the heat intolerance. Everyone keeps telling my I'm having " hot flashes " ie menopause; and while I agree my FSH and LH certainly are high, I have never believed that my symptoms were menopausal. Suzanne > > > > Hello, I am new to the Hyperaldosteronism group. I've had many undiagnosed symptoms for two years; I was seen by several physicians in 2008 but with no diagnosis. Last week I returned to my endocrinologist and reported updated (advancing) symptoms. I learned today that lab testing from Jan 29, 2010, showed elevated aldosterone, normal renin levels; I do not have numbers yet but will post them asap. I posted my HTN story and test results from 2008 online today under Conn Stories, Suzanne's Story; will update with 2010 lab results soon. (I apologize for the size of the test results file; I'll try to scale it down and repost tomorrow.) If anyone has any input I'd greatly appreciate it. Thank you all, Suzanne > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2010 Report Share Posted February 6, 2010 Hello Dr Grim and all, I didn't know you should not use a tourniquet or squeeze your hand for an accurate K level; I had blood drawn on Feb 3 and they used a tourniquet, I also squeezed my hand. The technician didn't hit the vein well and the blood came out slowly so she had to move the needle around; at the time I thought I should tell her to redo it because it would be hemolized, but they are not great at drawing blood at my FP so I was just glad she hit a vein. My BP at the FP on Feb 3 was 110/76 - yeah! When it is higher I can really feel it pounding in bed at night; it is a relief to have less pounding. I will buy a BP cuff this weekend so I can take it myself. I had stopped the HCTZ last Monday due to low NA, and on Feb 3 my FP asked me to stop the beta blocker because my HR was in the 50s; he increased the captopril to 25 mg twice a day. I took the first increased dose this morning and do not feel great; I may call him and ask to switch back to the low doses of beta blocker and captopril that I was on, since I felt a little better with that combination. I'll call endo on Monday to request repeat chemistries; he mentioned it when he called about the low NA, and they do a much better job of drawing blood there. Suzanne > > > Hi Suzanne, > > > > Your story says: > > > > On Feb 1, I woke up with what seemed like a partially paralyzed > > hand; I was not laying on the hand or arm so it was not > > constricted. The third, fourth, and fifth fingers as well as the > > outer half of my hand were numb and I could not move them; it was a > > different sensation from being “asleepâ€Â. > > > > And in your test results I noticed K=5.1 at sometime. My best > > ignorant guess is that sometimes such numbness in hands can be due > > to high potassium. Check it out with doc. > > > > Max. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2010 Report Share Posted February 6, 2010 Hello Dr Grim and all, I didn't know you should not use a tourniquet or squeeze your hand for an accurate K level; I had blood drawn on Feb 3 and they used a tourniquet, I also squeezed my hand. The technician didn't hit the vein well and the blood came out slowly so she had to move the needle around; at the time I thought I should tell her to redo it because it would be hemolized, but they are not great at drawing blood at my FP so I was just glad she hit a vein. My BP at the FP on Feb 3 was 110/76 - yeah! When it is higher I can really feel it pounding in bed at night; it is a relief to have less pounding. I will buy a BP cuff this weekend so I can take it myself. I had stopped the HCTZ last Monday due to low NA, and on Feb 3 my FP asked me to stop the beta blocker because my HR was in the 50s; he increased the captopril to 25 mg twice a day. I took the first increased dose this morning and do not feel great; I may call him and ask to switch back to the low doses of beta blocker and captopril that I was on, since I felt a little better with that combination. I'll call endo on Monday to request repeat chemistries; he mentioned it when he called about the low NA, and they do a much better job of drawing blood there. Suzanne > > > Hi Suzanne, > > > > Your story says: > > > > On Feb 1, I woke up with what seemed like a partially paralyzed > > hand; I was not laying on the hand or arm so it was not > > constricted. The third, fourth, and fifth fingers as well as the > > outer half of my hand were numb and I could not move them; it was a > > different sensation from being “asleepâ€Â. > > > > And in your test results I noticed K=5.1 at sometime. My best > > ignorant guess is that sometimes such numbness in hands can be due > > to high potassium. Check it out with doc. > > > > Max. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2010 Report Share Posted February 12, 2010 Now my aldosterone is elevated, renin normal; NA low, K high. I stopped HCTZ due to low NA, stopped beta blocker due to HR 50s-60s, and am on captopril now which raises K. Does anyone have a suggestion for antihypertensive besides diuretic, ACE, or BB? I guess CCB? Here are my results from Jan 29, 2010: Aldosterone result 37.4 ng/dL Normal ranges age 15 and older: Upright 4.0-31.0 ng/dL Supine 16.0 ng/dL or less Unspecified 31.0 ng/dL or less Renin, Plasma result 1.3 ng/mL/hr Normal ranges Adult Normal sodium diet Upright 0.5-4.0 ng/mL/hr Supine 0.2-1.6 ng/mL/hr (why would normal ranges for renin be so different from other lab, below, when aldo ranges are similar? I wonder if there is a standard) I was upright when these were drawn; normal NA intake. NA 130 Low K 4.8 CL 97 Low CO2 26 Anion gap 7 OSM Calc 260 Low OSM 273 Low CA 9.4 Glu 83 BUN 9 Creat 0.73 GFR > 60 BUN/Creat ratio 12 Serum cortisol result 15.0 ug/dL Normal range for AM draw 6.7-22.6 ug/dL Urine osmolality 326 mOsm/K Normal range 38-1400 mOsm/K Chemistries drawn Feb 3, 2010: NA 134 Low K 5.5 High CL 98 CO2 20 Glu 77 BUN 12 Creat 0.74 CA 10.0 > > > > > > > > > > > Hi Suzanne, > > > > > > > > > > > > Your story says: > > > > > > > > > > > > On Feb 1, I woke up with what seemed like a partially > > paralyzed > > > > > > hand; I was not laying on the hand or arm so it was not > > > > > > constricted. The third, fourth, and fifth fingers as well as > > the > > > > > > outer half of my hand were numb and I could not move them; it > > > > was a > > > > > > different sensation from being “asleepâ€ÂÂ. > > > > > > > > > > > > And in your test results I noticed K=5.1 at sometime. My best > > > > > > ignorant guess is that sometimes such numbness in hands can > > be due > > > > > > to high potassium. Check it out with doc. > > > > > > > > > > > > Max. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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