Quoted message said:"Sheryl Rosen" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:Quoted message said:I don't mean to be critical of doctors, but if they know certain
conditions
Quoted message said:can cause bp to spike, and the usual suspects, diet, exercise, pills don't work--why wouldn't
they have tested him for other causes of the high bp?
The majority of hypertensives, even ones requiring 5 medications to control their BP, just have
plain, old essential hypertension. Once in a blue moon I'll find a renal artery stenosis, but for
the most part workups for secondary hypertension lead no where.
Quoted message said:Quoted message said:Wouldn't a Complete Blood Panel have revealed higher levels of something that might have pointed
to this months ago?
No. A 24 hour urine for metanephrines is *not* a routine test. I've ordered dozens (my reputation
for compassion led troops of people with panic attacks to seek my help...BTW, I loved taking care of
people with panic, because I could make most of them much better), when there are other alerting
symptoms, and never found a pheo. The only pheo I ever saw was an uneducated non-English speaker
who'd had "hot flashes" of menopause for 10 years, not ever complaining, who showed up in a surgeons
office for a swollen leg, which turned out to be a pheo impinging on her venous return from the
leg... (this was in a poor island country), and the foolish or desperate surgeon stuck a needle into
a mass in her abdomen, giving her a BP, momentarily, of 300/190. At that point her family pitched
in, bought her a ticket to the US, gave her taxi money to a city hospital and a note, in English,
begging for help and telling the story. She was half-crazed with fear, and punched at least two
hospital workers in the face, but we cured her anyway. Given her extreme uncooperativeness, many of
the tests, like an MRI, were skipped, and a crack surgeon just went in and did his best. It was a
good best, and I learned just how extreme claustraphobia can be. blacksalt