We think it is time for another episode of “Ask Dr. Blevins”. We will produce a series of podcasts with your answers covering the topics that are most relevant to the audience.
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I’m so glad you’re doing the “Questions for Dr. Blevins” again!!
Does an abductor tear (or any other tear for that matter) create a need for double or triple dosing? And, if so, for how many days? What about a very large bruise? A broken bone?
Should one go immediately to the hospital as soon as one starts to vomit, regardless of what time of day it is or is it OK to wait until nighttime dosing to see if the cortisol replacement will stay down? If one goes to the hospital and their BP is normal, does one need additional dosing of cortisol replacement?
Can GHD or Pan Pit cause an increased risk for DVT’s?
Thank You.
Should “we” be on magnesium and or potassium?
Any other supplements helpful for “our” condition?
Many people with Acromegaly complain about problems with cramps, particularly in the legs and feet. I have a lot of trouble with cramps and whilst the feet and lower legs are the worst they can occur in any muscle. The problem is so bad that I often miss out on badly needed sleep and then get the problems that sleep deprivation causes. I have tried almost every known option with no more than limited success. I would be very grateful for any advice you can give. I would particularly like to know what is the chemical or physical process that actually causes a muscle to cramp.
By that I don’t mean “prolonged exercise can cause cramps” I mean something like “Prolonged exercise causes a reduction in XXXX which then causes the muscle to ????”. I don’t believe that I am dehydrated and I do take magnesium. I do have a vibrating massager that gives some short term relief but I’m concerned about using that on legs with varicose veins.
Hi Dr Blevin,
My question is…
Is it possible to have high Cortisol levels that are not caused by anything and is just normal for certain people.
The reason i ask is because I had an Adenoma on the left lobe of my pituitary gland removed, in fact i had 95% of the gland removed as pathology showed Diffuse Hyperplasia and over abundance of ACTH cells throughout the whole gland. My Cortisol levels pre surgery were 12 x normal. Post surgery they are still 9 x normal. I have been told that’s probably normal for me.Would love to hear what you think 🙂
My son has PHP due to the pituitary being removed due to a craniopharyngioma. In regardsnto AI his doctors give us a basic “his body can’t respond normally to stressors” definition. I would love to hear what the body goes through leading up to and during a crisis and what meds and bloodwork are typically done and why in the ER. When my son had his first crisis this year I felt completely unprepared in the ER. I knew what to look for and to give the shot when it was needed but i realized I had no clue what was actually happening to his body. Why did he go into hypovolemic shock? Why did he need potassium? Online info tends to either be very elementary or you need a medical degree to understand it.
Thanks so much for answering questions again Dr. Blevins!!
Should a person with newly diagnosed acromegaly (of long-standing misdiagnosis) have a baseline echocardiogram done,even though one has no apparent heart-related symptoms? Or any other baseline tests of those disorders often relating to acromegaly?
Also,what are your thoughts on taking vitamin D supplements for a person with acromegaly who is at the bottom of the normal range (30 one year and 29 the next)?
I have been suffering from panhypopetuitarism and diabetes insipidus since removel of brain tumor in 2008. I have been trying various endocrinologists. My biggest problem is night time urination I currently use one shot of nasal sprsy in right nostril and one tablet at bedtime. I have tried diffent nasal sprays; baush and lomb seems best however it needs refrigerated. Have you worked with any ebdos in central Pennsylvania or phila areas in past. Also tumor left me legally blind. Thank you Karen Hardy
Have you treated patients for congenital genetic ghd? Would you recommend staying on gh treatment while pregnant?
Looking for reliable information on empty/partially empty sella and it’s resulting hypopituitarism. Thanks