Hyperphosphatemia is a serum phosphate concentration > 4.5 mg/dL (> 1.46 mmol/L). Causes include chronic kidney disease, hypoparathyroidism, and metabolic or respiratory acidosis. Clinical features may be due to accompanying hypocalcemia and include tetany. Diagnosis is by serum phosphate measurement.
Fire Chief  Michael Kain. Fire Chief Michael Kain is a life long resident of the valley. He currently oversees operations, fire suppression, EMS services, training, facility management, and fleet. Fire Chief Michael Kain was hired by the Selma Fire Department in 1987 as a Firefighter/Paramedic. He has promoted to each rank within the Selma Fire Department.
The âBachelorâ host is reportedly dating Selma Alameria, 29, who you might recognize from season 17! The Bachelor host Chris Harrison is off the market! The ABC reality show host was reportedly overheard introducing Selma Alameri as his girlfriend. Chris and his wife of 18 years are separated.