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.
Read More. Loudoun County, VA â September 20, 2016 â Owners of Selma Mansion, Sharon D. Virts and Scott F. Miller, today announced their restoration project â Selma Mansion Rebirth â has been awarded a 2016 Community Blue Ribbon by the Loudoun County Joint Architectural Review Board (JARB). Virts and Miller accepted the award with project Architect [â¦]