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.
Selma, Texas. Selma is a city in Bexar, Comal, and Guadalupe counties in the U.S. state of Texas. It is part of the San Antonio Metropolitan Statistical Area. The population was 5,540 at the 2010 census, up from 788 at the 2000 census. The estimated population in 2015 was 9,108.