Malignancy is one of the most common causes and must be excluded. Hyperparathyroidism and other causes of hypercalcemia can coexist with malignancy. If calcium levels have been mildly elevated for months or years, malignancy is an unlikely cause. Hypercalcemia from malignancy usually is rapidly progressive; thus, rapidly rising calcium levels should increase suspicion of malignancy.
Kailua-Kona on Hawaiiâs Big Island is the site of Kona Brewing Companyâs brewery and first restaurant. The brewpub opened in November 1998. Prominently featured ohia wood found throughout the pub came from South Kona.
KONA 2017: Adventures Off the Beaten Path. Last year we traveled to Bellingham, WA to visit Konaâs American headquarters where we sampled the trails, gravel, pavement and shot hoops in the warehouse. This year we ventured due north from Bellingham to Vancouver and the outdoor mecca of Squamish, BC to see what Kona has in store for 2017.