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.
In Terminator 2: Judgment Day, Sarah Connor taunts her shrink about having previously stabbed him in the knee with a pen. In Holla If You Hear Me, a man is stabbed in the head with a pencil, while one of the killers gets a pen in the neck. A character gets a crayon in the eye in The Children. The final conflict in A Song Is Born is resolved not by guns, but by music. In 30 Minutes or Less, The Major has a pen gun.