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.
Richmond Fire Chief Robert Creecy sent an email to all fire personnel on April 7 announcing that I. David Daniels would be their new deputy chief of operations starting on June 1. In his message, Creecy said Daniels âis an excellent fit for our department,â and that he was âimpressedâ with âDanielsâ credentials and past accomplishments.â