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.
Tuolumne-Calaveras firefighters and Gabilan Camp crew hose down hot spots along a containment line during a controlled burn near Placerville, Calif. A firefighter with the Gabilan Camp crew hoses down hot spots during a controlled burn as they battle the King Fire on Sept. 22 near Placerville, Calif.