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.
RELOAD YOUR SCREEN OR TRY SELECTING A DIFFERENT VIDEO. RICHMOND, Va. -- The Richmond Fire Department has hired a new second in command, but WTVR CBS 6 has learned the national union that represents hundreds of thousands of firefighters censured him in 2010. 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. According to the censure, Daniels was the chief in Renton between May 2006 and December 2009.