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 is the dry and sunny side of the Big Island. It is also close to world class beaches, historical sites, marlin fishing, good shopping and many places to explore. The Big Island still has that gentle touch of Aloha from old Hawai'i. Kona is where the historical kings (Alii) of Hawaii elected to live.