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.
Kailua Kona, often referred to as Kona by the locals, is the main western city, population 34,000 (2012), of the Big Island of Hawaii. It is nestled on the western coast of the Hualalai Volcano. In ancient times, this area was considered the premier place to live due to the excellent weather and good water.