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, Hawaii. 1 2 3 4. On the Big Island, youâll find diverse rainforest ecosystems, tumbling waterfalls, and a warm culture that embodies an authentic and heartfelt Aloha Spirit. The Kohala Coast, also referred to as the Gold Coast because of year round sunshine, is located on the west coast of the Big Island, north of the Kona Coast.