#443

Don’t just sit on that borderline calcium! Learn how to approach hypercalcemia and work up primary hyperparathyroidism. In this episode, we learn who goes to surgery, how to work them up, and some variants of typical primary hyperparathyroidism. We’re joined by Dr. Lindsay Kuo @lindsaykuo (Temple University Hospital)

[@76capa]

Great episode again. Thanks a lot !

[@EmSmi]

I was so happy to see this episode as someone who recently had surgery for PHPT. I'm not a doctor, and I actually had to all but diagnose myself and present the case to my primary. Fortunately, he connected me right away with a surgeon and the next day my surgery was scheduled. Looking back, it's pretty wild that it was missed for years. I had multiple elevated serum calciums going back years (starting borderline at 10.3 mg/dl and trending up), extremely low vitamin D, a DEXA scan showing osteopenia (at age 32, ordered for an unrelated reason), and had recently seen several specialists for my complaints (musculoskeletal pain, headaches, constipation, fatigue, polyuria, polydipsia, etc. -- admittedly vague symptoms). Thank you for tackling this. And curative surgery is a beautiful thing.