Hyperparathyroidism Blog 

from the Experts at the Norman Parathyroid Center

Interesting stories of hyperparathyroidism we see every day.  Parathyroid blog published bi-weekly.

Category Archives: Operation

Intra-Operative PTH Assay: Exposing the Problems with Measuring PTH in the Operating Room.

Intra-Operative PTH Assay: Exposing the Problems with Measuring PTH in the Operating Room.

Measuring parathyroid hormone (PTH) in the operating room has some theoretical benefits, but in real life, the intra-operative PTH assay (io-PTH testing) doesn’t really help and may hurt. Measuring parathyroid hormone in the operating room cannot determine if a patient is cured of hyperparathyroidism. Intra-operative PTH Assay: The theory of measuring PTH in the operatingContinue Reading

Failed Parathyroid Surgery: Yesterday’s Three Unsuccessful Parathyroid Cases.

Failed Parathyroid Surgery: Yesterday’s Three Unsuccessful Parathyroid Cases.

Parathyroid surgery can be tricky which is why all your doctors will tell you “get the most experienced parathyroid surgeon you can” or you can have a failed parathyroid surgery or a bad complication. The fact that we have a business that is exclusively parathyroid surgery is evidence that this is not always a simpleContinue Reading

What is hyperparathyroidism? Look at how the word is spreading!

What is hyperparathyroidism? Look at how the word is spreading!

What is hyperparathyroidism? How are we getting the word out? Hyperparathyroidism is a disease that is dramatically under-diagnosed. We now have so many technological outlets to help spread the word about hyperparathyroidism that it is getting harder to escape the knowledge that high calcium is bad. I recently gave an interview to a radio stationContinue Reading

Vocal Cord Nerve Damage During Parathyroid Surgery is Increased with Nerve Monitoring

Vocal Cord Nerve Damage During Parathyroid Surgery is Increased with Nerve Monitoring

Thyroid and parathyroid surgeons have been told that monitoring vocal cord laryngeal nerves during surgery may decrease the incidence of vocal cord nerve injury, but the data shows vocal cord nerve monitoring dramatically increases nerve damage. Surgeons don’t like hurting their patients. We will do anything, it seems, to prevent injuring our patients while theyContinue Reading

A Doctor With Hyperparathyroidism: How Parathyroid Surgery Changed Me in One Month.

A Doctor With Hyperparathyroidism: How Parathyroid Surgery Changed Me in One Month.

Hyperparathyroidism sneaked up on me. I was feeling tired and old. I’m a family practice doctor so my job is to take care of other people–to make them feel better. Yet I was miserable myself. My name is  Ashok Goyal MD and this is my story. I found myself not enjoying my job like I usedContinue Reading

Is Your Surgeon Cheating During Your Parathyroid Operation?

Is Your Surgeon Cheating During Your Parathyroid Operation?

The internet is full of surgeons who claim to be experts at parathyroid surgery. But are they really doing expert work, or are they cheating and doing a simple operation that any joe-blow surgeon could do? Parathyroid surgery can be very tricky for a number of reasons.  First, there are four parathyroid glands and aContinue Reading

Don’t Break That Parathyroid Adenoma! The Parathyroid Tumor Will Grow Anywhere!

Don’t Break That Parathyroid Adenoma! The Parathyroid Tumor Will Grow Anywhere!

A broken parathyroid tumor can be a devastating complication of parathyroid surgery. Parathyroid tumor cells will grow almost anywhere, so they must not be broken during surgery! Parathyroid tumor implants are very hard to cure. Today’s story illustrates one of the most important rules of parathyroid surgery — “do not break the parathyroid adenoma; itContinue Reading

Parathyroid Adenomas Located in the Chest: No Worries, Chest Parathyroid Tumors can be Very Easy to Remove!

Parathyroid Adenomas Located in the Chest: No Worries, Chest Parathyroid Tumors can be Very Easy to Remove!

Parathyroid tumors located in the chest can almost always be removed via a small neck incision. Don’t split your sternum open to remove a parathyroid adenoma in your chest! Parathyroid glands are located in the chest in about 2% of all people. This is not a problem unless this parathyroid gland develops into a tumorContinue Reading

Parathyroid drugs?  There aren’t any parathyroid drugs!

Parathyroid drugs? There aren’t any parathyroid drugs!

Parathyroid disease has only one cure: Surgery. Parathyroid drugs don’t exist. There are just medicines directed at the symptoms. Take a drug for your hyperparathyroidism and be disappointed! June is 74 years old, and she recently discovered that she has a parathyroid tumor (hyperparathyroidism). The cure is surgery, but that has not been recommended toContinue Reading

Hungry Bone Syndrome: Bad Symptoms of Low Blood Calcium.

Hungry Bone Syndrome: Bad Symptoms of Low Blood Calcium.

Hungry Bone Syndrome should really be called “Bad Doctor Syndrome” because it should almost never happen in patients with primary hyperparathyroidism. “Hungry Bone Syndrome” is almost always due to poor doctor management of calcium requirements after parathyroid surgery. Hungry Bone Syndrome is a term that refers to a patient who has such severe symptoms ofContinue Reading

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About Dr. James Norman

Dr. James Norman

James (Jim) Norman, MD, FACS, FACE, is recognized as one of the world's foremost expert on parathyroid disease and hyperparathyroidism and has treated far more parathyroid patients than any other doctor in the world. He is the founder of the Norman Parathyroid Center in Tampa, Florida, the world's leading center for the diagnosis and treatment of hyperparathyroidism. Dr Norman has made numerous contributions to to the understanding of parathyroid disease and is credited with dramatically changing the way parathyroid surgery is performed. He is a fellow of the American College of Surgeons (FACS) and also a Fellow of the American College of Endocrinology (FACE). He is recognized in the top 1% of all surgeons by US News and World Reports in addition to dozens of other awards and Best Surgeon accolades. He has published over 250 peer-reviewed journal articles. Dr Norman and his partners perform more than 3,600 parathyroid operations annually on patients from all over the world.

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