PTH elevado e nasceu com Hipercalcemia Idiopática - alguém mais?

I was only the sixty-ieth-odd baby to be diagnosed. Was pretty much sick for the first six months of my life. After diagnosis I had a special diet (still the have the green book somewhere) and eventually started to thrive.

Fast forward to now (aged early fifties). I've felt off and ill and generally not good, including fuzzy headed and ouchy, for some years. Last year I went to the NHS GP. Did a blood panel and all returns okay, so no further forward. Still feel rubbish on a daily basis. Go back and the next NHS GP says only low-ish Vit D, so prescribes high strength Vit D. I checked the info paper - don't take if have calcium issues, so I check with NHS GP. Have your calcium checked he says, but no further discussion. I got a bit worried, and I'm sick of feeling sick, so I mortagaged an arm and a leg and went to see a private GP and have bloods done. He came back with a PTH of 94 and tells me I need to get it followed up.

I went back to the NHS, as I've paid a lot in and I really would rather not have to sell my lorry to pay for an operation. NHS GP was quite positive, once we'd got past the 'who is the other doctor' piece and ordered another blood test. I felt hopeful that he wasn't going to be like the ones I'd read about, until he said "It's only slightly raised", at which point my heart sank - if there's a range it means that anything above it is wrong!

Anyhoo, tomorrow is 'results of blood test day' and I am stressing ever so slightly. Is it going to be a fight? Is the wonkiness I was born with a normal thing in this world of parathyroidism? Does anyone have any wise words of wisdom?

So sorry you have been suffering like this and so unusual.  You would be most welcome to join our group on Facebook.  Sallie Powell who went through 7 years of hell before being diagnosed created this group and has worked so hard that now she has actually achieved her "reward" in helping others by having guidelines added to NICE due to the total ignorance of Gp's and endocrinologists on the diagnosis of hyperparathyroidism.  Please join Hyperparathyroid UK Action4Change  There will be many who will not only be interested in your story but you will also get plenty of support.  Just say Elaine sent you.  It is a private group so we have to be careful who joins.  If you don't have a chance to join tonight, I wish you luck for tomorrow. Regards Elaine

Thank you. I'm not on FB, but will ask a child if I can borrow access. 

I've been. The PTH is up, from 94 to 117. NHS GP still saying 'slightly raised'...!

He said Vit D. I said I'd read this is what happens. He asked what I wanted. I said referring to Oxford surgeon. He said have to go through local endocrinologist. He's sending the letter. D n V are looking into the high PTH level with normal calcium, to find out if Vit D can fix (I'd be happy if not need an op!).

Feel absolutely rubbish today. Nauseous, headache, shaky, tingly hands (both today) and the feet are joining in. Could cry at the drop of a hat and concentration is out the window.

D is checking out the private option. A friend says I don't have to be referred to local endocrinologist, so that's another battle to go deal with. 

Why can't the NHS GP just go with the path of least patient resistance, it would save them a lot of money in the long run!

Sorry for the rant folks. 

I've decided to use this as a tracker of the process... Sorry if it clutters up anyone's feed (I'm not sure how it works here).

I tried the NHS Choice booking line to get clarity on the NHS Choice, i.e. where it states I can choose the clinical team does that mean all of it, but he didn't know. He was kind and as helpful as he could be. I then rang the hospital I want to be referred to, and the secretary said her understanding was that yes, I could choose where I was treated, i.e. all of it, so I left a message for my NHS GP to say I where I want to go.

All of this is very hard when my brain feels like Swiss cheese, I can't remember things, and the chances of me crying for no apparent reason makes converstations difficult (this post has taken a few goes).

Will go see if D1 has managed to decipher the wonkiness that I am, in that I'm one of the 4% who has normal calcium levels, high PTH, and at least 80% of the symptoms...

Ah well. Onwards as they say.

Sorry you are feeling so rough, sadly it goes with the territory.   You dont need to see an endocrinologist (in my experience and many others, they are not good).  You can use  choose and book and can go direct to Mr Mihai who is about the best parathryoid surgeon in Oxford.

Sorry I hadn't seen your other posts since this morning.  If you go down the private route I think the initial consulation with a parathyroid surgeon is around £250.  What many do is go for the initial private consultation with a surgeon and then if he thinks there is a definite adenoma, you can ask to have him arrange for scans etc. on the NHS.

Sadly I went down the private route since June of last year, had an absolute rubbish endocrinologist, and since have gone to a fairly well known surgeon who unfortuately is a bit old school and wanting to increase vitamin D even though I am not deplete to see what it does to the pth and calcium levels.  Have not heard anything back from my Thursday 14th appointment with various blood tests.

To date I have wasted £6000 so dont make the same mistake as me paying to see endos privately as the blood tests are absolutely ridiculous £105.89 for a vitamin D with the Spire but I can get it done via the Birmingham NHS website with a kit for £28, and have used this efficient service twice.

Thank you Elainc33 - I can't get to grips with how this choice thing goes...

I left a message telling my NHS GP that I wanted referring to Greg Saddler at the John Radcliffe hospital in Oxford. Are he and My Mihai part of the same team do you know?

Thank you so much for all your help on this. I'm trying to figure out how to get onto the FB site - my work means I can't have my name on any social media.

Thank you, and sorry to be taking up so much time and space!

I don't know if I'm just being dense or if the wonkiness is stopping me from thinking straight

NHS GP said - he'd refer me to local endocrinologist and that NHS Choice allows me to choose the surgeon;

My reading - should be an endocrine surgeon and not an endocrinologist, and I get to choose who to go to;

I left a msg with NHS surgery to say I want to go to Greg Saddler at the John Radcliffe hospital, Oxford;

So far no call back from NHS GP Surgery to say yay or nay.

But, going by your story (which I'm so very sorry to read lass), to get things speeded up (which I desperately need to do as all this wonkiness is having a knock on effect on our business, which is putting peoples' jobs at risk), I should go for a private session with Mr Mihai?

Sorry if I'm just being dense.

Update:

NHS Route: NHS GP Surgery - just rang to say can't refer to endocrin surgeon, but can to endocronologist at John Radcliff, so I said go for it.

Private Route (which might be just the consultation): I've emailed My Mihai direct and await a response, though expect it might take a couple of days.

That's difficult about not being able to go on social media.  I had a neighbour who worked for cancer research and they were told not to go on anything like that because of the animal welfare people (of which I am).  Also these days if you dont use a legitimate sounding name, FB dont accept or make you change it.  Perhaps just make up a name that sounds feasible, not like Mel Bourne ha ha which was one of mine and I since found it has been removed.  Probably didnt help using an aboriginal painting as my profile picture, ha ha.   I'm not sure how the choose and book works either.  I do know that one of the members really rates Greg Sadler who did her op.

Sorry to hear that, it would possibly be the same with my useless gp surgery.  Endos are not rated on our group at all and I would not like to use the nickname here but visualize door knobs after endo.

Update no. (lost track...):  Have an appointment next week with a consultant surgeon! Who needs a holiday, or new kitchen, or to replace the car, or, or, or ;-)

Will update when I've had the appointment and have, hopefully, some idea of what's next.

Aye, it is a pain. I think 'someone' thinks I should have my own name up there in lights and dobs me in everytime I hop on with anything else.

I might have to reconsider though, as I'd like to joing the FB group.

I think I keep hitting the wrong reply section button...

Are the 'Endos' the endocrinologists? What do they do (or given their nickname maybe I shouldn't ask!).

Yes endocrinologists who seem to be pretty useless when it comes to hyperparathyroidism.  Known as Endo plus the door "knobs", lol!

well I too accidently found after some major stomach surgery,,,,during recovery i was having palpatations...so my heart had a 24 hrs monitor...things proved ok as i did not have the fluttering anyway just then....my calcium level was 11 which max...went to endocrinologist she was not concerned yet...she did ultra sound and found growth in node., usually benign...will redo blood aug. diagnosed as hyper para thyroid....did not suggest surgery as yet...but i read about Tampa hospsital and they treat it differently and they remove one or more para thyroids out that are causing the problem....anyone have this?  I am fatigued, palpitations, hands are tingling, now i have osteo pinea.. just not myself even my mental state becoming  forgetful ....anyone else with this? cant wait to Aug and then i will make a decision to go to Tampa or do the surgery here.

Very familiar story.  One of our members was on BBC Breakfast this morning relating her experience. Best for you to join our private group on facebook Hyperparathyroid UK Action4Change  .  Tell Sallie Elaine sent you, we have to be careful now as sadly we had some weirdos trying to join a couple of weeks or so ago.

how do i join the private group?   i would prefer that as well

 

Hi Liz,

Just go to Facebook and put in Hyperparathyroid UK Action4Change and ask to join and say I sent you. x