How NOT to go to the ER after parathyroid surgery
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I woke up on day 3 post op and started having muscle cramps in my shoulder, leg, arm, my lips and finger tips were tingling… these were things my surgeon had told me to watch for. We called the surgeons office and he told me to see my regular doctor… so called my General Practitioner, not really understanding why since I haven’t seen my GP for weeks, but got in two hours later. On the ride in the car there the cramping started getting worse and worse, I was tingling and having muscle cramps & spasms all down the left side of my body and it started cramping my diaphragm which made it feel difficult to breathe. After explaining that my surgeon had said to watch for this my regular doctor didn’t know what to do, and didn’t have the ability to run lab results quickly, so she called 911 and had me go to the emergency room in an ambulance… At this point the cramping and numbness or “buzzy” feeling is getting worse and worse.. partly due to the low level of calcium in my body and the other due to me getting more and more upset and freaked about the cramping.. I got there and had to repeat everything once again to the ER staff that I’d told to the Hunky firemen that drove me to the hospital… uugggghhh..
I was sure I was having a stroke or a heart attack at this point, my fingers started cramping up like I had severe arthritis… and it felt like a huge weight was on my chest. All my vitals were normal but I was still having all these symptoms.
How to not have all of this happen? If you start feeling muscle cramps or numbness, eat another tums! Calcium with Vitamin D, etc… The surgeon should have told me that rather than just warning me to watch for these symptoms and then sending me to the doctor that was clueless. (not her fault, this isn’t her specialty and it was impressive that she caught the condition in the first place) When the doctor in the ER finally came into the room he said.. oh yeah… that’s common with this type of surgery, (Removal of an adenoma on your parathyroid gland) just take more calcium. Duh!
What’s really maddening was that I had that “womens intuition” that you’d think at this age I’d be wise enough to listen to and I thought when I first started having the muscle cramps… “I wonder if I should just take some more calcium” but I was afraid to over do the calcium and figured if it was that easy it would have been on my post op instructions.
Before the ER staff could get it together I closed my eyes and prayed… “God, help me“…. I started feeling large hands on my head, cradling it and the numbness and muscle cramping started lessening, starting at my diaphram the cramping diminished, the pressure lessened, and the tingling felt like it was being drawn out of my body to my head and out….. within 5 minutes I was almost none of the previous symptoms and just a touch of numbness in my lips and fingertips. Was it God? Did my body just re-regulate its hormone and calcium levels on it’s own? Next time… I plan on praying FIRST!
Pt 5: 2 Days Post Operative
pt 4: Tomorrow is Surgery Day
pt 3: Consultation with the Surgeon
pt 2: Appointment with the Endochronologist
pt 1: I thought it was just Menopause
Definition :
“Parathyroidectomy“
Parathyroidectomy is surgery to remove parathyroid glands or parathyroid tumors. Parathyroidectomy is recommended when one or more parathyroid glands are producing excessive amounts of parathyroid hormone.





16 Comments
May 20th, 2009 at 7:35 am
I’m so sorry to hear about all the worries around your surgury. I am sure God decided to give you a hand to help alleviate some of those worries. There are so many unexplainables that I just believe that someone/something bigger and better than us is there to guide us. Intuition may just be God’s voice whispering to you what you probably already know.
Good luck with your recovery.
Claudette
May 20th, 2009 at 8:09 am
Thanks Claudette, I agree with you about the voice, my pastor, John Leach, said that when God talks to him that it does sound like him..John.. not like a big booming voice… I guess spiritual maturity comes when you know when it’s your voice vs when it’s God speaking to you. Thanks for your encouragement!
May 30th, 2009 at 1:06 pm
Wow! I can’t believe someone else feels like me! Our stories are similar and I have surgery scheduled for June 1st. I can’t wait to start feeling better. I gained a lot of weight and my tummy is huge-never been this huge before in my life! Thanks for the tip of getting some TUMS just in case. Are you feeling better? Have your symptoms gone away yet? Thank you for being there when I was searching!
May 30th, 2009 at 4:02 pm
I had an idea while reading your post, since I am very familiar with the whole scene that you described (minus the actual thyroid situation). I think that there should be a poster on the wall in the ER cubicles, much like the ones that say “Are you in pain?”.
It should say “Are you starting to panic? Close your eyes, take a deep breath and say “Help me, God”".
PS – I love your blog and I found it through Tuesday Topics on Facebook. Thank you!
May 31st, 2009 at 7:58 am
Hi Stacey, I had a feeling that there were more of us out in the world that were clueless about this entire disorder. Tums are good for emergencies but actually an additional issue I found out was that I was also Vitamin D deficient which works to help your body absorb calcium so I’d recommend getting a good Calcium with Vitamin D and Magnesium. My endocrinologist recommended looking at Walmart or Costco. I am doing much better already and I’m sure the next six weeks will get me back to better than when I started. I’m glad I could be there for you.. check out my post on two weeks post op. http://www.thymeinmygarden.com/have-high-blood-pressure-high-calcium-levels/
June 8th, 2009 at 5:02 pm
[...] How NOT to go to the ER after parathyroid surgery Posted by root 6 minutes ago (http://www.thymeinmygarden.com) I woke up on day 3 post op and started having muscle cramps in my shoulder leg arm trials amp triumphs of a semi menopausal empty nester mom home chef please feel free to comment if anything resonates with you posting tweet powered by twitter tools flexx Discuss | Bury | News | How NOT to go to the ER after parathyroid surgery [...]
August 19th, 2009 at 7:29 pm
I gathered that you didn’t have surgery through the Norman ParaThyroid Center in Tampa FL? Dr. Norman and Dr. Politz have an excellent website. ParaThyroid.com Sends each patient home with a box of calcium tablets! LOL You will go from having too much calcium, to having too little, and still having to deal with side effects, and symptoms! I have NOT had surgery yet, but have been reading, over and over, on what to expect. Keep us posted with updates! It’s been SO many years, I’ve felt bad, I look forward to surgery, but currently don’t have ins. or funds to pay for it. S.S. lists this as a disabiling condition, yet has denied me twice, I’m feeling like I might die, before they get their act together. Appealing, and asking them, to hurry up, going on 2 yrs, and have dealt with the high calcium, and high blood pressure, and PTH at 174.9 for too many yrs. (like 10 yrs) of feeling this bad, oh, and gaining weight-(over 100 lbs.) Migraines, chest pains, and aches and pains, bones hurt! Have Osteopenia. I’m only 50! This is more than I can stand, and not able to exercise, turn purple, and nearly pass out! This is NO way to live, at this point in my life. Stress over losing house, and needing help, and can’t jump through the government hoops. The fight is out of me.
August 23rd, 2009 at 7:16 am
oh gosh Joni… that would be so horrible to have finally found out WHAT the heck is wrong with me and then not be able to afford to fix it! I was actually surprised that the surgery itself was covered so well on our insurance… the trip in the ambulance and 4 hours in the emergency room cost us almost twice as much out of pocket as the entire day and half in the hospital and the surgery combined! Something is sure out of whack considering they didn’t even do ANYTHING for me in the E.R.
I think the problem with this particular condition is that each doctor is an expert in their area and just stays strictly within those confines. My Endo is just awesome! He’s from the older generation of doctors that would probably still make a house call if I asked him to. HE calls me personally to give me results of tests and to talk about how I’m doing, what he wants me to do next, what to expect next. When you go to his office he spends LOTS of time with you asking questions and then listening to the answers. This last visit I went in after my bone density scan and my husband was able to go with me.. so the doc not only asked me questions but asked my hubby how HE thought things had changed for me, health, attitude, pain.. not many doctors would take the time to do that or even care that much. His name is Dr. Peticia and he is the BEST! I will post soon about my test results and all of that. I’ve never heard of Osteopenia.. I will have to look that up! I too have arthritis in my hips so I understand the inability to exercise without being in pain.. and I just turned 50. We need to TALK! lol If anyone has any ideas for Joni on how to get the medical system to help her.. please post!
February 22nd, 2010 at 8:33 am
I had a parathyroid removed 6 yrs ago and its all gone down hill. my health really never returned and the past 18 months i have fought the Doctors saying that i felt a small erruption in my throat to which my airway was constricted and then came the other nasty symptoms….Drowning sensation/allergic reaction constant right hand tonsil ulcerated/stabbing pain/Daily Nausea/cramps/palpitations/chocking and now comes the worst, a feeling of dread with fog brain/confused and a sedated feeling!!,they tried to say i was suffering from anxiety, oh another thing constant low body temoerture with irregular pariods…fit like symptoms and FATIGUE
I dont understand this filling up sensation as if im going to drown in my own Saliva!!!
only god knows what im going through and now i pray.X
March 11th, 2010 at 5:34 am
Wow. I sit and read your stories, and especially yours, Chrissy…and all the experiences told about by people in various stages and need of the parathyroid process…and it saddens me.
I have been through hell and back again with the hyperparathyroid illness. I also know what it is like to not have the money to secure the surgery to have yourself helped by the removal of the adenomas that are surely present in most of you, if you are writing on this forum.
I, too, am a patient of Dr. Norman and Politz in Tampa. I am three weeks post op, and all I can say is THANK GOD I had wonderful friends, an awesome Church, and caring strangers that were willing to help me. You see, when I had gone as far as I personally (and physically could), I knew I had two choices…to keep spending my 22 hrs a day in bed, weakened, fatigued like a person in their last hour with cancer, with all the other horrific symptoms that go with this disease….and probably just will myself to die, or I could do what I have been trained to do, and actually do it for ME, for once, and that is enlist friends, etc…to help me raise the funds for this surgery that, I so desperately needed, but without insurance would never get! My husband had lost his health insurance when his company was sold and then my “pre-existing” conditions were not covered…IF we could have even afforded the premiums, which were a joke!
So I set up a fund-raiser…first with a trusted man who happened to be my husband’s contact administrator, and we asked him to be our trustee. Simple, really…he would set up a bank account, with him as the sole person who could withdraw, (we also appointed an assistant administrator, in case he became unable) and she was the one who received funds, posted them and all donor information on a spread-sheet, and prepared deposits for the trustee to deposit.
Being as I was in the position of first, being too ill to help, if I had thought it ethical, (which I do not)..I did advice a friend that stepped in as our campaign manager and gave her a fast lesson on how to go about running an effective, speedy campaign.
This CAN be done, since the cost of this surgery is low in comparison to the campaigns I have administered and ran, that were for organ transplants and were in the six figure range.
My goal was roughly 13k, and I saw it as being a mere few weeks of waiting before I could get my surgery. I was right. It was hard on me, such as it was like the Doctor being the patient…but I did give assistance, advice and direction even on my worst of days, because I knew it was my only hope.
Although I had a local Dr. who “could” have performed the surgery, he was ignorant to the point that he actually thought surgery was only required when one’s numbers were through the roof. Damn symptomatic forms of this disease….He, like a lot of insurers believe that more and more should apply, for patients to be eligible. That is non-sense and if you will go to Dr. Norman’s website http://www.parathyroid.com you will see and learn more than any Doctor is granted in medical school, which after this long journey, and numerous visits to GP’s, internists, and ER’s…I have learned it may be one of the most UN-STUDIED (but increasingly fast growing) medical conditions around!
So, what to do if you have symptoms before? I would suggest the website mentioned….questions afterward are not quite so “clear cut”, and that pains me also….I feel too little discharge info is given, and each individual, as we know, having gotten the disease in the first place, WITHDRAWS and REGAINS their vitality and health, all on very very different levels, which seems to be overlooked by the actual surgeons (no matter how good). I mean, how can they expect you to go BACK to the Dr. who didn’t even understand the disease in the first place, to treat your body’s struggle back to normal calcium levels, etc…? I believe there are two areas that need MUCh work in the practice of the illness caused by, operated on, and symptoms left by…the ACTUAL SURGERY. Those two areas are education about symptom management and care (before and AFTER…neither the least important)…and financially insuring that every patient that suffers from this disease is helped secure the treatment/surgery they so desperately need.
Being as I am so close behind my actual surgery, I myself are questioning symptoms that I am experiencing after surgery. I long for a ….well even a small pamphlet, if you will..on what to expect, what to see as dangerous, and how long is too long to still be feeling ill, afterwards…!
By expertise, I endorse Dr. Norman’s practice, but I do feel that this illness is one of the most complicated for people who acquire it to understand. If general physicians have a hard time themselves knowing what to do, how to treat pre and post symptoms, and also misdiagnose or overlook a very large number of cases each year, one would summarize that in the end, this requires a foundation that will help address all the problems that the already confused patients (before and after) faces.
If I can offer any advice to anyone about how to set up a fund-raiser, please feel free to write me. I cannot personally consult on each one, but I do have an outline that I will give, and in the end, I see no reason that there should be ANYONE in America (or elsewhere) that goes without a cure. I also do not think that any patient, having HAD the surgery should not have very close guidance and THAT guidance be part of their care, from their surgeons. Most all other surgical conditions are followed up by the Physician who performs it, why should this one be any different?
April 11th, 2010 at 1:55 pm
I had parathyroid surgery last week. I am having the tingling in my lips and fingers, so thought I would look it up. The booklet the doctor gave me said to call the doctor if this symptom should happen. The doctor says to go to the ER. From what I see here – I need to go find my Tums. I will try that first.
April 11th, 2010 at 2:25 pm
Hi Mary… It is scary for sure, but the trip to the ER was costly and unnecessary… I wish the docs would tell you that it’s kinda normal for this to happen and NOT to panic but just up your calcium…. it takes your body time to adjust to all the changes for sure.. The other thing I would add is to get a better calcium supplement than TUMS… That has a very cheap source of calcium in it and is incomplete since it doesn’t have any magnesium or Vitamin D. Have you hubby go to the drug store and the pharmacist will usually point him to something worthwhile.
April 12th, 2010 at 6:28 pm
I have been evading this surgery for years, as I am not comfortable with the info that is out there, especially care after surgery. Apparently I cannot have the modern surgery, because they cannot locate the effected adenoma, and have to have the old slit sytem.
Is there any other cure, or is surgery the only method. I live in Canada, we have the health protection by the government, but I think it is fear that puts me off from the surgery, though my surgeon suggest I should do it. I do not have any severe systems associated with this, besides my calcium level being high, and maybe foggy and depressed state.
angela
April 13th, 2010 at 6:15 am
Angela, tell us more about the health care system in Canada… I’m in the terrified about the Obama insurance plan here in the US…. But as for the surgery, mine really went off without a hitch.. I had a calcium dip afterwards that if my doctors would have warned me about and just told me to take some additional calcium afterwards wouldn’t have even scared me. My guess is that even though you don’t think you have symptoms that after you have the surgery you’ll see all of the things that were affected that you didn’t even know about. I’m so happy I had mine and now almost exactly a year later you can barely see the scar… I really will post a photo of that soon.
good luck and please post and let us know how it goes.
June 8th, 2010 at 6:13 am
First i want to say God Bless to you all. I had surgey done 3/9/10.
my PTH was 265/now that is very high. my calcium was high 11.3 ….
now i still feel very ill ,,,my hands are always numb,, it keeps me up at nite,i cant drive no more, i cant sit for long time..i drop dishes cups,, i pray every night that i get better,, i just dont understand i get the SURGEY… so i can get better,,now im feel wrost then i ever did. i cnt work no more, the doctor tells me it takes time to get better,,well the surgey was only to take 20mins,,yea right i was in surgey over 2hours,, im sorry if im scaring any of you..but thats wht is going on with me. i just dont knw anymore..
i will when i came home the next day from hospital,,i was so weak, i could not walk with out my son holding me up. i have never felt anything like that in my whole life. So please be very carefull when you get this ,,,surgey okay. i ahve 12 grandchildren..and i wnt my life back ..they are my WORLD..school will be out soon,,and i cnt even do things with them now.im to ill.. i knw i must sound like abasket case,,but i was avery strong women,, up at 5am everyday and off to work. now i cant even get out of bed. Well i hope none of you women or men ever have to feel wht im now.. Take care evryone GOD BLESS.you all. AND good LUCK.yr in my PRAYERS.. thank you Peggy.
July 23rd, 2010 at 8:07 pm
peggy, where did you have your surgery? thank you, ginger cribbs