We wonder what it will be like to go through it, what we will feel like afterwards, how much pain we will experience, what our limitations will be, and what might go wrong. Even despite this state of aairs there are so many people suering from this disease that many surgeons do this type of operation in varying volumes and in dierent ways. Ranking is based on relevancy, blog post frequency(freshness), social metrics, domain authority, traffic and many other parameters. During his training he won multiple awards for his research. Parathyroid cysts, therefore, are fluid-filled sacks that are growing out of one of the parathyroid glands. After surgery, you may have a scar at the base of your neck. | Phone: (813) 972-0000 | Fax: (888)-481-1487, Copyright 1996-2023 | All rights reserved. Our mission is to provide exceptional care to all patients with parathyroid conditions and to educate physicians and patients about the parathyroid disease. Parathyroid Hormone (PTH) Levels: Why are mine all over the map? Sometimes it make them fatigued and depressed and sometimes it makes them angry and crazy! The results of this survey illustrate that the approach to primary hyperparathyroidism is inconsistent. This can lead to a number of problems. If you have primary hyperparathyroidism, surgery is the only cure for your disorder. Neck surgery may be done to treat conditions of the thyroid gland, or to treat throat or neck cancer. The only treatment for primary hyperparathyroidism is surgery to remove the abnormal glands. -- Get for Android. GERD Often Caused by High Blood Calcium and Hyperparathyroidism, Chronic Fatigue, Depression, Anxiety, and High Blood Calcium: Warnings and Advice From a Psychiatrist. With the advent of increasingly accurate localization studies, a minimally invasive approach to parathyroid surgery is emerging as a standard of care. Hyperparathyroidism is a disease that is dramatically under- What is hyperparathyroidism? Read the 10 Parathyroid Rules of Norman as published in the New York Times. Normal Blood Calcium Levels Adjusted for Patient's Age, Ectopic Parathyroid Adenoma High in the Neck, The Medical Causes of Racing Deaths with Examples, Hyperparathyroid Symptoms From Small Parathyroid Cysts, Why All Four Parathyroid Glands Should Be Examined. Parathyroid drugs don't exist. The daily recommended amount of calcium for adults ages 19 to 50 and men ages 51 to 70 is 1,000 milligrams (mg) of calcium a day. Since Parathyroid surgery can be tricky which is why all your doctors will tell you "get the most experienced parathyroid surgeo 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. Over the years I have seen a fair amount of confusion from patients (and from doctors as well) concerning the concept of secondary hyperparathyroidism and how it is different from primary parathyroid disease. The last fouryears of my life have been miserable because of mistakesI made when choosing my parathyroid surgeon. There are just medicines directed at the symptoms. Get the Calcium-Pro parathyroid diagnosis app developed by our experts. How are we getting the word out? In the process, the parathyroid glands stop producing their hormone. https://www.uptodate.com/contents/search. That calcium recommendation increases to 1,200 mg a day for women age 51 and older and men age 71 and older. A subtotal parathyroidec Subtotal Parathyroidectomy in 5 questions; plus a bonus question you (probably) didnt think of. Kidney failure due to high blood calcium is less common than kidney stones, but the consequences are far more severe. Parathyroidectomy often is done to treat overactive parathyroid glands, a condition called hyperparathyroidism (hi-pur-pair-uh-THIE-roy-diz-um). When evaluating patients with thyroid and parathyroid gland problems over the years, I have heard the same comments from them over and over again. You have 4 small parathyroid glands that are near the thyroid gland. Today's story illustrates one of the most important rules of parathyroid surgery - "do not break the parathyroid adenoma; it must be removed from the patient's neck c Parathyroid tumors located in the chest can almost always be removed via a small neck incision. The Risks and Benefits of Daily Calcium Supplementation. The data was made public in April, 2014 (link to government Medicare database below Canadians with hyperparathyroidism claim expertise in parathyroid surgery and long wait times as the reasons for traveling Canadians with hyperparathyroidism claim expertise in parathyroid surgery and long wait times as the reasons for traveling to Tampa for surgery. Patients with tertiary hyperparathyroidism have hyperparathyroidism surgery to decrease their PTH levels. Unfortunately, very few doctors understand that the normal range for blood calcium changes as we age. https://www.parathyroid.com/blog/wp-content/uploads/2014/02/CalgaryHeraldNespaperArticle.jpg Parathyroid surgery in Canada Hyperparathyroidism is a 100% curable disease that is caused by ove What is Hyperparathyroidism and Why Should I Cure it? | Phone: (813) 972-0000 | Fax: (888)-481-1487, Copyright 1996-2023 | All rights reserved. A-fib is the rapid contraction of the upper two chambers of the hear (the right and left atrium). Secondary hyperparathyroidism develops as a result of another medical condition, most often kidney disease. It is a myth that parathyroid surgery and removing a parathyroid tumor causesyou to gain weight. Nephrocalcinosis (calcification of the High blood calcium over a number of years can cause kidney failure (renal failure). Yip L, et al. Imagine what that room will look like if the pot of gold ISNT IN THAT ROOM. Primary hyperparathyroidism is a disease of calcium imbalance. Parathyroidectomy cures almost all cases of primary hyperparathyroidism and returns blood calcium levels to a healthy range. How do we diagnose hyperparathyroidism when many doctors don't know how? The central idea behind the mini surgery is that the parathyroid glands can not be anywhere. There are certain places where they are more likely to be than others. Most improvements will be seen in the first few weeks or months after your parathyroid surgery, but improvements can still be seen years later. Create Combine RSS Feeds From Multiple Sources. Interesting and compelling stories from the pa <% content_for(:page_summary) do %> The Hyperparathyroidism Blog Has Begun! Mayo Clinic. Parathyroid symptoms: your brain on too much calcium! You may have of numbness, tingling or cramping if your calcium level gets too low. For most people, taking calcium pills every day for bone health is safe. Kidney Failure Due to Hyperparathyroidism, Depression, Fatigue & Hyperparathyroidism, Atrial Fibrillation & Hyperparathyroidism. Email us the type of bloggers you want to reach out for your marketing campaign at [email protected]. Most patients will have this for years before they even get diagnosed (if they ever do), and some people wont have symptoms or complications for years more. Explore the latest research in parathyroid treatment, surgery, caring tips and more! I found myself not enjoying my job like I used to. With a morning test, a patient can reduce their risk of measuring the amount of calcium in the body at a time when their PTH level is temporarily elevated. Local anesthesia is given with one or more injections near the surgery site. If youre just starting your journey to learn more about such a broad topic like hyperparathyroidism surgery, it can be da Parathyroidectomy is the procedure to treat hyperparathyroidism, a condition in which there is an over production of parat Parathyroidectomy is the procedure to treat hyperparathyroidism, a condition in which there is an over production of parathyroid hormone by one or more of the parathyroid glands. As a brief review to set us up for this week, the word hyperparathyroidism just means an elevated parathyroid horm Primary hyperparathyroidism (pHPT) is a destructive disease that causes osteoporosis, kidney damage, and it increases the Primary hyperparathyroidism (pHPT) is a destructive disease that causes osteoporosis, kidney damage, and it increases the risk of heart attack and stroke. Another form of the disorder, called secondary hyperparathyroidism, sometimes requires surgery. The parathyroid glands make parathyroid hormone (PTH), which controls the levels of calcium in the body. Jameson JL, et al. The glands help regulate your bodys calcium level. 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. The survey was distributed to all active members of CSO-HNS, the vast majority of whom do not perform parathyroid surgery. That can lead to a number of problems, including weak bones, kidney stones, fatigue, memory problems, muscle and bone pain, excessive urination and stomach pain, among others. What is Parathyroid Surgery? In recent years, parathyroid surgery has evolved significantly, and numerous minimally invasive parathyroidectomy techniques have been developed. 11th ed. This rapid contraction is not coordinated so it isineffectivein pumping blood. Traditionally, this procedure involves making a tiny incision in the front of the patient's neck. Accessed July 29, 2022. It is is characte Primary hyperparathyroidism is a destructive disease caused by benign growths of the parathyroid glands. All patients have minimally invasive parathyroid surgery (ie, a very small incision) to remove the abnormal parathyroid glands. Parathyroid glands. Our patients come from all over the world. There are some great stories here! At the time most people are given this news by their doctor, they have no idea what hyperparathyroidism is, or even know what parathyroid glands are. The parathyroid glands make a hormone that controls the amount of calcium in your blood. Consequently, the diagnosis of hyperparathyroidism is often delayed several years. But Were Afraid to Ask. Nerve Damage During Parathyroid Surgery Increases with Nerve Monitoring, Doctor With Hyperparathyroidism: Parathyroid Surgery Saved Me, A Parathyroid Nurse's Experiences with Hyperparathyoidism. parathyroidpeeps.c.. 4K 424 Get Email Contact More, Southlake, Texas, US Check out the Parathyroid Surgery section to know more about the procedure, before and after care, treatments and more! The role of PTH is to help raise the blood level of calcium through several different mechanisms. She was sent to us by her OB in Los Angeles, California. the advice they need to get hyperparathyroidism surgery. Top-3 medical app of 2014, 15, and 16. Townsend CM Jr, et al. Typically, blood calcium eventually returns to a healthy level. If you are reading this blog, it is likely that you or someone you love has been told they need hyperparathyroidism surgery. What Are Our Parathyroid Glands? This graph shows how bl <% content_for(:page_summary) do %> Ectopic parathyroid glands occur in 5% of people, occasionally located high in the nec <% content_for(:page_summary) do %> Ectopic parathyroid glands occur in 5% of people, occasionally located high in the neck under the jaw (called an un-descended parathyroid gland). Unfortunately, delays in the diagnosis and treatment of pHPT are common. Fatigue is by far the most common of all symptoms. During the surgery this imaging serves as a map for the surgeon to tunnel down to where the scan shows the tumor, in the hopes of not having to go anywhere else in the neck. Having to undergo surgery invariably generates a fair amount of anxiety. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Last week, we discussed what our parathyroid glands do for us when they are working proper Parathyroid Gland Dysfunction The expert parathyroid surgeons from the Norman Parathyroid Center publish articles on parathyroid disease, parathyroid surgery, recovery and more. Many of my patients approach their surgery with the same thoughts and questions, and as with many things in life, not knowing what to expect can often lead to fear and anxiety. If so, calcium supplements, and sometimes vitamin D, may be needed long term. Parathyroid surgery, also known as parathyroidectomy, is a minimally invasive procedure performed to remove parathyroid glands from the neck. If you develop primary hyperparathyroidism before age 50, your health care provider may suggest you have surgery even if you don't have any symptoms. Blogs, RSS, Youtube channels, Podcast, Magazines, etc. These traditional hyperparathyroidism surgery incisions were big, muscles were cut, lots of tissue was disrupted, recovery times were long, worst of all cure rates werent great and complications were higher than they needed to be. The mechanisms that control how calcium Wegovy, Saxenda, and Mounjaro are three of the new miracle weight loss drugs that make almost all people lose weight in a Wegovy, Saxenda, and Mounjaro are three of the new miracle weight loss drugs that make almost all people lose weight in a dramatic fashion. I'm a nurse; a parathyroid nurse. This, along with uptake of calcium into bones, can lead to low levels of calcium a condition called hypocalcemia. I recently gave an interview to a radio station in Austin, Texas (1370 AM Talk Radio). Knowing what to expect before and after your surgery can really reduce the anxiety that accompanies going through any operation. A hoarse or weak voice from a nerve problem is very rare. Is taking calcium every day dangerous? The worries about gaining weight after parathyroid surgery are understandable but unfounded. Removing the parathyroid tumor cures the GERD in the majority of patients. Interesting and compelling stories from the parathyroid patients we see every day. Lisa is a 57-year-old lady from Ohio with primary hyperparathyroidism. The surgery itself in most cases takes between 15 and 30 minutes and is performed through a centered 2cm incision in the lower part of the neck just above the breast bone. Most people have four parathyroid glands, and these glands produce parathyroid hormone (PTH) that regulates calcium in the bloodstream. For most, only two parathyroid tests are needed to establish or exclude the diagnosis of pHPT: serum calcium and parathyroid hormone Parathyroid Gland Dysfunction The only job PTH has is to raise your calcium levels back to normal. We will do anything, it seems, to prevent injuring our patients while they lie on an operating table allow <% content_for(:page_summary) do %> Hyperparathyroidism sneaked up on me. Accessed Aug. 1, 2022. This is especially important for nerve and muscle function, as well as bone health. Here is my story and the genesis of Parathyroid Punk! But are they really doing expert work, or are they cheating and doing a simple operation that any joe-blow surgeon could do? Do not feel alone! Injury to the recurrent laryngeal nerve (vocal cord nerve injury) is the biggest worry people have when they are told they need to have a thyroid or parathyroid operation. Sadly, their family doctor and pediatrician remain unaware and were "keeping an eye on the high "My OB doctor is freaked out!". On April 6, 2014, the Calgary Herald published an article about the drama GERD (Gastro-Esophageal-Reflux Disease) occurs in 65% of patients with primary hyperparathyroidism and high calcium. This means you won't be conscious during the procedure. Dr. Mitchell has published over 30 scientific publications and is a frequent speaker at national meetings on advanced ultrasound techniques for neck tumors. Get for iPhone. The cure is surgery, but that has not been recommended to her. Surgery coordinators offer a personalized touch July 15, 2022 Untreated hyperparathyroidism can lead to a number of symptoms that decrease a persons quality of life. After several years on faculty in the Division of Endocrine Surgery at Columbia University, he joined the Norman Parathyroid Center to commit his career to parathyroid surgery. This usually lasts only a few days or a few weeks after surgery. from the Experts at the Norman Parathyroid Center. Seven of these 52 had a previous parathyroid surgery somewhere else that was not successful so they came to see us. Renal & Urology News publishes timely news coverage of scientific developments of interest to nephrologists and urologists, including in-depth coverage of all relevant medical conferences. Our Parathyroid surgery Locations South Tampa Hospital 2901 W Swann Ave Tampa, FL 33609 (813) 873 - 6400 Hospital for Endocrine Surgery 6001 Webb Rd Tampa, FL 33615 (855) 422 - 2224 6.8 miles The Healthy Living Blog Fresh knowledge and insights in and around healthcare industry. I am assuming that those reading this will already be familiar with what hyperparathyroidism is, and why and how it is treated. I am n <% content_for(:page_summary) do %> The internet is full of surgeons who claim to be experts at parathyroid surgery. Parathyroid is the World's leading site for parathyroid and hyperparathyroidism. We know there is a lot of information on the site and it can be This allows the parathyroid glands to be differentiated from surrounding thyroid, fat, or lymph nodes and more easily identified. Sometimes patients have more than one tumor, but the PTH drops when the first tumor comes out even though another tumor remains. So even the surgeons who do more than typical, still arent doing very much. Hyperparathyroidism can cause you to have too much calcium in your blood. If Secondary Hyperparathyroidism goes on for long enough without treatment, the poor parathyroid glands get overstimulated by the low calcium pushing them to make more and more PTH. This indicates that most surgeons doing this operation dont do much of it. Mayo Clinic; 2021. Some are your neighbors! Mayo Clinic does not endorse companies or products. Parathyroid cysts are rare, occurring in about 1 out of 200 parathyroid operations for hyperparathyroidism. Dr. Jamie Mitchell is a senior surgeon and serves as medical director of the Norman Parathyroid Center at the Hospital for Endocrine Surgery in Tampa, Florida. Parathyroid.com is an educational service of the Norman Parathyroid Center, the world's leading parathyroid treatment center performing nearly 3,500 parathyroid operations annually at the new Hospital for Endocrine Surgery. If your calcium is measuring HIGH for some reason and your parathyroid glands are working properly, they have no reason to secrete PTH and this level will be very low. Failed Parathyroid Surgery: Yesterday's Three Unsuccessful Parathyroid Cases. In secondary hyperparathyroidism a person has some condition that is causing a low blood calcium level. surgeons, or for our office, we would be happy to help. Read our Parathyroid Blog! We at Southlake General Surgery are always fully focused on helping you to overcome any surgical procedure, with great commitment and care. starts in the most likely location and then proceeds to the next most likely location until that parathyroid is found, normal or tumor, and then the surgeon moves on to the next parathyroid gland. Parathyroid (pair-uh-THIE-roid) glands are four tiny structures, each about the size of a grain of rice. Publishers submit their blogs or podcasts on Feedspot using the form at the top of this page. This content does not have an English version. Mental health issues occur in over 90% of patients with primary hyperparathyroidism and even slightly high blood calcium. We made the Calcium Pro app to make high calcium and parathyroid problems easy to diagnose. Here I will focus on everything you need to know about life after your parathyroid surgery. Today we operated on a 30 year old female with a parathyroid tumor and high blood calcium "My OB doctor is freaked out!". Wegovy causes weight loss in a remarkable Wegovy is the first of the new miracle weight loss drugs approved by the FDA. Restricting how much calcium you eat or drink is not recommended for people with hyperparathyroidism. Enter the email addresses of the people you want to share this page with. <% end %> This content does not have an Arabic version. Accessed Aug. 1, 2022. To ensure that a minimally invasive parathyroidectomy is a success, Dr. Larian performs an individualized 4 gland parathyroid assessment on every patient. Fatigue is by far the most common of all symptoms. Take a drug for your hyperparathyroidism and be disappointed! The Hospital is als What is Secondary Hyperparathyroidism and How is it Treated? Parathyroid surgery has been going on for around 100 years now, but much has changed. or to our office, and get back to you as soon as we can. At The CENTER for Advanced Parathyroid Surgery, we are dedicated to providing our patients with individualized care and treatment plans to give them rapid relief from the devastating effects of hyperparathyroidism. https://www.parathyroid.com/blog/wp-content/uploads/2014/10/PunkVideoFront-300x159.jpg PunkVideoFrontLink to the video is at the bottom of the page. Parathyroidectomy is a minimally invasive surgery to remove the parathyroid glands or one or more parathyroid tumors from your neck. The parathyroid glands lie behind the thyroid. Any disruption to the thyroid or parathyroid glands can impact their functioning. Unfortunately many doctors and endocrinologists don't have much experience diagnosing parathyroid problems and thus it takes too long and too many tests are performed. This result Primary hyperparathyroidism is a disease where one or more of our four parathyroid glands becomes hyperactive. In some cases, you may need to stay overnight in the hospital. Get the Calcium-Pro parathyroid diagnosis app developed by our experts. You may need this surgery if one or more of your parathyroid glands makes too much parathyroid hormone (hyperparathyroidism). If the PTH comes down the surgery stops, if it stays high, the surgeon will either stop the operation and refer to a specialist, or they will explore the neck. In the US most studies that refer to high volume parathyroid surgeons are only referring to surgeons who do more than 20 parathyroid surgeries A YEAR. People with hyperparathyroidism dont live as long, or as well, as they should. I was feeling tired and old. Parathyroid surgery has been going on for around 100 years now, but much has changed. I was feeling tired and old. 20 Best Clemson Tigers Blogs and Websites, Renal & Urology News Secondary Hyperparathyroidism, Southlake General Surgery Parathyroid Surgery, https://blog.feedspot.com/about_lists_and_ranking/, renalandurologynews.com/home/news/nephrology/secondary-hyperparathyroidism. Combine multiples newsletters into one daily/weekly newsletter. For each individual parathyroid gland the surgeon. It is is characterized by high parathyroid hormone (PTH) production and causes accelerated bone loss, kidney injury, and it is associated with heart disease and stroke. Surgeons may also do more specialized training. So when someone starts with secondary hyperparathyroidism their calcium is low and PTH is high; when they transition to tertiary hyperparathyroidism, their calcium rises to normal and then high. She is 20 weeks pregnant and the high calcium is a real and direct threat to the baby. Nephrocalcinosis (calcification of the kidney) is a completely avoidable complication of hyperparathyroidism. If you are reading this blog, it is likely that you or someone you love has been told they need hyperparathyroidism surgery. 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. In short, parathyroid surgery or parathyroidectomy is when a surgeon removes one or more abnormal parathyroid glands. However, nowadays, experts perform transoral surgery (through the patient's mouth), leaving zero . For Parathyroid disease and hyperparathyroidism areassociated with weight gain. 21st ed. The last fouryears of my life have been miserable because of mistakesI made when choosing my parathyroid surgeon. The scan can play a vital role in the planning and surgical treatment of hyperparathyroidism (HPT). The glands help regulate your bodys calcium level. It can also occur when the parathyroid glands are enlarged (hyperplasia). -- Get for Android. The blog features various patients' stories and experiences along with expert articles on parathyroid. Parathyroid hormone is elevated as a response to low levels of calcium and vitamin D. This often can be treated without parathyroid surgery. Top 5 Questions About Parathyroidectomy Scar, Top 5 Things to Know About Parathyroidectomy, 5 Things to Know About Curing Hyperparathyroidism. I perform surgery solely on patients with parathyroid disease with thousands of parathyroid operations being performed Parathyroid disease describes a group of diseases in which there is an excess of parathyroid hormone. Localization studies are purely used for locating the abnormal gland or glands,. Hyperparathyroidism surgery is usually not needed for patients with secondary hyperparathyroidism, medical treatment typically works. The Hospital for Endocrine Surgery is a first-of-its-kind facility, solely dedicated to the surgical treatment of thyroid, parathyroid and adrenal tumors and cancers. Dierence between thyroid and parathyroids, 10 Things to know about hyperparathyroidism. Cysts are fluid-filled sacks. Normal calcium levels in Primary Hyperparathyroidism: What you should know, The top 10 symptoms of hyperparathyroidism, presented with real patient examples, Top 4 Ways Wegovy, Mounjaro and Saxenda Wont Work to Cause Weight Loss Explained by Expert Endocrine Surgeon. A new blog starts today on the topic of parathyroid disorders, hyperparathyroidism and high calcium. Sometimes a patient only has one tumor, it is removed, but the PTH doesnt come down, leading to an unnecessary exploration., The mini-parathyroidectomy as an option for hyperparathyroidism surgery was pioneered by Dr Norman starting in the early 90s, and has been refined over time. These conditions can cause bone loss, kidney stones, kidney damage, increased cardiovascular risk, bone pain, fatigue, sleep issues, brain fog the list goes on. Normal parathyroid glands sense this low blood calcium level and respond by making more PTH in an eort to raise the calcium up to normal. Selective parathyroidvenous catheterization is an invasive x-ray test performed by an invasive-radiologist. Sept. 2, 2022. Today (October 9, 2014) I update this article because of Jules Bianchi terrible accident at the 2014Japanese Grand Prix. This is important because the more parathyroid surgeries you do, the safer it gets, and the more likely you are to cure someone. They are located behind the thyroid at the bottom of the neck. We take out these glands when we see one of two problems: Cancer Suspicion: The vast majority of these procedures are done because of nodules suspicious of thyroid cancer. This week, we are exploring what happens when they malfunction. The parathyroid glands help regulate calcium and phosphorous blood levels. You may need this surgery if one or more of your parathyroid glands produces too much hormone. Parathyroidectomy is the surgical removal of one or more parathyroid glands. hard to take it all in. Patients who undergo surgery at Hospital for Endocrine Surgery spend approximately 30 to 40 minutes in the operating room. Hyperparathyroidism is a 100% curable disease that is caused by over function of one or more of the parathyroid glands. Having to undergo surgery invariably generates a fair amount of anxiety. Examples include renal failure, calcium leak syndrome, gastric bypass surgery and chronic diarrhea. About the Clayman Thyroid Center: Your doctor should monitor your bone density with a DEXA scan every two years after your parathyroid surgery until the improvements plateau. I perform surgery solely on patients with parathyroid disease with thousands of parathyroid operations being performed at our Center each year. Interesting stories about hyperparathyroid patients we see every day. Phyllis's doctor in Virginia Parathyroid cysts are uncommon, but can cause lots of symptoms of hyperparathyroidism sometimes, and no symptoms at all at Parathyroid cysts are uncommon, but can cause lots of symptoms of hyperparathyroidism sometimes, and no symptoms at all at other times. Health Education & Content Services (Patient Education). The most common type of hyperparathyroidism is Primary Hyperparathyroidism. Blood calcium levels vary as we age, but labs don't give normal calcium ranges according to age. Parathyroid (pair-uh-THIE-roid) glands are four tiny structures, each about the size of a grain of rice. [1][2][3][4][5] He then underwent specialty training in endocrine surgery (thyroid, parathyroid, adrenal) at the Cleveland Clinic in Ohio. Symptoms caused by too much calcium in the blood may go away or greatly improve after this procedure.