Understanding Hyperparathyroidism

[@BeckeyGirard]

I spent 17 years working in urology I'm retired now but was just diagnosed this was very helpful thank you very much

[@prithwirajbhardwaj9295]

Very very very helpful ♥️ you seriously need to make more videos ASAP! your punctuation marks, proper stress in words and a pretty good illustration makes it just perfect ♥️

[@ZeroToFinals]

Thanks!

[@marialumpa4586]

​@@ZeroToFinals Dziękuję za informację. W Polsce choroba ta jest prawie nieznana. Nawet endokrynolodzy mają odmienne zdania co że mną robić, tzn. czy usuwać przytarczyce czy nie 😢. Pozdrawiam serdecznie ❤

[@andromeda522]

I had this disease, and my own primary care doctor refused to diagnose it, because he said that I was "too young" to have the disease! My symptoms were very evident. I had to seek medical help from someone else, and boom, my diagnosis was made and I had to undergo surgery. The surgeon told me that I also had hypothyroidism due to the adenoma pushing on my thyroid! I had all the classic symptoms of that disease as well. The minute I awoke from the procedure, my levels were all normal again. I had been ill for years and was headed towards damage to my kidneys, heart, bones. I've undergone PTH testing for years since and it's been normal.

[@Layla03778]

Alcyone I’m suffering with this disease, doctor said I have the secondary she put me on Vit d and asked me to increase my calcium intake but still experiencing bad symptoms like frequent urination, palpitations with the arrhythmia sometimes, depression and loss of appetite, I told my doctor may be I have the primary and need to be removed she said no ,

[@andromeda522]

@@Layla03778 if you have this disease, it will NOT go away by itself nor with vit D and calcium. You must see a specialist (endocrinologist) and have your levels tested, Vit D, D-125, and PTH to determine how far along you are with this disease. If your PTH is high then you will require a sestimibi scan of your parathyroid. There are 4 nodes there. It is possible one or more than one will "light up" with the scan, in which case, you WILL require removal of the adenoma or adenomas. Once removed, you must go for PTH level testing, Vit D and Vit D-125, etc to ensure your disease doesn't return, which it can.

[@Layla03778]

Alcyone I am seeing by the endocrinologist, my D,125 was high, Vit D low, PTH high, Calcium Normal , she said since my Calcium level is normal I have secondary not primary she put me on 1000 Vit D and increase my intake of calcium but still I feel awful sick wit many symptoms like frequent urination, loss of appetite with weight loss and depression I cry for no reason mostly last four days, last month I was admitted to the ER for atrial fibrillation my heart was beating extremely fast they put me on Diltiazem .my body is telling me that all these symptoms are caused by the hyper parathyroid just hard to convince the doctor. Thanks so much for your help and time

[@andromeda522]

@@Layla03778 There is a drug called Parsabiv used to treat your condition.

[@lindabartle6607]

@@Layla03778 I hope you have managed to get sorted out from this awful disease .

[@humbertomoris3424]

Man Ive been struggling so bad with Step 2 Qbank questions regarding Hyperparathyroidism and this helped A LOT! Thank you so so much

[@Nicole-nc4dh]

You did an excellent job explaining the different types of hyperparathyroidism and the different lab levels to pay attention to!

[@juliamundt101]

I am a Bariatric patient, and dealing with I believe secondary (low Vitamin D deficiency). Endocrinologist is running blood (⬆️ PTH, normal calcium & phosphate) a 24 hr urine, bone scans… this was a very helpful video.

[@deniserojas619]

Update ? I have something similar going on .

[@Theflowerdarling]

Same!

[@ranigovender3252]

Same here

[@lisarae8160]

Same

[@SylviaJohnson-qq1hz]

Thank you. Have just been diagnosed with hyperparathyroidism so have started testing and no tumor but now testing for secondary hcc so am praying it is vit d shortage which can be corrected without surgery. Video helped me understand why testing so imp.

[@Ostipherous]

I am not a medical student. This was really easy to understand. Thank you!

[@Ambika389]

I'm an orthopaedic resident and you made hyperparathyroidism so simple, thank you

[@BiiraAngelic-zf2pw]

Am a medical student. Thanks so much for the illustrations. l have sincerely understood what hyperparathyroidism is. thanks so much!!

[@orangecone333]

Hello I am in nursing school and finding your content incredibly helpful for passing exams as well as deep understanding of the pathophysiology. Thank you so very much!

[@juliewalsh1241]

Thanks, helps me understand why my endo is giving me mega doses of vitamin D even though my levels of D are not low. PTH is gradually coming down a bit. Thanks also for your calm voice with no bells and whistles.

[@idkwhattonameit8359]

This is my best med channel so far , short videos with sufficient info

[@khoalitee]

Finally understand why checking calcium is so important after correcting vitamin D deficiency. Thanks :)

[@angelicasamano4633]

Thank you so much for your information. It’s very simple and clear, and it answered all the questions that I had.

[@blacktongs]

you are very modest about your question bank, I am just using it now. I love the explanations at the end. Thanks for your hard work!

[@ZeroToFinals]

Thanks. It is good to hear you like the questions. There is a lot of room to improve them, something that definitely needs more work!

[@mthrofwntr]

Just diagnosed, helpful to know what next avenues might be.

[@shomaavi4136]

I can’t explain how much helpful it is! Thank you so much.

[@zeebreezy9302]

Wow I've learned so much in this short video. I was diagnosed with secondary hyperpara as a result of a complete TT removal. Endo has struggled to balance me out and Drs. struggle to balance both my hypo thyroid state as a result of the TT and hyper para as a 2ndary state. Hypercalcemia really affected my teeth and made my bone density weak and brittle yet many dentist don't familiarize themselves with treatment towards thyroid disorders in patients

[@male091976]

Thanks alot very informative , very helpful . Your videos about hyperthyroidism and hyperparathyroidism were the most helpful for me to understand what endocrinology doctors are trying to tell me, but until now they aren't sure what's the reason of my low TSH level and nodules .

[@imakemusique]

Finals coming, happy I found your site! This was clear and concise, thank you!!

[@ZeroToFinals]

Awesome! Glad you found it. If you have finals coming take a look at the Zero to Finals medicine book - designed to be the ultimate finals revision partner

[@zainabghaffar9330]

@@ZeroToFinals really really amazing nd helpful video

[@ZeroToFinals]

@@zainabghaffar9330Thanks!

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[@curtisfoy6735]

Very nice review of what can be a confusing topic not only for medical students and residents, but attendings as well!

[@ciarabrogan9302]

Thank you, my levels for parathyroid were elevated, so this video I found very helpful to understand.

[@Orwellian444]

Hi Ciara! did you happen to solve this problem yet? if so was it from surgery?

[@RoseGlass123]

I was sadly diagnosed with this the sad part is that before I could go to the specialist I lost my health care and I have been noticing my health go down... I have been struggling really bad. Even worse people make fun of me for the weight I gained and they label me as lazy because I am struggling to even move around because of all the bone pain I have and sometimes I feel like I am going to pass out from pushing myself to be productive.

[@suewilliamson7271]

Could you add an explanation of NormoCalcaemic Primary Hyperparathyroidism? There are some recently published NICE guidelines on NCPHPT. Lack of knowledge of this condition is causing much distress to the people with it, especially as the GPs and Endocrinologists that have caught up are few and far between.

[@drpoojabharadwaj]

In patients with chronic kidney disease, oral phosphate binders (calcium salts, sevelamer hydrochloride, and lanthanum carbonate) and restrict dietary phosphate intake is recommended to prevent 2° hyperparathyroidism. Cinacalcet is a calcimimetic that acts to lower serum PTH levels and is approved for use in hyperparathyroidism caused by renal failure or in patients who cannot undergo surgery.

[@feytertom]

Can't believe I havn't run into your videos sooner - subbed :)

[@ZeroToFinals]

Thanks Andreas! More coming soon. Check out the site as well www.zerotofinals.com :D

[@brahimimoustafa6390]

Yes it s wonder

[@KristieZara]

I just had the same exact thought!!!! More people need to know about this channel!! AWESOME explanation. Thank you!! Sincerely, A Nursing Student

[@marcialferreira4455]

Vitamin k1, k2, and d3 has helped me tremendously. I had too much calcium in the blood. Look it up, Thanks much

[@IISuperw]

Hello Everybody,, i recently have my blood tests done i which vitamin D came as only 4 ng/ml (severe deficiency) but calcium came as 10.40 units (normal range is upto 10.10)... is this can be because of hyperparathyroidism or due to low vit D ?

[@ashouraitakhoshaba2360]

@@IISuperw These are my exact results. Did you ever resolve it or hear anything about it from a doctor? Thank you.

[@IISuperw]

@@ashouraitakhoshaba2360 Doctor said Its normal in case of youngsters. Also we have to see the level of albumin to know corrected Calcium Levels. Google search 'Corrected Calcium Levels". Actually my albumin level was high, which made my corrected calcium levels under range.

[@tapishs95]

Hi, I recently have diagnose of low vitamin D 7.9, high calcium 10.7 and normal PTH 31, my albumin is also normal, my bp is 150/100 I have also issue with stomach and insomnia, and other issue plz share some details here

[@biyo8085]

Best explanation in internet world, you are really doing great knowledge sharing

[@ZeroToFinals]

Thanks!

[@edgardeugene4412]

Very helpful and simple for USMLE

[@khadijah3343]

Love this! Straight to the point

[@Nicereview763]

I understand it perfectly, however about 2 weeks later all the knowledge just seems to go from my head!

[@milena19791]

Thanks! Perfect explanation!

[@Kimmy-pw8tm]

Lay man’s terms, are fantastic. Much better for people who need information to compare to their own similarities. Going to the doctor won’t be as scary because of this video, you’ve got rid of the “ what Ifs “.

[@melanieoliver3294]

What happens when Sesibi scan, ultrasound and sonar do not show any enlarged glands, or adenoma's, but the patient has elevated PTH and Calcium?

[@phallant5919]

Extremely happy I found you site!

[@jebranearij2799]

Finally, don't get confused anymore. I got it thanks ♥️♥️♥️

[@soumayaelyoussoufi8746]

Well illustrated and explained.Thanks.

[@ZeroToFinals]

Thanks!

[@anne7149]

Thank uuuu uuuu ❤️❤️❤️❤️❤️

[@Doroex]

You just compressed a 20 slides long powerpoint show into a 7 minute long video, with a (far) better explanation. Thanks!

[@ZeroToFinals]

thats cool! thanks!

[@SandeepKaur-om7jb]

That is such a great video, you explained everything so well. Keep up with good work👍

[@ZeroToFinals]

Thanks Sandeep. Great to hear

[@suzannek3406]

Thanks for this easy to understand explanation. Much better than reading a dull textbook.

[@ZeroToFinals]

Great to hear

[@KeziaNyarko-f4n]

Thank you so much for simplifying this!💗

[@aggieruiru1999]

I finally understand the difference, thank you so much Sir

[@mattupallibavya]

Thank you zero to final. It's very easy and helpful. My final exams are near and it helped me in remembering the important points! 💯

[@ZeroToFinals]

Good luck in your exams!

[@brucefranken4615]

Secondary hyperparathyroidism (HPT) caused by chronic kidney disease (CKD) not severe enough to warrant transplant, can be managed with calcitriol (the active form of Vitamin D). Start low and go slow, 0.25 mcg twice a week. Too high of a dose over time can cause adynamic bone disease, with the bone becoming resistant to PTH.

[@MadePramana]

Thank you for the explanation. I would like to know about hypoparathyroidism. If a patient undergo thyroid surgery and the parathryoid is damaged, will it cause the low absorbtion of calcium in the renal? Thank you.

[@freya5205]

Will you talk about what happens from 20 years of not being taken seriously. So my body has high Ca for 20 yrs. What are long term concerns for long term Ca+2. Drs just took it out and I am researching on recovery and long term healing done damage done.

[@BB-wh1nr]

Wonderful video! Simple and clear

[@muhammadyaqoob877]

Wonderful video.short and precise.easy to remember.

[@ZeroToFinals]

Thanks!

[@lati_da]

next video please include what phosphorus is doing in each state. Thanks!!

[@simvuyelewana4655]

Your videos are helping me get this degree !!!

[@firasmiri1576]

I did a blood test to find out why I have low bone density for my age (26) and it turns out my parathyroid hormone levels are high. Vitamin D is good. I do believe hyperparathyroidism has been the reason for my bone loss, constipation, and lack of concentration/slight memory loss. Is surgery the solution for this one? The endocrinologist told me to consume more calcium and get another blood test to find testosterone levels (free and total).

[@hassanmadar671]

thanks, I hope you upload many videos. your lectures are amazing and concise.

[@ZeroToFinals]

Thanks Hassan! I plan on uploading many more, just in the middle of writing the paediatrics book at the moment and it is taking all my time. keep an eye out!

[@VMGChannel]

Very helpful! Thanks a lot

[@nicolebaradat]

I was diagnosed with hyperparathyroidism and was referred to a surgeon who says because he can’t find a tumor on my gland through ultrasound (something was found in a nuclear medicine scan on the right glands), and my labs are borderline, he will not perform the surgery. So I feel awful and have to do monthly blood draws and 24-hour urine collections forever now???

[@pptrf]

Really thank you so much, now finally I have understood everything!

[@ZeroToFinals]

thats awesome! thanks

[@dendenc2046]

My PTH is normal & VitD is normal, but my Calcium is high. Can this still be caused by PTH?

[@sy1511]

love your videos. keep them coming!

[@Yasmin-cv5mn]

Extremely helpful - thank you so much! Exams in two weeks.. ahhh

[@alakshmichinnu]

These videos are good to summerise after reading a very big

[@brahimimoustafa6390]

Thank so much it s very helpful and make thinks clear and easy notably before reading the lesson😁

[@peggy7866]

Your channel is really helpful 👍 thank you so much

[@christorrez7239]

I have kidney failure and when I got checked the 1st time my pt was over 2400. Got most of my parathyroid removed a few years back. Not it is getting high again. Over 130

[@TheMDM_YT]

What a useful summary, thanks!

[@ZeroToFinals]

No problem, glad you liked it!

[@kamalahmed-f3p]

thank u for your explanation teacher and veryhelpful especial for me

[@muniralshameery5758]

So you have to mention how we can differentiate between primary and tertiary in Lab.? And what is the role of phosphate in this?

[@jordanelders6421]

I had this at 11 years old & had to have one (or two?) of my parathyroid removed. Took forever to diagnose, and the surgeon had never heard of someone my age with it!

[@thesudaneseprince9675]

What a fantastic video, thank you very much!

[@jmolynn2]

Thank you so much for this video, it was very helpful!

[@YoyoYoyo-lc6nb]

Damn❤that was beautiful 😍

[@Sachin-wb9bg]

Very best explanation

[@ZeroToFinals]

Thank you!

[@robertadias5982]

Thank you! this video was so objective! Amazing

[@ZeroToFinals]

Glad to help

[@wafaanasir9715]

Very informative 👏👏 Thank you!

[@impossibleispainofglitches8190]

Thanks for the nice and easy presentation about hyperthyroidism.thanks from bangladesh

[@ZeroToFinals]

Glad you liked it!

[@hadawyemad8054]

Best video ever‼️❤️❤️

[@ElyTvandRhymes]

Thank you. your videos are extremely helpful!

[@ZeroToFinals]

glad to help!

[@kalpanakarunakaran7033]

Really useful...thankyouuu soo muchh.cud understand it so easily.made simple

[@ZeroToFinals]

glad to help!

[@sagarmasne9106]

Wt a gr8 explanation with animation.. understood completely..

[@ZeroToFinals]

Thanks Sagar! So glad

[@sagarmasne9106]

@@ZeroToFinals i hve taught my students with the help of this video

[@ZeroToFinals]

@@sagarmasne9106 Awesome!

[@Tinyteacher1111]

I just found out I have this and have to go see a specialist. The problems are: I have Lyme, my son is in jail, I’m alone, I have a non-healing broken arm from lack of blood flow, and I fell today and can’t walk. Great day!

[@eyemanpb]

great concise lecture

[@itisknown5256]

Please add how it would effect the PO4 and SAP

[@gracepetr4471]

i would love it if you made a hypoparathyroidism video

[@abdoomni]

Very simple .. very helpful .. subscribed

[@Memepage9]

Thanks for summary 🤣🤣 otherwise I forget it in end 💗🤣🤣🤣

[@reemjojah397]

Omg i just looove your videos!

[@ZeroToFinals]

So happy! Thanks

[@Saint_Vincent1735]

Would surgery on the parathyroid be recommended on a 91 year old female? Great video.

[@Zmansour99]

I have seen online various information about calcium levels in secondary hyperPTHism. can someone please help?

[@ijazalamjan8615]

U cleared it very well.Thanks❤️

[@yaa7nxx575]

Amazing and simple

[@fmcm7715]

I have primary parathyroid ism with 4 gland hyperplasia. One adenoma isn't necessarily the cause of all pHPT.

[@divyajoshi5496]

Please attach the link of hypoparathyroidism vedio also

[@nagavarudhini2535]

Thank you very much! Summed it up really well!

[@hopemarie5357]

what are the disorders of hyperparathyroidism and hypoparathyroidism?

[@DRRAJIVDHAWAN]

Great job!!!

[@ZeroToFinals]

Thanks dr

[@neelamralhan6648]

Just one word SUPERB

[@faisalization]

What an amazing video this is !

[@ZeroToFinals]

Thank you!

[@meme8782-x8e]

thank you💚 very useful vid♥

[@millytorresmartinez7118]

Thanks , very useful 🎉

[@safinhh8312]

What about phosphate and alkaline phosphatase levels

[@Bero923]

Good explanation.. thanks a lot