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The following UK surgeons are recommended based on reviews from our members.  Surgeons known to operate on normocalcemic patients are limited in the UK. An asterisk after surgeons' names indicates they are NCPHPT surgeons. There has not been a BAETS audit since 2019. We rely on the audit to assist some members to choose their surgeons, and hope the audit will soon be reinstated. Until then, we depend entirely upon patient feedback.
 

Shad Khan. * Oxford University Hospitals

https://thefoscotehospital.co.uk/consultants/mr-shad-khan/

Alison Waghorn * Royal Liverpool hospitalhttps://www.nhs.uk/Services/Hospitals/Services/Service/DefaultView.aspx?id=414748

Tarek Abdel-Aziz UCHL London
Mr Tarek Ezzat Abdel-Aziz: University College London Hospitals NHS Foundation Trust (uclh.nhs.uk)

 

Anthony Skene * Royal Bournemouth Hospital

General Surgery Staff - Royal Bournemouth Hospital - NHS (www.nhs.uk)

 

Frank Agada York Teaching Hospitals.

https://www.nhs.uk/profiles/consultant/5207671


Jennifer Downs Royal Bournemouth Hospital

General Surgery Staff - Royal Bournemouth Hospital - NHS (www.nhs.uk)

David Smith. Ninewells Hospital Dundee

http://finder.bupa.co.uk/Consultant/view/23606/mr_david_smith
 

Paul Dent. Croydon University Hospital.

https://www.croydonhealthservices.nhs.uk/

Paul Maddox Royal United Hospital Bath.
https://www.ruh.nhs.uk/patients/services/endocrine/team.asp

Charles Zammit. Princess Royal Hospital Haywards Heath

https://www.bsuh.nhs.uk/hospitals/princess-royal-hospital/

Helen Doran. Salford Royal Manchester

https://www.nhs.uk/Services/hospitals/Services/Service/Team/DefaultView.aspx?id=244462

Enyi Ofo. St Georges and Kingston Hospitals.

https://www.newvictoria.co.uk/consultants/mr-enyi-ofo/

 

Jeremy Davis.  Medway, Kent.

https://www.medway.nhs.uk/consultants-a-z/mr-jeremy-davis/24743


Gavin Browning. Edinburgh
https://www.ed.ac.uk/surgery/staff/profiles/gavin-browning
 

Tass Malik. Plymouth.

https://www.plymouthhospitals.nhs.uk/malik-mr-tass

We can recommend surgeons based on experiences from our members but it is still essential for you to chart your levels and do your research. If you have elevated calcium, elevated PTH, and positive scans then you are a straightforward case for any of our experienced parathyroid surgeons.

If you have persistent elevated PTH but normal calcium then you need a surgeon who understands normocalcemic primary hyperparathyroidism and is prepared to operate.  It is surprising and how many surgeons still do not accept NCPHPT exists and refuse surgery. We are aware of some high profile parathyroid surgeons who are actively discouraging surgery for people with NCPHPT. We find this shocking. Look at Eileen McDonald Sayer in our case stories for an example of somebody whose life was miserably blighted by very poor health for decades with NCPHPT yet Justin Morgan removed a marble sized adenoma from between her carotid artery and her spine in June 2018.  How other surgeons can justify refusing her surgery is beyond me.

We have so many successful case stories of people post-op who had NCPHPT. Here is a link to BMJ Best practice for Primary Hyperparathyroidism. They clearly state that not everybody with NCPHPT will go on to develop classic PHPT of elevated Ca and PTH. It is really important for doctors and surgeons to recognise this fact. There is NO good reason to 'watch and wait'.

https://bestpractice.bmj.com/topics/en-us/133
 

You are not obliged to stay in your catchment area if your surgeon refuses surgery. Not everybody with NCPHPT will progress to classic PHPT, so it is important to find a surgeon prepared to operate before this disease causes long-term and sometimes irreversible damage to your body.  DO NOT GIVE UP.

If you 've had a great experience with a parathyroid surgeon who isn't on our recommended list, please contact us to share your feedback. Equally, please let us know about negative experiences also.

Normohormonal PHPT:

Elevated/high normal calcium & non suppressed PTH.
 

 

  • An extract from the conclusion: Patients with PHPT and either elevated or normal PTH levels present with similar symptoms and calcium levels. The majority of patients with normal PTH have SGD, although adenomas are smaller. This may explain why patients with normal PTH values have less sensitive imaging and more frequently require four-gland exploration.

  • https://link.springer.com/article/10.1245/s10434-011-1744-x. .

The following surgeons have received positive feedback from our non-UK members:
 

Dr Babak Larian. * LA

http://www.hyperparathyroidmd.com/

 

Julie Miller, Melbourne, Australia

http://www.parathyroid.com.au/julie-miller-endocrine-surgeon.html

Dr. Dean Lisewski, Perth Australia

https://www.ptcc.com.au/

 

Dr. Ming Yew. * Perth Australia
http://drmingyew.com.au/parathyroid.php

 

Professor Leigh Dunbridge, Sydney Australia
https://www.parathyroidandthyroidsurgeon.com.au/fhh-familial-hypocalciuric-hypercalcemia

 

Dr Scott Albert Syracuse, US

NY Upstate Hospital. Oncologist specialising in Parathyroidectomy.
 

Dr Janusic. Croatia

http://www.drjanusic.com/Pocetna.html
 

Germany: Prof Dr. med. Dr. h. c. mult. Henning Dralle, Universitätsklinikum Essen

https://www.uk-essen.de/en/aktuelles/detailanzeige0/?cHash=ce8f956ae35631729c99c9d5e312fe8e&tx_ttnews%5Btt_news%5D=2199
 

Dr Marlon Guerrero. Tucson University Medical Center. Arizona, US.

http://uacc.arizona.edu/profile/marlon-guerrero
 

Pisa Hospital, Tuscany

http://www.ao-pisa.toscana.it/

If your surgeon wishes to delay surgery whilst waiting for your levels to increase, or until you have osteoporosis and/or kidney stones, and suggests you are not a priority if you don't have either, please exercise your right to a second opinion. 

Please find out how many parathyroidectomies per year your proposed surgeon performs. If he/she performs less than 40 a year (ideally 50), please contact us to ask if our members have experience with the same surgeon. It is essential that your surgeon makes every effort to get it right FIRST time. We know too well the consequences of a failed surgery and the difficulty entailed in chasing a second surgery or diagnosis for persistent hyperparathyroidism.

If your surgeon refuses to offer a 4-gland exploration (recommended in NICE guidelines:  https://www.nice.org.uk/guidance/NG132), it is important to ask why.  It is also important to ask if they test PTH intraoperatively and how soon after surgery they will test calcium and PTH, and it is important to ask about follow up should your surgery not be successful. 

We strongly believe all surgeons should offer post op advice in the weeks following surgery rather than simply discharge you back into the care of your GP without instructions for post op care including required blood tests and supplements. We have post op instructions and advice in our files. Please contact if appropriate post op follow up has not been provided.

Many people experience symptoms of a post-op 3rd day calcium crash and will need to supplement with vitamin D, magnesium and increase calcium in the diet, even if their blood calcium levels are adequate. 

Please get in touch with us if you are concerned about post op bone remineralisation and how to look after yourself in the days, weeks and months following surgery.  We cant stress enough,  how important this is. Not everybody will recover immediately from surgery, some take longer. A parathyroidectomy will halt the progress of hyperparathyroidism. if some symptoms persist, we can likely  help you to understand why and offer advice and support via our Facebook support group. Go to our Endocrinologists page to see two articles regarding post op hungry bone syndrome,

Primary Hyperparathyroidism can be a very lonely and debilitating disease, especially when friends, family and doctors don't understand how much we are suffering. Reaching out to others who do understand, can help you on your journey to surgery and beyond.

Normocalcemic PHPT (NCPHPT). I collated and published several NCPHPT studies, information I've learnt over ten years, plus 61 NCPHPT case stories including my own;

It's Not All About the Levels: Normocalcaemic Primary HyperPARAthyroidism (NCPHPT): Amazon.co.uk: Powell, Sallie: 9798357345424: Books


A Christmas parathyroid education available on Kindle for only £1.99: A Normal Christmas: An alternative education about normocalcemic PHPT eBook : Powell, Sallie: Amazon.co.uk: Books
 

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