Do You Resect Your Half Glands First?

You want to see a 50% drop in the parathyroid hormone level. And at what time period, Kevin? It was like 10 minutes after you remove it. Yeah, it was a very short half-life. So yeah, do your half gland resection first? I could see this coming up as a question where they say the patient has hypercalcemia and the sesame lights up all 4 glands. That's a great question. You should probably start writing questions for the boards Kevin. Sign me up. Okay. We talked about primaryhyperthyroidism. What's tertiary? Well, secondary hyper parathyroidism is in patients that are in renal failure.