THIS IS HOW YOU BECOME A PATIENT OF THE NORMAN PARATHYROID CENTER:
NOTE: We prefer email communication whenever possible.Fill out our secure New Patient Form. The form is SECURE and are encrypted for your safety (nobody can see your information).
Contact your doctor's office and have them fax your records to us, specifically your calcium levels, PTH levels, bone scans, office notes, etc. This is usually the slowest part of the process. Our fax number is: 813-972-0077. Click Here to PRINT A REQUEST FOR MEDICAL INFORMATION FORM Print this form, fill it out, and fax it to each of your doctor's offices that have anything to do with your calcium or parathyroid issues. Printing and sending this form to your doctors is the easiest way to get your records to us. Call them on the phone about a week later to follow up.
You will assigned to one of our "Coordinators" according to the first letter of your last name: Caroline (A-C), Julie (D-H), Jayme (I-M), Chelsea (N-Sk), and Sara (Sl-Z). One of these ladies will contact you by phone to introduce themselves within a day or two after we receive your form and tell you what else is needed. After the first introductory phone call, they will email you when we get the information from your doctors, and will email you again when your chart is completed and given to one of our experts doctors. You can expect several emails from your coordinator keeping you informed as your chart makes it way through our system. You will also get emails from Tisha and Kim who will help you through the insurance issues and deductibles (we take virtually every insurance type).
Get ready for your phone consultation with one of our surgeons. One of them will call you to discuss your hyperparathyroidism and answer any questions you may have. Remember, you will also spend time with two (or three) of our surgeons the morning of your operation.
Book your operation with our office. After you have your phone consultation, the doctor will tell you to call Kathy to schedule your operation (813-972-0000). Have your calendar with you when you call. You do not need Dr Norman as your surgeon, he is not "better" than our other guys.
Make your travel arrangements. There is a lot more information about this on the bottom of this page that tells how long you stay in Tampa, when to come, when you can travel home, etc. We have hotels where most of our patients stay.
Watch some of our videos so you understand more about parathyroid disease and how this small tumor affects many parts of your body. Watch the video of our most recent operation. Watch the video that gives a Tour of the Parathyroid Center at Tampa General Hospital so you can see where you are going and meet some of the people who will take care of you. See all our videos at on our Video Page.
You can call us on the phone if you need to (we love communicating with our patients via email). Our office hours for new patients are 9:00 am to 4:00 pm EST Monday through Friday. During all other hours you can leave a message and we will return your call. Did we mention that we prefer email communication and if you call we won't be able to help too much until we see your history form and your labs? Please do not call us with a generic question about parathyroid disease or to see if you can be a patient of ours. If you have parathyroid disease, you can be a patient of ours!
Office Phone Number: 813.972.0000
Norman Parathyroid Center
2400 Cypress Glen Drive
Wesley Chapel, FL 33544
Remember, the operations are performed at the new Parathyroid Center at Tampa General Hospital not at our office. Out of town patients do not come to the office, but meet the doctors at the hospital the morning of the operation.
Remember, a Minimally Invasive Radioguided
Parathyroid operation (MIRP) can be
performed on ALL patients with parathyroid disease. We want to
look at all four glands, so showing us the big tumor on the scan doesn't help
Our skill level is far beyond that--we look at and evaluate all the
small normal glands. If you do not
have a scan yet, do NOT get one. If your scan is negative, we still do
mini parathyroid surgery. Do not let people tell you that you can't
have mini-parathyroid surgery because your scan is negative. It may be
true for them, but they didn't invent the operation. Look folks, far
too much emphasis is put on the scan. STOP GETTING SCANS! Scans are
Assignment to one of
our four "Coordinators": Caroline (A-C), Julie (D-H),
Jayme (I-M), Chelsea (N-Sk), and Sara (Sl-Z) are the
New Patient Coordinators and you will be assigned to one of them. One
of these ladies will help collect
information from your doctors and organize / chart / graph all your calcium and PTH
levels (and lots of others) into a format that allows us to compare you to thousands of people
who have come before you. These ladies work together to organizing your
chart--including your New
Patient Form, and the records we get from your doctor(s). This chart
will also include a patient check list and disease profile for you. Our
online form is secure and encrypted to become extremely private;
they cannot be seen by any hackers or prying eyes. The "secure certificate" can be seen on
the form so have trust that your information will remain private
using the most modern technology available. Read more about your
financial responsibilities on our ABN form.
We require the New
Patient Form to be
filled out for all patients, so as soon as you fill it out, one of the
New Patient Coordinators will email you to tell you that your forms have arrived and they
will remind you of the other information we need (x-rays, lab
reports, etc). Once all of your clinical information is put together
you will get a second email to tell you that
the chart has been completed and was given to one of our doctors for
review. It will usually take a couple of days to one week for one of
our expert doctors to review your information and go over
your case in detail and then call you on the phone to discuss your
parathyroid problem. They will tell you what they think the best
options are. Every patient who has to travel to get to Tampa will get
a personal phone call from one of our three experts. Make sure you
give us your correct phone numbers. Because of our volume, the doctors
call patients 7 days a week. They will make calls as early as 6:00 am
or as late as 10:30 pm -- only if you want them to. At the bottom of
the History form it will ask you if it is ok for them to call you
early in the am or late at night. If not, just say no and they will
call during regular hours.
Verification of Insurance, Co-Pays and Deductibles. When
your chart is given to one of our doctors for their review and phone consultation, they will
also give your information to Tisha who will work on your
insurance coverage and verification. If you are in our system and
have filled out our secure form, then you can email Tisha questions you may have about insurance coverage
email Tisha. Trust us... this is very simple for almost all patients,
so do not think you need to email her. If there is a problem, you will
hear from us. Please know, all aspects of this operation are covered
by insurance just like any other surgeons' office, with the exception
of the consultation fee which is not covered by insurance. We are
in-network and preferred providers for: Medicare, Cigna, Blue Cross/Blue Shield, Humana, Aetna,
United Healthcare (through multiplan) and lots of
Scheduling. After your phone consultation with one of
our surgeons, you will be instructed to contact Kathy
email, or by direct phone call to the office
(813-972-0000). Kathy will help you choose a day for the operation
and help coordinate the entire visit once things have progressed to
this point. Have your calendar available when you call.
Movie of the operation. We have movie
of this operation online and you should watch it. There is no
blood and it takes just under 13 minutes to look at all four
parathyroid glands and remove 2 tumors. It will help you understand where the incision is, and what
your Band-Aid looks like. You will see just how small and quick this
operation is. The movie is only 13 minutes long and is very educational.
the Video Tour of the Parathyroid Center at Tampa General
Hospital. See where you will valet park and meet the folks who will
take care of you.
to our Learning By Videos page and watch all our cool videos.
Look at our map
of where all our patients come from. We've operated on your neighbors!
Download the CalciumPro app for your smart phone, iPad or Android device. It will track your calcium, vitamin D, osteoporosis and PTH. You will even be able to tell if we cured you after we take out your parathyroid tumor! This award winning app should be purchased ($2.99) by every person who has hyperparathyroidism. Even if you already know you have hyperparathyroidism, the app will graph your bone density / osteoporosis, vitamin D, and calcium for years to come. This allows you to see if you are taking enough calcium and how your bones are progressing.
order for us to confirm that you do have parathyroid disease
(hyperparathyroidism) and that an operation is in your best interest (very
high chance of cure + very low chance of complications = successful
surgery), then we need some of your medical records sent to us. This
shouldn't be too hard and usually can be done by you over the phone. Most
of this cannot legally be done by us.
Send us a copy of all your lab work (and
doctor's notes). PRINT THIS
PAGE TO SPEED UP THE
PROCESS. Print this form and take it or fax it to your
doctor's office. Specifically we want to see what your calcium level is currently and
what it was in the recent past (and distant past if available). The
more calcium levels we have the better! We also need to know what your
parathyroid hormone is currently and in the past, and again, the more
we have the better...(but we will settle for just one or two parathyroid
hormone levels if they show what is expected). Other labs will
be helpful as well, so send them also... don't just send the
calcium and parathyroid hormone levels. We want a good, safe outcome,
so we need to know all of your important medical history. The doctor (or doctors) which has been working up your parathyroid
problem will have "clinic notes" about you where he/she has
been noting the parathyroid problem and other problems you may have as
well. Use the fax or mail addresses
below. Again, its better to send us too much than to send us only part
of the picture. Getting your doctor's office to
send your information to us is usually the slowest part of this entire
Do NOT send us a copy of your parathyroid sestamibi
scan. The vast majority of scans are wrong, so we don't want
to see yours. If you had one that said the tumor was in your chest, we may want to see it.
To do this, go to (or call) the hospital or clinic where you had the scan, and
request that it be sent to us. But for the rest of you, if you had a
scan that was read as "positive", we do NOT want to see it.
If they said it was negative, we do NOT want to see it. If
you haven't had a scan yet, do NOT get one. It will be a waste of time
and will be repeated here the morning before you go to the operating
room. If you had a thyroid ultrasound test, do NOT send it; we do
our own ultrasound in the operating room after you are asleep. This
gives the best scans and we get to "touch and see" what we
scan 5 minutes later during the operation. If you don't have any
scans, please do not get any... it is not necessary to have these scans. If you had a "4-D CT scan" or a
"fusion Sestamibi scan" then please don't bother sending it
to us. This is "new" technology that is usually worthless and we will not
look at it. Do not get one of these. Better
yet, don't get ANY scans! REMEMBER: If your scan is NOT positive
you will still be able to have mini-parathyroid surgery with us. Do
not give up on mini-parathyroid surgery because you have a negative
scan. We are the only doctors in the world that do mini parathyroid
surgery on 100% of patients, and the only ones that do mini surgery
when your scan is negative. We do NOT require that you have a
scan before you come here. We prefer that you do NOT have a scan prior
to coming here. We will say this
one more time: Do not get a scan if you are coming here. It won't help
and we don't need it. It will waste your time and money. STOP GETTING
Parathyroid surgery at the Norman Parathyroid surgery clinic.
Write a brief clinical history of yourself.
This is best done after you fill out the New Patient Form. Tell us your problems in your own words and correlate them to
what your doctor's have told you and the results of your lab tests.
Give us a picture of your overall health as well as your parathyroid
problems. You will be able to email this to one of our three
Coordinators after they
contact you by email to tell you that your chart has been opened.
Email this to your Coordinator.
Parathyroid surgery at the Norman Parathyroid surgery clinic. calcium problem.
a list of your current medications. We will have you insert
this list into our online form. Its easy! Remember, our form is secure.
Parathyroid disease and parathyroid problems treated by parathyroid s
Insurance coverage will be addressed
by one of our insurance experts. We take most types of insurance, including
Medicare. Since parathyroid surgery is an
outpatient procedure when performed by our doctors, most insurances
don't require pre-authorization. Medicare does not require
pre-authorization, nor does it require a referral from an
endocrinologist. Same for Aetna, Blue Cross, Blue Shield, Humana,
Cigna, UHC (United through Multiplan) and most others. If you have a rare insurance that we don't take, we
will write you a "Letter of Medical Necessity" that you can
submit to obtain 'out of network' coverage. Our secure
form makes the insurance submission and
verification process easy. When you submit this form we will confirm your eligibility with your insurance company.
Typically this is all you need to do. Insurance questions can
be addressed via email to tisha
Please do not send insurance questions to Kelly, she is a nurse. Read more
about your financial responsibilities on our ABN
form... you will be required to check the box that says you
read this when you fill out the online forms. Also, remember that the
insurance will pay for the operation--it does not pay for the
consultation. The consultation will be your responsibility as
Parathyroid disease and parathyroid problems treated by parathyroid s
Pick a day for the procedure and then make
travel arrangements. Kathy will help you decide
which day will be best for you to come to Tampa and will book your
operation at that time. Our surgeons operate together
as a team on all
patients and typically perform 14-15 parathyroid operations 5 days a
week. You will meet at least two, and probably three surgeons when you
are with us, and at least two of them will be taking care of you in
the operating room. You will need to arrive in Tampa the afternoon
before the operation and can leave the morning after (if you are
traveling by car you can go home immediately after leaving the
hospital). We have arrangements with several local
hotels where you can stay the night before and after. Usually it
is best if you get into town the afternoon or evening prior to the
operation. All pre-registration will take place over the telephone
and no pre-op testing is required.
The morning of the procedure you will
get a high resolution parathyroid sestamibi
scan. We do far more of these scans than anyone in the world, and
we feel very confident in saying we are the best in the world at this
scan. This scan will provide a good 3-dimensional view of where your
parathyroid tumor is most likely located (more importantly, it shows
us where it is NOT located). It also makes the
parathyroid tumor radioactive for a few hours so we can use our probe
to to measure the amount of hormone it and the normal glands are
producing. This scan only takes between 10 and 20 minutes
to complete (it doesn't take us several hours or half a day like it does at other
places). All we use the scan for is to make sure the tumor is not in
your chest, and to make sure you don't have a big thyroid problem. We
do not use the scan to find the tumor. NOTE: Two
of our surgeons do the parathyroid operations together and we
never use residents who are learning to operate. Again, we don't have
residents doing the operations. We don't use resident
anesthesiologists either. There is nobody "learning" on
your operation. This is very important to you. Have you
watched the movie yet?
Parathyroid disease and parathyroid problems treated by
Staying in town after the procedure.
If you want to stay in a hotel the night of the procedure, that is ok
and is what almost everybody who lives outside Florida does (if they
don't have family or friends in the central Florida area). Important!
As discussed in #7 above, The Norman Parathyroid Center has special
deals with several local
hotels which are fairly close by and quite inexpensive. It is RARE
for anybody to spend more than one night in Tampa after the
operation... and virtually nobody spends the night IN the hospital
after a parathyroid operation--we haven't done that for over 22 years. (NOTE:
If you have not read the "Testimonial
Page" yet, please do so. Bottom line: People traveling by car
can make plans to get in the car about 1.5 hours after the operation
and head on home. People traveling by airplane should spend the night
of the operation in a Tampa (or Orlando area) hotel and fly home the
Parathyroid Surgery. Parathyroid operation. Parathyroid surgery. Parathyroid operation.
What if I have problems? Who do I call?
This is a common fear, but let's face it folks, if we had patients
with problems after the operation on any kind of frequent basis, we
would have been out of business many years ago. We are very good at
what we do and we will make sure you are treated very safely. Our
biggest rule is "Safety Trumps Convenience". All of our patients get a detailed sheet of postoperative
instructions. All of our patients start taking calcium pills about 10
minutes after surgery. All patients get all six of our doctor's cell phone numbers--and
are instructed to call them directly if they have any problems. We
don't have an answering service. One of
our doctors will call every patient the evening of the operation to
make sure you understand what was found and to answer any more
questions that you may have. Your doctors will get a copy of the
operative report and the pathology report within several days. All of
your doctors will also get a personal letter from our surgeons describing what was found, what was done, and what will likely be your
calcium requirement for years to come (based on their experience with
thousands of similar patients and the results of your bone density
scans). All your doctors will get a photograph of your tumor with
stickers on it describing the amount of hormone being produced by the
tumor in the operating room and the low amount of hormone in your blood prior to going home.
We are extremely organized and extremely good at communicating with
all of your doctors. The bottom line is this: We have done so many of these
operations that it has become a very simple out-patient procedure. We
have made the complex quite simple. Also note, we will send you copies
of all of this stuff too.
Parathyroid Surgery. Parathyroid operation. Parathyroid surgery. Parathyroid operation.
When can I drive or fly home? When can I go back to
work? Virtually all patients are sent home about 1 to 2
hours after their parathyroid operation. We have not had a parathyroid
patient spend the night in the hospital in several years (more than
24,000 patients have gone home within 2.5 hours--it's that simple).
People who travel by car will usually travel home when they are
released (they should not drive for 24 hours, but they can be a
passenger). We prefer patients who are flying to wait until the
morning after the operation to travel by plane. As soon as you leave
the hospital you can eat anything you like... we encourage you to go
out to dinner and celebrate the first day of your new and improved
life! You will be given a bottle of calcium pills and instructions on how
often to take them. You will be taking Advil (Motrin, Ibuprofen) for
pain--that's it--so bring some with you if you like. You can go back
to work the day after the surgery, although some people take that day
off too. It is very rare for somebody to require more than 24 hours to
recover. The day after surgery you will have zero restrictions. Do
what you want. You may have a sore throat, but you can do
whatever you like (golf, exercise, etc).
Parathyroid surgery. expertise.
Follow Up. You do not come back to Tampa. You simply need to be seen by one of your regular doctors about two months after the operation, primarily to get your blood tested to measure your calcium and PTH levels. You do NOT need an endocrinologist. We provide you with the blood slip that you use to get the blood testing done in your home town about 2 months after the operation; we will forward those results to all your doctors. We will email you these results as soon as we get them. You should see your doctor about 1-2 weeks after you get your blood drawn. We will communicate this with your physician at the time of your operation. This visit with your doctor is simple since there are no stitches to remove (you just peel off your Band-Aid in one week's time). All the stitches we use dissolve in about 1 month's time. When you see your doctor, he/she will have received everything from us weeks earlier, all organized, photographed, and simple to interpret. Remember, a small quick operation is not any good if we have problems...the number one goal is SAFETY...nothing else is more important. You do not have to worry about coming to Tampa for surgery and then having a problem with nobody to take care of you. If this happened, we'd be out of business years ago. You have all our doctor's cell phone numbers. We will be there for you.
Click here to read the stories of over 1200 people who had parathyroid surgery at the Norman Parathyroid Center.
It is also highly recommended that you watch the most recent video, and our first, more formal video of a mini-parathyroid operation by Dr Norman, which includes a short lecture so you can know more about what to expect from your mini-parathyroid surgery with us. Many people also enjoy watching the video tour of the Parathyroid Center and meeting the folks who will take care of you. The "tour" video shows you how to get to the hospital and where to park.
Why do we keep bringing up the quickness of our parathyroid operations? First of all... quick is dumb if it's not successful. The most important issue is safety, so always look at a surgeon's complication rates and success rates. If success rates are very high and complication rates are very low, then speed is the next most important factor. Speed is a function of repetition and competence. Quick operations have less dissection which means less pain and less bleeding. Less dissection decreases the potential for complications and damage to other neck structures like nerves. Quick operations require less anesthesia. People get much less sick and are able to get on with their lives very quickly after a 16-20 minute operation. Quick operations are tolerated by people very well. The best surgeons are often the quickest... but not always! When choosing your surgeon--regardless of who it is--you must always fall back on what is most important... success rates and complication rates. You will usually see that the best and most experienced surgeons have all three: Very High Success Rates, Extremely Few Complications, and Speed.
Note, we can't operate on everybody who has a parathyroid problem. But, if this was an easy operation to perform we wouldn't do 20 times the amount of operations that Mayo Clinic does in a year, or 30 times more than Duke University, Johns Hopkins and Harvard do in a year--- you get the picture. That doesn't mean that there aren't great surgeons at these institutions, it simply means that you need to pick your surgeon wisely--one that performs parathyroid surgery at least several times per week. If parathyroid surgery was easy for every surgeon to perform, we wouldn't be in business because nobody would have the need to travel across the country to have us do their operation. If parathyroid surgery were easy, surgeons from dozens of major universities from around the US wouldn't come here for us to remove their tumor--or the tumor from their wife. Yet we operate on a surgeon several times per week and a doctor at least once per DAY. However, parathyroid surgery is easy if you do it a dozen times every day. Parathyroid surgery is NOT easy if you do it once every couple of weeks. Dr Norman has done over 18,500 parathyroid operations, and Dr Politz over 14,000. Dr Lopez is right behind. They work together so you have the three most experienced parathyroid surgeons in the world. We can't do everybody's operation, but please, be wise and pick a surgeon that does parathyroid surgery at least once per week. When you talk to one of our doctors, they will invariably tell you: "Don't make this hard, it is not hard. This is easy!". It is easy for us. This is all we do. Check out our MAP, it shows where our patients come from. Some of them live within a few blocks of you!
Often parathyroid patients will
need a part of their thyroid removed during their thyroid operation (about
22% of our past 25,000 patients had a thyroid problem that we addressed
with some form of thyroid nodule removal during their parathyroid
operation). Nearly 75% of patients with a parathyroid tumor will also have
a thyroid nodule--it is very common to have thyroid nodules (heck our
surgeons have thyroid nodules themselves!). Most thyroid nodules are ho-hum, benign,
normal lumps and bumps that we all get as we get older. Most thyroid
nodules should be left alone. We perform ultrasound in the operating room
while you are asleep so we can evaluate your thyroid. We then look and
feel every patient's thyroid gland (Our doctors have seen more thyroid glands than any other
doctors in the world).
If a thyroid nodule is worrisome in any way and needs to be removed, then
we remove it. It is NOT A BIG DEAL. Almost all patients that require the removal of a thyroid
nodule or even an entire thyroid lobe (one half of the thyroid) will go home within 2.5 hours.
Patients with thyroid problems in addition to parathyroid problems are not
treated differently from parathyroid patients who do not have thyroid
problems... same anesthesia in almost all cases, same incision, etc. We remove thyroid nodules
and thyroid masses 4-5 times per day in patients that have thyroid nodules in
addition to their parathyroid tumor. It usually adds about 5 minutes to
the operation. Thus, if you are told "you cannot have
mini-parathyroid surgery because you have a thyroid nodule", you can
tell that doctor: nonsense! We do this all day long, every
day. This simply depends on the skill and experience of the surgeon. Occasionally we will have a patient spend the night if we
have to remove a very large thyroid goiter during the parathyroid
operation (about 1 in 500 patients spends the night in the hospital). Patients over 250 pounds will
sometimes need an incision about 1.5 inches long. However, almost all
patients that have a thyroid nodule can have their thyroid nodule removed
at the time of their mini-parathyroid operation--still through a 1-inch
incision, still with a near 100% cure rate, still expecting to go home in
2 hours, and still without the need for general endotracheal anesthesia. The bottom line is
safety... not speed... and not statistics. "Safety Trumps Convenience".
All patients are treated as
individuals and get personalized care that is tailored to their specific
problem and their overall health. Nobody has seen more of this stuff than
us. Nobody has seen more thyroid nodules than us... we deal with thyroid
nodules all day long! One final note: we do not have a 100% cure rate, but
there is no question that our cure rate is the highest in the world and is
We really like our patients to watch the video
of Dr Norman operating while Dr Politz narrates. Is is a great teaching
video that answers a lot of questions. These are bloodless operations. Simple,
clean, with a very small incision. The entire operation takes only 13
minutes and we evaluate all four parathyroid glands, removing TWO tumors
(when the scan only showed one).
This is why you want a surgeon who looks at all four.
We really like our patients to watch the video of Dr Norman operating while Dr Politz narrates. Is is a great teaching video that answers a lot of questions. These are bloodless operations. Simple, clean, with a very small incision. The entire operation takes only 13 minutes and we evaluate all four parathyroid glands, removing TWO tumors (when the scan only showed one). This is why you want a surgeon who looks at all four.
|Read what our patients say about their parathyroid surgery experience: Click Here|
|Local Hotels that most of our patients stay at (Discount rates, 0.5 miles away): Click Here|
|More about our center: Click Here|
|See our MAP of where all our patients come from. Some are probably your neighbors! Updated weekly.|
|Read our Parathyroid blog. It has great stories several times per week.|
|See the statistics from Medicare showing we perform about 22 times the number of parathyroid operations than any other university or hospital in the world, and more than 8 times the top ten universities combined.|
This page was last updated: 10/30/2015
Directions and Video to get to the
hospital for your operation:
For driving directions to the Parathyroid Center at Tampa General Hospital click here.
For a Map of how to get to the Parathyroid Center at Tampa General Hospital click here.
BEST: For Video Tour of how to drive and where to park when you come for your operation click here.
is an educational service of the Norman Parathyroid Center,
the world's leading
parathyroid treatment center