Hyperparathyroid UK (HPT UK)
Action4Change
It's NOT All About the Levels...
HPT UK A4C
It's Not

All About the Levels
Est. 02.09.2014
Endocrinologists
Endocrinologists treat hormonal imbalances, typically from glands in the endocrine system.
The overall goal of treatment is to restore the normal balance of hormones.
Feedback from thousands of endocrine patients indicates that endocrinologists have a very poor understanding of primary hyperparathyroidism. They advise managing or monitoring PHPT. They tell patients their calcium isn't high enough to cause symptoms, or to warrant surgery. Patients over fifty are often told they will not benefit from surgery, excusing this restriction by suggesting younger people will suffer more serious consequences because they have a longer life ahead of them than over fifties. Yes, I agree with those thoughts you're having right now. Age should never be used to deflect surgery. Everyone will benefit from surgery to stop the progression of PHPT which will inevitably cause further detrimentally declining health.
Most endocrinologists list their specialty as Diabetes. They are diabeticians who talk nonsense (gaslighting) to patients about hyperparathyroidism. Patients who've researched PHPT are often astonished when doctors blithely contribute to actual physical and mental harm due to outdated knowledge. The term medical gaslighting will be recognised by a majority of endocrine patients.
Elevated parathyroid hormone is proven to increase the risks of gallstones, Ischemic strokes, Prostate Cancer, CVD, SCD and Dementia, yet doctors choose to force patients to wait until calcium reaches 2.85mmol/L, 3.00, or even 3.5, disregarding PTH levels. The NHS has been persuaded they're saving money (£8-10 pp) by not testing PTH if calcium is within the normal range (even if its knocking on the ceiling of that range) yet they fail to consider that many medicines they prescribe might be keeping calcium within range as PTH increases but remains untested/undetected. The NHS and their doctors also fail to consider or ignore, the potentially dangerous consequences of the PTH they decided not to test. Here are some example studies:
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'Parathyroid hormone is associated with prostate cancer' https://pubmed.ncbi.nlm.nih.gov/33102392/
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'We found a high rate of hyperparathyroidism in our group of patients with ischemic stroke. The elevation of PTH was found to be significantly associated with the ischemic stroke sub-type of extra-cranial atherosclerosis.' https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5237770/#:~:text=If%2025(OH)D%20and,risk%20is%20estimated%20as%2083.4%25.
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'Higher plasma PTH is associated with a higher risk for cardiovascular mortality even in individuals without signs of a disturbed mineral metabolism in the community. https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.108.808733#:~:text=Parathyroid%20hormone%20%28PTH%29%20is%20a%20key%20regulator%20of,involved%20in%20pathological%20processes%20leading%20to%20cardiovascular%20disease.
We campaigned for NICE guidelines (NG132) from 2014 to 2019, hoping they might help to rectify widespread misinformation and misdiagnosis, and alert doctors to potential harm caused by their 'Watch & Wait' protocols (waiting for calcium to increase, ignoring the damaging consequences).
We were naively unprepared for the subterfuge deployed by their committee members, which can only retrospectively be regarded as akin to The Mad Hatter's Tea Party, or preconceived treachery. Only offering surgery on the NHS to patients with calcium over 2.85, opened the floodgates for private surgeons offering a parathyroidectomy not only to people with private health insurance, but to patients so desperate for a parathyroidectomy, they would borrow money, or spend their life savings. We've heard from people who sold their cars or downsized their homes to pay for surgery.
But what about the thousands of patients forced out of work, retired or with young families who don't have the means to pay? Well, they can wait until calcium exceeds 2.85, or they develop end organ damage, or both... I've spent fourteen years trying to find UK surgeons who will offer NHS surgery with much lower levels. See our surgeons page.
It makes no sense that patients can research and learn about PHPT, yet doctors can't. If your doctor suggests 'Watch & Wait', please show them this website and also this 2019 study of over 12 000 patients which concludes; 'End-organ manifestations of primary hyperparathyroidism develop before biochemical diagnosis or within 5 years in most patients. End-organ damage occurred more frequently in patients with classic primary hyperparathyroidism versus non classic primary hyperparathyroidism, regardless of the severity of hypercalcemia.'
https://pubmed.ncbi.nlm.nih.gov/30420089/ 'In conclusion, PTH levels were increased, while 25(OH)D levels were decreased in patients with stroke. Both PTH and vitamin D appear to be separate risk factors for stroke. 25(OH)D was the most powerful marker for predicting the stroke risk, followed by HT and PTH, in descending order. In addition to 25(OH)D, PTH serum levels should be considered, and both predictors should be assessed in conjunction for more accurate determination of stroke risk.'
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3849680/ 'In a multi-ethnic cohort of postmenopausal women, ET (Estrogen Therapy) use was associated with lower serum calcium, lower serum phosphorus, suggesting these associations are attributable to increased calcium intake into bone and increased urinary phosphorus excretion.'
https://academic.oup.com/qjmed/article/104/12/1091/1544822 Note; lady in this study whilst on HRT had serum corrected calcium of 2.54 mmol/l (normal =2.15–2.6 mmol/l) thirteen months before admission with hypercalcemia after cessation of HRT.
With waiting times to see an endocrinologist now exceeding 12-24 months in many areas, ask your doctors to be confident they are referring you to a consultant with proven expertise in primary hyperparathyroidism, rather than diabetes, or request bloods urine, scans themselves and refer directly to experienced parathyroid surgeons.
Endocrinologists recommended by our members (March 2025)
Tristan Richardson - Bournemouth
https://www.uhd.nhs.uk/directory/name/1095-dr-tristan-richardson
https://www.nuffieldhealth.com/consultants/dr-tristan-richardson
Claire Harrow - Ross Hall Hospital, Glasgow.
https://www.circlehealthgroup.co.uk/hospitals/ross-hall-hospital/endocrinology
Babu Mukhopadhyay - Ross Hall Hospital, Glasgow
https://www.circlehealthgroup.co.uk/consultants/babu-mukhopadhyay
Thomas Galliford - West Herts Hospitals
https://www.westhertshospitals.nhs.uk/
https://www.finder.bupa.co.uk/Consultant/view/184711/dr_thomas_galliford
Peter Hammond - Harrogate/York
https://www.hdft.nhs.uk/consultants/dr-peter-hammond/
https://harrogateharlow.co.uk/portfolio-item/hammond-peter/
Mamta Joshi - Epsom & St Helier Hospital
https://www.epsom-sthelier.nhs.uk/
https://www.spirehealthcare.com/consultant-profiles/dr-mamta-joshi-c7450533/
Chitrabhanu Ballav - Buckinghamshire
https://www.buckshealthcare.nhs.uk/
https://www.finder.bupa.co.uk/Consultant/view/301112/dr_chitrabhanu_ballav
Mo Aye - Hull
Hull University Teaching Hospitals NHS Trust (hey.nhs.uk)
Dr Mo Aye | RCP London
Rupinder Kochhar -Salford Royal Manchester (Note non EDTA PTH)
Salford Royal Northern Care Alliance
Dr. Rupinder Kochhar | Diabetes & Endocrinology Specialist in Bolton - Doctify
Siva Sivappriyan - Kent
Home - Maidstone and Tunbridge Wells NHS Trust (mtw.nhs.uk)
Dr Siva Sivappriyan : Endocrinology and diabetes mellitus , General (internal) medicine (bupa.co.uk)
Ahmed Yousseif - Royal Free Hospital. London.
https://www.royalfree.nhs.uk/services/staff-a-z/dr-ahmed-yousseif/
Victor Lawrence - St Mary's Hospital, IOW NHS
https://www.nhs.uk/Services/hospitals/Services/Service/DefaultView.aspx?id=350181
Richard Bell - Stepping Hill Hospital. Cheshire.
https://www.nhs.uk/Services/hospitals/Services/Service/Team/DefaultView.aspx?id=93097
Mathias Toff - General/Geriatric Consultant. Dartford & Gravesend
https://www.dgt.nhs.uk/services/a-z-consultants/mathias-toth
David Carty and Chris Jones - Greater Glasgow & Clyde.
Antoinette Tuthil - Cork University Hospital.
https://www.cuh.hse.ie/our-services/our-specialities-a-z-/endocrinology-diabetes/
Amit Allahabadia - Royal Hallamshire Hospital, Sheffield.
https://www.nhs.uk/profiles/consultant/3561757
Michael Stacey - Chelsea & Westminster Hospital.
https://www.chelwest.nhs.uk/services/medicine/endocrinology
A C Madathil - Hexham Hospital, Northumbria
https://www.nhs.uk/Services/hospitals/Services/Service/DefaultView.aspx?id=90415
Andrew Gallagher - QE University Hospital, Glasgow
1345 Govan Road, Glasgow, G51 4TE. (0141) 201 1100
S Pye - University of North Tees Hospital Cleveland.
https://www.nth.nhs.uk/hospitals/north-tees/
Peter E Carey - Sunderland Royal.
Adrian Heald - Leighton Hospital. Cheshire
http://www.nhs.uk/Services/hospitals/Services/Service/DefaultView.aspx?id=91260
Suresha Turuvekere Muniyappa - Doncaster & Bassetlaw Hospitals.
https://www.nhs.uk/profiles/consultant/6049849
Farheen Razza - East Lancashire Hospitals
https://www.nhs.uk/profiles/consultant/6053569
Ambar Basu - Bolton Royal Hospital
http://www.boltonft.nhs.uk/consultants/dr-ambar-basu/
Mark Spring - Surrey
https://www.newvictoria.co.uk/consultants/dr-mark-spring/
Parag Singhal - Weston Super Mare
http://www.doctoralia.co.uk/consultant/parag+singhal-12192236
James Lawrence - Salisbury District Hospital.
https://www.nhs.uk/profiles/consultant/3584462#
Ruth Pool - Poole NHS Hospital Trust Poole
Adeel Ghaffer - Dorset County Hospital
https://www.myhealthspecialist.com/patient/specialist/17/Adeel%20Ghaffar
Desmond Patrick Rooney - Antrim, Northern Ireland
http://www.northerntrust.hscni.net/hospitals/303.htm
Una Bradley Craigavon Area Hospital
Since 2014, we've advised members to bypass endocrinology if possible, and go straight to parathyroid surgeons. In our experience, most are not experts in bone metabolism (or anything else endocrine related).
Many patients wait up to two years for a first appointment, then find they are discharged inappropriately due to outdated knowledge. Their only options are to begin again, requesting a second opinion, or to give up, until they're on their knees or hospitalised. Feedback after many appointments is appalling, and negligent. Patients in distress, with more knowledge about PHPT than their consultants, are laughed at, even mocked after describing bone pain and poor quality of life. I personally experienced this from endocrinologists and surgeons in Derby and Nottingham over a period of eight years. I was refused scans. The surgeon who did offer me a scan called me the following day to confirm I had an adenoma and he would operate.
If your symptoms and blood levels indicate PHPT, after ruling out secondary PHPT, in any classification; classic, normocalcemic, normohormonal, and your endocrinologist is employing the 'watch and wait' approach as this progressive disease takes hold, you can be referred directly by your GP to many experienced parathyroid surgeons.
I'm sure there must be doctors who would be upset to realise that the patient they just dismissed, was sobbing in the toilets, outside the building or sat in their car, feeling they have come to the end of the road, all hope lost.
Many patients are able to conduct thorough research about their condition and interact with thousands of other sufferers in support groups, to learn from shared experiences. A request to doctors; Please will you appreciate and recognise this fact without scorning your patients. After all, we recognise that you are only human and don't know everything, but we would feel more secure knowing that you might be prepared to learn from patient experiences.
Thank you
If you are a UK endocrinologist, private or NHS with a keen interest and up to date understanding of hyperparathyroidism, and would like to interact with other professionals and our members, please request to join our private FB group HPT UK Medical:
https://www.facebook.com/groups/309534823165675/
We wrote to One hundred & thirty-one NHS Trusts in 2016, about the diverse levels of knowledge about PHPT at endocrine levels suggesting mentoring from our recommended consultants. Very few responded. Nine years later, we find little improvement in many areas and find it very difficult to hear some of the astonishing feedback we hear from patients.
We have many educated members with a greater understanding of the correct diagnosis and treatment pathway for primary hyperparathyroidism than their endocrinologists. PHPT patients are in need of a surgical referral based on an accurate professional diagnosis. Too many endocrinologists are letting down (that's putting it very mildly) their patients, causing prolonged suffering and serious increased risks of cardiac events and death, due to ignorance of the relationship between calcium and PTH, poor understanding of long-term untreated PHPT, and limited knowledge of normocalcemic PHPT. It's really NOT all about the calcium levels, but very much about the relationship between calcium and PTH. We believe very strongly that magnesium and vitamin D should always be known alongside Ca/PTH.
Just one example from December 2023; Sestamibi scan located 2cm adenoma in a lady with these levels; Ca 2.6 PTH 11. Vit D 49. There are many more examples throughout our site.
The 'watch & wait' approach makes no sense for symptomatic patients. This disease is degenerative. We see the consequences daily from members forced to endure the torturous wait as they develop kidney stones, sepsis, multiple fractures, and very poor life quality. Many have to give up work.
A timely referral by an endocrinologist to an experienced parathyroid surgeon can prevent all of this. The positive feedback below shows that clinicians can get it right, so why and how can so many be getting it wrong?
Scroll down further to see just how wrong!
Please ask your endocrinologist/surgeon about post-operative care. We don't mean wound care, but calcium, vitamin D and magnesium blood tests after surgery. A drop in calcium can cause an intense tingly, pins and needles sensation, beginning in the hands, feet and mouth which can spread quickly from head to toes. This can be resolved quickly with supplements. Left untreated, it can result in a trip to A&E/ER for IV calcium and magnesium (hypomagnesemia should be corrected first).
It is important to try to rectify a vitamin D deficiency pre-op to prevent the risk of post-operative hungry bones syndrome. If your surgeon disputes this, please show them these articles (ignore the spelling error in the first article that nobody has corrected. Primary 'Hyperthyroidism' should of course be Primary Hyperparathyroidism):
Role of Magnesium in Vitamin D Activation and Function - The Journal of the American Osteopathic Association, March 2018, Vol. 118, 181-189.doi:
https://doi.org/10.7556/jaoa.2018.037: https://jaoa.org/article.aspx?articleid=2673882&fbclid=IwAR1TlrGp8Pscl4l9e598rQf6YOMj5OkZPRM9NrEKroU7cQhl15kDGPdyzEA

Show these examples to your doctors. If they still think calcium and PTH at the top of their ranges is 'ok', ask them to turn on a kettle and see what happens when the water boils. The kettle switches off. Just as PTH should when calcium gets to its set point.
Hyperparathyroid UK Action4Change produced educational leaflets in June 2023. With so many doctors oblivious to the harm caused by PHPT, surgical benefits for patients and the added strain that their Watch & Wait protocol adds to other NHS departments, we felt these leaflets were a necessary aid to try to address these issues. They are a truthful contrast to leaflets circulated by the renamed Parathyroid UK (formerly Hypopara UK), which contributed to much harm since they were first published in 2010. Clinical understanding of this disease by doctors practicing like it's still1980, leaves patients in despair. We hope our leaflets will help patients to assist their doctors in removing blinkers applied by Parathyroid UK literature, which obscure a rational view. They are available in packs of ten. Please see our contact page to order: Contact us.


All the information on this website, has been created to help both patients and doctors who work for or depend on the NHS. Patients should be able to trust that their doctors have patients' interests at the forefront of medical decisions they make. If this was the case, there wouldn't be a need for this website.
The Good Guys...
To the few doctors and endocrinologists who are up to date with Primary Hyperparathyroidism, show empathy and care, and want to see their patients become well again; We appreciate you SO much. Thank you.
The doctors and endocrinologists who are up to date with primary hyperparathyroidism, show empathy, understanding, and care. We appreciate you so much... Thank You
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Michael Stacey of Chelsea and Westminster Hospital. He broke everything down with a full explanation of what and why he wanted to do tests and what he was ruling out. Listened to me and answered all of my questions and concerns honestly with kindness! Pleasant, no ‘usual’ Dr ‘arrogance’ rate him 10/10!
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I had a good experience with Dr Amit Allabadhia Royal Hallamshire Sheffield. Very thorough, knowledgeable, friendly, and easy to speak with. He referred me to MDT then for relevant tests/scans, then on to the surgeon. His staff are very helpful too.
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Dr Antoinette Tuthil Cork University Hospital (CUH) Ireland - no messing, referred to the surgeon, knows that surgery is the only cure for HPT.
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Dr Chris Jones, at Inverclyde Royal Hospital, is always at the end of the phone to answer questions either from me or my GP. He phoned me post-op and we were on the call for 45 minutes as he explained our plan going forward and what to look out for/expect.
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I'd recommend David Carty to anyone in the North Glasgow area, as he was happy to listen to me, and at no point did he make me feel "silly" he actually said it sounded like I knew quite a bit about my situation. David Carty, endo in the North Glasgow area gets the thumbs up from me.
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Dr Mathias Toth - saw him privately at Nuffield Brentwood and he also works out of Gravesend. One of the nicest medics I’ve ever seen. Incredibly knowledgeable and talks through everything. At my initial consultation with him, I told him I had high calcium and had kidney stones. he asked me a few questions and said he wanted blood tests but that he thought I had hyperparathyroidism and surgery was the only option. Arranged all the tests within a couple of days.
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Professor John Stevenson, Royal Brompton Hospital, Chelsea, London. He referred me to a surgeon on the bases of my symptoms , regardless of my marginally alleviated Ca+ & PTH. My vitamin D was low, and I had osteopenia.
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Claire Harrow at Ross Hall hospital in Glasgow referred me for surgery which I chose to have on the NHS. This was at a time when I was clueless about parathyroid problems (before I found this group) and I would have accepted a 'watch and wait' approach. I am pleased she knew what she was doing
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DR Haq. Bassetlaw Hospital Worksop. Recommended me straight away for more tests and ultrasounds and scans, also told me last week that my PTH would continue to rise and my problems would get worse unless it is taken out, even though my calcium is now within the range at 2.53.
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Dr. Ahmed at Lincoln County referred me straight away to Sheffield.
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Dr. Bennett has been amazing I had an appointment on the 11th of July he did bloods and ordered an ultrasound straight away, then had another set of bloods a few weeks later and referred me straight to the surgeon, Miss Lim.
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Dr. Richardson (endo) at Bournemouth Hospital and Mr. Skene (surgeon) at Bournemouth. Unlike Poole hospital who tried to fob me off with wait and see, they listened and said I was too young at 56 to have to put up with symptoms!
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Dr. Maria Byrne, Mater Hospital, Dublin 7, was diagnosed very quickly with onward referral to the surgeon.
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My Endo is Dr. Miguel Debono (Sheffield). I've only met him once but he saw my results (low-normal Calcium, slightly raised PTH) & thought that I might be normocalcemic or have secondary HPT - his words, I didn't need to mention them! I'm now on high Vit D & undergoing some other tests such as a DEXA scan.
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Dr. Colin Johnston, Endocrinologist at St. Albans Hospital, Herts. Diagnosed Hyperparathyroidism and done 24hr urine and blood test, prescribed Vit D. Explained everything, doesn't rush the appointment.
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After a rocky start when I found her intimidating, she promptly organised tests and referred me to a surgeon on my second appointment with her. From seeing her on 8 Jan, saw surgeon 4 weeks later and surgery date 16 April, would have been sooner but he was away for a month. So a total of 12 and a half weeks from seeing Endo to surgery, as long as it's not cancelled: Dr. V Greener, Chelsea, and Westminster Hospital.
Endocrine true Horror Stories
When I walked into the endocrinologist's office it was very clear I knew more about the disease than he did. Talk about scary! The "specialist" who is supposed to be helping you can't even answer your questions.
'One endo, who was registrar level, said he didn't know much about hyperparathyroidism so checked in his book. Fair enough I thought, but then another member of this group saw him several weeks later and he told her he knew for certain that her vitamin D would be low and she should take a high dose. This was without testing it and she already had very high calcium and normal levels of D. Luckily his superior rang her several days later to tell her not to take them in case her calcium rose further'.
' Yes, that's right. He also had the cheek to suggest that the blood in my urine was probably not caused by those teeny tiny painful kidney stones, but probably my menstrual cycle and I was mistaken'. Wouldn’t mind but if he’d read my notes he would know that I haven’t had a period since I was around 19 years old'.
Generally, my main endo was very helpful but I have a letter from him which states categorically that my palpitations could not possibly be caused by hyperparathyroidism because my calcium was not high enough and would definitely not go away after surgery (they did).
'Your symptoms could be caused by any number of things but not hyperparathyroidism. As you have had a PTH over range and one under, there is no need for further investigation or blood tests, you are discharged'
The worst comment I had was from the endo consultant who is the clinical Dean of Cambridge medical school, so responsible for teaching the next generation of medics: " The symptoms only come from high calcium. You don't have very high calcium, so you can't be having any symptoms."
My GP, when confronted with my high Ca and low vitamin D, in five years of letters (2011-2016) said "it can't be HPT that's incredibly rare. There hasn't ever been a case at this practice so it's much more likely to be diabetes or thyroid but I suppose I could check your PTH". Two days later she said, "you were right, you have a tumour and I've missed it for at least 10 years. Are you going to sue me?"
I was explaining my hot flushes followed by feeling very cold. He said, "well that would be menopause ". To which I replied "but I'm 73 "
'We took the wrong one out, come back in a year's time and we will review it. ' Yeah okay, then 16 months later and still nothing from them.
My first endo said it was my thyroid without seeing any labs - then after she saw my high Ca in the labs she said I was dehydrated. The second endo said I have PTH but that at age 59 I was too old for surgery.
I was hospitalized with major depression for the second time in three years, the Mental health Drs didn't think my high levels of calcium and parathyroid hormone were enough to cause my depression They treated me erroneously with psych meds...
Endocrine surgeon: Calcium 10.7, PTH 54.. he declared I definitely did NOT have HPT!! He said he would send my urologist an e-mail informing him that HPT was not the cause of my 30+ kidney stones in the last ten years so he could look for another reason why!!!
The endocrine surgeon didn't believe I had an adenoma. Luckily for me, I also had Graves Disease so he agreed to remove my thyroid and "surprisingly" found the adenoma I told him was there behind it.
Endo felt because my levels always just elevated, there was nothing at all wrong, admitted yes low Vitamin D...and dismissed all my symptoms as me making things up.
After telling my endo for several years that I felt all my symptoms were coming back, I was in a lot of pain and that I wasn't cured, he said 'Your levels show you do not have primary hyperparathyroidism, but if you do, it's mild'. I had a second adenoma removed after getting a second opinion. He refused to see me himself but passed on the message that he was delighted I was cured, but he wouldn't have done anything differently if it happened again...
I was just recently diagnosed with hyperparathyroidism, Apparently "mild". My symptoms don't feel mild but the endocrinologist said unless I developed kidney stones or osteoporosis that I don't need surgery, I have to just sit and wait. Meanwhile, I feel constantly sick, in pain, weird heartbeat, and have a fuzzy head. I did try and say to him that I had heard that it doesn't matter if it is mild, the symptoms can still be severe, but he just talked me down and smiled at me.
