Yup we are finding out that each thing is in some unexpected way connected to the others, at least to an extent. We just found out Wednesday that the Secondary parathyroid disease has an unwanted impact on her kidneys, but At least THAT is beginning to come under control. Her PTH level was at 775 just 2 months ago and with nothing more than Vitamin D it has come down to the 200 + range. But she still needs to have the offending parathyroid gland removed.
That is why treating some conditions sounds so simple, but turns out to be challenging. You make something better, then something else gets worse and what you thought was primary turns out to be secondary and you have to trace back until you find the real offender. And it might still be more than one thing.
Many people just want their symptoms to go away, but physicians want to make the root cause go away, and that can take time. Ends up being a balancing act of symptomatic and pathophysiologic approaches.
