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= In Caucasian-American women (60 and older) with post thyroidectomy hypocalcemia, how does telehealth compared to inpatient visits affect the balance of calcium levels? =

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Most of the women who undergo thyroid surgery are Caucasian women between the ages of 60 and 65. The parathyroid glands are tiny organs close to the thyroid that create the parathyroid hormone (PTH), which controls the body's calcium and phosphorus levels. PTH can be produced too much or too little due to parathyroid abnormalities, which can damage bone health and cause an imbalance in the blood's calcium and phosphorus levels. The physician will request imaging and laboratory examinations, such as Magnetic resonance imaging (MRI) or computed tomography (CT) for the imaging of the thyroid (MRI) Thyroid hormone levels and other variables are measured in blood tests.

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If a person has experienced an issue with the parathyroid gland this can result in the overproduction of the parathyroid hormone. If your parathyroid gland is producing too many hormones this can cause blood thinning making your body more subjectable to fractures, breaks and other damages. By doctor's orders it will have to be removed. Any patient that has had their parathyroid removed partially or fully should be monitored for thyroidectomy hypocalcemia. They will need to be watched for drops in calcium levels. This can cause severe issues with muscles; painful cramping and spasms are likely to happen. Patients are urged to take supplements and eat foods that are high in calcium.

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Advances in technology have made seeing a healthcare provider easier than ever. Patients can utilize services such as telehealth for their medical needs. Patients can describe their symptoms just as they would in person. Providers and patients can participate in medication reconciliation over a webcam. This can ensure that patients who need strict adherence to medication routine can remain educated. Furthermore, scripts for exams such as x-rays or blood-work can be sent electronically. After, results can be sent to a provider where they can be interpreted. Therefore, tele-health visits can be just as beneficial as in person consultations.

CONCLUSION
Physician-Patient relationship will increase within facilities if there is optimum care and education provided. Majority of care consists of lab work, screenings, x-rays and medication. All of these can be thoroughly explained via in person visit. In person visit allows patients to feel they are in a safe place and have one to one with their physician. As economy grew, employment grew, families grew and it called for a demand of technology’s intercession. Telehealth visits allow patients the availability to speak with their physician ( labs, medications, tests results, etc.) even with difficult schedules. A lot of patient are not able to make in visit appointments and telemedicine allows them access to keep their appointments. Increase in care outcomes vary in regards to post thyroidectomy hypocalcemia, there is no major significance of how a patients care plan was well managed by having a in person or tele-visit. Results were similar. Soon, this data will change with the always advancement of technology in healthcare.