I currently go to the Cleveland Clinic Foundation in Cleveland, Ohio. I started there in 2016 when I needed a second liver transplant. Prior to CCF, I used to to University Hospital's of Cleveland. The main campuses of both establishments are right down the street from each other. UH was a great place to. I like both healthcare institutions. In fact my family doctor is at UH and all my specialist are at CCF right now.

Oh ya about checking all four, yes of course that is how they found the bad one. When they performed surgery they took a peak at the other three.

I had surgery October 30. The Sestamibi/4D scans located a target gland in my upper mediastinum below my collarbone. When that was removed, my PTH dropped to 22. Since getting that gland out of my chest through a neck incision took 3 hours AND my PTH had dropped that much, an exploratory was not done. If a target gland is located in your neck, a 4 gland exploratory is standard. If you are looking for more information there is a HyperPARAthyroidism Information Facebook group. I am in NJ so my surgery was done at Penn Princeton with an Endocrine Surgeon. Using an ENT when the adenoma was in my chest was NOT an option.