My wife's pth was 213, 191. She had 3 glands removed that were bad, her surgeon here in Milwaukee was only going to take out the 1 bad one they could see and not check all 4. We went to Tampa Florida to the Norman center and they checked all 4 and removed 3 bad ones. easy surgery, 6 hrs in hospital and then back in the hotel room. Her pth dropped like a rock and now is normal. We had a great time in Tampa! These people are top notch surgeons. Don't wait any longer.