Intact PTH of 3,420.7 in a dialysis patient. Calcium 9.7 phos 6.1. On 18 mcg of paricalcitol q treatment and cinacalcet 90 mg daily. Patient is getting excellent dialysis with eKt/V of 1.69 on 210 minutes of dialysis.
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One of my TTS4 patient had a iPTH of 5010.7 in December 2008. Finally convinced him to get a parathyroidectomy last month!!
Add at least another 30 minutes to their treat time, if not 60 minutes.