Human existence is split into the material world and the spiritual world.

The spiritual world is still heavily based in culture and geography.

The gods and the stories fade as new ones take their place,

and the stories of the spiritual world are nearly always based on humans or animals

from the material world that have special powers.

The study of the material world likewise evolves, but it's not nearly as culturally bound.

2 plus 2 is the same everywhere.

You take 2 rocks and add 2 rocks and whether you're in China or Botswana or New Jersey, you still got four rocks.

In fact, you can't really explain math in any language except the language of mathematics.

Likewise, science is science, but the understanding of science evolves, and therefore it is totally safe to declare there is still

much more to come in the future evolution of treating hypercalcemic diseases. We don't have it

totally down, but by using science, we are indeed able to make a significant impact. In fact,

we have a plethora of ways to treat hypercalcemia, but I'm just saying

the arsenal will continue to expand. So this is a summary. It's not comprehensive, and it's how we

deal with hypercalcemia in 2015. These podcasts can remain on the internet possibly forever, so if it's the year 2030 and you're listening

to this please only do so for historical significance i will discuss various potential medication

therapies in this lecture but let's not forget the basics avoid or stop medications that will make

the hypercalcemia worse, like

thiaside diuretics, like lithium, and then maximize physical activity like weightlifting

to minimize bone resorption. As discussed in the last episode, if there's a good indication

for a parathyroidectomy, refer the patient to a surgeon. For those with severe symptoms of hypercalcemia,

hospital, hospital. And what's one of the first things you're going to do in the hospital?

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