A Pennsylvania woman suffering from Hashimoto's thyroiditis since her early teens complained of difficulty in swallowing, hoarseness, fatigue, weakness and other discomforts. The osteopath noted signs of severe primary hypothyroidism and referred the patient to a thyroid surgeon. A flexible laryngoscopy was performed, followed by a total thyroidectomy and excision of the right inferior parathyroid adenoma. Following discharge, the patient developed parasthesis, preorbital numbness and other ailments. Upon readmittance she was diagnosed with acute hypocalcemia, and permanent hypoparathyroidism and hypothyroidism. A medQuest endocrinologist reported that a CT scan, sonogram, and radioactive iodine uptake showed no malignancy, adenoma or airway obstruction. Therefore, there was no cause to proceed with the thyroidectomy. Moreover, the parathyroidectomy was negligently performed, resulting in the removal or destruction of all functioning parathyroid tissue. With appropriate treatment, the patient's condition would have improved.