Well I’m really sick now. I have had every diagnosis Known to man. To many Doctors.
26 years since my first symptom of excruciating unrelenting back, and neck jaw, and temple pain.
I am now seeing that these bizarre symptoms have started speeding up.
I have been off work since beginning of September. My Doctor still thinks it is my Hashimoto’s but she is testing me with the saliva tests and 24hr urin.
I am having trouble breathing. Im completly unable to do anything but go to the bathroom and one choir at a time. And tonight I feel like I have bone pain. Not to mention the heart palpatations and high then low blood pressure.
It’s so sad to be here. But I think it is were I belong.
I am 55 years old and my symptoms began long ago I believe. I have had my tumor out and have not had any recurrance since 2009 when I had it out but unfortunately am still a little paranoid (to the extent that I will spend $100 on a saliva test once or twice a year) when I have any symptoms.
1998 out of the blue started having heart palpatations at night ( endocrinologist still insists that was not part of it but it stopped when my tumor was removed!!!(So far have yet to find an endocrinologist that I love…very narrow minded and refuse to admit how little they really know about Cushings).
2003 started Natural Progesterone cream due to fibrocystic breasts and low libido & just general breast cancer prevention. No MD ever had a problem with that.
2005 – 1st saliva test just personal curiosity about hormone levels.
2006 started feeling lump in my throat when swallowing so went to ENT —found nothing out of the ordinary (with 20/20 hindsight suspect it was the supraclavicular swelling starting internally.
2007 upper GI just to be sure nothing in my throat per ENT referral–found nothing.
2007 starting to show supraclavicular fat pads 2 MDs & 2 surgeons seen for those & none of them picked up on the Cushings from that. Also had complained to my OBGYN @ the sensation of my uterus dropping out of my vagina — he saw no physical reason for this sensation but with cental obesity getting slowly worse (155 compared to my normal 135 lbs) i suspect there was downward pressure esp when walking & standing for long periods of time.
Finally in 2008 one of my MD patients suggested Cushings & BINGO everybody suddenly saw the light. Abdominal CTs showed no adrenal problems MRI showed 5mm microadenoma (well circumscribed) .
My brother in law is a neuro-surgeon & in our area if you ever have anything weird going on you go to Duke but he said in this particular area you want UVA (a “Pituitary Center of Excellence”). Dr. Ed Oldfield took out my tumor & so far so good. I had to supplement cortisal at first but within 6 months I was off it & my body was making its own. I feel that I was very lucky. They say that the majority of MDs go thru their entire career without seeing a case of Cushings (OR knowing that’s what they are looking at). I would definately recommend not just letting any Joe-Blow neurosurgeon do your surgery – the more they have done the more likely the success.
I’m sorry this IS an update of my just submitted bio & I don’t know what my URL link is. But I do feel that the 4 time cortisol saliva test was how mine was diagnosed because my morning cortisol which is all the MDs ever wanted to take was never off the charts IT WAS MY PM CORTISOL that gave it away. Then total urinary cortisol measurement. Sorry but I thought this was an important addition. Yayy saliva testing!!!
Dear endocrinologist, I need to say something for all the people like myself with endogenous mild episodic Cushings that are dismissed there’s some patients who may not be strong enough to speak up or even advocate for themselves & know what tests to ask for. Some will just give up and accept this as their fate and have a horrible quality of life & die way too soon from the terrible things this illness does to your body. Some may take their own lives (depression, anxiety, self doubt is a very real & serious symptom of this illness). I heard that voice in my head, “if one more doctor dismisses me, I am ending my life! I can’t live like this anymore!” These are very important things to remember.
1. Not every person has all the symptoms especially mild Cushings but we are still just as miserable.
2. Mild episodic Cushings may not show as elevated cortisol on UFC or midnight salivas. We have lots of lows & some highs that are sometimes difficult to determine because it could be just a few hours of high cortisol in a day & the rest normal or low.
3. There are tests like the 17-OHS that can show abnormal cortisol levels & should always be done on the same 24HR UFC urine.
4. Don’t blow off someone by just doing a low dose dex suppress, that test is ONLY TO SHOW LOCATION OF THE TUMOR! If you suppress, then it points to pituitary, if you don’t it points to adrenal.
5. A Buffalo hump means Cushings more often than it means just a normal fat pad due to a persons fat distribution!
6. Put down the mouse & step away from the computer & examine me!
7. Actively Listen to what I am saying to you!
8. Morning cortisol serums are usually useless because mild episodic Cushings patients trend to be in a normal or low during the morning & mildly to moderate high in the late evening to early morning hours.
9. A midnight cortisol serum is very helpful to determine if the patient has Cushings, IF they are showing symptoms of being on a high.
10. Multiple testing is needed to rule out Cushings. Stop dismissing Cushings as a diagnosis with only one round or even four rounds of tests!
11. These patients are looking to you for help in a very scary time, stop giving the exercise, meditation speech! It only is an insult to us. Most Cushings patients actually don’t eat enough calories & restrict trying desperately to loose weight.
12. Mild episodic Cushings patients can loose weight so don’t disregard if they do because it will come back on even with no change to activity levels & caloric intake.
13. It should Not take 3 years or longer to get a diagnosis of Cushing’s!
14. It should NOT take 4 + endocrinologists pushing off to the next & the next to get a Cushings diagnosis!
15. Stop immediately assuming we have PCOS! Test for it before you pigeon hole a patient! And realize you can have both PCOS and Cushing’s.
16. Stop tossing pills at each individual symptom, look at all the symptoms as a whole. When dealing with Cushings, the only true reverse of the symptoms is surgery.
Part 2
In addition to the 16 items above, she added:
17. You can have normal ACTH levels and still have Cushing’s. “Patients with ACTH-secreting tumors will either have a normal or elevated level of ACTH.” – Dr. Findling Dr. Findling is an endocrinologist and Professor of Medicine at the Medical College of Wisconsin. Dr. Findling has been dedicated to the clinical evaluation and care of patients with Cushing’s syndrome for over thirty years. He has over 100 publications and was a co-author of the Endocrine Society guidelines for the diagnosis of Cushing’s syndrome.
Part 4, September 25, 2021
This is just a quick update. I am not in a good head space. Being denied a much needed surgery because of irresponsible people are not following cdc guidelines, makes me very very very very upset!
Every day a new issue pops up, IIH could make me go blind, my bones could break, my muscles are weak, my mental health is poor, my heart is enlarged, my brain is in atrophy!!!
Im a mother of 4 use to work full time till I got to sick and very tired. Not sure what I have been to alot of drs. My tish flucuates my t4 is always in low range of normal, my cortisol tends to be very low in am and through the day. Ive done saliva test blood tests and urine tests. Im either boarderline or below and its been almost 2 years, 2 surgeries and alot of stress and financial hardship to my family. I had sleep apnea surgery first, then my ovaries removed (that proved the pcos i knew i had). Ive now been told I have reactive hypoglycemia. Been put on many different anti depressants to control my moods, since I never know from one minute to the next how I will be.
saliva test reference range
1.6 7.0-10.0
1.9 3.0-6.0
.9 2.0-4.0
.9 <1.5
serum cortisol tested 1 month later
.6 4.0-22.0
free testo
3 2-45
t4 tested 1 year ago
5.0 4.7-13.3
t4 tested 2 weeks ago
1.11 0.8-1.8
tsh tested 3months ago
1.94 .40-4.50
tsh tested 1 year ago
4.14 .35-4.94
my acth test
20 6-50
lh test
58 10-54.7 keep in mind ive had a total hysterectomy 6 months ago
Im wondering how a dr can figure out what is wrong with me if everything flucuates all the time, and im wondering what is wrong with me? please anybody out there please shed some light on what this could be . Theres days i really feel out of my mind. Current medications started 3 months ago lithium 900 welbutrin 150 estradial 1mg provera 5mg
I’m a 33 year old female. I have 3 young boys ages 8, 5 & 2.
About 1 year ago I started suffering from chronic fatigue to the point of crying halfway thru my work day not knowing how I was going to make it thru the rest of the day. I went to my primary physician who stated I might need to have my thryroid rechecked. I was previously diagnosed with hypothryroid but on a real low dose of Levothryroxine. He ran some blood work and the test came back normal but with deficiencies in my B-12 & Viamin D. He suggested I try a multivitamin. I went out and splurged on the best vitamins I could find but they were of no help.
I returned after experiencing palpitations and dizziness. I was then diagnosed with Vertigo and given meds that only made me more sleepy so I stoped taking them. I noticed I was gaining weight even though at this time I was running 3 miles 4X/wk and loging in my meals.
My PCP thought I was suffering from depression because I cried at one of my appointments out of frustration because I just waned to make it thru a day without feeling tiered. He suggested I take a sleep study test to check for insomnia. The test came back cleared saying other than fallling asleep faster than usual patients nothing else was wrong.
I was referred to a cardiologist becasue I was also feeling extremely cold and had a difficult time performing the same tasks I was able to do wihtout any problems months earlier. I kept insisting I had a lot of the syptoms I had previous to start on meds for my hypothyroidism but because the blood work came back normal they said they could not change my meds.
I read somewhere about secondoray hypothyroidsm and requested a referal to an endocronologists. My PCP felt there was no reason as everything came back normal but I pleaded until he gave in and authorized my referral.
I went to see my endocronologist for the first time and for some reason after telling her what I was experiencing she told me my issues could range from anemia to Multiple Sclerois but she also wanted to check for something extremely rare…..did not give me a name. She requested blood work and sent me home with 3 cottong swabs she wanted me to saturate between 11 pm – 12 am, stick them in the fridge and return to their lab as soon as I was done. I did this and she called me stating the tests came back abnormal and she wanted me to do another tests. She was very vague about providing me with information other than assuring me that what she was testing me for was extremely rare and it was probably false results. She told me not too panic and just go about life as usual.
I came home with a 24 hour urine collection container and another round of saliva tests. I got a call from her nurse stating everything was normal. I insisted I wanted a f/u visit with the Dr. At the time of my visit she stated she was happy I had insisted on another appointment because the saliva test came back abnormal, but only on one of the swabs.
This time I came prepared with a list of symptoms and my own depression screening test (I’m a social worker and knew my some of my symptoms were similar to those of people suffering from depression), she took copies but again told me not to worry. Well the more she told me not to worry the more worried I became and started researching Cushing’s the extrme rare disorder she had been telling me not to worry about.
My husband came across a website called Cushing’s with a Moxie, when I started reading the blog I started to cry I felt like finally someone understood me. I still don’t have an answer by my Endocronologist but in my head I think I’ve figured it out and as silly as it sounds I’m wishing this is it, finally an answer to my symptoms.
i had the pituitary surgery. They said i am cured (of course it could come back) but the day after surgery my acth level was 3.7 and the next day it was 1. They consider that a cure.
it is a very painful recovery for me and i am documenting each day.
The headaches and pressure in my head were so awful and painful but have now on day 6 subsided. They had to cut my septum to get through and i had a bone spur too so maybe that added to it…my nose was, still is i am sure, packed and i can’t blow my nose till July 12! The nausea was bad too. The cortisol withdrawal hasn’t been so horrible yet. They have me on a taper program of each week taking less.
The tumor was towards the left side and the surgeon who was Dr. Van Gompel at Mayo was aggressive in the amount of tissue he took out as he said it was soft. He wanted a “home run”. I asked after if he got the home run and he said yes.
The whole Mayo experience was strange. You don’t really get to call and speak to the doctor after you see them…you get a “desk” and a message gets sent. The endocrinologist is the only one who calls back personally but I guess that is a lot. I would highly recommend her and don’t know all her info except her name is Dr. Irina Bancos at the Mayo clinic. Things just fell into place there. As you know I was only scheduled for the IPSS but when she saw how symptomatic I was and all my levels she picked up the phone on a Tuesday and had me scheduled for surgery Friday morning. A one stop shop. I was scared and there alone but got through it.
The next 3-12 months will be difficult. I am currently on some pain meds and muscle relaxers but in touch with my sponsor daily and we decided I don’t have to be a martyr. I just need to check myself and get off them as soon as I get these headaches under control.
Mary, I’d like to stay active on your site. I’ve learned so much that helped prepare me for the doctors appointments and the procedures that I’d like to give back anything I can in the way of my experience of living with the symptoms and not knowing what was wrong with me to fighting for a diagnosis to the cure. Please let me know the best way I can do this and you may post this if you’d like. Maybe edit out the pain meds and sponsor part as I don’t think many would relate to that but who knows.
I was diagnosed with Cushing’s Disease in September 2012. I started my search for a diagnosis back in March.
So here is how my story goes… in January of 2012, I decided that i was going to change my diet and exercise. I had weight to lose from a previous pregnancy. I began working with a nutrionist and personal trainer. I spent a lot of time working out and logging everything that went into my mouth. I even tracked my water intake. It became very obvious that for a hard as I was working that something was wrong. i was gaining weight instead of losing. I was also feeling very run down. I had also started noticing that I did not have very many patience for much of anything and I felt very uptight about silly stuff. I decided to go have my hormones checked.
At first the doctor told me that I was extremely deficiet on vitamin D and needed to drink a lot more water. He said we need to run more tests. He did a salivary test and some bloodwork to check my corisol levels. On my follow up with him he said that i had very high cortisol levels and wanted to run more test. He then went on vacation for a few weeks. I was unable to get answers from his nurse and then he was so behind when he came back that i could never get an appointment.
I started researching on the interenet about high cortisol levels. Everything that I was reading sounded like me. Weight gain (i had gained 100 lb), exhaustion, stretch marks, blurred vision, high blood pressure, water retention, etc. I found another endocrinologist and made an appointment. I told him all my symptoms and what I felt was wrong with me. He asked me what i wanted him to do. I suggested some of the tests that I had read about because I thought i might have cushings and he said, “ok, let’s get started but, cushings is very rare and I doubt that is what is going on”.
After running blood work, 24 urine test, plus many more test, he told me that I had Cushing’s Syndrome. He indicated that this was very rare and that he had not seen but one case before. He ordered an MRI. The radiologist that read my MRI said that he did not see a tumor. However, he did say that he saw “sinus disease”. Now I have never hear of that so i questioned it. I was told that I would need to go to a ENT doctor for learn more about that.
The endo doc wanted to proceed with the IPSS test. I keep studying on the interenet about the disease and all the testing. I even watched a few pituitary surgeries. I just felt like I need to know everything possible besides, I could not sleep so this was a great way to spend hours. I also kept reading all that I could on this site as well. I met with a local neurosurgeon and he scheduled the IPSS test. I asked him about how we would proceed if my test results showed positive for a pit tumor. I was basically told since no tumor was seen in my MRI that the IPSS test would help them to decided which side of my pit they would take. I was totally not comfortable with just losing part of my master gland. I kept my scheduled test but started to research experts in cushing’s. Then I researched which were covered by my insurance.
In the meantime, I kept the appointment for the IPSS since I didnt want to lose any time. I checked into the hospital and got prepped for my test only to have the doctor come in to tell me that we would not be doing the procedure because the company that made the medications used for testing no longer was making the mediation. Now then, how do you not know this before you prep someone for the procedure?!?! I told the doctor that there were other hospital that were treating cushing patients and were performing this test. I had been reading about them on the boards. He told me that there was not anyone in the US that had the meds. That was when I really knew that I was going to have to leave my state to get treatment.
I called my endo and explained what had happend and asked for a referral to MD Anderson in Houston, TX. I also went online and did a self referral. I just kept following up with them. They have a pituitary tumor board that reviews cases. My case was approved and I had my first appointment in Sept 2011. I spent on day running tests, having an MRI and meeting with the a new endo.
Within 48 hours, he confirmed that I did have cushing’s disease and showed me the tumor on my pituitary. In November 2011, I underwent transphenoidal pit surgery. An 8mm tumor was removed. There was some concern because the tumor was right up against my cavernous sinus cavity. This is where your carotid artery is and the surgeon did not want to get close to this artery.
Unfortunalely, I did not experince a “crash” after surgery. My levels did indicate they were in the normal range so the doctors sent me home with a perscription of hydrocortisone.
I have been seeing the endo for the last couple of weeks. Lots of blood tests, saliva test, 24 hour urine test. Thyroid scan, with nodules, thyroid biopsy benign, small goiter,and diagnosed with hashimoto.
Currently type 2 diabetic fairly controlled with Victoza, but very insulin resistance. First blood tests showed high cortisol, high ACTH, second series of blood tests showed normal to high cortisol and still high ACTH. Doctor said possible cushings. Have had extreme fatigue, beard on chin. Muscle and bone pain consistently. Wake up with headache and extreme fatigue.Bone scan diagnosed with osteopenia. Appt. with endo tomorrow to get results of 24 hr. urine test. Salavia test said was normal.
Have problems with sleep, sleep all day off and on, or have days when I cannot go to sleep at all. She said that I had the hump, muffin top, and belly fat, lean arms and legs. Eyes are puffy all the time now. Have problems losing weight even though I eat healthy all the time, and have excluded gluten, sugar, and going to go diary free. Eat lots of vegetables and fruit as well as a little protein. Have not had a mri or cat scan yet. Probably will be next on the list. Will post after my doctor’s appt. tomorrow and update my bio.
I have a lot of symptoms of cushings and she mentioned this with my second doctors visit after the first series of blood test, but wanted to do other tests to make sure.
My name is Marki, and I am a 21 year old student. I have been suffering from Cushing’s-like symptoms for a while now, and the doctor at my college health center just recently told me that I most likely have Cushing’s.
My symptoms have all intensified over the past few years. I have gained almost 60 pounds in the last 11 months, I feel weak and tired almost all the time and my muscles have gotten so weak that I have a hard time walking up 2 flights of stairs to my apartment. I sleep for at least 10 hours a night, and have to set at least 5 alarms to be able to wake up for my 9:15 class, and I still end up missing it a lot of the time. I feel like I am walking around in a fog most of the time, and school is harder than it’s ever been. I am having a really hard time retaining information, even after studying for hours.
About 3 years ago I started growing hair under my chin, and getting stretch marks on my boobs. The stretch marks have now appeared on my belly below and around my belly button. My hair has always been really thick, and I have noticed that it is a lot thinner than it has ever been. I have also developed a lot of new allergies, including raspberries, tide laundry soap, nickel, and something else that I haven’t figured out yet, so I have a rash all over my stomach, armpits and thighs. I have had severe headaches since I was about 14, and they are getting more and more common. I also get frequent sinus infections. I got implanon (a type of birth control that they implant in your arm) about a year ago, and haven’t had a period since it was inserted. I have been on birth control (perscribed because of the hair on my chin) since I was 17, so I don’t really know if my period would be regular without it or not.
When I went into the health center I told the doctor about all of these symptoms, and his first thought was PCOS. I had an ultrasound, and there were no cysts. He then started testing me for Cushing’s and referred me to an endo in San Francisco. The endo ordered both a 24 hour urine test and a midnight saliva to be done before my appointment. These were the results:
24 hour-
range- 0-50
me- 49.7
Midnight saliva-
range- .5-1
me- 9.16
So, my free cortisol was within range, and my saliva was more that 9 times the normal levels. I have read a lot about Cushing’s in the last two weeks, but I still have a lot of questions! If anyone has any advice on how to deal with the sleep issues, what tests to request, or any other advice, I would really appreciate it! I need to figure out how to stay awake during the day so I can pass my classes!
Update:
My names Marki, and I am a 21 year old senior at Westmont College. After I finish my bachelors I plan on going to Physicians Assistant school to get my masters. This has been a crazy year for me. A few months ago, my doctor told me that I might have Cushing’s, and since then it has been a constant parade of tests. My body and attitude have changed SO much, and it is making school and life in general really hard. I am lucky to have the support of my family and friends, and I can’t wait to get through this and get on with my life! If anyone has any advice, feel free to message me 🙂
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