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CSRF
65 E India Row, Suite 22B
Boston, MA 02110
Phone: 617.723.3674
Fax: 617.723.3674

Email: cushinfo@csrf.net

CSRF Members' Letters - Pituitary Tumor

This section includes letters from those who have had successful pituitary surgery as well as those struggling with recurrences. Remember that experienced pituitary surgeons have a 1st time cure rate of 80-90% and low recurrence rates.


Code 2050, Fall, 2005 My story is a bit different from most of the articles I have read in these newsletters. Like all Cushing's patients I suffered a great deal but I did not suffer for very long because I was very lucky to have been diagnosed early on.

I had not been feeling quite myself for the past year. I was tired all the time, I was anemic, I suffered from heartburn for weeks on end, I had skin problems, tons of facial hair, menstrual irregularities and I had muscle injuries that would not heal. In August 2004, I came back from a hiking trip in British Columbia with my family and I was very tired; my cheeks were suddenly very bloated and I had put on a lot of weight. I knew I had eaten a lot of BC fruit but this was ridiculous. My wonderful family kept saying that I looked just fine. I was very disappointed in myself; it felt like I was getting old too quickly which was hard to accept because I was only 42. In September, I started back at school (I am a grade one teacher) and my condition deteriorated quickly; I could barely make it up the steps to my classroom and I was exhausted. I went to see my family practitioner, Judy Chow, whom I have known for 17 years and she immediately suspected a hormonal imbalance problem. She sent me off for the necessary tests and on October 5, 2004 she diagnosed me with Cushing's disease. Three days before that I had started suffering from a non-Cushing's symptom; I was feeling a sensation of electric shocks in my hands, arms and legs. By the end of the week I had to leave my job and say goodbye to my students because I started suffering from anxiety attacks and I was becoming very overwhelmed by this shock sensation.

The following week, I met with an endocrinologist who said that I didn't have Cushing's because I wasn't sick enough nor fat enough. Further tests proved her wrong. By the time I had my surgery I was suffering from all the Cushing's symptoms I had had printed off from the CRSF site. Besides those already mentioned I began losing my hair, my eyes were burning all the time, my muscles were extremely weak despite lots of walking; I suffered from insomnia, I had concentration problems, my stomach was extremely bloated causing constant abdominal pain, and my sacro-illiac joint which I had injured 6 months earlier caused constant excruciating pain even after months of physiotherapy. Furthermore I seemed to have fractured a small bone in my hand and I was suffering from anxiety. This was especially difficult because I am usually a very confidant person. In November I was actually scheduled for a hysteroscopy to remove fibroids in my uterus which were causing serious menstrual complications. My endocrinologist and gynecologist didn't think that the Cushing's was a problem and that I should go ahead with the surgery. However, my family doctor and sister-in-law who is a doctor herself discouraged me from going ahead with the operation. Anyways, my period completely stopped after that for several months.

By December my electric shock syndrome had spread to my entire body; my face, my lips, my tongue. In my stomach the feeling became a motor-like motion. My entire body was affected by this syndrome and it was intensified with noise, light and any little stress. A simple conversation on the phone with a close friend would cause more pain. It gradually increased over the months and became worse as the day unfolded. My poor husband and children were living in a tomb-like house trying to be as quiet and tranquil as possible.

While waiting to get an MRI, I was referred to Dr. Gerard Mohr a very good neurosurgeon in Montreal. I live in Ottawa, which is two hours away. Throughout my illness I tried to be proactive in getting the necessary care; I decided to email this doctor to tell him about my peculiar symptom. To my surprise, he emailed back saying that he would see me before Christmas and to let him know as soon as I got the results of my MRI. Ultimately it would show that there was a microadenoma in the pituitary gland. However the surgeon would not operate until I saw a neurologist because he could not explain my electric shock symptom. He promptly arranged for an appointment with this new specialist on January 6 and he said that I would have my surgery on January 10th if everything seemed all right. On January 6th my husband and I drove to Montreal in a raging snowstorm both of us completely overwhelmed because that morning my dad-in-law had passed away.

The surgery was very successful; I remember the endocrinologist saying "There is potentially good news" because my cortisol was almost undetectable the day after the surgery which could mean that Dr. Mohr had completely removed the tumor. The five weeks following the surgery were extremely difficult because I felt worse than before the operation; all the Cushing's symptoms were worse, the withdrawal was awful, I had an infection in my sinus cavities because of the transsphenoidal surgery, I had a bad reaction to the antibiotics, my period was back and causing lots of stomach cramps, I had really bad headaches and my electric shock symptoms had become even more intense. My husband and I started to face the reality that perhaps this was not at all part of the Cushing's and that I was suffering from another illness all together. Only then did my endocrinologist in Ottawa decide to finally investigate and she sent me off to a neurologist who did a new battery of tests.

By this time I had lost so much muscle tome that it hurt to sit. I spent as much time walking as possible because it's the only thing that helped me handle the withdrawal. I went out everyday in our Canadian winter getting through the wind and snow determined to get better. I would go out to the shopping mall along with the seniors when the ice made it too dangerous to walk outside. I was feeling really rotten and kept repeating that the CSRF people had said to be patient and that I would eventually get better. Well, they were right. One morning I was walking and suddenly I realized that my eyes burned a little less, my heartburn wasn't as sharp, my shocks were a little number and my head wasn't as heavy. I remember feeling such a sense of elation that I took out my cell phone and called my husband at work and my brother in Montreal.

I decided to change endocrinologists because I remember the CSRF information about the importance of working with a good doctor after the surgery. He slowly took me off the hydrocortisone and I have been hormonal therapy free since June 11th! In the Spring I went to Aquafitness, seniors aerobics and 50yr plus Tai chi to try and get back into shape. It turned out that the electric shocks eventually went away very slowly as they had come. It was actually June before they had completely gone away, nine months after they had started. In September I went back to teaching and I am feeling great. I have to go to physiotherapy because my muscles and my tendons seemed to have been damaged by the high levels of cortisol and I have developed osteoporosis but I consider those minor problems compared to what I have endured. I was able to get through my illness because of three factors: I had an excellent family doctor who knows me well, I was able to obtain invaluable facts through this foundation which enabled me to soundly process the information I would receive from the doctors that cared for me and most of all I was able to stay strong because of my wonderful supportive family and friends who went to such great lengths to take care of me when I was sick.

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Code 2039, Fall 2005 It started, for me, in 1996. Something started happening to my body. I was always tiny—too skinny, in fact. Suddenly, I began putting on weight, eating everything in sight. I figured it was just a sign that I was nearing 30, but it never leveled out. Soon, I started noticing huge, purple bruises on my body. I began to feel “the blues”—depression that I chalked up to PMS. I began taking anti-depressants. Flash forward to 1999. I had a general feeling of being “not well.” I was fatigued much of the time. The anti-depressants weren’t working. I was still gaining weight. I went to the doctors and, after many tests, was told the shocking news that I had leukemia—they just didn’t know what kind. At the end of the year, I had a bone marrow test. Six days before the results came in, my (then) husband walked out. I was suddenly stressed to the breaking point. My work screeched to a halt; I took about a month to regroup. The test came back negative. No leukemia. But they still wanted to monitor me. I slowly returned to work. Six months later, after a follow-up blood test, I was again told I was “a ticking time bomb.” I was sent to MD Anderson Cancer Center in Houston for another bone marrow test. Another distressing scare for nothing, and still, thank God,—no leukemia. But I knew something was wrong. I felt broken.

In 2003, I found true love and married my long-time friend, Glenn Fine, publisher of the magazines I have spent the last 10 years working for. Everything was like a dream. Except my health. By this time, my weight had climbed to 181 lbs. Despite the joy in my life, the depression was closing in. I was still working at a frantic pace, but I found it was becoming more and more difficult to focus. I couldn’t handle stress. I was in physical pain on a daily basis. The fatigue was incapacitating. My period stopped. And there were a host of other symptoms. I finally all but stopped writing—the only thing I had ever wanted to do—because I couldn’t rely on myself to meet the deadlines. I was no longer able to do my job.

Finally, in 2004, after nine years and eight doctors, I got the right diagnosis: Cushing’s Disease, caused by a tumor on my pituitary gland. I remember, when we first read about the disease, I prayed daily, Please God, let me have a tumor. Let this really be it. I was afraid to even hope that there was a name for what I had been living with, much less a cure. No tumor showed up on the MRIs, but my endocrinologist, an amazing man by the name of Dr. Rubin, knew it was there. He sent me to Los Angeles, where it was removed by Dr. Martin Weiss on December 16, 2004, at USC Medical. I was “cured.”

Looking back, it was the depression that was the most horrible part of this disease. It was dark and heavy, like a wet velvet blanket; it completely encompassed me. The terrible, disfiguring weight gain, the exhaustion, the inability to sit through a TV show, the acne on my back, the bruises on my legs, the stretch marks—it all just added to it. I spent hours on the phone to my mom sobbing, often without reason. I remember saying, “This isn’t me…this isn’t me…” Any stress, and the disease took a turn for the worse. I began abusing my pain medication, trying to find an escape. Without my family, my husband, and the grace of God, I would not have made it through. They were the ones who kept thoughts of suicide at bay. I promised God, if He would just get me through this, I’d help others. I’d make others aware of it. So, please, anyone who needs to talk—about anything—please contact me! Except for when we travel, I am always available by either phone or email, any time of the day or night. Just talking can help so much.

I won’t lie: the recovery is painful and it can take years. I have since relieved myself of much of the pressures of my job in order to fully heal. As a result of the surgery, I woke up with diabetes insipitus. No fun, but a little pill takes care of it. I still experience a lot of pain, especially in my hands, knees, and feet. My energy hasn’t completely returned, and there are days when the depression still creeps in. But I’ve dropped ALL the weight! In fact, I look better than I did before. I’m now at 120. My skin has completely cleared up. I can read and watch television again. I no longer abuse my medications. And every day is a little bit better. The most helpful thing has been the contact I’ve had with other Cushie’s, and discovering that I’m not alone, I’m not insane, and there are people who really do understand completely. This sight, and those who work so hard to maintain it (such as Karen Campbell), are Godsends. Hang in there. It really does get better. And God bless!

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Code 880: Summer 2005
My name is Bob. In 1995, I began having health problems. The doctor I was seeing at the time insisted that nothing was wrong with me. My arms were bruising; a deep purple color and sometimes with just the lightest bump, they would bleed. All the doctor said was “your skin is ageing before it’s time.” My personality was beginning to change as well. I had high and low points all in the matter of minutes. I gained a lot of weight, my face turned red and became round. I was also tired all the time.

I was finally referred to a couple of specialists. One of those doctors was an endocrinologist, Dr. Linarelli. He ran a few tests on me and thought he knew what could be wrong! I was in Cabo San Lucas, Mexico at the time the results came back. Dr. Linarelli called me in Cabo, as he was leaving for Italy in a few days and wanted to see me before he left. My wife and I packed up, drove straight back to San Diego and met with Dr. Linarelli. He tried to explain Cushing’s to us. He said he had one last test to perform on me, an MRI, and if a tumor showed up in the pituitary, it was Cushing’s Disease. When the results came back he had already left for Italy so I saw another doctor who was filling in part time. Sadly to say, this doctor knew nothing except to tell us that I did have Cushing’s Disease and he knew of no one who could help me. I felt alone and depressed.

My daughter went on-line and we found Dr. Wilson at the University of California, San Francisco. We went up, met with him and got his opinions. Unfortunately, my insurance would not cover the operation I needed in San Francisco. When Dr. Linarelli returned from his trip we again met with him, and once again he was helpful. He knew of a few surgeons in San Diego and one in particular, Dr. Randall Smith, who specialized in operating on pituitary tumors. We met with Dr Smith and he immediately put me at ease. He said not to worry about anything at all. I was to think about getting better and everything else was his job.

My surgery was on September 22, 1998. The surgery went well, however I stayed in the ICU longer then expected. My blood pressure would not stabilize for a few days and I had a couple of minor problems. Not long after the surgery, I went through six weeks of radiation to shrink the rest of the tumor that could not be removed during surgery. The radiation was five days a week, for six weeks. When this was all over, Dr. Linarelli turned me over to Dr. Eric Gold, another endocrinologist in San Diego.    

Dr Gold was one of the best doctors I ever had the pleasure of knowing. He spent a lot of time with me and helped me a lot until his untimely death this past New Year’s Eve. Ironically when I heard of Dr Gold’s passing, I also heard that Dr Linarelli had passed away as well. At this writing, I am just starting with a new endocrinologist.    

In April of 1999 I began to have double vision. I was referred to Leah Levi, M.D., Clinical Professor of Ophthalmology and Neurosciences. She is a wonderful doctor and spent a lot of time with me. The muscles in my left eye were damaged when I had the radiation treatments. In July, I had surgery on both eyes and I am thrilled to report that it has dramatically helped the problem. I do wish I’d had the surgery years ago!  Since my Cushing’s, I’ve had colon surgery, some teeth removed and gum surgery; all related to Cushing’s.  I keep up on all my doctor’s visits, take my medications, and do all the testing that goes with having had Cushing’s.    

San Diego hosted the Endocrine Society’s annual convention in June. I helped at the Cushing’s Support and Research Foundation booth, and learned a lot. I also met Karen Campbell, Director, and Louise Pace, Founding President of the foundation. They are both very hard workers for the Cushing’s Foundation and it was a pleasure to meet and work with both of them. I hope to keep up periodic local meetings here in San Diego. Please do let me know if you are interested.

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Code: 1176 Summer 2005
In 1997, when I was 19 years old, my first symptom of Cushing’s Disease appeared in the form of acne. I never had acne so I didn’t think much of it and visited my first doctor and was given my first medication. Soon more symptoms were to follow… exhaustion, night sweats, hot flashes, my hair was falling out, and then I needed to “go” at least once a night, which turned into 4-6 times per night. My GP ran a CT on my abdominal area, and I was diagnosed with back pain and sent home.

Then in 2000, I gained 50 pounds in four months, going from a size 4 to a 12 with no in between sizes. Also my first purple stretch mark (stria) appeared on my upper quads. The striae eventually covered my upper legs and traveled to my calves, breasts, waist, and tricep area, and I gained another 35 pounds pushing me over 200 pounds from 120. I wore maternity pants because my stomach was so large.

The weight gain was terribly difficult for me. I was a model and actress in Los Angeles, and my job depended on the way I looked. I exercised before Cushing’s and even more when I had it because I was fat and needed to lose the weight. I did spinning, step-aerobics, yoga, Pilates, and only would gain weight. Two months prior to my diagnosis I almost collapsed while doing cardio and had to stop exercising. At that point I had lost full control of my life, and I knew something must be wrong, but the doctors (over 20 including endocrinologists) repeatedly said I was fine.

In 2002, my “moon-face” and I were at my allergist when he said, “Your face used to be so taunt.” I jumped on that opportunity and explained my symptoms yet again to him, but this time I showed him the purple striae. He stepped out of the room and called his colleague who was an endocrinologist. He described my symptoms over the phone, and my allergist came back in the room and said, “You need to get a cortisol test. I think you may have Cushings.”

Less than two months later, I had my pituitary tumor removed along with most of my pituitary and had to start hormone replacement including cortisol. Fortunately surgery cured my Cushings, and many of my symptoms started to disappear. My acne cleared, purple striae decreased in size and color immediately, I lost 55 pounds in less than 6 months, and I finally slept through the night. But I was still undiagnosed with two other diseases, so my recovery was very difficult and confusing for the doctors. I was in chronic pain and couldn’t digest food. Thirty more doctors later and over 50 medications with no improvement, a diagnosis of gastroparesis and intestinal pseudo-obstruction were given.

Six months ago, I started eating Whole Food Chinese Herbs which rebuilt my health and has allowed my body to regenerate. I stopped over 12 medications in three months including my depression, anxiety, low bp, thyroid, and migraine meds, etc., and all narcotics. More importantly though, it helped my body balance itself, and I don’t’ have to take hormone replacement anymore, not even cortisol. My body used to make about 4-5 on a good day. Now I make 19 all by myself! I was told I’d be on cortisol for the rest of my life, so this is huge for me.

I’m 27 now, back to a size 4, and flourishing both physically and mentally. My goal is to return to work next year, and eventually get married and have kids. These dreams of mine, which were once destroyed by Cushings, have been reborn, and I am now in control of their destinies!

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Code 1083, Winter, 2005
This letter is written not only to tell my 'Cushing's' story but to officially thank Louise Pace for organizing the Cushing's Foundation to provide support and promote awareness of this very dreadful disease and for helping me in particular by guiding me to the proper treatment that saved my life. My tale only adds credibility to the need for urgency to make the public knowledgeable early on of the symptoms that could save a victim years of agony trying to find a diagnosis and for the medical world to be more ambitious in recognizing these symptoms so treatments and cures could be facilitated and lives saved. Until I was 48, I was super healthy, athletic, hard-working and ambitious. I was a single mother, raising two teenagers, working full time and staying in top physical shape playing tennis, jogging and exercising daily. Then little by little things started falling apart, starting with a stress fracture of my ankle in about 1992. Then I started getting un-healing wounds that turned into ulcers, my skin ripped off like an onion, and I noted the appearance of facial hair. A few more doctors later and still no one made a diagnosis and quickly referred me on to other specialists…to no avail. Obviously I knew something was wrong and I started getting quite frustrated that no one could figure out the problem. By the time I was making a move from New Jersey to New Mexico in 1999, I noticed I was losing my muscle strength and was having trouble lifting boxes and climbing stairs. Then after a year in New Mexico I was in really bad shape and was told by several doctors that I better get back east where supposedly there was better medical care. At this point my arms and legs were pencil thin and covered with bleeding ulcers, my weight had shifted to my belly, my face was getting distorted and roundish, my cheeks reddened with broken vessels like a severe sunburn, and my internal thermostat was screwed up - I would be cold in a hot room and visa versa. Unfortunately just coming back east didn't solve my problems and I went bouncing around to several more doctors before one finally thought of Cushing's and recommended the urine tests that showed my cortisol was almost 800. Then more time was wasted because the radiologist failed to see the 7mm pituitary tumor on the first brain MRI and spent 8 months looking for an ectopic tumor. Finally my third endocrinologist saw the very evident tumor but for some reason wasn't convinced that it was the culprit and wanted to remove my adrenals to stop the cortisol production even through the adrenals had no tumors. At this stage of my disease I had high blood pressure, was losing my memory and sensibility in general, was easily confused, could not understand instructions, was disoriented in time and space, and my speech was getting jumbled. It seemed my mind and body were always revved up in fast drive and I truly felt like I was ready to explode. But somehow I had the presence of mind to question this doctor's advice to remove my adrenals and this is when Louise Pace stepped in to tell me to get yet another opinion. Fortunately through the Internet I found that the National Institute of Health in Bethesda was doing research on the testing for pituitary Cushing's and I was accepted into their program at the eleventh hour. Dr. Lynette Nieman at the NIH confirmed the pituitary tumor and Dr. Oldfield removed it in January 2002. I wish I could say that was the end of my problems. Besides being on the hydrocortisone for 19 months with at least 4 months of agony weaning off the medication, I am now trying to put together the pieces from the damage done by the high cortisol. It literally ate my bones away and left me with a deteriorated ankle which was fused in December 2002, several collapsed cervical vertebrae which were fused in November 2003, two hip fractures that leave me walking with a cane, and such a severe collapsed scoliosis of my spine that I lost 3"in height and at this point don't know if surgery will even help the pain and deformity. Humpty Dumpty was in better shape than me. But despite the years lost to Cushing's and the permanent damage I am suffering, and the fact that I will probably never be able to work again, I can still say I am so thankful to be here to tell my story. I certainly have had to make adjustments to my lifestyle but at least I have that life to adjust. It's bad enough having Cushing's but no one should have to waste years of their life going to 30 doctors to find their cure. More people like Louise Pace and those at the Cushing's Foundation deserve everyone's support in their efforts to change the situation. I hope my story helps in that endeavor. Also, I would appreciate hearing from anyone who had similar bone problems, in particular if anyone could share their results of a lumbar fusion, which I am considering.

Code: 1197 Spring 2005
I remember one afternoon my son came home from his first day of first grade and said to me….”Mommy, what does “chubby” mean? Immediately, my heart sunk…already at the age of six my son was learning the cruel reality of how society views overweight individuals, even young children.

At the age of six, my son was already showing obvious With Cushing'sAfter surgerysigns of the classic look of a Cushing’s patient, although I had never heard of the disease before. In his kindergarten year, and every year after, his weight gain increased by approximately 30 pounds per year, despite the fact he was playing basketball, baseball, and skateboarding. I watched his weight like any other concerned mother would do, and tried to manage it on my own. Soon, it was apparent that something was very wrong with my child, however I couldn’t really pinpoint what it was.

He was complaining of headaches, and also he was extremely stiff every morning. He would complain of his joints aching, and he reminded me of a little old man first waking out of bed. I went to our local pediatrician, and he looked at Stephen, and was concerned with the weight gain. He referred Stephen to a specialist, and in turn began the unending circle of numerous doctor and hospital visits. The endless poking and prodding by doctor after doctor for over two years was incredibly disheartening. I had noticed that Stephen’s height had not changed during this two year period, and I kept telling the doctors over and over my concerns. Several doctors told Stephen, that he ate too much, and they accused me of over feeding him, and sneaking food to him. They referred me to several nutritionists, and even suggested that Stephen have a personal trainer to get the weight under control. Several comments were made over the course of the two years that Stephen may have Cushing’s, but all the doctors rejected that thought, and said that since Stephen was a male and a child, that it would be extremely rare. The doctors had ordered urine free cortisols, dex tests, and several blood analysis tests, only to tell me that the likely hood of Stephen having Cushing’s was so rare that all completely dismissed it.

With the help of the Cushing’s Support and Research Foundation they were kind enough to connect me with a family in Australia who had a boy recently diagnosed with Cushing’s. I immediately contacted them, and instantly realized I was not alone, and that the mother had gone through the exact same stress of fighting to manage her son’s health care as I had. With the constant support from this incredible family, I found the strength to not give up and keep fighting for the answers to my son’s illness. CSRF also referred me to the brain tumor center at San Francisco University, and finally the correct 3d MRI’s were ordered which proved a tumor on the left side of Stephen’s pituitary gland. They informed me to contact the National Institutes of Health, and speak with Dr. Chorusus. Within a month of contacting the NIH Stephen and I were on a plane to Maryland, and soon after the correct diagnosis was confirmed. “Cushing’s Disease”. Stephen in fact did have an ACTH producing tumor on his pituitary gland. Stephen spent almost a month at the NIH, and under went transsphenoidal surgery in September of 2000. Although he was quite ill for several months afterward, and remained on replacement therapy for almost two years, he beat the odds of having this terrible disease. Stephen is now almost 6 ft tall, and is a happy healthy 13 year old, who enjoys life, and has learned the gift of compassion from his experiences of fighting this disease.

I truly believe without the help of the CSRF and the Aulbury family in Australia my son would not be here today. My undying gratitude goes out to the National Institutes of Health and their incredible staff of Dr. Chorusus, Dr. Stratakis, Meg Keil, and the superb nursing staff, whom saved Stephen’s life.

For anyone out there who is experiencing the pain of fighting for your loved ones health, don’t give up! The answers are out there, and there are people who are placed in our lives to guide us through. If there are any mothers who would like to contact me for support please feel free to!

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Code: 1175 Spring 2005
When I look back on things, I first noticed a problem with weight gain in the winter of 2000. I continued gaining and began filling out more in my face and middle through that summer and into winter 2001. During that time I also started having sleepless nights regularly. My family doctor tried lots of sleeping pills until I got tired of that and gave up. I was feeling very bad with the extra weight, so since I was up at 2 a.m. every morning, I had the time to exercise. I was exercising and eating very healthy. If I hadn’t had Cushing’s, I could have been on the cover of Men’s Health and Fitness (maybe!). My family also had the cleanest house on the block and we were getting packages from Ebay weekly (there wasn’t much more I could do between 2 & 7 a.m.). I thought this was normal for a long time. In the summer of 2002 I got an anal fissure. A simple surgery should have fixed this, but I had three and was out for the whole summer due to the slow healing. I was back to exercise and diet by winter 2002-2003, and even managed to lose a little weight (5-10 lbs that would have been 40 for a normal person!)

In June 2003 my wife and I went to Cedar Point amusement park and my ribs hurt after the first day, but I kept going. After the trip I tried moving heavy shelves at work and that sent me doubled over to the floor. Things only got worse from here. I was very over weight and in the matter of months I got the hump on my neck, stretch marks allover my belly, armpits and chest. We had been to many doctors who sent us to other doctors. I was still not sleeping well and things were getting worse. I would get up in the middle of the night in so much pain that my wife would take me to the emergency room. We would have to call someone to come and sit with our kids and off we’d go. This happened at least four times. They would run tests, tell me to lose weight and give me a shot of painkiller and we’d go home. At one of the ER visits they did a chest X-ray and thought I had been in an accident because I had 13 broken ribs. This sent us to another doctor who thought I could have bone cancer. I was very depressed by now and weighed about 245 lbs compared to my normal 175 lbs. I quit smoking in November 2003 since I got winded just walking to another room and my chest hurt constantly.

In Dec. 2003 my family Dr. finally set up an appointment at the I.U. Medical Center. Dr. Melissa Cavaghan (best Dr. in the whole world!) recognized the symptoms of Cushing’s the first time she saw and talked to me on Jan. 14, 2004. This was followed by all the tests; blood tests, MRI’s, urine collections and saliva collections until they could get the answers they needed. They finally did and I had my pituitary surgery March 1, 2004. I was so happy with my endocrinologist that I stuck with her even through we were 2 hours away. The first few months after surgery I was worse. I was depressed, afraid to see anyone, still in pain and cried constantly. I still had ER visits after surgery. Twice for terrible depression and then for seizure-like episodes that were caused by too many medicine changes. We soon learned to only change one thing at a time. I was fortunate enough to work for my family and took a lot of time off. I could not have done this without my wonderful wife, great family, good friends and most of all, Jesus Christ. Everything that’s happened to me has brought me closer to the Lord, closer to my wife and closer to my kids who are now the ages nine, five, and three. I hope that God can use my testimony somehow to help someone. This experience has changed my life for the better and I am thankful for it. There is a light at the end of the tunnel and that light shines from our savior Jesus Christ. Please don’t give up! When you don’t think you can do it, take out your Bible and read through the Psalms. Pray and give thanks to God that you’re alive. I am still taking 25mg of Cortef, Effexor and Clonazepan. But, I’m so thankful I’m here to be writing this the week of March 1st—one year after surgery!!

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Code 2014: Spring 2005
Here is a brief history of my dealings with Cushing’s so far:

  • Beginning of Symptoms June 1997
  • Diagnosed with Pituitary Microadenoma Oct. 1999
  • Transsphenoidal Hypophysectomy April 2000
  • Stereotactic Radiosurgery (Gamma Knife) Dec. 2001
  • Recurrence of Symptoms June 2003
  • Bilateral Laparoscopic Adrenalectomy Jan. 2005

I weighed about 100 lbs. up until I was 20 (1997), when I started showing symptoms of Cushing’s (typical weight gain, moon face, striae, excess facial and body hair). A year later, I had put on probably 25 lbs. By 1999, I was very heavy, and had noticed that I got tired more easily and quickly, and that my muscles (especially legs) got tired and hurt after much walking or activity. My dermatologist suggested I get checked for Cushing’s. Several doctors, lots of blood work and two MRIs later, the neurosurgeon told me that there was a tumor on my pituitary gland. At 168 lbs., the transsphenoidal hypophysectomy to remove the tumor, a microadenoma, was done. They told me the surgery went perfectly, that the tumor was on the outside and basically fell right off. I developed what they labeled anesthesia-induced hepatitis after the surgery and then adrenal insufficiency because I had not been put on any replacement medications. After 6 hours in the hospital with an IV, and then being put on hydrocortisone, things evened out.

After almost a year, almost off the hydrocortisone, I began to feel that symptoms were returning, mainly weight gain, and I just felt the same as I had before. My neurosurgeon said it was probably because my metabolism just wasn’t what it used to be (at 22), and/or it was the steroids. Upon my insistence that something was wrong, they finally did another MRI, showing a recurrence of the tumor. Since I had already had the transsphenoidal surgery, we decided to do the stereotactic radiosurgery (which I just recently found out is the same thing as Gamma Knife), which again seemed to work for about a year and a half. I dropped to 120-125 lbs. again, felt better, and then summer of 2003, I started putting weight back on again, etc. I went to a new endocrinologist with my concerns, and since my UFC levels were normal, he blamed my symptoms on depression. It wasn’t until December of that year when my cortisol levels went up that he thought a recurrence of the Cushing’s was possible. In February of 2004, my levels were 306 (normal 5-50). He referred me to an endocrinologist in St. Louis at Barnes-Jewish Hospital, who then referred me to one of their neurosurgeons. After a 1 ½ year battle with my local hospital, I finally got the adrenalectomy approved by the endo in St. Louis, had the procedure done and am now recovering. My mood and mental state are much better, and my strength and energy are returning slowly. I ended up taking a 6 month leave of absence from my job as a school secretary because the Cushing’s had gotten so severe, but the school district would not honor my request to return to work half-time temporarily, so I have resigned from my position there, and am now figuring out what I’m going to do from here. If anyone would like to contact me, please do so!

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Code 1190, Winter, 2005
My story seems to be much like that of many others that are suffering from Cushing's disease. Since the early 90's, it appeared that my health was declining. I gained 100+ pounds and no matter what I did, I could not get rid of it. I also had extremely high blood pressure, which caused me to have horrible headaches, and suffered from muscle and bone weakness. Every doctor I went to informed me that my problem was because I was overweight, and I believed them. I started to believe that I was just supposed to be overweight and nothing I could do would change that. Prior to my diagnosis, I had the typical Cushing's symptoms; always tired, bones and muscles ached all the time, could not sleep at night, my body became distorted, broke a bone in my foot, lost most of my hair on my head, bruised easily, periods ceased, diagnosed with Diabetes, my face and body had acne all over, severe depression and I overall just felt lousy. I was on about 20 medications a day and I am not going to lie, there were several times I wished I could just die.

I finally got diagnosed in February 2003, but the pain and suffering did not immediately stop. It took several tests (my favorite being the urine collection) and several doctors to finally figure out that I had a tumor on my pituitary gland. I was referred to University of Virginia and there I met Dr. Vance and Dr. Laws, which changed my life forever. They immediately saw the tumor on the MRI I had done in March! I went through the Inferior Petrosal Sinus Sampling procedure (which was not very pleasant) for confirmation that it stemmed from my pituitary gland. The following day I was asked to come back in 4 days to have my pituitary gland operated on. I was so relieved that someone finally understood what I was going through. I went in for my operation on a Monday and after staying in the hospital for 2 days, Dr. Laws informed me that they needed to go back in to see if any tumor remained because my cortisol level was still too high. So, I went back under the knife. Let's just say the post op was not fun at all. I felt as if I was on the verge of death. I went home 2 days later with only 20% of my pituitary gland left. I have been back to UVA 3 more times for follow up. As of June 2004, I was found to be in good health! I am now only taking 1 blood pressure medication and all symptoms seem to have gotten better. I have not felt this good for years! If anyone wants to contact me, I am here for them - anytime day or night. This is a tough challenge for anyone to go through and I honestly feel that only the ones that go through this know what it feels like. There is not a day that goes by that I am not afraid it may come back. However, knowing that there are people out there who are part of this foundation has made me comfortable to know that I am not alone.

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Code: 2005, Winter, 2005
I'm not quite sure when this all really started. I remember being a junior in college (1999-2000) surviving dorm food, moving to an apartment and eating healthier foods, yet I was gaining weight. Weight has been a sore spot with me because I had been a gymnast for as long as I can remember and especially upsetting since I was majoring in exercise physiology. But no matter how hard I tried, I had trouble just maintaining a steady weight let alone losing the weight. Not eating was not an option because I got migraines whenever I missed a meal by more than 1-2 hrs. So I just went on with life struggling with the guilt of the weight gain but not really acknowledging it and buying bigger clothes. The next few years were a blur, I completed my internship in physical therapy, graduated from college, got engaged, and all the while moving every 4-6 months. The engagement was a very stressful 2 years, my fiancé's family was very excited while my family was very upset. As you can imagine this was a constant source of stress added on top of traveling to judge gymnastics meets, to see my fiancé, starting a new job in a new town, rolling the first new vehicle I had ever owned, and spending my first Christmas away from my family. I had much more than I could handle. So when I started feeling more and more fatigued every day I thought it was expected given the situation. I would increase my water intake and go to the gym 2-3 times a week, no matter how tired I was because exercise should give you energy. It never really helped.

This is when I started noticing other things that just didn't seem quite right; getting heart burn every time I ate chocolate (for a chocolate lover this is really not good!), drinking more and more water, getting up in the middle of the night to urinate, oily skin (I stumped my Mary Kay lady), trouble sleeping, plus I noticed that when I laid on my side my stomach rested on the bed. From here things just got worse. The weight gain continued and I started forgetting little things. I chalked it up to being tired and started compensating by writing everything down. It wasn't until I made an appointment with a new doctor that I started to believe that something was really wrong. My blood pressure that day was 160/100!! I saw several more doctors and had several more tests with conflicting results. Meanwhile I started noticing that I couldn't pay attention, remember things, and conversations were getting more and more difficult. I thought I was going nuts! It took everything I had to go to work (5 min away) in the morning, take a nap at lunch, work all afternoon and make it home safely at night. Luckily, my nurses got me an appointment with a doctor and knowing I would be tired I wrote down everything that was bothering me about my health condition, covering a piece of paper front and back. He thought I had poly-cystic ovaries and ordered a list of labs 9 miles long and a 24 hour urine on the outside chance that I had something he'd only heard about in medical school. Several hormones came back way high and contradicting to each other. The doctor asked me to get one more blood test because my cortisol levels were 7 times higher than they should ever be and needed to see where the problem was originating. I was excited because finally, we were on the way to figuring out what was wrong. My ACTH was extremely high and he ordered a brain MRI that showed my tumor that was a 1.1x 1.2 x 0.9 cm mass growing on the left side of my pituitary gland. I cried as my now husband and I left the doctor's office that day, not because I was scared of what was ahead of us but in relief that someone had finally listened to me and had figured out what was wrong!

From there everything snowballed with our families getting involved, us trying to find a doctor that could help, trying to figure out how we were going to afford the surgery, and getting enough time off work. We began a mad search for information. That is where I first found your web site. The stories I read were so close to home that I cried. I wasn't alone. My family was very understanding and helpful (especially my husband!!) and we found a doctor in Salt Lake City, Utah who could help us. Less than 2 months after being diagnosed, (which felt like an eternity!) I went in for transsphenoidal surgery. It's been a little over a year now since that surgery and life has greatly improved. I can eat again, hold conversations, can drive without being afraid, and I am losing weight. The mood swings are irritating and the nausea for days on end are annoying to say the least, I still weigh more than I should, and I am still tired but, I am back doing pretty much everything I did before. I'm still on steroid replacements due to a couple of sinus infections that irritated my asthma, once forcing me to the emergency room. I'll admit I am afraid of the tumor growing back and I am still very tired but I don't let that stop me from working, coaching, judging, and enjoying my life. On my sad days or when I feel like I'm never going to get better it helps to go back to your web site and read through other people's stories and suggestions. Thank you for posting these wonderful stories so that no matter what part of the world you are in you can find comfort in knowing that you are not alone.

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Code 1083, Winter, 2005
This letter is written not only to tell my 'Cushing's' story but to officially thank Louise Pace for organizing the Cushing's Foundation to provide support and promote awareness of this very dreadful disease and for helping me in particular by guiding me to the proper treatment that saved my life. My tale only adds credibility to the need for urgency to make the public knowledgeable early on of the symptoms that could save a victim years of agony trying to find a diagnosis and for the medical world to be more ambitious in recognizing these symptoms so treatments and cures could be facilitated and lives saved.

Until I was 48, I was super healthy, athletic, hard-working and ambitious. I was a single mother, raising two teenagers, working full time and staying in top physical shape playing tennis, jogging and exercising daily. Then little by little things started falling apart, starting with a stress fracture of my ankle in about 1992. Then I started getting un-healing wounds that turned into ulcers, my skin ripped off like an onion, and I noted the appearance of facial hair. A few more doctors later and still no one made a diagnosis and quickly referred me on to other specialists…to no avail. Obviously I knew something was wrong and I started getting quite frustrated that no one could figure out the problem. By the time I was making a move from New Jersey to New Mexico in 1999, I noticed I was losing my muscle strength and was having trouble lifting boxes and climbing stairs. Then after a year in New Mexico I was in really bad shape and was told by several doctors that I better get back east where supposedly there was better medical care. At this point my arms and legs were pencil thin and covered with bleeding ulcers, my weight had shifted to my belly, my face was getting distorted and roundish, my cheeks reddened with broken vessels like a severe sunburn, and my internal thermostat was screwed up - I would be cold in a hot room and visa versa. Unfortunately just coming back east didn't solve my problems and I went bouncing around to several more doctors before one finally thought of Cushing's and recommended the urine tests that showed my cortisol was almost 800. Then more time was wasted because the radiologist failed to see the 7mm pituitary tumor on the first brain MRI and spent 8 months looking for an ectopic tumor. Finally my third endocrinologist saw the very evident tumor but for some reason wasn't convinced that it was the culprit and wanted to remove my adrenals to stop the cortisol production even through the adrenals had no tumors. At this stage of my disease I had high blood pressure, was losing my memory and sensibility in general, was easily confused, could not understand instructions, was disoriented in time and space, and my speech was getting jumbled. It seemed my mind and body were always revved up in fast drive and I truly felt like I was ready to explode. But somehow I had the presence of mind to question this doctor's advice to remove my adrenals and this is when Louise Pace stepped in to tell me to get yet another opinion. Fortunately through the Internet I found that the National Institute of Health in Bethesda was doing research on the testing for pituitary Cushing's and I was accepted into their program at the eleventh hour.

Dr. Lynette Nieman at the NIH confirmed the pituitary tumor and Dr. Oldfield removed it in January 2002. I wish I could say that was the end of my problems. Besides being on the hydrocortisone for 19 months with at least 4 months of agony weaning off the medication, I am now trying to put together the pieces from the damage done by the high cortisol. It literally ate my bones away and left me with a deteriorated ankle which was fused in December 2002, several collapsed cervical vertebrae which were fused in November 2003, two hip fractures that leave me walking with a cane, and such a severe collapsed scoliosis of my spine that I lost 3"in height and at this point don't know if surgery will even help the pain and deformity. Humpty Dumpty was in better shape than me. But despite the years lost to Cushing's and the permanent damage I am suffering, and the fact that I will probably never be able to work again, I can still say I am so thankful to be here to tell my story. I certainly have had to make adjustments to my lifestyle but at least I have that life to adjust. It's bad enough having Cushing's but no one should have to waste years of their life going to 30 doctors to find their cure. More people like Louise Pace and those at the Cushing's Foundation deserve everyone's support in their efforts to change the situation. I hope my story helps in that endeavor. Also, I would appreciate hearing from anyone who had similar bone problems, in particular if anyone could share their results of a lumbar fusion, which I am considering.

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Code: 253 Fall 2004
Hi, my name is Joanne and I just had to write a letter about my recent experience with growth hormone. About 4 months ago, I saw my Endocrinologist and he asked me if anyone has ever tested me for growth hormone deficiencies. I told him no, so he started testing me and found that I was not producing any growth hormone at all. He told me the normal levels for an adult was 81 to 225 and mine was below 25.

Well, I am now on the growth hormone and have been taking it for about 3 months. It is an injection that I have to give myself everyday. I can already see results! My level has already gone up to 91, I am losing weight, my cholesterol level has gone down and my level of heart disease has gone down. I also have more energy. I did experience all of the side effects; swelling of the ankles (the first month), now I have a little joint pain, which the doctor says will go away when my body gets used to it.
I was diagnosed with Cushing's in 1977 when I was 30, now I am 57 and have been on all kinds of replacements ever since. With this new hormone that I am receiving, I am beginning to feel like a new person!! I just thought that I would let you know that for me, it really does work! I'd be happy to talk to anyone who is thinking of trying it.

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Code: 1151 Fall 2004
My story is very much like that of so many of you. I'm a 56-year-old wife, mother, and grandmother. I work in a public school and tell students that their stories must have a beginning, middle, and end. Well, I'm not sure where my story begins or will end. I had been blessed by being a very healthy person and don't run to the doctor for just any little thing, but these past few years I have gone for many things; shingles, bruising easily, fungus infection, tremors, heart catheterization, just not at the same time. I had trouble sleeping and a terrible intolerance to heat. I thought this must be what the change of life is like.

In June 2002, I knew something was terribly wrong. I was having tremors to the point I couldn't hold my hands still. I went to the doctor with a list of my symptoms: higher blood pressure, heart palpitations, trembling, feeling of nausea, headaches, nervousness, loss of appetite, muscle spasms (arms and legs jerking), sleeplessness, tingling and numbness in my legs, feet, toes, and fingers, and facial hair. My doctor

thought I had a thyroid problem and sent me for tests, which came back high -Hyperthyroidism. The endocrinologist concurred. I'll not go into all I went through that terrible summer. The endocrinologist had me back for repeated visits and tests. I was gaining weight (like crazy) and when I asked why, he gestured a spoon to mouth movement (that hurt, for I knew I wasn't overeating). In the meantime, I went to my chiropractor who I hadn't seen in months and he asked if I was taking steroids. He said that I looked just like someone on steroids. I told my endocrinologist this and honestly, it was like a light bulb turned on (it clicked). He went over to a desk and wrote (not speaking to me) for ten minutes, I managed to make out Cushing's on the paperwork he had given me.

I came home, got on the net, and that is how I found the Cushing's Support and Research Foundation. You've taught me almost everything I know about Cushing's. I thank the Lord for this foundation. I did have Cushing's and went to the University of Michigan (UM), and had my first surgery on October 20, 2003 (my eldest daughter's 36th birthday, which she spent with her father in the waiting room). I had bone where you should have an air pocket in the pituitary and when they drilled into it, I lost two units of blood so they had to exit. You know something is wrong when your neurosurgeon comes to your bedside after surgery and pats you on the shoulder as he says, "You were a challenge!"

I cried into my hospital pillow most of the night. Being a Christian, I had asked the Lord to let me have a Christian nurse. Well, almost all my nurses were Christians. (Talk about Angels of Mercy!) (I now tell all my friends that you do want to be an airhead not a bonehead. One of my friends gave me a T-shirt with BONEHEAD printed on the front. A good sense of humor along with faith, family, and friends can get you through.) I was sent home to rest and build-up for my second surgery on November 24th. Part of my pituitary was removed this time. I came home Thanksgiving Day and was more thankful than ever for all my blessings.

My story is ongoing, with visits to UM. I take two 10mg tablets of Cortef each day for now. It is amazing that you need to give your body the same thing that caused such a rage in you. If I were to tell you The Good, The Bad, and The Ugly of "Cushing's", you could all relate to The Bad, like in my story, and the Ugly, we all know, for it's when you look into the mirror and the reflection looking back isn't anyone you know. The Good is what I've learned and who I now am. I've learned the power of prayer and that life's difficulties don't have to have us pinned to the mat. I've learned the perspective of attitude. Attitude comes from your personal walk with the Lord. I find joy in each new day He gives me. I quit playing the "Why" game a long time ago and I am just thankful that I'm walking and talking and able to do the things I do. Each day is a gift! This newsletter has been a blessing to me. We need each other. I hope I can help others as you have helped me.

In His love!

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Code: 1158 June 2004
My name is Pat. I had a Pituitary Tumor (Cushing's Disease) removed 12/17/04, (Macro 1.4 cm or 14mm size) by Dr. Kelly at UCLA. This has been a long journey for me. In 1990 I was diagnosed with Chronic Fatigue and Immune Dysfunction Syndrome (CFIDS), Fibromyalgia, and Environmental Illness/Multiple Chemical Sensitivities. I was a Needs Assessment and Referral Counselor at Charter Hospital. I than went to work for Brotman Hospital as a Drug and Alcohol Counselor, with their day treatment program for Chronic Mentally Ill Substance Abusers, but by 1992 I was so ill I went on disability. I could not read or write for over a year, so sick. I started a support group, www.montagestudio.com/cefca, and phone hotline in 1993, to give myself a reason to live. I had such cognition difficulties and fatigue, to name a few symptoms, that I don't honestly know how I achieved this!

In 1994 I thought I was in remission, little more functional and decreased Fibromyalgia pain; yet, I also went through premature menopause at that time, age 35 (I am 45 now), which I now found out was the cause and beginning of a Pituitary Tumor/Cushing's Disease! I was single and I had no children. My doctor figured this is when the tumor developed/high cortisol, to compensate for my crashed adrenals (HPA Dysfunction common to CFIDS Patients).

I tried so hard to lose the weight all those years, and the past few years people were always asking me when I was "due" for my stomach was so distended. In addition, I was anxious and depressed, experienced nausea most of the time, facial hair, moon face, hump/fat pads, and many of the other Cushing's effects. The Rheumatologist just attributed this all to getting older and osteoporosis (which I had a severe case by this time due to Cushing's - little did I know!). No one picked up on the Tumor situation until last October, 2003. I had other health problems, especially mold injury (from water damage in my home) and had to leave with basically the clothes on my back in August. My life was upside down. I was stressed and went to see a chiropractor to ease my tight neck. I knew something was wrong when the x-rays showed fat pads not bone as my old Rheumatologist had claimed.

By October 2003 a New doctor (been to so many through these years trying so many things to get well) wanted me to have an MRI done when I showed him my x-rays and told him of my concerns. I was not willing to give up and attribute it to old age! He stated he thought I had Cushing's disease and wanted to test me. The tumor was clearly seen on the scans, and Cushing's Disease confirmed. I had gained 40 pounds by this time, and looked totally different, as you can imagine.

After I was diagnosed, I went to many healers, tried holistic things, which didn't heal me, but got me in good shape for surgery a year later. Thank God it was a slow growing tumor, because it was close to my eyes and sinuses, and waiting any longer would have been detrimental to my health. I had surgery performed December 17, 2003, at UCLA with Dr. Kelly. He has been very kind and patient with me while I tried alternative treatment, knowing surgery would be eminent.

As for my hospital experience, 2x's I had adrenal insufficiency and was terrified. I had no idea what to expect, fainting on the floor, staff all around me when I woke up, going in and out of consciousness, frightened I would go to sleep and never wake up, wanting to throw up all the time, could not walk, dependent on oxygen mask (trouble breathing) and I.V., using a bed pan, and had a longer stay than anticipated. Plus, hurting from stitches on my stomach, and was told was used for fat during surgery; had cerebral brain fluid leakage and titanium mesh was placed in my head. Little did I know that was only the beginning. I did not understand the post-op situation (cortisol withdrawal symptoms, medication side effects, emergency bracelet, light headedness, to name a few).

I am struggling with continual weakness, edema, painful/swollen hands and body. I am a wreck since surgery, going from depression to anxiety, hormones bouncing off the walls. hot flashes, cognition problems, incontinence (cortisol weakens muscles including the bladder), and sometimes crippled to the point I can't even stand to brush my teeth. Now, ailments are popping up as the high cortisol decreases in my body. I have a fatty liver and gallbladder disease (cortisol can do this), Rheumatoid Arthritis (Cortisol can do this - break down the muscles and joints), heart irregularities, to name a few. Cortosol can cause so much damage, and I feel like I am left in pieces all over the floor, running from doctor to doctor to patch me up.

I have only lost 5 pounds but my mustache is gone, which is good news. Plus, my osteoporosis has gotten better and is now osteopenia status; in such a short amount of time. Taking out that tumor saved my life! So, I have been looking for answers and finally found you all! I am not alone! It is ONE DAY AT A TIME now, and I am looking forward to better days ahead.

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Code: 1161 I am the luckiest man alive. I'm writing this letter after almost losing my life. Cushing's has changed me as a person. My life will never be the same. I had Cushing's for 8 years before I was diagnosed. I knew there was something wrong, but my GP said I wasn't taking care of myself. Not exercising enough or eating right. The first part of my body that was affected was my eye site. I am one of the few who have lost site from Cushing's. I was ill all the time, cold's, flu, anything in the air, I would catch it. I put on 50 lbs. In my face and abdomen. My blood pressure was 145 over 110.

Finally, I could not walk and went to an old doctor I knew. He is an orthopedic surgeon. He took x-rays and found I had multiple fractures throughout my legs. He then sent me to a rheumatologist, where I was diagnosed. After dozens of doctors - finally! I had a pituitary tumor. But the damage was already done - I have loss of site in my left eye, Avascular Necrosis, Osteoporosis, Osteoarthritis and have had 5 major surgeries (left hip replacement, left wrist, tumor surgery and 2 left foot surgeries). I am still on many medications but have my life back after 3 years of not knowing what my future would be. I am back to work, in the gym and love to play golf! I hope I can help support or give someone hope. Thanks for the opportunity to tell my story.

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Code: 984 I developed Cushing's at the age of twelve and was not diagnosed until almost fifteen. A relative I had not seen in quite some time noticed I was rather obese and had poor growth in height. Since my physical changes had occurred so gradually, my immediate family had not realized the outward appearance had been altered.

In order to determine if I actually had Cushing's Syndrome, many blood and urine tests were performed - blood tests were done on a regular schedule for one week (I was hospitalized during that time) and urine tests were done daily. Due to the time involved in testing, I missed a significant amount of school. After almost a year of thorough physical examinations, hospital stays, and many tests, the endocrinologist from All Children's Hospital (St. Petersburg, FL) diagnosed me with Cushing's Syndrome.

Once it was determined I had Cushing's, the decision for me to undergo surgery was made almost immediately. However, it is worth noting here that when I underwent surgery, the doctors did not find a tumor; so they just cleaned the area very well. After surgery, I remained in the hospital for a week and then went home where I recovered nicely. Once home from this ordeal, the worst finally behind me, my mother and I were still in contact with the doctors and there were trips to the hospital for continual blood and urine testing (for follow-up); this eventually tapered off. The post-surgery medications also decreased gradually. I followed-up with the endocrinologist annually and always received a clean bill of health. Even after I turned eighteen, it was recommended I continue to follow-up annually with an endocrinologist, which I have not followed through with - to this day, at age 33, I believe I remain sign and symptom free of Cushing's.

Previous to this diagnosis and even for a while after, I had a very difficult time attending school because of the open ridicule I faced from my peers and even a teacher, all because of my physical appearance. I learned to deal with my condition and the fears associated with it by listening to my doctors and by accepting the fact that I had to have surgery to get better. I was also pretty open and honest with my family about my feelings. I had a lot of support from my family and that helped me tremendously in dealing with my low self-esteem. It was very difficult for my mom to watch me struggle with this condition and to watch me endure all the tests and examinations. There were times away from me, when I know she would break down and cry, but in front of me, she was always my pillar of strength and support. I also know that my mom had the support of her parents who were always there to help with anything that was needed. I also believe that my faith in God sustained me through the Cushing's experience and that my faith continues to be a source of strength in my life today.

After Cushing's, I came out of my shell, so to speak. I went on to college, received my Master's degree in Social Work in April of 2000 and have been in the field for approximately 4 years. I would very much like to help any one struggling with this disorder, particularly families who are dealing with the illness of a child. Please feel free to contact me.

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Code: 716 1996.
Age 46. Married. One daughter in 5th grade, another in 10th. Working in a high stress job 4 ½ days a week. Busy all the time. I started gaining weight and would eat dinner then head for a box of crackers even though I was already full. My face and neck started breaking out. I started having to get up at 3:00 am to go to the bathroom. My face got red and puffy, my arms and legs got skinny. My blood pressure went up, and my sex drive went down. None of my clothes fit. I thought I was in menopause, but tests said no. I thought I had rosacea, but the dermatologist said no. I finally went to a new family doctor with a typewritten page long of symptoms, and he immediately sent me for tests for Cushings….He said he could retire now because he had successfully diagnosed a case of Cushings! The next few months brought a whirlwind of tests, doctors visits, and finally a transphenoidal operation in a local hospital. I foolishly went on blind faith in the doctors, ignoring Louise Pace's plea to go to a doctor in another city who was more experienced in pituitary surgery. I didn't want to leave my family, and I didn't want to question my doctors. Well, I thought my surgery in April of 1997 was a success..the doctor told me he had removed the tumor, I was back to work in 8 weeks, I lost all the weight I had gained (about 25 lb.) and life was good again-until a year later when I went to donate blood and was told my blood pressure was too high. I was also waking up again at 3:00 am again to go to the bathroom., so off I went to the endo for more 24 hour urine collections, and sure enough, the Cushings was back…My endo urged me not to do any research on the Internet, to leave everything to him. This did not set well with me, and when I tried to talk to my neurosurgeon, he would not return any of my phone calls, which I found rather odd. I decided at this point I needed to take matters into my own hands. I talked to Louise, I talked to Kathy Carbone, I talked to the Pituitary Tumor Network Assoc, I met with doctors in New York, but decided in the end, my best chance for recovery was to try to get admitted to the NIH. I went through months of letter writing, sending x-rays, presenting my case, phone calls, emails until I was finally accepted as an "exception"…Persistence was the word here…They do not deal with many repeat transphenoidals. During this period, my weight went up 40 lb., my legs were so weak I couldn't get up from a squat, I could barely climb the stairs at night to go to bed. My brain was in a constant fog. I couldn't make a decision to save my life. I couldn't even decide if a cake was done cooking in the oven. I didn't even trust myself to be driving because I would have to tell myself "green means go, red means stop"…I was shopping for my clothes in the maternity section, I had a mustache, and my hair was thinning. My periods stopped, and I was pretty much a mess. In the meantime, I sent my oldest daughter off to college. During all this time, which was almost year, I started taking meditation classes, therapeutic touch classes, and reading about relaxation therapy. I headed to NIH in April of 1999-I was so impressed with the quality of care in this facility and met people there that I still correspond with. I spent 3 weeks there away from my family, but it gave me time to concentrate in myself and my healing…I brought meditation tapes and music with me, and the meditation practice got me through some very long, scary nights. I had people praying