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Medical Therapy for Cushing’s

Medical treatment for Cushing’s has entered a new era due to approval by the FDA of new medicines. In her presentation on medical therapy, Dr. Ioachimescu explained that endocrinologists are still learning where these new medical treatments best fit in treatment options. Dr. Adriana Ioachimescu, Endocrinologist, Emory University, Atlanta, GA The goal in treating Cushing’s patientsContinue Reading

Introduction to Cushing’s and Diagnostic Testing

Dr. Adriana Ioachimescu gave an introduction to Cushing’s and diagnostic testing. She explained that normal cortisol levels are essential to life, but too much cortisol, over a period of time has devastating effects. Dr. Adriana Ioachimescu, Endocrinologist, Emory University, Atlanta, GA CausesDr. Ioachimescu discussed the causes of Cushing’s, including pituitary, adrenal and ectopic tumors, steroid medicationsContinue Reading

Pituitary Surgery for Cushing’s

During the Patient Education Day, Dr. Nelson Oyesiku gave a presentation on pituitary surgery. Dr. Oyesiku pointed out that the pituitary gland, while very important, is very small, just a little over half an inch. This makes the operating area very small and the surgical difficulty is increased because the pituitary is surrounded by manyContinue Reading

Options for Treatment after Unsuccessful Pituitary Surgery and Recurrences

Dr. Ed Oldfield gave a presentation on a patient’s options after a unsuccessful pituitary surgery. A second surgery is a treatment option, but only after review of the diagnostic testing to make sure that the source of Cushing’s is indeed pituitary and that failure was not due to invasion of the tumor into areas that cannotContinue Reading

Cushing’s and Quality of Life

Virtually ALL of the symptoms of Cushing’s affect quality of life. Dr. Vance discussed the results of a quality of life study which used the SF-36 questionnaire. The SF-36 questionnaire is the most common tool used to measure quality of life. This well-validated questionnaire permits comparisons between different diseases and the normal population. The studyContinue Reading