Tuesday, September 17, 2013

JOURNEY TO DIAGNOSIS-PART TWO (originally posted June 19, 2013)


JUNE 19, 2013 JOURNEY TO DIAGNOSIS PART 2
Posted June 19th, 2013 by Michelle Ghiassi

Blue Shield has denied, and why the second surgery is important. I am almost gave up on this whole process yesterday but the emotional support you have all provided me with your comments to keep fighting and moving forward.
Imagine this was the Journey to the First Surgery. And how exhausted you are reading this. I am now headed to my second surgery. Time is of the essence. You are only half way through my story.
PART TWO:  JOURNEY TO DIAGNOSIS

NEW PRIMARY, A SMALL VICTORY
In 2011, I found the new primary.  I took my organized medical history that was three inches thick.  I explained my history, who I was and what I did for work (an attorney).  The new primary looked at me and said, you are not crazy, clearly there is something going on with you physically, based on your medical history, results, and everything you are telling me.  I did not have to prove myself with her.

This was the beginning of reaching the diagnosis.  I explained I thought I had Cushing’s.  She told me how rare it was. We agreed to continue with testing and monitor symptoms.

MONITORING SYMPTOM AFTER SYMPTOM
One month, my blood sugar went up and down.  I tried to use a dietician from my HMO group, they only have one. I stopped going to her when she said that since I was undiagnosed it was difficult for her to help me and I should come back when I had a diagnosis.  Since I was using the private natural remedy doctor who was helping me loose weight but costing a lot of money, I was trying the HMO process to switch over to save us money.  Once again, the system failed me.
I checked my blood sugar almost 8 times a day for two months.  My primary was puzzled as well. I did not have diabetes but my blood sugar was borderline.  I religiously logged my food and sugar level. I was determined to prove myself to everyone that I was doing everything right. When I was on the treadmill, my blood sugar would just drop.
PARANOIA, ANXIETY, DEPRESSION SET IN
 The next month, my blood pressure would go up and down. I was so paranoid.  In the middle of the night, I used my phone to video my heart monitor that I use when I work out to show my doctor that my heart rate was low and that I was having heart palpitations.  She looked at it and still thought I was normal, not crazy.  Looking back, the paranoia (although founded by physical symptoms), the anxiety, and depression were all RED FLAGS TO CUSHING’S. I was not acting like me.  My doctor told me that I was the person who would know how I was feeling.
 Another month, my iron was low.  My Vitamin D was low and still is to this day.  All signs of Cushing’s.  I had acid reflux, which I never had before.  I went on medication for that too.  Every month there was something new symptom wise.  When you are going through an undiagnosed health situation it is important to log everything.  At one point I thought I was making it all up in my mind. 
COMMENTS THAT HURT
People tell you stuff like, maybe you are a hypochondriac, you are obsessive-compulsive, you need another distraction, you need to diet this way or that way, etc.  This is not helpful.  With this disease, it is nearly impossible to explain all of the symptoms.  Imagine your entire immune and endocrine system being affected whenever the cortisol decides to shoot out of your adrenals. This is why symptoms vary for Cushing’s patients.  This disease slowly debilitates you mentally and physically. You suffer along with the physical symptoms. Not only does it rob you of your physical abilities, you lose friends who do not understand, you loose your job, and you can even loose who you are as a person. You question everything you know about yourself.
CONTINUING TO DIAGNOSIS
 My primary was patient with me this entire time and reassured me it was okay to keep coming in monthly/or every two weeks to log my symptoms until we had a resolution. We noticed I could not loose weight anymore. I was down to 1000 calories a day. Each month I would change my diet.  I went gluten free for three months. I ate high protein low carb. I became vegetarian for two months. 
 I NEVER SHARED ALL OF THIS WITH FRIENDS AND FAMILY. IT WAS EMBARRASSING AND I WAS QUESTIONING MY OWN SELF.
 My natural remedy doctor basically told me it was all in my mind and I needed to try more and stay on the diet.  Once again, I NEVER WENT BACK. Would you?
MY LUCK CHANGED FOR THE BETTER
 My primary and I then got lucky, a rheumatologist was temporarily available in the same office.  He had an appointment right away.  Finally some luck.  I was diagnosed with Fibromyalgia that day and put on medication.  He reviewed my long list of symptoms on my legal pad, did testing and made the diagnosis.  To this day I believe that medication did help some of my symptoms and kept my immune system more calm.
 However, with all of our bad experience with doctors, I contacted Blue Shield and requested a second opinion specialist for my Fibromyalgia diagnosis. I believe that any diagnosis that can change your life so drastically should warrant a second opinion.  I went to that specialist, who confirmed Fibromyalgia as well but brought up CUSHING’S to me. 
 RULING OUT CUSHING'S WITH RHEUMATOLOGIST
The two rheumatologist agreed together to RULE OUT CUSHING’S since it was rare.  But both agreed to think outside the box based on my labwork, there was not something quite right.
2012 TWO YEARS LATER
 In May of 2012, two years later, I was referred to an endocrinologist.  We met him right away he said I believe you may have CUSHING’S.  We tested urine, cortisol levels, had x-rays and MRI done.  CUSHINGS’S WAS CONFIRMED.
 THREE MONTHS LATER, I was scheduled for my first surgery of my life.  BRAIN SURGERY. I was overwhelmed.  A week before surgery, we did obtain a second opinion.  We were told we were in good hands with this surgeon and surgery should be fine and it was our only/best option with CUSHING’S DISEASE.
NEXT POST WILL BE ABOUT SURGERY AND THE DISCOVERY THAT THE TUMOR WAS NOT REMOVED. AFTER READING THIS, YOU CAN TRY TO IMAGINE THE DEVASTATION THIS HAD ON MY MENTAL AND PHYSICAL HEALTH
THANK YOU 
MICHELLE GHIASSI
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