Invictus
Out of the night that covers me,
Black as the Pit from pole to pole,
I thank whatever Gods may be
for my unconquerable soul.
In the fell clutch of circumstance
I have not winced nor cried aloud.
Under the bludgeonings of chance
My head is bloody, but unbowed.
Beyond this place of wrath and tears
Looms but the horror of the shade,
And yet the menace of the years
Finds, and shall find, me unafraid.
It matters not how strait the gait,
How charged with punishments the scroll.
I am the master of my fate:
I am the captain of my soul.
-William Ernest Henley
I had a break down today. (Sorry Mama.) I've been up for the better part of the last three days and nights, and I need to write. Writing is cathartic for me. Y'all might think I'm crazy after you read what I'm about to say. Well, join the club.
The
Polycystic Ovarian Syndrome diagnosis just didn't sit right with me, so I have been researching like mad and trying to support my initial hypothesis, my gut feeling, that I have
Cushing's. It turns out that
Cushing's also causes elevated testosterone and
DHEA, especially when the tumor is on the
patient's adrenal gland. My upper left kidney has been hurting me for three years now, which is exactly where a
Cushing's adrenal tumor would be. When a patient has a tumor on their adrenal gland, it can cause them to overproduce a certain hormone. The hormone depends on the location of the tumor. I am producing twice as much
DHEA and testosterone as a man does.
Furthermore,
PCOS doesn't cause the thyroid problems I'm having, or the pneumonia, or the Interstitial Cystitis that I was diagnosed with three years ago, but
Cushing's does. In fact, I found out that people with
Cushing's are three times more likely to have Interstitial Cystitis.
I also found out that the test my doctor ordered isn't protocol for a
Cushing's diagnosis, but a 24 hour urinary cortisol test is the standard. I armed myself with this knowledge, printed out numerous pictures that demonstrated my physical changes over the last three years, and presented the evidence to my doctor yesterday. I convinced her to give me the 24 hour urinary cortisol test, which I turned in to the lab this morning. Today I called her office and asked for her to order a cat scan of my left adrenal gland, which she denied, saying it was unnecessary. I assured her that I'll get another doctor to do it, and when that doctor finds that functioning adrenal
adenoma on the left side of my body, I'll fax the findings straight over to her. And when I send that fax, in the "comments" section of the cover sheet, I'll write:
1. Told you so.
2. Thanks for nothing.
3. Start listening to your patients.
I don't care how rare a disease
Cushing's is. When someone presents with the symptoms, and their quality of life is declining rapidly, then by God you should do what you can to help that person. I'm tired of her band aid responses to all of my ailments. She's already got me on Metformin for the Diabetes and now I'm on hormone therapy to lower my testosterone levels. How many medicines was she going to put me on before she cared enough to find the root of the problem? When my 24 hour urinary test results come in middle of next week, I'll get copies of everything and take them over to my
urologist. And if she won't help me, then I'll find a doctor that will. I owe that to myself and my family.