The term “flare-up” is used to describe the sudden onset of aggravated symptoms. Although I’m medicated for Cushing’s disease, I still have significant flare-ups. Often, they’ll happen when I overexert myself, fail to rely on my mobility aids, or overestimate how good I feel. I also have flare-ups during…
Chronically Yours— Noura Costany

Noura Costany (they/them) is a writer from Queens, New York. They were originally diagnosed with cyclical Cushing’s disease in 2020, and their pituitary adenoma recurrence was confirmed in 2022. Noura is hoping the column “Chronically Yours” will help spread the word about cyclical Cushing’s disease, create an online community for those struggling with chronic illnesses, and bring light to inequality that is often overlooked in healthcare systems. You can catch Noura on TikTok and Youtube @chronicallyyours_.
I am nine months postpartum, and while I’ve recovered from the urgent cesarean section and am managing motherhood to the best of my abilities, it has been a wild ride. While the initial postpartum period typically lasts six to eight weeks, full healing can take up to a year.

I love it when kids ask me questions about my Cushing’s disease, because it’s a great chance to educate them. Kids are super curious, especially about my mobility aids and medications. In my experience, children generally understand why older adults or people…
Cushing’s disease significantly affects the menstrual cycle. When people hear that statement, they often think that the disease affects only periods, but it actually alters every part of the menstrual cycle. The first sign of Cushing’s disease for me was a complete loss of my period. One month, I’d…
Cushing’s disease can look different from one person to the next. One may use a wheelchair, while another is in remission. Someone might be on 50 medications, and another person might need only one. Therefore, simply saying I have Cushing’s disease doesn’t really explain how it affects my body.
Despite achieving success, some people experience impostor syndrome — the feeling that they’re not good enough or haven’t earned it. They may feel like a fraud, like they’ve tricked people into believing they’re good at something. For those of us with chronic illness, impostor syndrome may cause us to wonder…
Editor’s note: This story includes discussion of suicide. If you or someone you know needs help, the national suicide and crisis lifeline in the U.S. is available by calling or texting 988. There is also an online chat at 988lifeline.org. Internationally, find a suicide prevention helpline at findahelpline.com.
In 2020, I had transsphenoidal surgery to remove a pituitary microadenoma that was the result of Cushing’s disease. In simpler terms, doctors removed a 4 mm tumor through my nose. Later, due to a recurrence of Cushing’s disease, I had another pituitary tumor. This time, though, I wasn’t a…
Editor’s note: This story includes discussion of suicide. If you or someone you know needs help, the national suicide and crisis lifeline in the U.S. is available by calling or texting 988. There is also an online chat at 988lifeline.org. Internationally, find a suicide prevention…
Cushing’s disease has affected my menstrual cycle since I got sick. I was diagnosed in 2020, but my first symptom occurred in 2018, when I stopped getting my period. Since there are many factors that can cause a missed period, I didn’t know why it was happening at first.
If you haven’t read “Moby-Dick,” you’ve probably at least heard of it. The 19th-century novel by Herman Melville tells the story of a man driven to madness by his pursuit of a giant white sperm whale. Captain Ahab’s quest for vengeance borders on obsession: The whale took his…
I groaned as I woke up in the middle of the night, overwhelmed by a sharp, relentless pain in my wrist. The ache was so intense that tears filled my eyes before I could even process what was happening. I forced myself to leave the warmth of my blanket and…
“What have you eaten lately?” “You’ve lost weight.” “You’ve gained weight.” “When’s the last time you felt that depressed?” “How much urine did you collect?” “Spit into this.” “I need your blood.” “Take off your shirt.” “The marks around your breasts? Let me see.” “Can you explain exactly how you…
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