Sarcoidosis - not enough care and attention given to sufferers

Posted , 66 users are following.

Hi, I've only just joined this forum but as a long term sufferer of Chronic Sarcoidosis I thought maybe I could say a few things on the matter. First of all I was shocked to read that one of the forum members had been told by his specialist that night sweats are not a symptom of sacoidosis. Nonsense! night sweats and indeed profuse sweating during the day are symptoms of Sarcoidosis. The lack of support for people suffering from sarcoidosis is dreadful but the truth is that not enough is known about the disease and especially amongst UK doctors. American doctors are more on the ball but then they have the money for research etc in the US. I spend my entire time fighting and arguing with health people, trying to get appropriate treatment for my various symptoms. Luckily I have an excellent respiratory specialist but that is all he is a respiratory specialist so when it comes to all the other problems I have due to sarcoidosis such as skin, eyes and nerves I have to fight to get tests and treatment as either no one believes me or they think it is up to my respiratory specialist to deal with it. He in turn kicks it back to my GP (rightly so) and at the end of the day nothing gets done as no one will take responsibility for the symptoms! It's a ridiculous situation but it boils down to money as all these MRIs and tests are very expensive and neither party wants to foot the bill. The over powering fatigue is dreadful and I can literally fall asleep in mid conversation. Also the depression that comes from constantly feeling unwell and the frustration of fighting for proper care also takes it's toll. The sweating I spoke about earlier, can not only hit at night either as I find that expending a little energy just hoovering a carpet can cause sweat to literally drop off me. At the moment I have severe pain and severe pins and needles in both arms and hands and it has taken me 6 months to finally talk my GP into allowing me to see a neurologist. I will see her tomorrow but my respiratory specialist told me not to hold out too much hope of being believed! So you see even the doctors who understand Sarcoidosis know the taboo within the health sector so what chance do we have? I was originally on high doses of steroids but unfortunately they caused me to have a psychotic break so I had to be taken off them so I am now on an inhaler and mucosal thinner to try to combat the extremely thick, sticky sputum I cough up.In one sense I suppose I am luck as I am already in a wheelchair due to nerve damaged feet (hospital screw up!) but I had to change to an electric wheelchair because with being so breathless and having nerve problems in both arms I couldn't propel myself around in my manual one. I say I'm lucky to be in a wheelchair only because without it I wouldn't be able to get around at all because of the sarcoidosis. I sometimes wonder if UK doctors have a bad attitude towards sarcoid sufferers because they think everyone only has the acute sarcoidosis and it would probably resolve itself or even come and go undetected in it's own time. I really don't know but what I do know is that they need to become better informed about this disease and be more caring when treating their patients. It's not a deadly disease but it certainly takes its toll on the sufferer and the symptoms need correct and fast treatment before they become a real problem. Keep your chin up fellow sufferers and don't be scared to be pushy with your GP. He has a comittment to treat his patients whether he thinks its serious or not. You have a right to demand to see a specialist or to get a second opinion but do remember that not everything is linked to your sarcoidosis so if you develop a new problem make sure you get it checked out properly and don't be fobbed off with your GP saying it's just a symptom of your sarcoid because it could be a different health issue altogether.

21 likes, 1045 replies

1045 Replies

Prev Next
  • Posted

    I COMPLETELY AGREE! and felt compelled to reply to your post having read it when I left after yet another hospital visit this morning.

    I was diagnosed 7 years ago following a mediastinoscopy. I have endured a constant round of blood tests, x-rays, lung function tests and the occasional CT scan (they must be expensive!).

    Today my consultant was his usual matter of fact self, disappointed that no progress has been made. He has now referred me to an endocrinologist due to the length of time I have been on steroids. More x-rays and blood tests.

    Fortunately I am on twitter and belong to a brilliant U.S. group called Sarcoid Network. They provide with brilliant information on various aspects of the disease.

    I really feel like a lost cause. So little is known of this condition and I feel like the treatment I have received reflects that.

    The steroids of courise have worked their magic. Osteoporosis in knees and spine and osteopenia in right hip. And I'm only 53. 

    I wish you well and please keep in touch.

     

    • Posted

      Hi Gustav

      Sounds like you aren't exactly having things easy! Know what you mean about the blood tests, I want to know when someone is going to invent a retractable tap that can just fold into your arm then be opened when yet another doctor wants blood. 

      Having said that I know I'm lucky because I haven't had as many invasive tests as most folk. I was diagnosed less than a year ago, one round of steroids for about 6 months seems to have put things into check. Although last time I saw the respiratory consultant she wondered if there was maybe a recurrence as some of my test results were slightly off again. Not enough to be certain but enough to keep monitoring closely so as to be ready to act. She also thinks I probably have a form that gets worse in summer and better in winter. 

      Basically as far as I can tell, because nobody knows exactly what causes it, seems like the only viable treatment is to treat the symptoms and then end up treating the effects that treating the symptoms produces. Not exactly satisfactory!!

      Anyway good to see some activity on this site again. Don't let them get to you too much, and remember to moan whenever you feel like it here. We all do from time to time!

    • Posted

      i read your comments with interest. I take it the osteoporosis is curtesy of the steroids? I am so glad I have stuck my guns and refused them with my GPs blessing. The US site sounds interesting too will have to look them up. Hang on in there!
    • Posted

      Will do! Thanks so much for your reply. Take care!
    • Posted

      Hi! I suppose with hindsight I could have refused them too. If only I'd done more research or been made aware of the side-effects. I've been on them now for 7 years plus. Today I've been referred to an endocrinologist to see if I'm in a position where I can't function without them or not. When I've attempted to stop them I've suffered relapses. You look after yourself anf hang on in there too. I would recommend Sarcoid Network on twitter. x
    • Posted

      If it's any help I find a herbal tea with willow in in it helps my joints enormously. It relieves the stiffness overnight but of course it should only be used after consultation with a qualified herbalist which I found through Neal's Yard. Thanks for the advice re sarcoid network had a quick look earlier.
    • Posted

      Thank you for the heads-up. The guys at Sarcoid Network are brilliant. 
    • Posted

      Hi, I wasa finally diagnosed after a mediastinoscopy, although I had a biospy a month before.  Prior to being diagnosed I was on TB medication for 10 weeks that in my opinion caused me more problems.

      I am up to 62 blood tests....I had a needle phobia before all this started.

      I have had numerous x-rays and have a yearly CT scan.

      I know see my consultant every 3 months, I am booked in for another lung finction test to coincide with my bext appointment.

      I have been kept off of steroids but for the past 2 months been on HYDROXYCHLOROQUINE, not sure if they are really making much difference, although my ankles swelling seems to have stopped at the moment but swell when its warm.

      Glad to hear steroids have at least done some good for you in other areas.

      Interesting re the US site

    • Posted

      Hi Gustav and welcome to the site. As Morag was saying it has been far too quiet on this site recently but this could mean, hopefully, that we are all feeling a bit better. I was thinking other day that there seems to be nothing from June recently (I think since end of March or so)., hope she is OK.

      I am the same Morag, mine seems to be more seasonal but it is in Summer I feel better. I managed to dodge steroids too, my rheumatologist put me on them and pulmonary took me off them. However I did have steroid injection and I have got an inhaler. I have lost count how many breathing tests and  X-Rays/ CT scans and blood tests I have had.  Last time when I had my breathing tests I was told by respiratory clinic that even the Sarcoid sufferers who don’t have any lung issues / complaints now come to them for yearly tests to keep an eye on their lungs ( as it is most common issue) , which I suppose is a huge step forward for us. I am now getting checked every 6 months, rather than 2-3 monthly and although nowhere near 100%, I do feel much better. My joints feel better when I have a 30 min walk per day and good old stretches in the evening before I go to bed. Stiffness is still pretty persisting but at least I get some sleep at night time.

      I will check out the US site too, I have found some good dietary tips from these sites before.

      Wish you all well,

      Love,MM

    • Posted

      Hi,  yes it has been quiet, but as you say in hope that we all feel a little better.

      I suffer more in the winter, it is amazing how we can all be affected differently.

      June...yes that is very concerning, please god she is okay, maybe now there is some activity she will respond, like us all we tend to not always have much input but once a new message is posted then we do acknowledge.

      Kind regards

    • Posted

      Thank you for your welcome. I shall look forward to reading more posts and keeping in contact with everyone.
    • Posted

      Hi, I told Gustavo last night that I find the best things for my knees when the sarcoid flares is a herbal tea made up for me in Neal's Yard which includes willow brings overnight relief. My sarcoid always flares up in Spring and autumn as the seasons change and if I get over tired or stressed I start to seize up. My herbalist is very excited that I have gone to her for treatment as autoimmune conditions are her passion so no pressure for her to come up with a miracle cure!

      regards

    • Posted

      I'm interested in your comments regarding changing seasons. Do you find that you struggle in Summer? I get more extreme symptoms of tiredness. I discussed this with my consultant yesterday and he said there was no connection between this and sarcoid. I disagree.
    • Posted

      Not so much in summer but September and March seem to be the time when I get flare ups. We all seem to have different times but tiredness is a definite symptom of sarcoid I couldn't fight my way out of a paper bag when it's at it's worst. Think he needs to read up!
    • Posted

      Totally agree it does affect us differently in different months, I seem to have my bad time Jan - March.

      So annoying when consultants just use 'guess' work, when they do not actually know the full extent of what suggering we go through!!!

    • Posted

      I'm at the point where I feel like discharging myself from his care and jjust relying on my GP. I can manage my symptoms better. I mentioned the problem I have in warmer weather and he shrugged it off. He ordered allergy tests as part of my bloods and said there was no connection. He also said that my recent liver scan results (scarring) were probably not sarcoid related. 20% of sarcoid patients get liver damage. He seemed completely disinterested yesterday. What's the point? I know more about my condition.
    • Posted

      I've been told that we patients know more about this condition than they do as we have to live with and manage it so know what to look out for!
    • Posted

      Agree Linda. However, a rare condition is no excuse for ignorance. My consultation yesterday was a complete waste of time. I know my condition better than him. My GP has always said that I know my condition better than anyone and he has always supported me. Sadly he has moved to another surgery but there are other GP's I can see who would be sympathetic.
    • Posted

      A saying that is often repeated 

      We know our own bodies better than anyone

      Doctors should learn to listen to the patient

    • Posted

      Gustav, my consultant would also disagree with the thing about no connection between sarcoidosis and seasons. She's definite that mine is seasonal, gets worse when theres more sunshine because that increases the production of vitamin d and therefore increases levels of calcium in the blood. I seem to be extra sensitive to that and high calcium often triggers some of the symptoms of sarcoidosis. But then she also reckons other folk are worse in winter or at the changes of the seasons though she can't put a scientific explanation on to those. If your consultant isn't any help and your GP is I'd be tempted to rely on your GP for treatment etc.
    • Posted

      Hi, I'm seriously considering it. When I saw him on Monday I had just recovered from a chest infection (a cold always leads to this) and had ended a week's antibiotics and increased steroids. I was taking 3mg per day prednisolone prior to the infection and the dose was increased to 25mg per day just for a week. I asked him for a tapered dose to get back down to 3mg and he said there was no need. Today, I feel depressed and lifeless. I was glad to finish my shift at work and get home. I've lost all confidence in him and think it's time I took steps.
    • Posted

      If you have no confidence in the consultant then there isn't much point in continuing to see him. Both my GP and the respiratory consultant would say the same thing, you should be on the lowest dose of steroids that you need to be on to keep your condition under control. Its one heck of a jump from 3 mg to 25 mg and if you were doing reasonably well on 3 mg then the aim should be to taper back down to that over the next few weeks! I studied pharmacology so I'm not just talking for the sake of it, I do know a bit about drugs. 

      My opinion is go see your GP, whatever else you decide, and get him/her to set things in motion with steroid tapering back down to a reasonable level

    • Posted

      I agree. The increase was prescribed to get me over the infection. He said that a tapered dose to return to 3mg daily would not apply because the increased dose was only temporary. 
    • Posted

      Oh dear, I can understand your frustration as for the past 2 years I have had dreadful sinus infections which have not responded to antibiotics but totally destroyed my mouth! I'm waiting for an appointment at ENT as the consultant there told me she found granulomas and I am sure the sarcoid has attacked my sinuses as I never suffered like this as a child. Oh the joy of modern medicine!
    • Posted

      It's soul destroying! Twice I asked him about this and twice he said there was no need. The outcome is that I feel shattered and I have a full shift ahead of me at work tomorrow.
    • Posted

      Get as much rest as you can between shifts. It is incredibly frustrating knowing there is something wrong but medicine can't fix it makes it all the more draining. I thought I was going mad when first diagnosed as my GP would not let me go back to work until they got a diagnosis(it took them 6 months) so hang on in there!
    • Posted

      Discussions about calcium and Vitamin D rang alarm bells! Recent dexascan showed osteoarthritis in my spine. Steroid caused. A doctor prescribed Accrete D3 (colecalciferol). I looked his up online and it should be prescribed to sarcoid patients with caution!
    • Posted

      I wonder what a holistic doctor would make of all our symptoms?
    • Posted

      Prescribing cholecalciferol should depend on your calcium levels. One of the regular problems of people with sarcoidosis can be an excess of calcium which is why things like chole are prescribed with caution. Basically its a form of vitamin D and its main job is to help the body produce more calcium (vit D is a main player in that job). So the extra vit D will help produce calcium to help with osteoarthritis but if you're one of the sarcoid sufferers who is prone to high vit D or calcium then its a definite no-no. 

      There are other medicines they can prescribe for osteoarthritis so if you're in any doubt you should go discuss it fully with a doctor

    • Posted

      I don't even know if I'm prone to high vit D
    • Posted

      Saw my GP today and she will be engaging the services of another consultant. She used to work with him and recommends him. The plus for me is that his clinics are held in a Hospital less than 5 minutes away!
    • Posted

      That sounds like a very Welcoming breakthrough. Well done to your GP 
    • Posted

      She's a good GP and completely agreed with my views.

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.