Hello Friends,

My name is Anna Giuseppa. I am a medically retired RN since 1995. I have a long history of medical issues throughout my life related to multiple Pharmaceutical injuries which caused disability and not able to work. Most recently Stage 3A breast cancer in 2024-2025 for which I received chemotherapy, surgery, and radiation. I had residual disease in 5 of the 11 lymph nodes tested for which I received ongoing treatment.

7 months ago my provider suspected that I had a Functioning Pituitary Adenoma which is a tumor on the Pituitary gland. The Pituitary gland is the master gland which translates messages from the brain into hormones that control essential bodily functions, including growth, metabolism, reproduction, and stress responses.

My provider then sent me for a Pituitary MRI which showed the pituitary adenoma.

This Pituitary Adenoma which is a functioning pituitary adenoma and is causing many medical issues including:

- A possible rare disease called Acromegaly (I have the symptoms) (Increased risk of cancer)

-Autoimmune Thyroiditis

-Metabolic Syndrome

*MASH- Basically fatty liver with fibrosis

*100% Insulin resistance

* Lipid panel is through the roof

-Sleep Apnea and Narcolepsy with cataplexy

-Orthostatic Hypotension Syndrome and POTS

-Osteopenia

-Weight shifts

-Headaches

-Low Sodium level

-Low Vitamin D level

An issue causing the Acromegaly to be diagnosed is an Elevated Dopamine level which causes a masking effect- Pituitary Hormones are negative in the lab results. Not all of the doctors are educated about this phenomenon which makes diagnosis and treatment difficult and delayed even though I have the symptoms including foot and hand growth- Size 11.5 shoes and rings no longer able to fit. Transphenoidal Pituitary surgery is part of the treatment.

I actually was referred to the Cleveland Clinic in which I had an appt with the Neurosurgeon. The appt was not a successful appt, the neurosurgeon wanted to observe the issue 5 years via MRI's and no urgent intervention.

I put in a request for a 2nd opinion appt at Weill Cornell's Pituitary program in New York where I worked years ago and am waiting for them to respond. If need be I will go to New York for the surgery.

My medical costs are basically through the roof with these issues and multiple doctors appointments per month with multiple copays putting the monthly costs through the roof.

I also may need to go to New York for the surgery - the transportation to NY may be covered but the other costs including out of network costs will not be

As a result I'm sinking financially with all of the copays every month and need your help to help for treatment to prevent further damage and life threatening issues.

I have insurance but much of the care for this issue is out of network because not all take the insurance.

Your help is so much appreciated!

Thank you and Thank you in advance!

²⁸ “Come to me, all you who are weary and burdened, and I will give you rest. ²⁹ Take my yoke upon you and learn from me, for I am gentle and humble in heart, and you will find rest for your souls. ³⁰ For my yoke is easy and my burden is light.” ~Matthew 11:28-30