Just rung up to chase the result of my synacthen test. The nurse had told me that she would ring next day if there was any problem, so after two weeks, I've been happily assuming that there was no issue.
My GP now informs me that my results show adrenal insufficiency, presumably caused by long term prednisolone treatment. He is increasing my pred dose, and says that I now need to keep a store of injectable hydrocortisone to hand in case of emergencies. This news - apparently - does not count as anything that either the endocrinology nurse or my GP felt the need to inform me of without my chasing it up.
To add to my fury, this possibility was the VERY FIRST CONCERN I RAISED WITH MY RHEUMY when I began getting my extreme fatigue plus episodes of sweats, nausea, shakes 18 MONTHS AGO. He dismissed my concern, saying there was no chance that I could have developed adrenal insufficiency after just 6 months of pred treatment. I raised the same question again, 6 months later, and he said, "No, you've developed fibromyalgia". It was only after I insisted on an endocrinology referral at our next review, that this result has been confirmed.
I am spitting feathers. Or would be, if I had enough cortisol to do it.