Gail
Gail has eosinophilic granulomatosis with polyangiitis (EGPA), an ANCA associated vasculitis previously known as Churg-Strauss syndrome. She;d like services to take a team approach when people with unexplained symptoms aren’t responding to treatment.
Gail worked in the NHS for 35 years, most recently as a health visitor. She feels devastated that, when she became ill herself, the system appeared to let her down.
Gail was healthy until 2013 when she began to feel lethargic and unwell, with aches and pains. This continued with sinus and breathing problems along with rashes. Gail had many visits to her GP and was also referred to respiratory and ear, nose and throat specialties. She had polyps in her nose removed twice and was treated with repeated courses of antibiotics and inhalers. By 2017, Gail often had no voice. She was getting dirty, blood-streaked discharges from her nose and ears as well as stomach cramps.
Gail’s colleagues and friends grew increasingly worried, as did a nurse in her general practice. Gail took photographs and samples to her appointments as evidence of what was happening but felt poo-poohe by her GP and consultants. She recalls wondering why they seemed not to be talking to each other or asking why her symptoms were increasing and getting worse, even with treatment. Gail says that by this time she felt very scared and on her own.
Early in 2018, Gail developed numb toes and feet, and was passing blood from her bottom. She was unable to walk or drive or feel things normally, and her balance was affected. Her eyelid drooped and she was in horrifi pain. Doctors suspected a condition called Guillain-Barré syndrome and she had a lumbar puncture. However, the very high eosinophil count in her blood was then put together with other markers; this indicated she may have eosinophilic granulomatosis with polyangiitis (EGPA), a type of ANCA associated vasculitis previously known as Churg-Strauss syndrome.
Once Gail’s vasculitis had been identified, she came under the care of a vasculitis specialist whom she can contact by text at any time and with whom she feels very secure. She has responded well to immunosuppressive treatment, in particular rituximab, but wonders if she will ever be able to lose the 5 stones she gained in weight through high dose steroids.
Gail was previously fit and loved her work. She says she tries not to dwell on how life might have been different had she been listened to earlier. She still struggles with walking but has mobility scooters, a stairlift and an adapted car. She uses her treadmill every day, volunteers with a victim support charity, and recently started a part-time job offering social support to vulnerable people. Gail is also looking forward to the arrival of her first grandchild and is feeling optimistic.
What Gail most wants is for other people to be spared the pain, fear and life-altering consequences of unrecognised vasculitis. Having seen as a health visitor the positive impacts of a programme that gets a team around every child where there is a concern, she believes this approach would also be helpful in adult services.