Georgia Z

Georgia is 26 and works full time as a nanny and personal trainer. Ethnicity: white British.

Georgia’s mum and aunt were diagnosed with MND just a couple of months apart. She cared for her mum over her illness. After her mum died, Georgia decided to have pre-symptomatic genetic testing, and was told she does not carry the C9orf72 gene variant.

Georgia first experienced MND when her aunt developed problems with her foot. A few months later, Georgia’s mum started to slur her speech, which was put down to a mini stroke. After her sister’s diagnosis, she had further tests. At the start of 2018, she was also told she had MND, and later developed frontal lobe dementia. Georgia’s mum and aunt had genetic testing which showed that they had the C9orf72 genetic variant. Georgia’s family have since questioned if her grandma, who was diagnosed with Parkinsonism, could have been affected. Georgia’s aunt and mum passed away in 2019, a few weeks apart. Over this period, Georgia also lost her dad to lung cancer, after a short illness.

Georgia describes finding out about MND in her family as surrea. However, her focus was on supporting her parents. After her dad died, her mum’s symptoms became worse, and Georgia gave up work to care for her. She feels honoured to have taken on this role, though remembers it as draining and exhausting. Due to her dementia, Georgia’s mum struggled to take in information. Communication became increasingly difficult, and Georgia wishes they had been encouraged to set up communication aids earlier on. Georgia would like to see ongoing and coordinated support for carers and patients. She felt like she was teaching herself on the internet about what to expect.

As her mum’s illness progressed, they were given professional support. The carers had no experience of MND, and Georgia felt she had to manage them as well as looking after her mum. Towards the end of her life, Georgia’s mum went into a hospice, where she was treated for pneumonia. Georgia had prepared for her to come home, but she died suddenly before this happened. Georgia is glad she died peacefully.

When her mum died, Georgia decided to pursue pre-symptomatic genetic testing. She was certain she wanted to take the test, in part based on curiosit. She had a gut instinct that she did not carry the C9orf72 gene variant, and questions whether this made her less fearful of the outcome. Knowing she wanted children in the future was also in the back of her mind, as she wanted to be prepared. After losing her aunt and her mum, she had a feeling of What am I really losing. Georgia’s main concern at this time was around telling her partner if the result was positive; he felt it was too soon, and worried about the potential impact of the results, so she did not tell him she was having the test.

Georgia had genetic counselling, before going ahead with the blood test. Because of the pandemic, she opted to receive her results over the phone. She was warned that this could take some time, but actually they were available within a few weeks. She was told that it was good news – the result was negative. Georgia felt reassured and is pleased that she will not need to consider this when planning a family in the future. However, her immediate feeling was bittersweet; one of her cousins, Harriet, has received a positive result. Georgia finds it hard to think that the disease may not be finished in her family.

Georgia feels that she is a different person to before she found out about MND in her family and before caring for and losing her parents. She tries to take only positives from what has happened. MND is still part of her life, and she is committed to raising awareness around the disease, to make her mum and aunt proud.

Georgia Z feels there should be ongoing and proactive support for family carers. She was given very little information on what to expect as her mum’s symptoms progressed.

Age at interview 26

Gender Female

Georgia Z gave up her job to care for her mum. Her carer’s allowance didn’t cover living costs and she feels there needs to be more government support for families with MND.

Age at interview 26

Gender Female

Looking back, Georgia Z wishes she’d been more prepared for how her mum’s symptoms would progress, particularly in terms of putting in place a speech aid.

Age at interview 26

Gender Female

Georgia Z feels reassured to know that she hasn’t inherited the C9orf72 gene variant, but knowing that other relatives could develop symptoms makes this “bittersweet”.

Age at interview 26

Gender Female

Georgia Z asked to receive her genetic testing results over the phone. Having an appointment with face masks and social distancing was not the experience she wanted.

Age at interview 26

Gender Female

Because her partner was so against her having the pre-symptomatic genetic test, Georgia Z went ahead without telling him. She is glad she did what was right for her.

Age at interview 26

Gender Female

Georgia Z managed to put her pre-symptomatic genetic test results out of her mind, but once she was given a date she felt “nervous”.

Age at interview 26

Gender Female

An “instinct” that she would receive a negative result pushed Georgia Z to have the pre-symptomatic genetic test. Having lost her mum and aunt to MND, she thought “what am I really losing?”

Age at interview 26

Gender Female

Georgia Z found it challenging to adapt to her mum’s changing symptoms, as sometimes she was very aware and other times “it was like we’d lost her”.

Age at interview 26

Gender Female