Graham

Graham has a type of systemic vasculitis called giant cell arteritis (GCA). Treatment came too late to avoid permanent sight loss in his right eye, which he describes as life changing.

In 2012, Graham had pains all over his body, so went to his GP. As blood tests showed high inflammation, the GP referred him to rheumatology. Given the 14-week wait for a routine appointment, Graham meantime saw a rheumatologist privately, who diagnosed polyarthritis and prescribed sulfasalazine. However, Graham continued to feel unwell; he developed bad headaches and night sweats, and lost weight.

On a Friday two weeks before his NHS rheumatology appointment, Graham describes having a severe headache and seeing a large doughnut shape replacing the vision in his right eye. At 5.30pm he consulted a locum GP. She suspected that he had giant cell arteritis (GCA), a type of vasculitis, so phoned the eye clinic. They saw Graham on the Saturday morning and prescribed oral steroids.

The following morning, Graham’s vision was worse, so he went to the hospital eye ward. He was immediately admitted and given intravenous methylprednisolone but, by midday, his right eye vision was a blank It was a shock when the doctor said that this sight loss would be permanent, and that Graham’s left eye was also at risk.

At his NHS rheumatology appointment, Graham recalls that the rheumatologist was very upset about the sight loss and that the original referral had not been made as an emergency. Although Graham is clear that he attaches no blame he feels there were several missed opportunities to fast-track his care, be more decisive, and make him more aware of the urgency of treatment.

For a number of years, Graham saw a series of rheumatologists. He has felt more secure since the arrival of a permanent rheumatologist, whom he describes as proactiv – reading all his notes and carrying out investigations including a positron emission tomography (PET) CT scan and ultrasound scans to identify inflammation in the blood vessels. Graham expects to be on lifelong immunosuppression and thinks that, where people live in fear of losing their sight through vasculitis, it might be beneficial to have an ophthalmologist as part of the team.

Graham emphasises that the loss of vision in his right eye has been life changing, for him and for his wife. He regrets that pani at the thought of also losing vision in his left eye led them to move from a house in a village to a town centre flat. He gave up golf, bowling and hill walking, and became very cautious when driving. Fatigue, brain fog and sleep problems as a consequence of the vasculitis and steroids were an additional factor in deciding not to travel abroad, which they had both enjoyed.

However, Graham says he counts his blessings. His wife makes sure he keeps on the move, and they care for each other. The couple now live in a bungalow with a garden in a city retirement complex, where they are happy and have access to paid care services if they need them. Although he lives with the life changing effects of GCA, he feels lucky they have both reached an age that many others don’t.

Vasculitis left Graham with single vision. An eye clinic assistant encouraged him to persevere with golf.

Age at interview 81

Gender Male

Age at diagnosis 71

Graham “panicked” about losing his remaining eyesight from vasculitis, so told his wife they had to move into town. They then spent 7 years in a flat that “wasn’t for us.”

Age at interview 81

Gender Male

Age at diagnosis 71

Graham regrets trying to reduce his steroids so much, as his vasculitis suddenly relapsed.

Age at interview 81

Gender Male

Age at diagnosis 71

As vasculitis has affected Graham’s vision, he has to drive slowly and carefully.

Age at interview 81

Gender Male

Age at diagnosis 71

Neither Graham nor his doctors realised that vasculitis was threatening his eyesight.

Age at interview 81

Gender Male

Age at diagnosis 71

As vasculitis has affected Graham’s vision, he has to drive slowly and carefully.

Age at interview 81

Gender Male

Age at diagnosis 71

Graham panicked about losing his remaining eyesight from vasculitis, so told his wife they had to move into town. They then spent 7 years in a flat that wasn’t for us.

Age at interview 81

Gender Male

Age at diagnosis 71

Vasculitis left Graham with single vision. An eye clinic assistant encouraged him to persevere with golf.

Age at interview 81

Gender Male

Age at diagnosis 71

Neither Graham nor his doctors realised that vasculitis was threatening his eyesight.

Age at interview 81

Gender Male

Age at diagnosis 71

Graham regrets trying to reduce his steroids so much, as his vasculitis suddenly relapsed.

Age at interview 81

Gender Male

Age at diagnosis 71