Lottie

Lottie was hospitalised following an epileptic seizure when aged 15. She has tried 9 epilepsy medicines, none of which have worked and her suitability for surgery is being assessed. She also has diabetes type 1 and depression and has tried to commit suicide.

Lottie started with absence seizures at 15 immediately before she was due to sit her A Level exams at boarding school and then progressed to tonic-clonic ones. Being away at boarding school caused problems as doctors in different locations were somewhat reluctant to share notes.

We saw numerous different consultants all over the place, all who had a completely different opinion on what it was and kind of linked the two together [epilepsy and panic attacks] and said they were the same, despite my mum’s best efforts to try and say that they were completely different.

Lottie was aware of the possibility of inherited high cholesterol, for which she was screened in her twenties, found to be positive, and put on more medicines. She also developed severe depression around this time and tried to commit suicide. She had planned to get pregnant, at which point she came off her epilepsy drugs and was found out to be diabetic as part of a routine test. After initial confusion, this was found to be slow onset type 1 diabetes. Having diabetes has seriously complicated her epilepsy.

Seizures have led to many accidents resulting in burns, falling down the stairs and a serious head injury that required an emergency brain operation. Following this, her seizures increased quite dramatically which resulted in further depressive episodes and three attempts to take her own life.

Lottie wonders, How much of my life has been defined by having these illnesses? She has a very poor memory as a result of the epilepsy. She spent a large proportion of last year in a mental hospital with severe depression. Her daughter acts as a young carer in emergencies.

Through involvement with the charity Epilepsy Action, people persuaded her to seek out an expert epilepsy consultant, although she has to travel over one hundred miles to see him. She has experienced a lack of care continuity with Community Psychiatric Nurses. Lottie feels her GP is honest with her, listens well and does the best he can do; making appropriate referrals when more specialised expertise is needed.

Lottie was inspired by a member of Epilepsy Action to be more questioning of consultants and assertive in her demands for specialist epilepsy input.

Age at interview 37

Gender Female

Lottie asks health workers to speak clearly and slowly without using long medical words. She wants doctors to be honest with patients and also consider their quality of life.

Age at interview 37

Gender Female

Lottie advises people to get advice from specialist web sites and be open in asking questions and expressing feelings about treatment to doctors.

Age at interview 37

Gender Female

Lottie finds managing medicines for her conditions has reduced spontaneity in her life. She wonders what life what would be like if she were not weighed down in this way.

Age at interview 37

Gender Female

Lottie feels that the new generation of doctors are better at listening to patients’ concerns about side effects. Having conducted her own research she feels better able to question her doctors about side effects.

Age at interview 37

Gender Female

Lottie’s epilepsy has a bigger impact on her life than diabetes does because she can control the diabetes but not her epilepsy.

Age at interview 37

Gender Female

Lottie feels that having to take medication everywhere has removed spontaneity from her life. Her family are on constant alert around her risk of seizures, which causes anxieties.

Age at interview 37

Gender Female

Lottie thought it unfair that she inherited her father’s high cholesterol on top of having epilepsy.

Age at interview 37

Gender Female

Lottie refers to the invisible nature of her conditions and wonders what she might have achieved without them. Memory problems mean that she can’t recall key events in her life.

Age at interview 37

Gender Female

Lottie talks about having a succession of different Community Psychiatric Nurses (CPN) of variable quality. Her latest one is very good.

Age at interview 37

Gender Female