Marie

Marie has been treated for giant cell arteritis (GCA), a type of systemic vasculitis. She also has polymyalgia rheumatica (PMR), fibromyalgia, and knee pain. She struggles with fatigue and is finding it hard to reduce her use of steroids.

Marie describes how she was fit and active – the life and soul of the party In addition to her day job, she enjoyed hobbies and performing in bands. She feels frustrated that this was interrupted by illness, which has left her with persistent fatigue, pain, mood swings, and unclear thinking. Marie has come across what she feels are unhelpful staff attitudes and wishes that she had access to an advocacy service to help her negotiate the health and benefits systems.

Around 2016 Marie began to experience blinding headaches. She had difficulty turning her head and developed tingling and weakness in her arms. She was signed off work with stress but then had increasing trouble with moving about and getting out of bed. Marie felt that stress alone could not explain what was happening and asked if she could be tested for autoimmune conditions.

Marie remembers a locum GP suggesting that she had polymyalgia rheumatica (PMR) and giant cell arteritis (GCA), and that this was unusual for someone her age. She started high dose steroids straight away. Marie says this made an amazing difference to her physical symptoms and her mood and that she was leaping like a gazelle

Unfortunately, as Marie reduced the steroids, she felt very unlike herself. She found out from internet forums that the mood swings, crying for no reason and overwhelming fatigue was a more extreme reaction than other people had experienced. Encouraged by members of the forum, Marie asked to be referred for a second opinion about what might be going on. She saw a rheumatologist in a different health board who said that Marie’s level of fatigue and sensitivity to touch suggested she also had a condition called fibromyalgia.

The cumulative impact on Marie’s life of these health issues – in particular the fatigue – has been profound. As she had been in a series of temporary posts at work, she had few rights and lost her job. Financially this led to her losing her house and building up debts. She found it difficult to access state support and was grateful that she could move in with her elderly mum, although she knows this is a temporary solution.

Marie finds it hard to believe things got so bad that she couldn’t see a future. She has found support to move forward from several sources. Antidepressants helped, as did a fatigue management course where she learnt about the importance of pacing herself. Through counselling she was able to make decisions and a plan; as a result she is doing up a campervan and hopes to do more singing teaching.

Although Marie had to put her studies on hold due to her illnesses, she is hoping to continue a master’s degree on the health benefits of singing. As she knows that she feels better and more energetic after singing, she would particularly like to find strategies to get her past the feeling of being too fatigued to do it.

Marie felt one rheumatologist “really set the tone of, ‘I’m the master and you’re the silly wee girl.’”

Age at interview 57

Gender Female

Age at diagnosis 53

Vasculitis and fibromyalgia cost Marie her house and her job. She discussed uncertainties about her financial future with a wellbeing service.

Age at interview 57

Gender Female

Age at diagnosis 53

Marie’s upset that a doctor called her support group “a bunch of moaners.” She says that, without them, “I don’t think I’d have been here.”

Age at interview 57

Gender Female

Age at diagnosis 53

Marie has fibromyalgia as well as vasculitis. Mornings feel “like being almost in a coma.”

Age at interview 57

Gender Female

Age at diagnosis 53

Marie struggled to cope with reducing steroids. Following advice from a wellbeing service, she found antidepressants were “a gamechanger.”

Age at interview 57

Gender Female

Age at diagnosis 53

Marie is disappointed that she had to ask about monitoring and prevention of steroid side effects.

Age at interview 57

Gender Female

Age at diagnosis 53

With high dose steroids, Marie’s vasculitis headaches were gone. She “felt like leaping like a gazelle.”

Age at interview 57

Gender Female

Age at diagnosis 53

Although Marie was under stress, she felt that her symptoms suggested a more physical cause.

Age at interview 57

Gender Female

Age at diagnosis 53

Marie’s upset that a doctor called her support group a bunch of moaners. She says that, without them, I don’t think I’d have been here.

Age at interview 57

Gender Female

Age at diagnosis 53

Marie felt one rheumatologist really set the tone of, I’m the master and you’re the silly wee girl.

Age at interview 57

Gender Female

Age at diagnosis 53

Marie has fibromyalgia as well as vasculitis. Mornings feel like being almost in a coma.

Age at interview 57

Gender Female

Age at diagnosis 53

Vasculitis and fibromyalgia cost Marie her house and her job. She discussed uncertainties about her financial future with a wellbeing service.

Age at interview 57

Gender Female

Age at diagnosis 53

Although Marie was under stress, she felt that her symptoms suggested a more physical cause.

Age at interview 57

Gender Female

Age at diagnosis 53

With high dose steroids, Marie’s vasculitis headaches were gone. She felt like leaping like a gazelle.

Age at interview 57

Gender Female

Age at diagnosis 53

Marie struggled to cope with reducing steroids. Following advice from a wellbeing service, she found antidepressants were a gamechanger.

Age at interview 57

Gender Female

Age at diagnosis 53

Marie is disappointed that she had to ask about monitoring and prevention of steroid side effects.

Age at interview 57

Gender Female

Age at diagnosis 53