Tammy

Tammy began having complex partial epileptic seizures at 26. She developed Type 1 diabetes during pregnancy; the diabetes and epilepsy make each other worse. She is concerned about the stigma of epilepsy and the safety and effectiveness of medications.

Tammy was diagnosed with epilepsy at 26 years old and is bothered about the frequency of her seizures, which occur once a week. The impact depends on what is happening at the time, e.g. if she is talking to other people as opposed to alone. Epilepsy also affects her memory. The condition meant that she had to leave teaching. Tammy points to public ignorance around epilepsy, most people associating it with full-blown’ seizures. She works as a volunteer for the Epilepsy Society.

Tammy developed diabetes during her second pregnancy. She suffered from polycystic ovary problems, which she believes could have been a side effect of prescribed medication. She does not see her conditions as related, but would rather be treated by one person as opposed to two specialists (one for each condition). However, the 2 conditions make each other worse symptom-wise. Tiredness, a possible consequence of diabetes, can trigger seizures. But some epilepsy medication has left her feeling sedated. With regard to both diabetes and epilepsy, her experience was that drug treatments were initially effective but then ceased to be so. For diabetes, this has meant gradually having to inject more insulin. She is frustrated by the lack of an effective treatment for her seizures, having tried six drugs. She is considering brain surgery as the side effects of taking epilepsy medication seem to outweigh the benefits.

Tammy finds it easier to talk to people about diabetes as it’s more common and doesn’t have the stigma of epilepsy. Conditions have a big impact on her sense of self, with checking blood and injecting insulin in public toilets seen as degrading, or a form of self-harm: It’s the conditions themselves that make me feel like a sort of down and out really, at their worst. Managing diabetes is seen as cumbersome or high maintenance and Tammy criticises a long waiting list for a course to enable better self-management of diabetes. She is very physically fit through running, cycling, dog walking and gardening.

Tammy prefers to see female GPs, and see the same one every time if possible. She benefited from being referred to an NHS wellbeing service by her GP. Her advice for others is: place value in what you have got and seek help for depression.

Tammy is frustrated that she has not found an anti-epileptic medicine that works for her. She wonders whether her other conditions or a lack of progress in science are responsible.

Age at interview 45

Gender Female

Tammy has been taking epilepsy medication for nearly 20 years and wonders what difference it would make if she stopped taking her medication, as mostly it doesn’t seem to be effective.

Age at interview 45

Gender Female

Tammy feels that GPs don’t know enough about epilepsy and wishes that consultants would look at the whole picture of what’s going on with her.

Age at interview 45

Gender Female

Tammy does not mention her problems to outsiders. However, her family see a different side to her. She wonders whether it is good for her to pretend to be well in front of others.

Age at interview 45

Gender Female

Tammy wonders whether not seeing the same consultant for diabetes is causing problems. However, she sees specialist nurses she finds easy to approach.

Age at interview 45

Gender Female

Tammy is worn down by trying drugs that don’t work and have unwelcome side effects. When she was prescribed the contraceptive pill her epilepsy worsened. She links shortfalls in current treatments to lack of scientific progress.

Age at interview 45

Gender Female

Tammy describes having a seizure during a routine health appointment. She felt she was being attacked by staff who were trying to help. On reflection, her husband said it was the worst place it could happen.

Age at interview 45

Gender Female