Who has GCA, Giant Cell Arteritis?

Posted by wendy517 @wendy517, 3 days ago

Getting biopsies done tomorrow, both temples. Long time coming, been having crashing headaches and vision issues for awhile now but all got a lot worse on a visit with my daughter in Florida (I live in NJ & Poconos).
ER visit thurs, asked to "please check for GCA". Was given morphine, toradol & nausea med IV cocktail, CT scan, bloodwork and sent home with diagnosis: Headache 😔
Headache persists, my daughter asks for help from the APN she works with yesterday. Got a 10am cancelation office appt with a vascular surgeon today, scheduled for biopsies at the hospital tomorrow morning 🙏 God was certainly looking out for me and sent blessings....

What can I expect from the biopsies, possible GCA diagnosis (it kind of seems likely). My Mom has it, they caught it after 1 Headache for her because she has PMR and I dont. She's had no relapses thank God. Who else can relate to the horrible headache and eye aches??

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Profile picture for ptz71 @ptz71

@gailcha AHA! I too felt my old diagnosis of TMJ was to blame! The possibility of vision loss was the impetus for immediate prednisone. Yes, though the biopsy is considered the "gold standard" my surgeon told me 15-20% of patient's results are inconclusive. And yes, treating symptoms is a positive step.
I hope your situation continues to improve with treatment. Thx for offering your story...it's very helpful!

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@ptz71 thank you for your response and hug, much appreciated!

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Profile picture for ptz71 @ptz71

@gailcha my symptoms began with blurred/double vision, jaw pain (unable to tolerate discomfort while lying on either side of head), severe headache, chest pain etc. I had no clue what was wrong, went for 2 months. Temporal artery biopsy delayed another 3 weeks. Prednisone 60 mg tapered over 4 weeks with recurrent symptoms.
It's quite confusing to navigate this illness, isn't it. Balance and gait problems already existed for me, and im sorry you're experiencing these life-altering effects.
Plz continue to reach out for answers and support. The powerful medicine we take for relief (and its side effects) can be daunting.
Thinking if you with this morning with compassion. We're in this together!

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@ptz71
My Mom told me yesterday she was put on 60mg daily and she weighs about 120 lbs wet, lol..it put her into a psychotic break at a UK airport. My Dad had no choice but get cops involved, she wouldn't give him back his phone to talk to my brother who was picking them up in Newark since he lives 10 mins away. Je wanted to prepare him for what she was like.

She was mortified & embarrassed and doesnt remember a thing. When she heard our MDVIP doc put me on 80mg day to start while waiting for dx after the TAB. She kind of freaked, were the same build, i just have mor muscle mass and so afraid to lose more of it.

I'm waiting for his call this am, to ask why 80mg and why not much less and put methotrexate in the mix. I suspect he was scared for me going blind. My eyesight has deteriorated pretty significantly and a lot of pain in my left eye, temple, jaw, neck, shoulders etc.

However it doesn't matter, my Rheumy will call me from my note to her in MyChart. She's been amazing and will definitely work on a med cocktail that will be a little better with less bone and muscle mass loss. Ive had so many symptoms for 3+ years with the Hashimotos, Hypothyroidism, 4-5 disc herniations in neck & lower and my L5 disc has been disintegrated and not there for a good 30 years now. I'm getting to the point of cant take the pain and want a cortisone shot but freaking insurance makes it SO hard to get approval.

My Hemoglobin went up to 19 at one point on 2023, tested again 6 weeks and later and he was shocked it wasnt normal, sent me to the first hematology oncologist who was a comple and utter condecending asshole and diagnosed with PV. Found another hem/onc who ignored / didnt listen and told Unemployment Inwas fine to work. They wrecked me with taking 5 pints in about a 2 month time frame. I think that would wreck a lot of ppl. Went to a 3rd oncologist after a recommendation from a trusted Cardiologist who took car of my dad, BIL and sister. being wrecked by them taking too much blood and then I couldn't get up a flight of stairs without having to rest. Im a very active person, ski, hike, kinda don't stop moving or doing something, part ADHD, part single Mom with 3 kids and no help from exes or family so I was used to doing everything myself with no help.

Love these forums, the hear i thought I had because 2 docs told me, bad docs. I kept saying I don't think I have it since Im Jak2 neg, less than 5% with Jak2 neg have PV.

The next wonderful hemo/onc doc connected dme eith him, he listened really listened when many will fall silent with women and say your just depressed so take this pill and youll be fine. No thank you. My BP had been going haywire from high to low, they picked meds for high, it was a crap shoot..did end up working/helping. I went off them 2 months ago and my BP has been great. A win!

The new hematology oncologist got me in for a bone marrow biopsy within the week..Hurt like a mother effer 😉 but clearly showed NO blood cancer whatsoever. we never were able to get a dx other than it must be secondary PV and there something wrong in my body, they say usually cancer. Nothing has been found, its ticking back up methodically and with no answers as to why. Whatever, ive got bigger fish to fry with the GCA & PMR.
My spine docs/pain mgmt group are wonderful, very sports oriented which is what I need, my goal is to ski well into my 80s, ive skied with 90+ year olds, my idols. I skied next day with a cast on my arm from a stupid fall with my siblings. Ski patrol wanted to "Locate" it for me on the slope. My gut said no way, took my glove back, skied down with my sibs with one pole, went to medical and right away he said, I think its broken and got to Rutland hospital in VT. Got casted and he was a skier so talked to my folks. I agreed to no jumps, no woods skiing and id be careful. I obeyed for the most part 😉 after id broken my upper arm/shoulder swinging from a vine & fell 25 ft, they wanted me in traction. Mom knew id be miserable stuck in a bed for 6 weeks and we went to an ortho guy who used my arm muscles as traction with a very heavy cast, brilliant solution. He said no sports for a good 2.months. I was playing kickball in the neighborhood the next day or maybe 2 days later. If my Mom ever knew she'd kill me for yet another broken bone so I told a fib about how it happened. She would have died seeing me climb trees 3 stories high so xi could say I neat all the boys haha. Slightly competitive in a nice way though.

So sorry, what a tangent I took down memory lane, last night my daughter told me im bad ass, kinda like it ❤️

I will use this group a lot since the blood cancer group was invaluable to me and its so nice having a tribe around you for support & advice.

God bless and feel better soon 🙏

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Profile picture for ptz71 @ptz71

@ptz71 thank you for your response and hug, much appreciated!

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@ptz71
Ditto right back a ya, we're all in this very difficult disease spiral with others going through it too..I'm a sponge for knowledge and learn a lot and also being helpful to some who don't read and research as much. It brings me joy to help and take care of people💖 I need to get better at self care 🙏

Be well my friend, im sure well speak again soon 🙏

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Profile picture for wendy517 @wendy517

@jabrown0407

Hi! I'm praying for the results today. Was having mixed feelings about + BUT now I'm excited to find out. The daily headaches for about 3 years now, occasional relief with narcotics, hate to take them but necessary evil.

Woke up with my usual headache, did start on 80 my prednisone yesterday and I did have some relief from the crashing ones, blurry eyes, but mostly left so assumed that's where I could have gone blind.

I'm a pretty voracious reader of self help books for my ADHD, spinal herniations and everything Autoimmune. My Mom has both PMR and GCA and has been very successful keeping them both in remission. She knows her body well, like I do. The minute her SED creeps up a few tics and she feels it. She goes on a short term dose of prednisone, nips it and NO resurgence of these HORRIBLE diseases. Plus they're hidden, meaning, we get, Wow you dont look sick and you do fun things. Lol, I am opposite of homebody, I do like it for a couple few days but will go into the dark place if I'm stuck at home, like with my broken right foot and cant drive. Luckily ive 2 amazing friends who know me better that I know me and by day 3-4 they're asking if i want them to pick me up so we can go out and about for the day with no driving for me and something relaxing like walk to a waterfall and enjoy nature's beauty and a restaurant where I can chat briefly with random strangers lol.

I believe about 50% have the PMR/GCA combo, so since they based my No PMR diagnosis, with the whole symptoms Ive had for about 3-4 years now will definitely be reconsidered. My SED rate has never been high through this entire multi year journey.

Honestly, ive never ever been a mean person, occasionally mean outbursts which typically happens when my body head all hurt A LOT. So, I try and give myself some grace. But do I ever wish to go back to a few docs and say FUCK YOU for NEVER listening to me.
My current GP (MDVIP doc) is FABULOUS and listens to me always. He's getting a big hug along with my Rheumy, she's been instrumental in saying, we will get to the bottom of this and diagnosed me with Hashimotos. Next was resolving all my other pain and she's ordered so many tests on me, I'll probably glow in the dark soon. Which is kinda cool, ready made night light for my multiple trips a night to pee. Next on my list.

I'm embracing growing old gracefully and being able to ski & hike until I drop dead. With all this craziness its put a huge damper in my favorite activities (live football is another, all live sports) and I'm like walking on clouds with a bad headache and wonky tummy (ive got SIBO) feeling SO HAPPY.

This group at Mayo is going to be so good good for me, THANK YOU for such a nice response and I'll pray for you too 🙏 ❤️

From, maybe, a member of the GCA tribe💪 ❤️

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@jabrown0407 thanks for your post today. Amazed by the unique ways we discover how to handle the effects, treatment and consequences of disease and aging. Knowledge is power, support of our family/friend groups, compassionate competent medical advisors, and most important for me: acknowledging and trusting the self-knowlege of my body that continues to function despite multiple autoimmune issues!
Like you, my lab/xray/biopsy results often are extremely skewed. On the Bell Curve, I'm at the far extremes. For this reason many times I too have been dismissed/overlooked by not fitting the textbook definition of my illness.
This morning I'm reflecting on what it means to be HEARD: truly listened to, and realize such positive results in return.
Growing older, aging as my best self, is a powerful motivation for doing all I can as I'm able to every day. Grateful for my body memories of mountain climbing, hiking, river rafting etc. bcuz even tho those days are past my body still gives me new experiences.
My support and encouragement goes out to
you and may your day be a great one. We're not aline!

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