Well had a flare-up of GCA last night - came on suddenly at about 6 pm - severe pain over right temple - terrible pain on moving head. Rushed to A & E - had difficulty explaining to receptionist but only had to wait 10 minutes to see the triage nurse and told her that it was an emergency as I did not want to lose sight. Saw doctor 5 minutes after this. He sat me down and said so you have GCA - well I will up your dosage immediately - take blood samples - he was very knowledgeable about the illness and moved swiftly to give me 60mgs of preds and to get the blood samples taken. Long wait for results of blood tests but at least I had got the preds down and felt very safe. Doctor checked me every 15 minutes whilst waiting and finally he got the results through - ESR was 20, down by 6 from the last test 2 weeks ago but the doctor took me to the receptionist and insisted that she made an appointment for me to see the ophthalmologist tomorrow. In the meantime whilst waiting for all the results to come through the doctor had been to give a talk to the receptionists and nursing staff about GCA and how it must be treated as a matter of great urgency. Well done that doctor!
It turns out that he had diagnosed a patient with GCA - put her on preds immediately and referred her urgently to the ophthalmologist the next day - who changed the diagnosis and took the patient off the preds - patient lost the sight in both eyes and sued the hospital! Doctor adamant that this was not going to happen again on his watch!