Episode 10

Episode 10 Every breath you ache

Introduction: Getting older and ageing is a part of life, but is it even more pronounced with IA? Inflammatory with Debbie Wilson and Katy Pieris, navigating life with inflammatory arthritis.

Debbie: Hello and welcome to Inflammatory with Debbie and Katy.

Thank you to everyone who’s been in touch and engaged with us on social media, especially on our International Women’s Day post.

It was so lovely to hear who inspires you. We also discussed last week how much our bodies have been through living with autoimmune diseases. And this month is Autoimmune Awareness Month.

So, we hope we are raising awareness of autoimmune inflammatory arthritis, the ups and downs of it, whilst giving positivity to people. March is actually a really busy month, as it’s the month we were both born in. It’s also the Hindu Festival of Colour, celebrating the arrival of spring. And I must admit, it really did feel like spring at the weekend. The flowers, the smells and the beautiful sunshine. It was amazing. Just shame it didn’t last.

But next week, the 18th of March is also Word Day. It’s the World Young Rheumatic Diseases Day, raising awareness of rheumatic diseases in children and young people and empowering them to thrive. So, we’ll be discussing more about parenting a child with juvenile idiopathic arthritis next week.

Today, as we’re both a year older and wiser, we’ll be talking about ageing, our fears, our hopes and whether you can plan a long-term future with inflammatory arthritis. Katy, lovely to see you. How are you?

Katy: Great to see you. Really good, thank you. Had an interesting weekend because I had a steroid injection in my wrist on Saturday, which was really weird because normally I’ve just had them in the rheumatology clinic. And this one was kind of like pre-booked, pre-planned. There was loads of information that I was given before the appointment about not driving after. I’ve definitely driven after them previously.

Debbie: So have I.

Katy: Yeah, I don’t know if something’s changed. I’d love to know, to be honest, if something’s changed with how they’re implemented. But it was like very bizarre having all this information, but it was just the usual kind of went in. But I had it with a, what’s it called? Like when you’re pregnant and they put it on your belly.

Debbie: Ultrasound.

Katy: Ultrasound. This goes into… Anyway, I’ll start with… I’ll go back.

Debbie: How is that ultrasound? You look like you’re baking.

Katy: And basically, before they inject you with the steroids and there’s also some antiseptic that goes in with it, they put the ultrasound on your wrist to work out the best place to put the needle, which was quite interesting. I mean, it was the sunniest day of the year on Saturday, wasn’t it? And they called me.

Debbie: It was beautiful.

Katy: At 10 a.m. I was just about to start playing netball and they were like, can you come in earlier? I was like, no, I sodding can’t. This has been booked in my diary for about a month. Just because you want to go off and enjoy the sunshine in the afternoon isn’t my problem, is it? Didn’t say that, by the way. I was very polite.

Debbie: It might have just been a cancellation, Katy, and they’re just like, oh, she might want to get on with her day. Maybe that flip side of it.

Katy: But oh my God, I’d forgotten. So it’s probably, I reckon it’s about six or seven years since I last had a steroid injection. And when it goes in, it fucking hurts. I called the man. I won’t say the word because most people very much dislike this word. But I said, you fucking **** to him as he was injecting the steroids in. Because honestly, it just took me by surprise.

I remember it being painful. But I just couldn’t contemplate before I was breathing like I was giving birth. But he did say to me, he said he’d think he was weird if I wasn’t swearing or screaming or doing some form of reaction. So, he helped me breathe it out. But it takes quite a long time to go in. It seemed like a really long process. But I was only in there for three minutes, pretty much walked in. I did a weird thing. There was a bed. So, if you see a bed, you lie on it, don’t you? And they were like, you don’t need to get on the bed. When it’s for your wrist. But they got one of those like peeing mats on there, which was more for the fluid stuff that they put on before the ultrasound.

And I was like, do they think I’m going to piss myself? Well, whilst I do this.

Debbie: Oh my gosh, what goes through your head is insane.

Katy: So, they said, no, you don’t need to get on the bed. You can just sit on the seat. It’s okay. So, it was it was quite a funny appointment, even though it only lasted three minutes. It’s probably taken me longer than three minutes to explain the appointment. I think it has. But that is crazy.

Debbie: But the main question is, has it worked?

Katy: I think so. So yesterday I played tennis, and I decided to break free of my wrist support. Because I think it’s more a mental support than an actual, like actually doing anything. So, I thought if I’m going to do it, it’s now and it was it was okay, I think. So, oh, a bit achy, but I think it’s that’s going to be more about building some of the strength back in that the support was helping with initially.

Debbie: Yeah, I must admit, it probably sounds like I need one of them because just before we started today, the microphone that we use, it’s quite heavy and kind of like the round bit, the metal bit just fell on my thumb joint. And oh my God, it really freaking hurt. And it’s just when I it was mainly because I am quite clumsy anyway. And I don’t have much strength, I think in my wrist, I think my wrist is now just leaving me. And so, I just kind of lifted up and it just fell. And the thing is, though, it’s made my whole hand so swollen. I had to take my rings off because otherwise they would just get stuck. So, I had to take them off and that’s painful. And I went to a freezer to try and find some ice, which I’ve now realized my girls do not refill after they’ve had their G&Ts and their iced coffees. So, I had to dig around in the freezer trying to find an ice pack and it’s now sitting on my wrist. And I can even after painkillers and anti-inflammatories, I can just feel it thumping and it really does hurt.

Katy: Oh, gosh, that sounds awful. It wasn’t the best morning, put it that way.

Debbie: And I have so many meetings that I’ve got to drive to an appointment later and I don’t do automatic cars. I just can’t do that. I have to have a manual. Even though I probably should. But no, I have to have a manual car and I just got no idea how I’m going to drive.

Katy: What we’ve noticed, I think, over the last few weeks, you can be quite clumsy.

Debbie: Yes.

Katy: Do you think that’s as a result of the inflammatory arthritis or do you think that’s just you?

Debbie: I think it is the inflammatory arthritis because I do try to, you know, I do everything I can to kind of keep moving my hands and everything to kind of keep the muscles and keep the strength. But I have noticed I’ve lost a lot of strength. And also there was one time when I was younger, my parents will probably hate me for saying this, but one time I was taking our plates away from the dinner table and I dropped a plate and it smashed because my hand just couldn’t hold it. Yeah, my dad went mental. He was shouting at me and then my reaction, put it this way, I was young, I don’t do this now. I kicked the sofa and it made a hole. And they were absolutely livid with me. But that’s because I just I didn’t want to drop the plate. It just happened.

Katy: And that was just frustration.

Debbie: Yeah, complete frustration. And yeah, so they had to kind of move their furniture around to hide the hole in the chair. But when I then eventually moved out and kind of got my own house, they were like, you are having that chair with the hole in. And I was like,

Katy: OK, it’s such an amazing gift. Happy memory.

Debbie: Oh, completely. Yeah, it doesn’t remind me anything of how. Yes. How frustrated I was in life. But hey, ho. Yes. But that’s that’s that’s my week and my day in a way. But obviously getting back to kind of what we’re talking about today.

Happy birthday, by the way.

Katy: Thank you. Happy birthday for you earlier in the month.

Debbie: Thank you. Yes, it was the first. But what are you up to for your birthday? Anything good?

Katy: I think we’re just going to go to Pizza Express after picking myself up from school. I’m not taking the day off.

Debbie: I don’t do that either.

Katy: I used to. So, in previous jobs, we got gifted like a birthday day off. Oh, well. But then last year, you might not like me saying this, but my husband didn’t book the day off with me.

So, I just said, well, it was quite nice. But then I was a bit annoyed. So, I took myself for a massage and a little bit of again, another word I don’t like, self-care. But, you know, did massage, got my hair done. We met up for lunch. So, it was quite nice. It was kind of like if I was a rich, it was like a day if I was a rich housewife. That’s how I imagine my day being. I get my hair done, eyebrows done, going for a massage.

Debbie: Nice. I could do with that, to be fair.

Katy: But this year, absolutely nothing. Nothing. Nothing. It feels like I feel like kind of early mid 40s. It’s all a bit. You kind of just wait until you turn 50 now.

Debbie: No, not at all. No, no, no. I disagree with that. I’m mid 40s. And actually, no, I think life is life is good, obviously, apart from me being completely clumsy and not being able to kind of look after myself very well. But I think actually I’ve been thinking about this and actually how my perspective in life has changed as I’ve kind of got older. And I think obviously having inflammatory arthritis as well and it coming back with a vengeance about 10 years ago is kind of really kind of made me kind of flip it on its edge and actually go, well, there are things that you can do. It’s all about adapting. But when I was younger, I always thought 40 was like really old. Did you?

Katy: Yeah, I thought you were basically dead. I used to call. So, my mum had me a little bit older in life and I just used to call her an antique from about the age of seven to 15. Wow.

Debbie: Well, the thing is, though, my nan, guess how old she’s going to be this year if she makes it? Her birthday’s in December.

Katy: Ninety? A hundred. Wow, that’s incredible.

Debbie: Yeah. And her mother-in-law lived until she was, I was going to check with my mum, it’s either about 101 or 102. She sort of outlived the Queen’s mum, our previous Queen. So, I think I’m just going to live forever, which I really don’t want to do. But it’s obviously in my genes that I can live for a long time. So, for me, 40, that’s not even midlife yet.

Katy: No, I mean, everybody in my family basically gets dementia. So, I know it’s not a nice topic, but you have to sometimes. Laugh a little about what’s in your genes. So, the only person, but on my side, my dad hasn’t got it yet and all of his family have had it apart from him. Right. So far.

Debbie: I guess we’ve got that to look forward to whether we live with IA or not. I suppose the question for today is we both live with a chronic incurable autoimmune disease. When I was diagnosed, I didn’t think about it, but maybe people do think when they are diagnosed with this that, oh, my gosh, this is the end of my life. They think about mortality and death and things like that. Has that shifted the way you view mortality?

Katy: I think it completely does. I think any life changing diagnosis or situation makes you think about that a lot more. Think about your future. It’s a tricky one because in some ways you kind of dread getting older. But then part of me thinks this disease makes your bones, your body feel older already. So, are you then more capable to deal with old age as it comes? I’ve definitely seen a difference. And I think this can be sometimes quite hard to quantify what aches and pains are the inflammatory arthritis and what aches and pains and stiffness is just the fact that your body’s getting older naturally. And does it impact how quickly the aging process takes place or does it not have any bearing? I don’t know the answer to that.

It’s just something that I, you know, the last couple of years, I think turning 38 was a bit of a shift in how I generally felt day to day. OK, why was that or just a random age? It’s just a random age where I feel I started to get stiffer and even stiffer in the mornings. OK. And maybe after exercise, I struggle to recover. My recovery is a lot slower. I probably can’t. I don’t I mean, I don’t want to paint a terrible picture because I do a lot of stuff. Yeah. I felt that my recovery was slower. I couldn’t do quite as many activities in a day. Is that a case of my inflammatory arthritis getting worse? I don’t think so because it’s been well controlled. So, is that in my mind, that’s more the aging process beginning to take effect than the inflammatory arthritis? How’s it been for you?

Debbie: I think I was just going to say that obviously you don’t get athletes in their 40s. So, they must be kind of people generally do retire more when they’re kind of in their mid to late 30s. But for me, well, looking just looking back on my life, obviously 2016 was a huge year for me because that’s when it went into my eyes and just all my joints were just so, so sore. So, I think that and then it just kind of hit me quite a bit. And then when my daughter got diagnosed, that really made me not want to think about the future at all because I didn’t want to think of her future. I didn’t want her to go through what I went through. But then I think it’s just kind of when I’ve been in my 40s that actually my body doesn’t want to do what it wants to do. And I have noticed my joints are getting more, more stiff and more painful, more day to day. But then I think I’ve mentioned in the podcast that I know that I do have antibodies to my medication. So, whether that is part of it, obviously I’ve got an appointment coming up to see whether it’s a change in medication that I need and the fatigue, I do get very tired so quickly. It’s hard because you’ve never been this age. You don’t know whether it is the age or the inflammatory arthritis, but you know you’ve had inflammatory arthritis for a while. But then it kind of makes you think, oh my gosh, is this getting worse? Do I need to kind of speak to my rheumatology team or is it just the aging process? So I think this is where it’s great to have that support network to kind of know that actually whether it is just you, it’s the age, it’s people going through similar things as well.

Katy: And another thing, which is potentially interesting, a bit morbid as well, is are we in a sense kind of, we’re living but we’re slightly dying inside because our body is essentially attacking itself. So, you’re kind of being, this is random terminology, but you’re kind of being eaten alive by your antibodies.

Debbie: Yeah, your body is completely attacking itself 24-7, which is what obviously autoimmune diseases do. It is, yeah, it’s a good question. I’ve never thought of it like that at all because obviously I try to have that positive mindset because I think if I dwelled on that too much for me, I would just end up in a vicious circle where it’s kind of looking and seeing what can we actually do, what can we adapt? Because I know for my future, I’ve even spoken to my husband about this, is that I do want to move. I would love to be in the countryside somewhere, just having that bit of freedom, but I would probably have to have a barn conversion or do something on all levels because my joints, my knees and my hips can get really painful. And it’s just when you’re so tired and you have to go to bed, it’s just that energy and trying to psych yourself up to think, can I get up those stairs? I really don’t want to get up those stairs. I would. So, I love barn conversions.

Katy: When something that’s quite small for the majority of the population, like a staircase can look like a mountain. It can.

Debbie: And I think, you know, my nan, as I said, she’s going to be nearly 90.

She didn’t want to stairlift because she didn’t think she’s old enough, even in her 90s best. And I’ve probably got that. I think it’s pride and also very stubbornness gene that I think I’ve got from her that actually I wouldn’t want that. It do look quite fun. But I think for me, just a barn conversion in the countryside so I can kind of have a bit of just freedom, I think is what I plan for.

Katy: Would you get your Porsche that you talked about a couple of episodes ago?

Debbie: I would love a Porsche. Well, the thing is, it weird, my husband was away this weekend and I was looking at my car and thinking, oh, do you know what? I think I might change it. I haven’t yet, but I was going to go and look at an Audi TT, just thinking, just slight midlife crisis, I think.

Katy: Hairdresser, hairdresser car. Sorry to anyone with an Audi TT.

Debbie: No, they used to be, but not so much anymore. But I was just thinking, you know, whilst I can, but then I remembered why I got my car, because I do have arthritis in my spine. So that’s why I got my car. So, it would be as much as I’d want one.

Katy: Oh, because that’s something I wouldn’t think about, actually. Yeah. Because I don’t have it in my spine, is having to adapt things like just what car you buy, you’ve got to think about.

Debbie: Well, yeah, it wasn’t until, we used to go on holiday to a really beautiful cottage in Wales, but to get to the cottage, you had to go through like a dirt track, and it was really, put it this way, the suspension on our car was not great and it really killed my back. And so it, we got to a point where I couldn’t even then sit in the car. And so, I did then get an SUV because obviously I don’t have to go down low to get in it. So we did have to completely change our fleet, just mine and my husband’s car, our fleet as we call it.

Yes. So we did change that, but we changed it just before lockdown. And so then our cars just sat in our drives for months and months on end. But I did kind of clean them. They were the most cleanest cars on the street because I had nothing else to do.

Katy: And what do you think about whether inflammatory arthritis makes us live better? You know, I think we’ve talked about it before, kind of seizing those good days. Or maybe in some cases as well, it makes you, you know, not take care of yourself as well because you kind of, maybe some people don’t see the point in doing anything because their body’s going to fail them anyway. That’s really not my kind of view of looking at it, but it’s something to think about.

Debbie: Yeah. I think, you know, again, this goes back to, you know, our friendship and I think we do have that very similar mindset, but there are people that I know and it is kind of, why push myself even more if my body’s going to attack me that much more as well? So, I think there is, you know, we’ve always spoken, there is that balance. But I don’t think, you know, I’m mid-forties now, I don’t think I’ll ever learn to pace myself. Maybe when I’m retired or whatever in life, I may well do. But I’ve really just seized that moment because I don’t know how long it’s going to last, which is why, even it was weird yesterday, I was thinking, you know, life’s pretty good now, life’s going great. And then obviously this morning something just fell on my wrist, and it is just so, and I know it’s going to be painful for a while because it is just so swollen and my body will just attack it even more. So how about you?

Katy: Yeah. So, I mean, I think I 100% just try and do as much as I can when I can. But obviously there are then times where, even though it sounds like I do all this stuff, sometimes I will just wake up and like, I cannot be arsed today. Why do I want to do anything? So, it’s really tricky to find that balance. And there is always this kind of grey cloud, isn’t there, run like over your head of what your life is going to look like with ageing plus the inflammatory arthritis, how you’re going to deal with old age. But then that’s when I think when people stop, that’s when they age. I don’t know.

I personally think my mum, since she stopped working, has aged more because her mind isn’t as active and because she’s not like, she just used to work like just kind of local admin jobs, but she generally walked to the job, which got her out of the house, got her exercising and got her moving kind of more than now. She’s mainly at home. She does garden. She’s a potter. Yeah. So, she’s never just sat like watching telly or something, but she potters around gardening, cleaning, hoovering, even though I think the house is spotless. They’re rattling around in their house. I don’t understand why they haven’t downsized, but never mind. It’s nice when we go to stay because we don’t have to get a hotel.

Debbie: Well, that’s the thing that that’s the benefit. Yeah. I don’t know because my dad, he ended his own shop and he’s only kind of in the last few years retired, but he does a lot.

And I think that’s what I would want to do is just to kind of just do what I want to do, but keep active because I know that I have to keep active anyway, because otherwise if I just sat, my joint would just be even more worse and then I wouldn’t be able to get up. So, for me, that’s kind of just looking after myself that little bit more. And, you know, I’m trying to take on new hobbies and I think this is what I actually quite like weirdly about having this autoimmune disease is that I have found new passions in life. When I was younger, I found piano. I never thought that I could do that. And that’s been fantastic. And now my kind of new hobby is when my hands are well enough, obviously I won’t be able to do it at the moment, is I restore old furniture. It is so fascinating, and I find that so therapeutic just seeing something. And I think it’s kind of could be sort of a metaphor for kind of us, you know, that we’re not amazing,

Katy: You calling me old furniture?

Debbie: No, not at all. No, but it’s kind of if you look after yourself that little bit more, you can be that beautiful, natural, amazing person that you are, Katy. But I just think sometimes it’s just that kind of look, just looking after yourself. And I love taking furniture back to what it was and the stories that they could tell would be amazing if they could. And I just think for me, that is just so therapeutic, just seeing the beauty come back to life. And I think when you have that diagnosis, I think that’s kind of when you can feel like, oh, my gosh, my life is over. I can’t do this.

But actually, the more you adapt, the more you process, your natural beauty will come out and you will learn so much.

Katy: Oh, I love this. I love that.

Debbie: That’s just off the top of my head.

Katy: I absolutely love that. That’s such a nice little metaphor. Just a final point. I just wonder if our consultants, I don’t know if you’ve got any experience with this ever talk about sort of our mortality and our life expectancy kind of across the appointments or in any other areas.

Debbie: I haven’t had that experience. I think my rheumatologist, well, she’s absolutely lovely. And I think she’s possibly around my age, but I think she’s probably slightly younger. But she always says how young I look. And actually, some people have actually said that. So, I kind of, I think, have the opposite. But whether that’s, you know, my JIA making me look younger, I’ve got no idea. Or it might just be my good genes. I don’t know.

Katy: Well, I think if your grandmother’s living to 100, then that probably means genetically you’ve got something helping you.

Debbie: It could well do. Yes, it’s, who knows? Yes, it’s not today.

Katy: I’ve never had anyone really talk to me about it. I was always a little bit frustrated. That nobody talks you through the psychological impact and that managing day to day feelings, frustrations. As you mentioned, you kicked a sofa because you were so frustrated.

I’ve definitely had times where the whole, the whole thing, the whole general impact has really made me blow my top. I know that isn’t specifically around ageing, but it all kind of works because if you’re stressed, if you’re feeling frustrated, I’m not sure if this is scientifically correct, but that sort of stress can form other problems and make you age more. It can drive you to having a glass of wine just to calm down, which we know isn’t great for ageing and general health in your future. So, I think, I personally think this is a really important point that consultants should be helping people through and talking to us about how, how the disease is going to impact our ageing and helping us understand what’s ageing and what’s the disease.

Debbie: Completely. But also for children, I’m kind of like some support network groups that I’m on. Is this to do with JIA? Is this to do with, you know, the disease that they’ve got? Actually, we need to have those kind of barriers to actually say, no, this is what it looks like. This is what could happen. And if it’s anything else, it’s nothing to do with your JIA and also or any inflammatory arthritis disease. I think the lines get crossed so easily in what is and what isn’t. And I think, you know, it’d be really good on the podcast to get a psychologist on soon to really kind of help us and to help everyone understand the impact a long-term chronic disease has on our mental health. Because I know we did a deep dive a couple of weeks ago and obviously that’s our experiences.

But it’s just be really good to kind of get some hints and tips on what we can do to adapt and process as well. I kind of think there’s also, you know, to end on kind of a positive thing is for me, I don’t panic as much more for my future because there is so much more research going on. I’m really a major part of some of the research that is going on out there. I know. And there’s more medications coming out. There’ll be more available. So, it’s not to panic. You know, if your medications are working great, don’t then panic if they don’t continue to work. There are lots of other things out there for you. And it’s just talking to your team and kind of just going through your fears with them as well, because they might be able to help you and just kind of, you know, reduce your anxiety about things as well. Because, you know, life is for living. And if there’s anything that, you know, we can do or your team can do to help you do that, you know, we really should grab it with both hands.

Katy: Life completely is for living, whatever your situation.

Debbie: Yeah. So next week, we are going to be talking about Word Day and talking more about parenting a child with juvenile idiopathic arthritis, a type of inflammatory arthritis. But don’t forget to please leave a review and rating from wherever you get your podcast. Follow us on social media. We’re on Instagram, Facebook, Blue Sky and LinkedIn.

And also you can sign up to our newsletter at inflammatoryarthritis.org. So until next week, it’s goodbye.

Katy: Before we go, how’s your wrist?

Debbie: It is so painful. It’s just, I’ve just looked at it and it’s kind of, I think, twice the size as it was even before we started.

Katy: Oh, my God.

Debbie: And I can’t quite move my thumb. So, I have to probably try and do a few exercises just to get it moving. My fingers are so stiff at the moment. It’s not good.

Katy: Oh, gosh. Hopefully next week it’s sorted.

Debbie: Fingers crossed, on the other hand, yes.

Episode Title: Every Breath you ache

In this episode, Debbie and Katy dive into the realities of aging with inflammatory arthritis during Autoimmune Awareness Month. Reflecting on their March birthdays, they ask—are they any wiser? Katy shares her experience with a steroid injection in her wrist, detailing the unexpected pain and unique circumstances, while Debbie talks about a mishap with her microphone, sparking a conversation on clumsiness, strength loss, and how arthritis affects daily life.

The discussion expands to aging with chronic illness, including shifting perspectives on midlife, family longevity, and balancing activity with fatigue. They also share how they’ve adapted to physical limitations, from car choices to planning for future living arrangements.

Despite these challenges, they emphasize the importance of staying positive, active, and finding new passions, with a metaphor about old furniture symbolizing resilience.

They also explore the emotional impact of inflammatory arthritis, how to distinguish disease-related symptoms from natural aging, and the need for better support from healthcare professionals in managing aging and stress.

The episode concludes with a hopeful message about ongoing research, new treatments, and the importance of open communication with medical teams. They preview their next discussion on parenting a child with JIA, reminding listeners to embrace life despite its challenges.

Key Topics Discussed:

• Ageing with autoimmune disease and inflammatory arthritis
• Autoimmune Awareness Month and World Young Rheumatic Diseases Day
• Katy’s steroid injection experience
• Daily life challenges: clumsiness, strength loss, and adaptations
• Shifting perspectives on midlife and family longevity
• Balancing activity and fatigue
• Psychological impact of inflammatory arthritis
• The need for better healthcare support and communication
• Encouragement to stay positive and embrace life’s opportunities

Resources & Links:

• Follow us on social media: Instagram, Facebook, Blue Sky, and LinkedIn
• Sign up for our newsletter at inflammatoryarthritis.org
• Don’t forget to rate and review the podcast on your favourite platform!

Next Episode Preview:

Next week, we’ll be discussing parenting a child with juvenile idiopathic arthritis and the unique challenges families face. Be sure to tune in!

Thank you for listening!

Disclaimer: The podcast is for informational purposes only and is not intended to replace professional medical advice. We talk about our personal health journeys and the podcast is not intended to provide professional medical advice, diagnosis, or treatment. We are not medical professionals and in no way claim to be medically trained. The podcast does not take responsibility for any losses, damages, or liabilities that may arise from the use of the podcast. The podcast does not assume responsibility for the accuracy of third-party content.

For more information, head to https://inflammatoryarthritis.org/

A Boutique Broadcast production for Inflammatory Arthritis UK