At free-printing royal free now waiting for a wide local excision for (local) metastatic right breast lump to start in about 1-2hours, and really not looking forward to it.
Firstly because Im not a fan of surgery in general, and secondly because I dont like the idea of women losing boobs.
Spent the whole morning waiting for a ward round that didnt materialise to start, and then more waiting around with the pt to get a sentinel lymph node biopsy. But at least the radiologist was really nice and keen on teaching, which makes the moring pseudo- worthwhile. And my pt was really really nice and positive despite her diagnosis and that she is going to have part of her breast removed.
Breast Cancer is really an awful thing to have, both for men and women alike. Men because of the mockery they might get for having what the public see as a women's disease and women because it might mean losing a great part of their identity.
And its not only the physical changes that these pts have to deal with, but also chemo and radiotherapy after that. Its going to make (some) people lose hair, feel perpetually tired and ill, deal with side effects such as lymphoedema and having to live with the fear that the cancer might always recur. It means a whole lot not only to the pt but also her(/his) family. Daily routines disrupted and possibly life values reevaluated and plans rethought.
All these changes usu in a matter of weeks, if not days, especially with the one stop clinic that sees people getting their diagnosis within the week, surgery within the month and chemo, radio or hormonal therapy after that.
That aside, Im still feeling grouchy for having to come in so damn early to realise things didnt happen, the nurse at the lymphoedema clinic emailing the med sch to tell them i didnt attend the clinic and that squirrelmail is not working so i can email them to explain my innocence.
Why do bad luck come in big bundles?