Poor communication -Breast Cancer Nurse and lack of support - feel all alone.

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Hi  Not feeling great mentally at the moment.

Am soon to be on 8th chemo cycle (4 Docetaxel + 4 EC) as well as PHESGO then scans end of May.  Been told by my Oncologist (unfriendly with poor people skills) that what's next will depend on outcomes of scans which I understand but uncertainty of what comes next is really unsettling me.

I am a young at heart 60 year old teaching support worker having retired from fulltime teaching, always been healthy - taking a paracetamol for a headache has been a big thing for me prior to getting cancer so this whole journey has been a huge shock.

I have been through the past 6 months of treatment with no involvement from my BCN during chemo. Is this normal or have I drawn the short straw?

At my initial diagnosis when I was told I had cancer - stupidly I did not know this was going to happen thought it would be a cyst or abscess- I had to wait over an hour past appointment time at the end of the working day to be seen by a Dr who I have not seen since, I met my BCN. I was told by the Dr that the other person in the room was a student then I was told that I had cancer,

So in the room was myself, my husband, a student, the BCN and the Dr who I later found out was a surgeon although if he will operate on me I do not know.

The BCN while I was reeling from this news then told me the Dr wanted to examine me although I was not told why, then to find once I was lying on the bed, the Dr touching my chest and the cold hands of the student !!!! I was not asked if this was ok, I just had 2 strangers rooting around on my breast.  Meanwhile the BCN stood there saying nothing just staring, then whipped off the gown covering, my other non-cancerous breast, leaving me totally exposed. Why I do not know - I was mortified by this whole experience but I was in so much shock at the diagnosis I said nothing.

The BCN then stood watching while I got redressed, said something to me about how she should have given me privacy while I dressed and then went back into other room with the Dr and student. My husband was absolutely mystified what was going on with them all going into other room with me and then back out where he had been sitting on his own.

That was the last time I saw the BCN. Nothing since 

My employers were being rather 'sticky' about a letter or documentation of some sort to evidence why I would not be in work and despite several messages being left for my BCN as to the problem and what could be done, I have had absolutely no communication at all. Absolute silence.

I sorted 'sick notes' with my GP surgery eventually but it would have relieved the stress I felt (no evidence = no pay) if someone who knows the system had helped. I was reluctant to ask my GP/surgery as my GP had told me initially when I presented with a swollen breast that it couldn't possibly be cancer as cancer doesn't hurt (what a lie) and gave me antibiotics. A routine mammogram saved me. 

I have got through chemo which has been very tough - am at the stage now where I have absolutely no hair, lost 3 fingernails and now 2 big toe nails are coming out which has been painful, only with husband support which has been limited as he has to work to keep a roof over our heads. His employers have not been supportive at all and have treated my having cancer as an inconvenience to their systems - this is a white collar, City, financial job . My husband works from home 2 days a week the rest in the City so we juggle my appointments, drop offs for treatment on working from home days and then he makes up the time. 

Now I am facing surgery - what sort I do not know - with acute fear as to body disfigurement with surgery (at least with a C section I got a beautiful baby)

with anxiety about male staff seeing/touching me whether they be radiographers, surgeons or whoever

with absolute silence from a BCN. Should I have the misfortune for her to show up at some point, I do not want to see her as I have no relationship with her however tenuous.

Any ideas from anyone please? I hardly slept last night due to the anxiety this is causing - I have never suffered mental health wise before I have always been strong and resolute and know what I am doing but not now.

I feel in a sea of uncertainty and being 'done to' rather than with. 

  • I am sorry you are in this situation and are having so many issues with poor communication. Navigating through this is hard, and it’s even harder when you are in the dark. I had surgery before chemo, and had no relationship whatsoever with the BCN I was assigned to on my results meeting. I tried contacting her a couple of times and did get responses, but from other members of the team. Interestingly I later found I was metastatic, and the team of BCNs who support metastatic patients ant my hospital are all fantastic. They seem to work in the oncology department which I have found to be better organised than breast services.

    One thing I soon learned is that consultants stick with their own specialism. So the oncologist won’t make the final decision on what surgery is needed, the breast surgeon will. I would imagine you will have an appointment following your scan where this is discussed. It’s horrible not to know, but it’s quite possible the scan results will make a difference to the plan, for example allowing a WLE rather than mastectomy if the tumour is small relative to your breast, etc. Incidentally you can ask students to leave and can also be asked to only be examined by females, I appreciate this could add logistical complications. I think radiotherapy was the process that most left me feeling like a piece of meat that had to be handled - that said, they were all kind and professional. 

  • Thank you so much for replying. As long as I roughly have an idea of what's next my brain can deal with it. Hopefully the scan at the end of May should provide at least a little clarity.

    I didn't know I could ask to be examined by females so I will try that. 

    You have made me feel much better. Thank you 

  • I am sorry to hear you are struggling, you have been through so much and the lack of communication really provokes anxiety. After my mastectomy i have found a complete lack of support from BCN. It was only when ive had some post op complications that they have taken notice. Please reach out to your BCN or GP if your mental health is taking an understandable knock. I have been referred to a psychologist and counseling to help me. Just know you are brave, and you got this!! You have the support from all on here, as we are fighting the big C together. Sending you hugs x

  • Thank you so much. A big cwtch to you too. I have never thought of myself as brave so that has given me a lift.

    All power to you too ! Keep strong. x

  • Hi, so sorry to hear that you're not getting the support you need whilst experiencing something that is difficult enough on its own. I just wanted to add that the lovely folks at Macmillan are just at the end of the phone if you want to talk anything through or ask for advice. You can call them on 0800 808 0000.

    Unfortunately many of the specialist doctors do seem to be male in my experience, but you are always allowed to have a female “chaperone” with you for any examination.  I do agree, it can be all rather undignified and uncomfortable, I just try to think that they are only doing their job.

    Hope you get some clarity soon, best wishes 

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  • Thanks for your reply.

    Yes I agree they are only doing their job but I think whether it's a BCN or a Dr they need to remember there is a human involved i.e. me who is facing all this for the first time.

    I am hopeful for clarity soon.

    Thanks again

  • Hi Blueskythinking

    Your post brought back some memories for me.When I first met my BCN she couldn’t have been nicer. However a few months on when I tried to phone her I could never get through. It was always ‘leave a message and we’ll get back to you” however when they called back you had to pick up the phone within 2 rings else it was too late. I recall one time when I was struggling badly with pain and due to start radiotherapy the following week I felt pretty desperate so, unabl to get through to my BCN, I called the MacMillan helpline. What a difference. I was so down. The chap I spoke too was so helpful and told me what to do - basically kick ass! I did - I insisted on an appointment next day and got one. I needed that encouragement and support and it worked. I think the BCNs must be overstretched but it is frustrating when the assumption at the start is that the support will be there for you. I thoroughly recommend the MacMillan helpline for a sympathetic and helpful ear. Best wishes xx

  • Thanks Beth. I think I will speak to Macmillan. I will also try to change my BCN although I am unsure how to do this. Somehow I have to make things better for myself.

    The staff on the Chemo team have been outstandingly kind and compassionate over the past 6 months so at least one good thing to come out of this situation. 

    Thank for your kind words.  Much appreciated. x

  • I hear you and feel for you, it's very similar to my experience. Hope things improve for you xx