Routine follow-up appointments- what are they for?

I was diagnosed 3 years ago, Grade 3. Had WLE, axillary clearance, chemo and rads. Apart from the side effects of Arimidex I am now very well and feeling good. Today I’ve had my ‘annual check up’ at the Breast Care Centre ( Glenfield, Leicester) where I was seen by a Nurse Practitioner.

I wasn’t kept waiting and she gave me a thorough breast examination and was pleasant and efficient.
My next appointment with the ‘Surgical’ team at Glenfield will be in July 2013.

What exactly is the point? I had a clear mammogram only 3 months ago so obviously I was OK unless I had other symptoms- and if I’d had any of those, I would have been the first to know about it and would have arranged my own re-referral. Mammograms here are done on an 18 month cycle which is NOT linked to the follow-up appointments. My next mammogram will be in November 2012 and I shall be seen by the Oncology team at the LRI in July 2012, 4 months before then.

It just seems to be a box -ticking exercise - complying with ‘protocols’ ; nothing happens at these routine clinic appointments apart from a brief physical examination. All the BC professionals know this and will actually agree with you if you raise it. It really does seem to be a wasteful use of NHS resources -or do other people feel differently?
I would have liked more support 2 years ago when I was a the end of my ‘active’ treatment and was given a follow-on appointment that was 8 months ahead.
If so much surgeon/oncology and BCN time was not spent in ‘routine’ follow-up clinics, surely more time, individual care & support could be given to patients when they are really needing it i.e. during their treatment period and in the first few months after treatment finishes?

mammograms are part of my checkups. I don’t go to the screening mammograms, as those are sent out from GPs’ lists and aren’t based on actual treatment or condition. The IBC I’ve just been treated for was picked up at my second ‘routine’ checkup with the oncologist. I may have some remaining seroma drained at my next checkup, and both breasts should be checked then. I’m not sure whether I will have a mammogram of the ‘DCIS breast’ or no mammogram at all this time.

I dunno about the usefulness of annual mamo’s in a lot of cases either. This year is my 5th year …a year ago I asked the clinic about the usefulness of mammo in my case, being lobular, and they confirmed my thoughts that not too much use really, it may pick up something that is established but otherwise would not.Would have thought resorces could be better targeted for specific group i.e. mammo for those it useful for, ultrasound annual check for the likes of lobular and no doubt other types! unfortunately not…