Jenny, hope all goes well with your op. I had right breast reduction on Monday this week following mx last July - was offered delayed recon, but so far chosen not to go down that route, but because I'm a large cup size onthe right side, thought that the offer of a reduction would help. Last year my treatment was marvellous, all lead up stuff - recall for mammogram, biopsies and meetings with BCNs were in a separate breast care unit, with the mx being done in "sister" hospital on another site. The ward was a specific ward for breast care, had two rooms with 4 beds, specialist breast care nurses, specific room for fitting cumfies and prosthestis, and because of a local bosom friends charity had its own lovely sitting room and kitchen where you could go and make a cup of tea or a slice of toast and feel "normal". My husband was allowed to stay all day on the day of surgery, could walk down to theatre with me etc etc. Because it was a specific breast care ward, all the patients and people with them were at some stage of their breast cancer journey, and I met some lovely ladies who gave me such hope and support. Because my husband lost his mother when he was 16 to cancer, he'd just heard the C word and flipped, so for him, being able to talk to someone who was with his daughter who was have a lumpectomy, but whose wife had been dx with breast cancer some 20+ years ago (and still around) was really helpful. However as with all NHS trusts they have to look at the money, and it would appear that because breast surgery has advanced so far and with all the surgery that is now being done as day cases, the powers that be have moved the breast care ward from its own little place, and added it on to the end of the gynae ward so no room for all the things that had been provided by the charity. We now have breast care nurses during the day but the gynae nurses have to pick up the extra 8 beds during the night. On Monday night one of the hospital managers (matron) was prowling round the wards looking for beds, and because the breast care unit had some beds available for patients due to arrive the following day, those beds were grabbed and 3 patients - not sure if they were gynae patients or other surgery - were brought in with the last one being admitted at midnight. The lady in the bed next to me had just undergone a mx, following a series of chemo, and I did think that it wasn't great from an infection control point of view to mix us all up. But the thing that bothered me, and this will sound so shallow, was that the last of these admitted patients had her partner/boyfriend/husband with her who seemed to continually stare at all of us with no boob, no hair etc, and its the lack of understanding of these side of things that now seems to let the hospital down. My surgeon, anaesthestic and the nurses were absolutely fantastic, and had no problem with me staying on Monday night rather than going home as a day case as I had a bit of a bleed through the dressings and was worried about going home, but it's just a real pity that the brilliant clinical services are let down by the logistics of managers trying to find beds... And the poor nurses on the night shift were run ragged, and I have to say, none of us got much rest! Good luck for your op, and I hope the admission system isn't as awful as the last time. Take care x x JB
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