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Sunday, January 18, 2009 Sally Meredith asks

Q: Double lumpectomy in office procedure with local anaethetic - is this normal?

I had a double lumpectomy in an office procedure in Bermuda. In fact, I went to see the surgeon after finding 2 lumps in my right breast only 2 months after my annual mammogram. The surgeon insisted on removing the lumps right at the doctors visit. He injected me locally with anaesthetic about 5 times for each lump because I could feel him cutting me. Then I had to hold some kind of cotton over the first incision because he was unable to stop the bleeding. He kept asking me if I'd been taking aspirin (which I hadnt). I was shaking and could hear the blood dripping onto the floor. He did not have a nurse present. My entire right side from my collar bone to navel was black & blue. Eventually I had a mastectomy as my cancer was Stage 3, Grade 3. I was very traumatized by this doctors approach and would like to know if this is 'normal' to have lumpectomy in an office. He also told me when I asked about reconstruction (after being informed I had to have a mastectomy) that this was a waste of time and money and that the reconstructed breast never looked or felt like a real one and that women were making a big fuss about it. I was unable to get a 2nd opinion from him because he refused to give the insurance company a referral and said he was perfectly capable of doing any surgery associated with breast cancer. Eventually after a huge battle with the insurance company I was able to go to Dana Farber for axillary dissection, chemo and radiation. Still feel very traumatized by the whole experience though. Thank you for your thoughts. Sally

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Answers (2)
PJ Hamel, Health Guide
1/18/09 2:56pm

Sally, obviously you feel this was a botched procedure, and I'd agree. While it's not uncommon to have a lumpectomy using local anesthetic, usually you'd get a tranquilizer at the same time. And of course, blood dripping on the floor is definitely not normal procedure. I'm glad you were able to get to Dana-Farber, and get treated; this doctor sounds totally incompetent, and I hope you never have to see him again. Good luck going forward - PJH

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1/18/09 5:03pm

Sally, this doctor sounds like a complete bully. I felt really angry for you when I read your story. I would think about reporting him to the relevant medical board to try to stop him doing this to other women. When it comes to the possibility of breast cancer we are particularly vulnerable and this should not be taken advantage of by bully-boy doctors. You might also feel more empowered by taking some action against this man. How dare he?

 

Very best wishes to you with your fight against breast cancer and particularly wishing you strength and courage.

 

Sue

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By Sally Meredith— Last Modified: 12/24/10, First Published: 01/18/09