Bill - Interview 23
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When Bill found a lump in 2001, he was immediately worried about what it might be. He had known a man who had died of breast cancer. He made an appointment at the first opportunity with the GP who referred him for tests. In the meantime, he began to experience itching in both nipples.
When Bill's wife noticed a lump on his chest, he went to his GP. He felt anxious waiting to hear about his hospital referral, particularly when both nipples started feeling itchy.
When Bill's wife noticed a lump on his chest, he went to his GP. He felt anxious waiting to hear about his hospital referral, particularly when both nipples started feeling itchy.
I remember it very vividly of course. It was the weekend of the Mayday holiday and, it wasn’t me that found the lump it was my wife who… she ran her hand over my chest and found this lump. And I always remember being immediately worried about it, because I hadn’t noticed it of course. So the doctor was closed on Monday. And I went into work on Tuesday and phoned the doctor for an appointment, and went from work on that Tuesday to the doctor. And he examined me and did indeed find a lump and he didn’t seem too worried about it. And he said he would refer me to the hospital. That was fine. I left, the doctor, I didn’t go back to work I don’t think that day. Anyway the next day I spoke to a lady who had breast cancer, and asked about her experience and she told me. And eh, she said that things were really good in [area] because they did this one step clinic for people with lumps on their chest. But that- turned out only to be for women, actually. And anyway, in the interim between me going to the hospital and finding out about this lump, I became really worried about it, and I have to say in my mind it was growing all the time. And then more symptoms appeared, because I began to have this real itch in both nipples. And this lump just to the inside of one. And, I went back to the doctor, I saw a different person, who did tell me I’d been referred to the surgical clinic at the hospital, and, she told me she thought I might better stay off work, in the interim.
Bill describes having his core biopsy and the 'wonderful' bruise that he developed after the test.
Bill describes having his core biopsy and the 'wonderful' bruise that he developed after the test.
The worst thing though was, that day they told me I had cancer, they took a core biopsy, and they had given me some local anaesthetic and then taken this core biopsy, and the bruising was just so extensive and so horribly sore. It was absolutely wonderful bruise if a bruise could be described as wonderful, this was a wonderful bruise, all over this side of my chest. And the pain! And they had put this big pressure bandage on it. But, I’d often thought I could get to the front of a queue if I just exposed this bruise to people. And- but I remember that as the most painful thing actually.
Bill talked about waking up after his mastectomy feeling very cold and in pain. The morphine that he took made him feel nauseous.
Bill talked about waking up after his mastectomy feeling very cold and in pain. The morphine that he took made him feel nauseous.
But the next thing, I do remember going to the anaesthetist, speaking with me and the cannula in my hand was already in my hand, and the next thing I remember waking up and I was absolutely freezing cold, I was very cold, in the recovery room. And I was aware of a big pressure bandage across my chest. And they put a, one of these- obviously a silver foil thing on me, and blew a heater into me to heat me up. And then they took me, once I was over that part, they took me back to the oncology unit in a single room, and hooked me up to different machines, and my arm seemed full of things. And I dozed in and out, people came to see me and I can’t remember much about that. And when I did come to a bit, they explained to me that I had this pain, pump thing, pain relief that I- if I was in pain then I could press this pump.
Bill said that his drains were removed several days after his surgery. He describes it as a 'very strange feeling'.
Bill said that his drains were removed several days after his surgery. He describes it as a 'very strange feeling'.
Anyway, the- the drains in my chest and arm began to run clear, after four days, Tuesday, Wednesday, Thursday, Friday… Saturday still draining a bit, and they said to me that I would be allowed home on the Sunday if the drains remained clear for that day. So in fact they did remain clear and they- I always remember, it was very strange feeling, having the drains taken away, cause you could feel them coming out. Ooh! Anyway, they took the drains out and gave me another dressing, put another dressing on the scar, and sent me home.
Bill described how he felt the first time he saw his chest with only one nipple. He was annoyed about losing his nipple even though it had been the only option he had.
Bill described how he felt the first time he saw his chest with only one nipple. He was annoyed about losing his nipple even though it had been the only option he had.
And, after a few days, I think the operation was on the Tuesday, and I had drains in of course, two drains, one in my chest and one under my arm. The bandage had loosened a bit and I became very nosy and managed to ease it off mostly and, was just a huge scar right across my chest, which ended under my arm.
After Bill had a second mastectomy he insisted that he see a plastic surgeon. After the wounds had healed, he had two nipple tattoos which made him feel 'reborn' as a man.
After Bill had a second mastectomy he insisted that he see a plastic surgeon. After the wounds had healed, he had two nipple tattoos which made him feel 'reborn' as a man.
Why did they recommend that you went to a plastic surgeon then, this second time? Did they offer you some kind of reconstruction, on the second occasion but not the first, or-?
Bill found chemotherapy horrible but felt a sense of abandonment once it was over, although he did still have follow-up appointments and contact with the breast care nurse.
Bill found chemotherapy horrible but felt a sense of abandonment once it was over, although he did still have follow-up appointments and contact with the breast care nurse.
So did you make the full six courses then?
A pharmacist told Bill that tamoxifen was 'only for women'. When he phoned for an appointment to discuss reconstructive surgery the secretary assumed he was phoning on his wife's behalf.
A pharmacist told Bill that tamoxifen was 'only for women'. When he phoned for an appointment to discuss reconstructive surgery the secretary assumed he was phoning on his wife's behalf.
And was he or she understanding? The breast care nurse, were you able to phone her anytime?
An airy… this assumption that men first of all didn’t get breast cancer, and secondly they wouldn’t bother at all with the reconstruction and…
So, there was just no thought at all that you might be phoning on your own behalf?
Just no thought that I might be the person looking for treatment. Anyway, I made the lady aware that it wasn’t my wife I was talking about, it was me and I was the very first man… the very first man, that had been referred, or asked to be referred to a plastic surgeon after breast cancer treatment.
Bill 'bombarded' different organisations to produce information for men with breast cancer. He thought a lot of images used were even inappropriate for many women with breast cancer.
Bill 'bombarded' different organisations to produce information for men with breast cancer. He thought a lot of images used were even inappropriate for many women with breast cancer.
And from the time they discharged me from the hospital, I was very aware that all the leaflets and stuff they had given me, the physiotherapist had given me lots of leaflets that had encouraged me to move my arm and to get the mobility back in this arm and re- everything, that was written in these leaflets was for women. And I had them, they had given me them. And I remember thinking that, this is very odd, you know. But I could take what was important or what was useful for me, from these leaflets.
Bill warned his teenage sons before he went to hospital to a have his lump investigated that it might be bad news. He was already very well aware that men could get breast cancer.
Bill warned his teenage sons before he went to hospital to a have his lump investigated that it might be bad news. He was already very well aware that men could get breast cancer.
Fifteen, thirteen and ten [son’s ages]. So, when I told them, I did tell them before I went to the hospital that I had found this lump in my chest and was kind of worrying about it, it might be bad news, and they were okay with finding out that it was a cancer. And I told them, because I knew of course men could get breast cancer, that was the other thing of course, many men don’t. Indeed many women don’t. But I had a friend who had died from breast cancer, years before, I always remembered that. And I was aware that men could get breast cancer.
Bill is upset and annoyed about the inconsistency in the way people talk about breast cancer in men and women. He has been active in trying to change the language that is used.
Bill is upset and annoyed about the inconsistency in the way people talk about breast cancer in men and women. He has been active in trying to change the language that is used.
So I started bombarding cancer charities with requests to make the information about breast cancer in men much more suitable to be given to men. In fact, no, to make information available…