Urgent referral time frame been and passed. Covid delays

First of all, hello everyone ‍♀️. So as I'm sure many of you probably started out the same as me when first coming accross the chat forum, I have read and read and read everyone's experiences and advice/support they have received. I was a little aprihensive about posting in the first place as there is still this small voice in the back of my head telling me I'm being a little bit of a hypochondriac, but I have silently worried for over 2 weeks now and again have been met with another hurdle. It's a little bit of a long read, so grab yourself a cuppa....

 

So over 2 weeks ago whilst getting out the shower and doing that hair towel wrap thing us long haired individuals do, I noticed when I lifted my arms up above my head a very prominent dimple appeared at the bottom of my left breast. Concerned I booked a doctor's appointment; first receiving a over the phone appointment where they decided I needed to go in for a face to face appointment, which was then booked for the next day. I went to the appointment and the Dr agreed that she could visibly see a dimple and then carried out a physical examination where she stated she could feel a lump. A urgent referral to the breast clinic was made and I was told to expect a appointment for within 2 weeks. Since then I have obviously read information (orriginally as a way to put my mind at ease; googling sentances like "natural breast dimpling" "weight loss and breast dimpling" "weight gain and breast dimpling" "weight lifting and breast dimpling"....spoilers there is no such thing on the internet that indicates breast dimpling as being anything other then cancer.

 

The first week come and went and still no letter. I did however recive a phone call from the track and trace team informing me that I had been identified as coming into contact with a person who had tested positive for Covid-19 (I work in the health care sector so this a expected risk). I was then informed that I was to self isolate for 14 days, reguardless of the results of my own Covid test (it was negitive by the way). I explained about the expectance of receiving a appointment for the breast clinic, which going off the information I was told about the 2 week time frame I knew that the 14 day isolation would overlap. I was informed that I was not to go to this breast clinic appointment. I wasn't reassured that I was receiving the correct information and felt as if I was just being read the blanket guidelines that everyone is told, so I asked and asked again (it's quite surprising that when you ask someone to officially put their name to the instruction of missing your breast clinic appointment no one wants to, this ment me getting passed around on the phone/ waiting for call backs from 10am to 4:30pm) eventually I gave up with anyone telling me diffrent and rang my GP who informed me that I was not to miss my appointment. Track and trace did actually end up phoning me back (not a expected call back) as they had read on my notes that I had been advised to ring 111 to seek further advice and wanted to reiterate I was not to attend my appointment. I informed them of what my GP had said. This whole day upset me and I felt physically, emotionally and mentally drained after it. What I find very dangerous is that there are none medical professionals out there in a call centre reading off a script and actually giving out instructions to people to not attend medical appointments! In my opinion this is beyond dangerous, and I stated as such to every person I spoke with on the phone, highlighting that if I had a diffrent type of personality I may have accepted the instruction to miss my appointment no questions asked. Anyway all that worry was for nothing as I recived a phone call the very next day saying that the person had been retested and it had come back negitive, which ment the first results where a false positive, so I was to ignore all instruction to self isolate and resume normal activities. But please anyone reading this, question them relentlessly and dont just accept what these none medical professionals instruct you to do in regards to any health appointments you may have. If they are not happy putting their name to it, they are not sure it's the right thing themselves! 

 

Now we are at the end of my 2nd week and I should have recived my appointment by now. So I phoned the breast clinic to chase up my appointment, as the thought of waiting for the bank holiday weekend to be over to recive a date by post was too long if they already had it on the system and could verbally tell me it over the phone. 

 

So the person on reception took my details and told me that I am on the waiting list to be transferred to the appointment list....So as it stands I don't even have a appointment yet, she said that they are very busy at the moment and working reduced clinics due to Covid, she then said she was waiting for her manager to authorise extra clinic days and only then could she assign appointments, and I wasn't even on that list, I would have to wait till the people on that list had been given appointments then my name would transfer to the 'waiting for appointments list'. So I responded optimistically "okay so I should recive a letter next week". I kid you not the receptionist did this little exhaling laugh thing and went "oh it won't be next week, or even the week after that" I explained to her that I was confussed as I had been sent as a urgent referral which ment I should have been seen by a breast clinic consultant within 2 weeks, she again just said her hands where tied. 

 

So I phoned my GP who basically pulled up my notes, confirmed that it was a urgent referral sent with notes added confirming visual dimpling and a lump felt by the Doctor. She said that they have a obligation to see me within the 2 week time frame as it had been flagged as urgent, she was annoyed at the receptionist for laughing at me (all though I did explain that it wasn't really a laugh at me, more at the situation that I thought I was going to be seen quickly), and said that yes if their is a need for extra clinics that will be because of the obligation to see people within the timeframe so it's more likely that my appointment will be next week. She said for me to phone them Tuesday (Bank holiday weekend) and if they tried to say the same to me again to phone her and she would directly phone them herself. 

 

I suppose what I'm worried about is the more I am now being conscious about my body I can recognise symptoms I've had for a while, (and been to the doctors about in the last year, but there has always been alternative reasonable explanations). These symptoms coupled with the lump which is not small and a newly developed dimple on my side (below the armpit about half way down my ribs, and in line with the lump I can feel in my breast) is making worry that I've not detected it early, so any extra time added delaying a diagnosis is massively worrying me. 

 

I've seen a lot of posts recently on here about other young women (I am 31) having appointments with the breast clinic and no mention of delays. Has anyone else experienced extra hurdles due to Covid? 

 

Thanks for reading 

Cee Cee 

  • Hello Cee-Cee, 

     

    First of all, well done you for being persistent and for going back to your GP and checking whether you could go to your appoitment when you were told to self isolate. I can't believe you got given such contradictory advice and your story just shows how we sometimes need to chase and double check things if we get the feeling that something is not quite right. 

    You did well to ring the GP too to find out whether you can be seen sooner and it sounds like your doctor is being very supportive. So do ring them on Tuesday as your doctor suggested and hopefully you will get somewhere this time! It's very nice of your doctor to offer to ring them if that fails. 

    I hope you will hear from other ladies here who are also waiting to be seen at the breast clinic and who have experienced similar hurdles due to Covid. Fingers crossed you get somewhere with it but you seem to be going about it the right way and I am sure your perseverence will pay off!

    Best wishes, 

    Lucie, Cancer Chat Moderator

  • Thank you Lucie, yes perseverance is the way to go it seems. I actually decided not to wait till Tuesday and rang the breast clinic again the next day (Friday just gone). I just have this very very strong internal feeling that is saying "get this sorted asap, it's important" and I'm really not one to make a fuss of myself health wise, so for me to feel this strongly about something is new. 

     

    The person on the reception this time although couldn't help me was a lot more factual and actually informed me that I wouldn't be receiving a letter with a appointment date until October! She advised that if I did think it was urgent I was to phone my Doctor again and get them to make a 2nd urgent referral as this would make my appointment a priority and hopefully I wouldn't have to wait another 6 weeks to be seen. 

     

    I phoned my GP but my regular Doctor was off until next week so I spoke with another that I've never met before, he was lovely and so helpful, I explained everything right from the beginning and he agreed that waiting till October was not good enough considering the progression of symptoms. He made another referral letter asking for me to be seen asap. He told me to ring on Tuesday as they would have recived his email by then. He also suggested that if the pain in my shoulder area (left shoulder, the same side as the lump in my breast and dimples) I should go to A&E, as even getting a chest X-ray would show if there was something there which then would get the ball rolling for other tests needed. I very much appreciated this little tip, but as the pain isn't to the point I can't stand it (more of this constant dull ache, like I've got a knot in my shoulder but it's not quite in my shoulder blade, its hard to explain) I don't think I morally could turn up to A&E. 

     

    My Mum is obviously really worried and actually dealing with the waiting a lot worse then me. I feel determined, she feels panic. So she's begged me to take her up on her offer of going private, which I initially refused as I know she can't afford it (I phoned and enquired and it's about £2000 for everything up to diagnosis). But she's said she can't cope with the waiting and I actually feel guilty for even telling her about everything in the first place now, I wouldn't if I had known it was going to be a LOT longer then the 2 weeks I was told. So I am booked in privately for this Friday coming for a initial consultation then all the tests on the Monday following. 

     

    I'm happy that I have a date and will have answers good or bad, but can't help but feel very angry and upset that my Mum's havjng to put it all on her credit card just for me to get basic care. The hospital I am going to has been used by the NHS before (my other half had to have a op the other year and even though it was NHS, he recived his treatment there) so I can't see why if they have availability why this isn't being used by the NHS for everyone that is now being told to wait MONTHS! 

     

    Anywho, I shall update with how I get on, for anyone that might be reading this. I know that I've read lots on here and never commented so I'm presuming other people may be doing the same. 

     

    Cee Cee

  • So a bit of mixed emotions today. I had my private consultation today and he said that the dimple in my breast and on my side is down to the fact that I've worn a underwierd bra for the majority of my life. I mentioned the lump that the GP felt and he again attributed this to wearing underside bras, stating that it could be from the wire causing fat necrosis, the consultant said this is very common in women that wear underwierd bras, he even said my right breast was the same, which I had to strongly disagree as I know I do not have a dimple on my right breast, but he then said the formation is the same and even between the both (although his drawing of my breasts where not symmetrical and he drew my left one droopier and nipple lower pointing down). I've never heard of this before nor can find anything confirming this online. The consultant said that he was happy to sign me off with no need for any extra referrals for testing. I voiced that I was not satisfied with this and his response was that to put my mind at ease he would refer me for a scan but stated that he was marking it at non urgent so I wouldnt hear from the appointment department for 3 weeks.

     

    I left the hospital feeling very confused/deflated/feeling like a hypochondriac. I drove the hour home and the more time that passed I just felt conflicted, I didn't agree with what this private specialist said, and couldn't understand why he wouldn't want to send me for a scan, even just to confirm his diagnosis of permanent damage from wearing underwire bars, I still say this isn't correct, as the example he gave me of a overweight person wearing a belt for years and getting fat necrosis around their middle didn't match this 10p size dimple, surely if it was the wire it would be all along my breast, pluss my wire sits flat against my ribs not anywhere on my breast tissue. 

     

    So I get home and instantly have a phone call from the radiology department from the private hospital saying that they wanted to book a appointment for this Wednesday coming (in 5 days), I explained I was confussed as I was told 3 weeks and the lady said that the 2nd consultant wasn't happy to sign off on the paperwork from the 1st consultant (the one I seen) and had asked for a urgent referral. She said she has to fit me in between appointments so I'm to arrive and just sit there until there is a space. 

     

    Not even sure if anyone is actually reading this thread but I'm finding it therapeutic to write it down all the same, and hope it helps anyone that might come accross it 

     

    Cee Cee

  •  

    Hi Cee Cee,

    Some of us find that we have 'to stick to our guns' to get things moving with cancer investigations, so I am really glad to hear that you have done this.

    Please keep in touch and let us know how your scan goes. We are always here for you. I sincerely hope that you are wrong and, that nothing untoward is found.

    Kind regards,

    Jolamine xx

  • Hi Cee Cee,

     

    So sorry to read that you are getting the run around. 

    You are NOT a hypochondriac - rather someone with unexplained symptoms who is naturally worried.

    It's your body, listen to it and don't take any cr@p from anyone. 

    Stick to your guns - you have a RIGHT to a two week referral. 

    If it was that receptionist who was in your position, you can bet your bottom dollar that she'd pull every string possible to get diagnosed and treated as quickly as possible.

     

    Good luck!

    Dave 

  • Hi cee cee. Sorry to hear about your situation. You don't sound like you've been treated fairly. But like others have said, don't give up! It must be such a worrying and confusing time for you (ive been in a simular situation to you and only just turned 32). I really hope wednesday gives you answers, good or bad at least you won't be in the dark anymore. Good luck and fingers crossed all will be ok for you