I took Katharine in to the Royal Marsden yesterday for re-excision of the margins of the original lump. This is a much smaller matter than the original op, a preliminary to radiotherapy which should more or less complete the major part of the treatment before the end of the year.
The surgery went well, and Katharine should be back home today. However, it can’t really be said that the visit went well.
We had been asked to turn up at 7.30 am, but at reception we were greeted with the faint air of surprise that never bodes well. After a bit of a wait we were told that, although Katharine had been booked in for several weeks, they hadn’t in fact got a bed on the private ward. Nobody quite knew what was going to happen. Nobody, of course, had foreseen the problem and attempted to arrange a bed anywhere else in advance, or warn us, or reschedule the operation. Perhaps we’d like to wait.
A nurse came out to explain the position to us. Her main concern seemed to be the most direct route back to her own psychological comfort zone, where she was the one graciously dispensing slightly patronising help, and avoiding anything negative like shame, embarassment, apology, or responsibility.
“Did they offer you a choice of hospitals when you booked in here?” she asked cheerfully (because you really picked the wrong one that time, didn’t you?)
“There might be a bed free later,” she said, with a broad smile, “But I can’t promise anything. I might get your hopes up, and that would be wrong.”
She paused for us to admire the integrity and consideration she was showing by promising us absolutely nothing whatever.
“Anyway, you need this operation, don’t you?” she observed brightly, “You really need that doing. ”
I had assumed that it was only patients that get this kind of thing, but a few minutes later Mr Querci the consultant surgeon turned up himself.
“No bed?” he asked. He opened his hands wide in a gesture of despair.
“I’m sorry,” he said, “Well, I’m here. I’m ready to start.”
Eventually, Katharine was sent down to the day surgery unit for preparation. This temporary unit is reached via a corridor constructed out of scaffolding poles, hardboard and corrugated sheeting, effectively open to the November air. They had put cheery pictures on the hardboard. In a similar spirit, the cramped unit had been fitted with loudspeakers for every bed through which Radio Two was blaring, making it difficult to hear the nurses asking for name, address, and all the other identical details which we gave at least six times that day.
“Is it possible to turn that off?” I asked.
“You want it? – off?”
“Yes.”
She disappeared for a minute, and it was turned off.
After the operation, Katharine spent a couple of hours in Recovery; and then they managed to find a bed (for what it’s worth my impression was that there was no actual shortage of beds overall, and that the difficulty was primarily administrative, but I could be wrong).
We were told that many of the problems are directly or indirectly attributable to the fire which damaged the other branch of the Royal Marsden a little while ago.? Unfortunately, this is the second time we have arrived to find that the promised, planned, solemnly booked and recorded bed was not available. In these circumstances, what does ‘booking’ actually achieve? Pot luck couldn’t be any worse.