Island Life Magazine Ltd April/May 2009 | Page 102

life FASHION, HEALTH & BEAUTY Photo: Mr Richard Sainsbury for prosthesis and bras, and dressings for post operative and post radiotherapy wounds and information and support for those who’ve only just been diagnosed with breast cancer. A drop in service for existing patients who might have new concerns is also offered there. When you come for your initial appointment with a consultant it is at Outpatients in the main part of the hospital. When you return to see the doctor or consultant for your diagnosis and test results you also visit Outpatients. This means that there are currently three different buildings to negotiate during your treatment for breast cancer and, if you need radiotherapy, you have to travel to Southampton. 102 The breast cancer surgical team is comprised of Mr Sainsbury, his Associate Specialist Mr Babu, oncologist Mr Marshall and pathologist Mr Jamil with Caroline Rubin and Jill Shead leading the breast screening team. Three breast cancer nurses; Jasmine Light, Marie Bugden and Mary Seymour, are based at Applegate with their PA Julie Wilson. “ Since Mr Sainsbury joined us we are now able to see everyone within two weeks of referral by their GP which is the government’s directive,” said Jasmine Light. “Sentinel node detection and biopsy has been very successful and has led to a decrease in the number of patients suffering with lymphoedema, which is really important because it is a very debilitating condition.” “Patients are now able to come in on the day of surgery and go home on the same day which has cut costs drastically. Those having reconstruction usually stay only one night. Previously patients were staying for up to four nights. We’re also doing some research into the 20 year figures since 1988 as both St Mary’s and Southampton hold all records from that period,” she added. The incidence of breast cancer on the Island is similar to elsewhere but this common disease does affect ten percent of the population and early diagnosis and treatment is essential. “It’s a disease of affluence although this also has an influence over whether the disease is diagnosed,” said Mr Sainsbury. “Age has something to do with it,” he added. “We’re seeing post menopausal women who are carrying too much weight. It doesn’t matter in pre menopausal women but after the menopause women have higher levels of oestrogen which feeds most cancers. Possibly exposure to other chemicals and alcohol abuse can be contributory factors,” but there is good news for mothers. “Having full term pregnancies is protective, regardless of the method of delivery,” he stated. On the subject of elective breast removal for those in high-risk categories, Mr Sainsbury was not overly enthusiastic. “For some people it’s appropriate but we’d go into a lot of counselling beforehand,” he stressed. “People over estimate the risk drastically. We certainly over treat some people,” he continued. “Some cancers are very slow growing and would never harm a person in their lifetime.” Richard has had quite a few celebrity clients. He was catapulted into the limelight after operating on Amanda Mealing, the actress who plays Connie Beecham in Holby City. “I did her original breast cancer surgery and helped with her reconstruction surgery,” said Richard. Strangely Amanda is also married to another Richard Sainsbury who works as a scriptwriter. “She refers to us as her two Richard Sainsburys,” laughed Richard. Mr Sainsbury’s appointment now means that reconstructive surgery is now on offer at St Mary’s – previously patients had to travel to Winchester or Salisbury and further afield for this service. Often the breast reconstruction can be done during the operation to remove the cancer, The Island's most loved magazine