Monica Roberts was about to have a nap when Dr Braver and his team arrived. She had hardly had any sleep and was grateful that at last the sedative tablet had started to have an effect on her.
“Is that the woman for mastectomy?” Dr Braver asked me.
I scratched my head, thinking, that was not the right way to talk to a patient who was waiting to have an operation. Cancer is an emotive condition. And for a thirty-year old woman waiting to have a mastectomy, it was much worse. I thought Dr Braver should have appreciated how difficult it must be for this young woman. And to refer to her as “that woman” made me cringe.
“Yes, that’s Mrs Roberts. She is first on the list for mastectomy.” I replied after recomposing myself.
“What is that you are reading?” Dr Braver asked.
“I got it from the patients’ library,” Monica said, as she handed the hard covered book to him.
“Mastectomy Questions and Answers!” Dr Braver exclaimed, “Now you’ve known everything about mastectomy. What else do you want me to tell you?”
“Well, I’ve not read much of the book. Only the first page or two. Couldn’t relax. Nothing sank in.” Monica explained.
Dr Braver flipped several pages of the book. At first, he seemed to be interested, as he nodded after flipping each page. And then, he closed the book, and as he handed it back to her, he asked, “Have you seen my book?”
“No, I haven’t.” Monica said, shaking her head.
“That will be a better read than all these mushroom books.”
“OK I will get your book, doctor.”
“It’s too late for that now.” He said. And turning to me, he asked, “So what’s the story here?”
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I explained to him that Monica had been diagnosed with a breast cancer and she was on the operation list for mastectomy. She had the option of a partial mastectomy but had decided to have a full mastectomy.
“Nonsense!” Dr Braver exclaimed. “I don’t like mastectomy. I hate to take a woman’s breast.”
Of course there was nothing wrong with his view about mastectomy. But the patient had made an informed choice. I tried to explain to him that it was the patient’s choice and she had the right to determine what was done to her body.
“Rubbish! I am the consultant. No patient dictates to me what operation I should perform.” And turning to Monica, he asked, “Are you a doctor?”
“No.” She replied.
“OK then, I have an idea,” he said. “The woman next door has enough to part with.”
We looked at one another, the sister, the patient and myself. No one knew what he really meant. And he seemed to acknowledge our confusion as he said, “She is down to have a partial mastectomy. And she has more than enough. So I will use part of her breast to replace the one that I remove.”
“What?” Monica asked, now shaking with tears streaming down her cheeks.
We all thought he was joking. but of course, Dr Beaver wouldn’t joke with such things. He meant whatever he said. He never joked. I felt like telling him that he had gone too far.The temperature inside me must be close to boiling point. I could feel my muscle twitching. I looked at the Ward sister hoping that she would say something but her face was blank
Just then, Dr Braver’s pager went off.
“Excuse me,” he said, as he rushed to the nurses’ station to speak to his wife.