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"Not offered pain relief"

About: NHS Ayrshire & Arran / South West Scotland Breast Screening Centre

(as the patient),

I attended the outpatient breast clinic for biopsy and ultrasound at Ayrshire Central Hospital.

The Dr I saw was lovely and explained everything, however I found the nurse who actually carried out the procedure to be argumentative, derisory and dismissive.

The biopsy involved inserting a needle into the nipple, and wiggling it around to aspirate fluid from a mass. I asked for general anaesthetic, and the nurse argued with me and told me they don't usually offer or advise it because they use the same gauge needle for aspiration. I said that doesn't make sense, as the needle used to aspirate is going into the nipple and being moved around. The local anesthetic would minimise/nullify the pain from this, since the LA needle isn't being wiggled about around massive nerve endings in an already sensitive place.

The nurse eventually asked their assistant to draw up the LA but huffed and hawed while they did so, and made it clear to me by their tone that they thought it was a silly request.

I ask most HCP if they were undergoing the same procedures, would they not ask for pain relief?

I'm sick of HCPs employed by AAA health board who seem to be making decisions based on what's easier and quicker for them. 

A patient undergoing a painful procedure should always be offered a local anaesthetic. 

I found the nurse's derisory attitude and rudeness awful in an already stressful environment.

I also don't think three nurses are required in a tiny room while patients are in a vulnerable state.

Awful, awful experience with a horrible, detached nurse who didn't seem to care.

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Responses

Response from Angela Donnelly, Lead Mammographer, Ayrshire & Arran Symptomatic Breast Service, NHS Ayrshrie & Arran 6 months ago
Angela Donnelly
Lead Mammographer, Ayrshire & Arran Symptomatic Breast Service,
NHS Ayrshrie & Arran

I am the Lead Mammographer for the Symptomatic Breast Service in Ayrshire and Arran

Submitted on 13/10/2023 at 13:47
Published on Care Opinion at 14:25


Thank you for your post. As a healthcare professional myself, I’m sorry to hear your time in the clinic was unsatisfactory and you did not leave the clinic with a positive experience.

Patient care is a priority in our department and staff are committed to ensuring the best possible care for those who attend our service. I’m disappointed that you felt this was not the case. The consultant radiographer who performs the examination will make a decision based on risk/benefit to the patient and a full explanation should be given at the time.

Staff in the examination all have a specific role and, may, at times, have training within each area. I fully understand and appreciate this is an anxious and worrying time and apologise if you felt your care was unsatisfactory.

I have passed on your comments to the consultant radiographer and imaging staff involved.

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Update posted by PureGallus (the patient)

I especially do not appreciate patients not being offered pain relief when undergoing a painful procedure, nor did I appreciate the arguments against a local anesthetic. Yes, the needle is the same guage, but the anaesthetic needle is not wiggled about under the nipple, the aspiration needle is. Patient care should be the priority, and I'm finding this is not the case. A full explanation was not given, instead the nurse argued with me and tried to fob me off.

I notice you've addressed *one* part of the complaint re multiple staff, and ignored the rest. I do not find your response satisfactory or empathetic.

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