Living Well Events

Usually run by one of the Clinical Nurse Specialists this Living Well Event is a half day of informative talks related to Breast Cancer and ‘moving-on’ – it is an important and necessary part of the support that we offer and covers topics such as diet, exercise, emotional wellbeing,  managing side effects of disease and its treatment, reducing risk factors, recovery and rehabilitation and general health and well-being.

The event provides an opportunity for you to meet with others who are at a similar stage in their treatment pathway and ask any questions you may have. 

Living Well Courses

Usually offered at the end of your treatment, these courses are run by the Clinical Psychologist and Clinical Nurse Specialist and are aimed to help you put the knowledge you have into practice and build your confidence in living with and beyond cancer with support and advice from the experts.

The course runs over a 6 week programme (one half-day each week) and can help with working out strategies to help you feel more confident with the next steps in your recovery, help to work out your own individual plans and priorities for resuming activities and dealing with any after-effects of treatment, gaining information on managing your cancer and sharing with others who have been through similar experiences.

Some of the topics open to discussion include, signs and symptoms of recurrence, dealing with emotions/feelings, communication skills, goal-setting, education in self-management, sign-posting sources of help, improving physical capabilities.

Your Clinical Nurse Specialis also has access to referring you on to Nutrition Clinics and Exercise Clinics, that may be available to you.

Testicular cancer is most common among males aged 15–40 years, particularly those in their mid-twenties. Over your lifetime, a man's risk of testicular cancer is roughly 1 in 250 (0.4%).

Testicular cancer has one of the highest cure rates of all cancers: in excess of 90 percent; essentially 100 percent if it has not metastasized (spread).

It should be remembered that  not all lumps on the testicles are tumours, and not all tumours are malignant; there are many other conditions such as:

• testicular microlithiasis (calcification on the testicle)
• epididymal cysts
• appendix testis (hydatid of Morgagni)

which may be painful but are non-cancerous.

If you find a lump get it checked out by your GP!

Radical Orchidectomy

You will meet with your surgeon to discuss the results of your scan and blood tests.

Points to discuss with your surgeon:

• Tumour marker blood tests pre-operatively
• Consider prosthesis insertion at the same time
• Consider pre-operative sperm banking

You will be admitted to hospital within the next 2 weeks for surgery to remove your testicle. You will usually be admitted as a day case and discharged home on the same day. You will be told the time to attend the Day Case Unit and when to stop eating and drinking prior to your admission.

You will have a general anaesthetic. The operation removes the testcile and the tubes attached to the testicle on the same side. Your wound will be in your groin with a dressing over it. The stitches are usually dissolvable therefore do not need to be removed. 

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GMC Number: 4740261

Specialty: Plastic Surgery

Clinical interest: Hand Surgery

Secretary: Debbie Rice / Maddie Champion

Telephone number: 01179546611 (Debbie) 01174140850 (Maddie)

Telephone: 0117 414 6610

Burns Consultants

Mr Ian Mackie, Bristol Burns Service Clinical Lead

Mr Sankhya Sen, South West UK Burn Care Network Clinical Lead

Mr Tom Cobley

Miss Catalina Estela

Mr Jonathon Pleat

Mr Chris Wearn

Consultant Anaesthetist

Dr Skylar Paulich

Consultant in Anaesthesia and Pain Medicine/Acute Pain Service Lead

Dr Alia Medniuk

Burns Nursing team

Lead Nurse South West UK Burn Care Network & Burns & Plastic Surgery Matron

Nicola Mackey

Burns & Plastic Surgery Gate 33a Ward Manager

Johanna Thomas

Burns Specialist Nurse

Karen Highway

Burns Research & Clinical Audit Nurse

Anthony Sack

Ward Sister - Burns & Plastic Surgery Unit

Sheena Harding

Cath Chapman

Shiny Abraham

Shambi Rajan

Ellen Paton

Acute Burns Clinic (ABC) Coordinator

Drew McGreal

Assistant Physiotherapist

Madelyn White

Allied Health Professionals

Burns Lead Physiotherapy Specialist

Grace Hennell/Denise Grant

Burns Lead Occupational/Scar Management Therapist

Alison Guy 

Senior Occupational Therapists

Helen Barnes

Louise Dale

Occupational Technician

Sue Witt

Bianca Labruna

Skin Camouflage 

Amy Davey

Adult Burns Dietitian

Georgie Howes 

Burns Pharmacist

Rachel Elson

Microbiology Consultant

Gayathri Nayar

Patients attend the Breast Consultant Follow Up Clinic as a follow-up to receive results about needle tests/biopsies and/or surgery they may have undergone. 

You will be seen by a Breast Care Consultant and your results will be discussed with you and a further plan of treatment recommended, if required.

It is often quite a busy clinic and therefore please feel free to have someone accompany you as the wait can sometimes be 1-3 hours.

You should also have the opportunity to discuss the results/treatment plan through further with your own designated Clinical Nurse Specialist who, if appropriate, can provide written information and additional appointments to return to clinic and discuss things further on a separate day, once you have had time to digest the information, and thought of questions you may wish to ask.

GMC number: 4506146

Year of first qualification: 1998, University of Bristol

Specialty: Vascular Surgery

Clinical interests: Management of varicose veins and chronic venous disease, Thoracic outlet syndrome, Critical limb ischaemia and diabetic foot disease; endovascular and open abdominal aortic aneurysm repair; carotid endarterectomy for stroke; upper limb ischaemia.

Secretary: Fran Adam

Telephone: 0117 414 0826

Outpatients: Royal United Hospital Bath NHS Foundation trust Tuesday morning and Friday morning (NHS eReferrals) and hot clinics at North Bristol NHS Trust (direct referral/network co-ordinator).

Diabetic Foot clinics at Royal United Hospital Bath: podiatry offer regular foot clinics, supported by Diabetic Medicine team and vascular surgery; a formal multidisciplinary team clinic (Orthopaedics/Diabetic Medicine/Vascular Surgery) is held twice monthly. All referrals via the diabetic foot team in Bath.

Specialty: Plastic Surgery

GMC Number: 6074893

Year of first qualification: 2003, University Wales College of Medicine

Specialty: Palliative Medicine

Secretary: Vanessa May

Telephone: 0117 414 6392

Year of first qualification: 1992, Bombay, India

Specialty: Vascular Surgery

Clinical interests: Carotid endarterectomy for stroke; Critical limb ischaemia and diabetic foot disease;  open and endovascular abdominal aortic aneurysm repair; management of bypass graft infection; upper limb ischaemia; Thoracic Outlet Syndrome; Endovenous  procedures for varicose veins

Secretary: Debs Heard

Telephone number: 0117 414 6378

Mr Mahesh Pai is the Director AAA screening for Bristol Bath and Weston, and the RCS Edinburgh examiner.

Mr Pai runs outpatient clinics at the RUH, Bath weekly, and Melksham monthly. He also runs the diabetic foot clinic at RUH, Bath monthly.