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Dear Diagnosis is a weekly letter by me, Lea, 32, navigating breast cancer — and writing about all of it.

In Issue #007, I write about the days before my mastectomy on 14 August: the decision to stop working, repainting my bedroom as a gift for my future self, the day-before lunch with my closest friend, and the morning of surgery — the Betadine shower, the goodbye at the car park, and sitting alone in a hospital waiting room watching animal documentaries on a loop. If you're new here, start with Issue #001 — the scan that started everything.


ISSUE #007  ·  June, 28th 2026

We were doing a surprise for my future self.

On the last week before surgery — and the small things we did to prepare the person who would come home.


In the days that followed, washing was difficult with the dressing I had on following my second biopsy. I was already in that state of feeling sick, weak, powerless. I hate asking for help or depending on anyone — and suddenly that was exactly my situation.


| Why I stopped working the week before my mastectomy

I no longer remember exactly what triggered it — but at some point I decided to stop working, well before my operation. I think I'd stopped at the beginning of the week I had my second biopsy. I was struggling to concentrate. And I also wanted to redo my bedroom to make it as comfortable as possible for my recovery. I wanted to do it while I still had the energy to move furniture, repaint walls.

I remember Sophie saying to me: 'You're not seriously going to work right up to your operation?' That remark made me realise it probably wasn't a good idea. My body and my mind needed to be calm before undergoing such a major operation. Work had been a very good distraction — but it was also exhausting me.

So I stopped. And I felt good about it. I stopped without guilt. For once, I was putting my own well-being first.

I spent that time redoing the bedroom. Repainting the walls, tidying, surrounding myself with memories, rearranging the furniture, several trips to IKEA which somehow felt completely normal and completely surreal at the same time. We'd also made a little reading corner with a chair facing the apple tree in the garden — it became the cats' favourite spot, because they could sleep there while keeping an eye on us through the bedroom window.

I remember telling Marc: 'It's like we're doing a surprise for my future self.' The one who'd come home after the operation. We wanted her to be in the best possible environment to heal.

We even bought a small bed tray so I could eat comfortably in bed. We didn't know what my physical capabilities would be post-op. But we wanted everything to be as comfortable as possible. We finished the room before the operation. We were pleased with it — very pleased, actually.


| The day before breast cancer surgery: lunch, a lake, and a prayer

The day before my operation, I went to have lunch with Clara, one of my best friends. It was good. Before we ate, she said a prayer for my operation to go well. That touched me enormously and moved me. Clara is religious but she never prayed for me out loud in front of me before. I didn’t say anything but thank you. I kept my tears inside me.

After, I went to find Marc so we could go and have a coffee and walk around a lake where I used to run when I was younger, before I met him.

I told myself: if something goes wrong tomorrow, at least we'll have had this moment together — to walk, talk, and have a good drink.


| What the morning of a mastectomy actually looks like

I barely slept. I had to get up early, no food or liquid allowed. Not even a tiny sip of coffee which was much needed.

I had to shower with betadine to get rid of all possible bacteria. They gave me a bottle of Betadine and I was asked to empty it. I struggled to empty the bottle. I had to wash myself around 5 times and the bottle was still not empty. I am skinny and not tall so it was really a hard ask. And the smell of the betadine was terrible… I took my shower at home but with the betadine it already smelled like hospital.

Thomas, my brother-in-law arrived on time.

My parents were at Noémie's to look after Lila, my niece. My brother-in-law Thomas kindly offered to take me to the hospital. Marc wanted to come too. We all went together. I was barely awake in the car. We talked about other things on the way there — anything but my cancer, my surgery.

We arrived very early at the hospital. Hardly anyone in the car park.

I didn't want to keep Thomas waiting, so I told Marc he could say goodbye here. I dreaded the goodbye. Marc, my husband, had supported me enormously and had shown very little of his pain. I could feel it was hard for him — especially being so far from his own country, without his own people around him.

I said goodbye to Marc and Thomas. We hugged, and I wanted to leave quickly so I wouldn't dissolve in tears in front of them.

I'd given Marc my jewellery for him to keep during my surgery.

I had a 7am appointment at the hospital to detect the sentinel lymph node.


| Alone in a hospital waiting room before breast cancer surgery

The service hadn't opened yet. I was the first. I went to the waiting room. There was a TV on for distraction. Sometimes animal documentaries, sometimes they explained certain medical exams in a reassuring way. On a loop. 

I had no phone signal in the hospital so I'd been looking at my photos, and it made me want to cry. I saw all my memories and I knew that after the surgery, the person I see on the picture as myself won’t be the same anymore.

I received a video of Lila, my little niece, that my sister had sent — to tell me to be brave. She was adorable. She was looking at herself in the camera reflection and dancing while my sister had to ask her to say something kind. It moved me deeply. I started to cry a little. I held back my tears from then on. Because I was afraid. Afraid that the operation would go badly and I'd never wake up.


To be continued next Sunday.

With love,
Lea
✦ This week's recommendation
On preparing your recovery space before surgery

We did most of this instinctively, but I wish I'd known about this checklist earlier. Occupational therapists recommend setting up your recovery environment before you go in — not after. Think about where you'll sleep, where you'll sit, what height your surfaces are. Even small things: a bed tray, a grabbing tool, a phone charger within reach without bending. The Marie Curie charity has a practical pre-surgery home checklist worth downloading. mariecurie.org.uk

✦ Reply to this letter
Did you do anything in the days before your surgery — or someone else's — to prepare, or to mark the moment? Something practical, something ritual, something completely instinctive? I'd love to know what it looked like for you.
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All names have been changed.

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What is Dear Diagnosis?

Dear Diagnosis is a weekly newsletter written by Lea, a 32-year-old woman living with breast cancer. One honest letter a week, every Sunday. Raw, personal, and free. It's not medical advice. It's what a friend would say if she were going through it and wasn't too scared to tell you the truth.

Who is Dear Diagnosis for?

For women who just found out, who had or is still fighting against their breast cancer. For women six months into treatment who need to hear that someone else is going through it. For the partners and sisters and best friends who don’t know what to say. For anyone still needs to process what happened. For everyone who feels alone during this difficult time. Join the community and let’s help each other all around the world.

What happens in Issue #007?

I write about the days before my mastectomy. Stopping work. Repainting the bedroom so my future self would come home to something good. The day before — lunch with my best friend, a walk around a lake with Marc, telling myself: at least we'll have had this. And then the morning itself: the Betadine shower, the goodbye at the car park, and sitting alone in the hospital waiting room watching animal documentaries, afraid I wouldn't wake up.

Is Dear Diagnosis written by a doctor?

No. Lea is not a doctor. Dear Diagnosis is a personal account, not medical advice. If you've just been diagnosed, please speak with your oncologist. If you're looking for peer support, you can write to Lea by replying to the newsletter, or look for patient organisations near you.

How do I subscribe to Dear Diagnosis?

You can subscribe for free at deardiagnosis.co. A new letter arrives every Sunday.