I work in a country hospital. Whilst I didn't have my surgery there I did have chemo. I had my surgery 500 km away in a public hospital.
I had bilateral with expanders also but I awoke with mine 3/4 filled. It was incredibly painful for around 6 weeks then suddenly it seemed better. It was the sewn in bra feeling that hurt and I think it was the stitches causing that issue.
My care at the public local hospital was very compassionate and caring. I think even more so being a nurse. Many other nurses have been through the same as me there too. In reality in small communities people know your business. I chose to share and bring understanding of what breast cancer takes from men and women. Whilst my personal struggle is confined to here, I do choose to share with many. Getting the message out there was my mission.
So...you'll be respected in public despite being people you know. I had many nurses whusper to me they were survivors and I'll get through this and I did.
The pain will get better.
Ask if you can exercise, I found going to the pool and doing arm rotations really helped and gave me distraction and relief. Talk to your boss and see if you can do alternative duties. I took some long service leave as I needed chemo.
Hope things improve soon.
Kath x