Every kid is soooo different so it is hard to say what will help and what won't.
I am surprised that super sibs won't support kids younger than 6. Everything my kids have gotten from our SS is much better received by my 6 year old (4 when first signed up) than my 11 year old. With my kids I tried to involve them any way I could to help them - in ways that worked for them. They have both experienced good and bad hospital visits. When Alex had his hickman line both siblings helped with dressing changes. We have had lots and lots of discussions about why Alex acts the way he does when on steroids. When Alex was first diagnosed - his brother was 4 and did not understand cancer and what that meant. We had some jealousy issues and some acting out. It took a lot of different tactics to figure out what was bothering him and how to resolve it. Fortunately he never minded that Alex came home with mountains of new toys - just more for him to play with...But there always seems like one of the kids are having insecurities, worries or anger over our situation. Lets face it, I don't always handle it well - how can I expect my kids to be able to do any better.
Like I said, things that work for my kids may not work for others. Matt was terrified when he first saw Alex's hickman - we didn't push the issue and Matt even went in the other room during dressing changes but before long he was handing me the things I would need next. It also helped him to understand that he had to be careful when playing with Alex so it wouldn't get pulled out. My kids still go to many of our clinic visits - Matt refuses to watch the blood being drawn - makes him feel like passing out.
There is a fine line between giving enough or too much info to your son. That is a judgement call only you can make. Keep trying different things/ideas until one fits well for him.
Gina
On top of the other excellent advice, give your son a regular helping job to do for his sister. It is really hard to be helpless in the face of the tremendous fear, grief (about the normal life lost) and anxiety for the future.
My daughter (a teen) found some solace in baking treats for her brother. It was something positive on top of things and activities that had to be sacrificed to make things easier or safer for him.
I remember begging for a social worker when my daughter (then 2) was diagnosed. My son was 4 at the time. I know things were very rough on him, we moved, changed schools, lived in a hospital for 2 months. Everything that he knew got turned upside down. We always made sure he was involved in the beginning. He came up to the hospital every day just to snuggle with his sister. Ally was diagnosed over the summer, so it was convienient for us to bring him along, and Ally enjoyed having her brother there while she was getting chemo. He came a few times to pre-op with us before a bone-marrow biopsy but he was worried about her and needed to be with her as well. When he started kindergarten he had a hard time with behavior issuses, but we had a fabulous older teacher that was able to set boundries & give him a little extra depending on where his sister was. The hardest days for him were having to go to school when she had been staying in the hospital.
We signed him up for super sibs - but the only thing he was ever excited about there was the trophy they sent...
We also let him pick something that would just be about him. And so signed him up for karate lessons, b/c at the time he thought he could grow up to be a ninja turtle. I think it helped having something that he could use to get out some frustration, and keep his mind off of the other things.
He has always been really good about making sure he was careful around his sister. Watching for bruises, keeping the germs away, etc. My two have always been close, but since Eric was 4 at dx, he knew we were worried, but I don't think it ever hit him harder than her being really sick. He was never afraid of losing her. He even shaved his head when Ally's hair started to fall out so that she wouldn't be scared. Some kids like to feel like they are taking care of the sick sibling, and we let him participate as much as he wanted. Our nurses even included him when accessing her port, by letting him assist in the flush at the end.
I think it bothers him now, b/c Ally attends the same (small) school. And whenever she isn't there the entire school knows about it & asks me how she's doing. No one really asks him how he's doing. I think the jealousy monster has started to kick in. It is very difficult to make sure both children feel like they are equal. And I think its pretty much inevitable that the non-cancer child will feel left out or not as important as the other kid at some point. I think with us, we may expect more from a 6 year old than we should, simply b/c we are usually exhausted from the constant every day issues & appts that we have to keep up with.
I remember posting a similar question at Ally's dx. Right now our biggest challenge is time. I don't know how to make him feel better about Ally "getting all our time". He is in school most of the day, & Ally hasn't been to school except 5 days in the last 6 weeks. (Every time we send her she's been getting sick). So she has to be with me all day. The hospital also has a father-daughter ball. We are having our own Mommy-Eric date night that night, but he definitely doesn't get the Daddy-time that Ally gets.
I guess it will just be a constant struggle for all of us to maintain equality and keeping the siblings in the loop, and letting them feel like they are helping to care for their brother/sister. One thing we did do was let him eat dinner out & let him pick. We ate alot of CiCi's pizza for awhile. And sometimes the whole family couldn't go b/c Ally was neutropenic & then Daddy took him to Chuckie Cheeze. I think this was a fairly common occurance for us the first few months. We also had to keep a stash of books & toys on hand for him whenever someone sent something for Ally. My mom did a good job keeping us stocked up though. We also hired a housekeeper so that our home time was not spent cleaning all the time.
I wish you luck figuring out what will work for your family & with your little one's therapy.
Katie
I have been lucky and Kody (my older son, 5 at time of dx) had done pretty well with my middle son's dx(3 at dx), so I will try to give you suggestions based on what we did and hopefully something may also work for your son. We kept Kody involved in what was going on, when clinic visits were and what they would be doing, we told him about Dylan's count and when they were bad, good or great, we explained that it was important to try not to get Dylan sick, but that it will happen and it's nobody's fault when it does and of course we tried to make special time for him. In the beginning time for Kody was very hard to come by, but even if I could only devote 10 minute to just him that was better than nothing. I think a big thing that helped was that both my boys watched the "Why Charlie Brown, Why?" video over and over. If you haven't heard of this it's about a little girl that gets Leukemia and and what she goes through in a very kid friendly way. In fact this is one of Dylan's favorite videos and I think it makes him feel more "normal" because he has a cartoon about his cancer. We believe that the more they feel you are telling them everything the better they will be able to handle what is going on and they don't have to worry that there is something you are not telling them, of course you have to tone everything to thier level of understanding. I know that even for myself the less I know about something the more worried I am and the more I know the better I feel.
I hope you are able to find something that helps your son and I think that time and seeing that things aren't as bad as he fears will help.
Have you signed your son up with SuperSibs? http://supersibs.org/ They are a great organization that is supported by Mia Hamm and is dedicated to the siblings of cancer patients. They sent us a great book that I can't remember the name of but I'll try to find it later. I would definitely get your son's school counselor AND nurse involved. That's what they are there for. In the Washington DC area, we also have a great group called Special Love http://www.speciallove.org/ that does a lot with siblings. Your oncology dept. and LLS chapter should be able to help you find support in your area.
Here's the link to the 4-7 SuperSibs page http://supersibs.org/the-sib-spot/ages-4-7-main.html
SuperSibs! DOES SERVE siblings (from all 50 states and Canada) between the ages of 4 and 19. Although we are a national organization, we do not have any local chapters. This parent may be speaking about a program at their hospital for siblings that is not affliated with the national SuperSibs! organization.
How do children get into the program?
Referrals come to us in many ways.
Visit our website at: www.supersibs.org
Referrals can come from ANYONE – families or children directly, friends or relatives, or anyone working with the family to support their medical, educational or social-emotional needs.
When a child is diagnosed with cancer, everyone in the family needs healing including “the shadow survivors” — the siblings.
Just a quick update - Dean has been doing absolutely great lately.
A few things that have helped a lot:
This kind of stuff is rough on young siblings - they can seem strong in the beginning, but they can crumble and come crashing down to earth pretty quickly as we saw with Dean. They're not all emotionally ready to deal with a hit like this. Fortunately, he's getting stronger every day.
If no one objects, I'm leaving this question unanswered because it seems to be a recurring theme that a lot of people could contribute to. Thanks for all your help!!