The Leukemia & Lymphoma Society - Fighting Blood Cancers
16 Replies Last post: Jul 18, 2010 10:14 PM by Susan61   1 2 Previous Next
garycris   180 posts since
Jun 23, 2010
Currently Being Moderated

Jul 14, 2010 3:41 PM

Telling the kids?

I am having some difficulty, going back and forth with my wife about whether or not we should tell my children about my newly diagnosed CML.  My children are young 4yrs old and 6yrs old.  Our initial decision was to not tell them.  We feel they are too young and there is no reason to burden or scare them with this.  There is every reason to believe that I will respond well to treatment and be around for long time.  As they get older, depending on how things are going we would deal with talking to them about it if we needed to or when they were old enough to understand.  The issue came up when I went to a local cancer support group.  I met with one of the social workers and one of the first things she brought up was when and how I was going to tell my kids.  I explained we weren't going to tell them and she became very passionate (almost militant) about it.  She said this was not something to hide from the children, that they already know something is wrong and by not telling them I am hurting them.  She says they are going to be afraid and have trouble trusting us (my wife and me) because everyone will know there is a big secret that no one is allowed to talk about.  She actually said it in a nice way, but that was the gist of what she was saying.  That evening I discussed it with my mom who is a pediatric nurse that works with terminal children and she agreed with my wife that we should NOT tell our children.  So I dropped it.  Last night I went to a support group meeting (the first one was an individual meeting to get acclimated to what the place offered, this was a group meeting) I met another social worker there and she pretty much told me what the first one told me in pretty much the same way.

 

On one hand I understand what they are saying, but I am questioning whether there "one size fits all" approach to cancer is appropriate.  They weren't too familiar with CML; I spent a decent amount of time explaining my disease and treatment options to them instead of them explaining to me.  They seem like a nice group that really want to help and I could agree more if I fit the typical cancer profile.  My thought process is that CML is not typical cancer, particularly when it comes to the treatment.  I am not going for surgery (at this point) and I am not going through rounds of chemo where I am going to be visibly sick, losing my hair, throwing up, etc.  It does not seem at this time that I will have to stay in a hospital.  So if I am in good health right now, able to continue doing things with my kids like I was before and the only difference is every night after they go to bed, I take my pill - is this something they need to know about?  So far side effects are manageable and even if I have a bad day, okay, my kids have seen me have a bad day before I had CML where I wasn't feeling well and never thought twice about it.  My wife's position, and I pretty much agree, is we will only tell them if things start to go wrong, but as long as things are going well, we will keep it to ourselves.

 

So I'm looking for some input from some other parents who have (or had) young children when diagnosed.  Did you tell your children?  What was your rational for telling them or not telling them?  How did it work out?  Do you have any regrets for either telling them or not telling them?

 

I think I know what my decision is but would like to get some feedback from people who have gone through it with CML, not people who had a different type of cancer.  I have all intentions of going to soccer practices and school plays and everything else, but is this really going to become the "big secret" that when my kids grow up I will realize was something that hurt them?  I know no matter what I do, when my kids grow up they'll blame me for everything, lol.  I just want to get different perspectives and know that I made the best decision I could.

 

Thanks for the feedback.  Hope everyone is doing well.....

Michael   262 posts since
May 15, 2010
Currently Being Moderated
1. Jul 14, 2010 4:17 PM in response to: garycris
Re: Telling the kids?

They are 4 and 6.  Don't tell them.

 

CML is not like it was 15 years ago when you faced dire decisions.  You take a pill - likely, once per day.  And get on with your life.

Track the progress to verify it is working.   Only if you have a big problem develop down the road - and then - percentage is low - should you consider telling children.

hannibellemo   382 posts since
Apr 3, 2009
Currently Being Moderated
2. Jul 14, 2010 5:56 PM in response to: garycris
Re: Telling the kids?

I was surprised how badly my youngest son, 23 at the time, took it. (Pleasantly so, I must admit, he does love his old mom!) We had to spring it on him because I had been sent to Mayo and kept over night and we needed him to take care of the pets.

 

With that experience I would think very hard before I told a child younger than 16. There does come an age when you must tell them because they know something is going on and secrets can be very damaging in a family. But I agree, with your youngsters you have plenty of time to shield them from some realities of life.

 

Best to you,

 

Pat

Trey   1,213 posts since
Mar 27, 2009
Currently Being Moderated
3. Jul 14, 2010 7:22 PM in response to: garycris
Re: Telling the kids?

Ask the social worker if she told her kids there was a Santa Clause.  Isn't that a lie?  Did it harm her children?  Did it cause a lifetime of mistrust?

 

You know your own children better than anyone else.  Trust your own instincts and ditch the social worker.

ROM1212   37 posts since
May 4, 2009
Currently Being Moderated
4. Jul 14, 2010 8:51 PM in response to: garycris
Re: Telling the kids?

Gary,

 

My kids were 5, 11 and 14 when I learned of my diagnosis.  I think most on this board will recognize there is no "right" solution for every person, every situation is unique.

 

Telling my kids was probably the hardest thing I've ever done.  I am by nature a private person, but for some reason it was very normal to share my diagnosis with them.  In my mind, there was really no way to conceal it considering one of my kids is older and would have figured it out anyway.   I wanted them to understand that uncertainty is a part of life and we would all work through it together.  Plus, I felt they needed to know having cancer does not mean a death sentence, which they would probably assume since they only hear the bad stuff on TV and radio about cancers.  And they needed to understand I might have certain limitations compared to my past "normal" lifestyle.

 

So in the end the decision is yours, pray about it, and be at peace with your decision.  Best wishes.

lthouse612   38 posts since
Dec 12, 2009
Currently Being Moderated
5. Jul 14, 2010 9:09 PM in response to: garycris
Re: Telling the kids?

Hello... I'm 37 and have 2 boys ( 5 yrs old  & 8 yrs old  ).  I was dx in 2006 and am still in treatment.  For us it wasn't really too much of a question of telling them.  First of all I had been sick as ever as we most are in the beginning when our Doc's are trying to get out counts down, second I still have side affects that plague me to this day.  Kids are smart... they listen and see things we as adults don't even realize.  They obviously knew something was going on and something continues to be different with "daddy" as I still have really bad days at times.  I no longer work whereas I was working full time before all of "this" and I have lots of doctors visits.  Heck my youngest goes with me when I get blood tests done and he's cheering the nurses on to "stick him, stick him!"... it's quite entertaining.  The point is I believe it really depends on your individual situation and how much have they already been exposed to.  My boys know I'm sick with this thing called cancer and thats pretty much it.  They don't have to know all the details... common sense goes a long way with that, but I know that when the time comes and as they grow to understand more of what I am going through, it may be easier for them to accept this themselves.  So, with that I guess for us anyway, I'm very ok for them to know and be aware of what I'm going through.  In the event of "exposing" them to cancer itself...well, remember one thing... they're still kids and at young ages not much really affects them to a point where its affecting their ability to just let go of what they know and all they want is  to just play hard.  They've already forgotten I'm even sick most times.  As an individual with CML, however hard it may be, I do try to ignore the illness as well as the side affects that come with it as much as possible so that they don't see that side of things...but if they do, they are still very compassionate and caring no matter how little or how much they know.  I hope that helps a little or a lot, either way good luck!

Mark

hannibellemo   382 posts since
Apr 3, 2009
Currently Being Moderated
6. Jul 14, 2010 9:23 PM in response to: Trey
Re: Telling the kids?

There is no Santa Claus???!!!

Susan61   404 posts since
Apr 4, 2009
Currently Being Moderated
7. Jul 14, 2010 10:47 PM in response to: garycris
Re: Telling the kids?

Hi:  You just said it:  CML is not a typical cancer.  You can continue a normal life and do things with the kids.  They are too young to understand CML.  We cannot figure it out ourselves sometimes, but its not a death sentence.  I would  not tell them right now.

    As for a support group.  I joined one when I was first diagnosed.  Everyone there was dying of some type of serious form of cancer.  Nobody had CML, and they had no idea what it was or what or how I was dealing with it.  I used to leave there so depressed, instead of being uplifted.  I stopped going, and got involved with the online group.  This has been so much better.  My daughter was 26 when I was diagnosed, and my husband and I sat down and told her what was going on.  I was running back and forth to N.Y. for clinical trial for the Gleevec.  Before that I was sick with the Interferon and Ara-C, and I had to stop working.  She was upset and concerned even at 26.  There is no need to tell kids as young as yours.

   I think you have already made your decision not to tell them, as it would just confuse them.  Just concentrate on enjoying many many years watching your children grow and you getting older.

  The subject of letting others know has also been brought up, as to who to tell and not to tell.  For me, it has never been a secret.  It was not something for me to hide, especially from my co-workers.  I was diagnosed by my boss who was the Oncologist I worked for.  All my family and close friends knew what I was dealing with.  Hope all the responses have helped you with this.  Your doing good, and it will get even better.

Susan

Tedsey   466 posts since
Jan 13, 2010
Currently Being Moderated
8. Jul 14, 2010 11:56 PM in response to: garycris
Re: Telling the kids?

Gary, I think you should trust your own instincts.  I was in a tough position when I was diagnosed.  I was nursing a baby and a toddler.  I was swooped away for 5 days of testing in hospital.  My kids and I had never been apart.  But the head nurse allowed them on the oncology floor after taking their temps etc. (swine flu was going around).  It was the greatest kindness.  My son had just turned 3.  The main problem I had was that I had to explain why I could not nurse him any more.  I had to stop cold turkey.  Obviously, it was much easier with the baby.  I didn't have to explain anything to her.  We just told him that mommy's blood was sick and I have to take medicine to help it get better.  The medicine goes into mommy's milk, so we have to stop nursing.  I think going cold turkey off the boob was the worst of it for him (I was wondering when he was going to stop anyway).

 

Sometimes, I don't have anyone to watch the kids.  So, I have to take them with me to get my CBCs, some shots, and I have had to give myself shots at home.  Because of the way our life is structured, I have not been able to do this after they are in bed.  I could not hide them away when a nurse came a couple of times to show me how to give myself shots.  My son watched the first one, he then quietly went up to me and hugged me.  After that, he was disinterested.  I explained briefly that it was like when he got "shots" at the doctor.  That was all he needed.  When I take my "vitamins" each night, occasionally my son takes his too (in the form of M&Ms).  We make light of it.  He never seems to ask more than what I am doing at the moment.  I have to admit, being a mother and my kids' main caretaker, it is so hard, if not impossible to hide everything, but that is my situation.

 

I don't think there are any "rules" for this.  We know our kids.  You sound like you are kind and empathetic.  How could you not be the same for your children?  I think the fact that you are concerned reveals a lot.  I could only guess that you would never go anywhere that would permanently harm your children without seeking good direction (or at least giving it deep thought).  I am so sorry the two social workers you met were wrong.  They are supposed to be in a position to help guide you in a direction that you feel is right for you.  How confusing!  However, you were smart enough to know they were dingbats.  Sorry to be so blunt.  They were not very sensitive.  Says more about their own limitations.  Unfortunately, some of us have to sift through this kind of stuff.  Glad you knew better.

 

Thanks for bringing this topic up.  I really have not connected to too many people with CML and young children.  I think we are somewhat of a minority.  Here is to growing to a very old age where they can blame us for every ill in their lives and babysit for our grandkids!

 

P.S  Ironically, I grew up with a chronically ill mother (not cancer).  We could not afford a nurse full-time, so instead of committing her to a nursing home, my father and us kids took care of her.   It was a huge job physically and emotionally.  It was hard to watch her health decline.  In the end she had to have a feeding tube and didn't always know who I was.  However, I got through it.  Of all the troubles I have had, and the psychotherapy, it was my mother's illness that affected me the least.  And it was constantly in our face.  If the adults around them are sensitive and tend to their emotional needs, I think the kids will be

alright.  The experience did not destroy my life or cause me to become a terrible, disturbed and depressed person, (the troubles I have had were caused by other things--and I CAN blame my parents for some of them LOL).  And I want so badly to protect my children from suffering.  However, life is full of pain as it is joy.  And, I think it is usually the suffering that creates kind and empathetic people who are able to give something of value back to the world.  Just my thoughts. 

lthouse612   38 posts since
Dec 12, 2009
Currently Being Moderated
9. Jul 14, 2010 11:59 PM in response to: garycris
Re: Telling the kids?

Again... like I said before, it's a decision based on everyones particular situation.  No one will be able to make that decision but you in what you feel is the best for your children.  As with most posts in any type forum you will also have those with very strong opinions but you have to be one to make sure whatever you decide is going to be the best for your family.  Take care!

PhilB   352 posts since
Apr 7, 2009
Currently Being Moderated
10. Jul 15, 2010 4:45 AM in response to: garycris
Re: Telling the kids?

Hi garychris,

Lots of different opinions, but a general concensus to ignore anything you're told by a 'general cancer' advisor!

My kids are exactly the same age as yours and since my dx last year we've taken a very simple approach.  Daddy is sick.  Daddy goes to the hospital and takes these pills to make him better.  End of story. Daddy still plays with them, rough-and-tumbles and tickles them mercilessly.

As they get older I'm sure they will eventually start asking more questions and we'll answer them as honestly and non-scarily as we can, but at this point they don't need to have explained to them what cancer is, why this cancer is different, what the odds of Daddy doing well (excellent) or or otherwise are.

You need to make your own decision based on your own kids and your relationship with them.  You don't want to be living with a 'big secret', but you don't want your kids needlessly worried when the odds are you're going to be fine.  Don't rush into anything and do what you think is best.

Phil

PhilB   352 posts since
Apr 7, 2009
Currently Being Moderated
11. Jul 15, 2010 4:47 AM in response to: hannibellemo
Re: Telling the kids?

Curses Pat, you beat me to it!

rct   87 posts since
Apr 6, 2009
Currently Being Moderated
12. Jul 15, 2010 8:36 AM in response to: garycris
Re: Telling the kids?

garychris wrote:

 

"...The issue came up when I went to a local cancer support group.  I met with one of the social workers and one of the first things she brought up was when and how I was going to tell my kids.  I explained we weren't going to tell them and she became very passionate (almost militant) about it.  She said this was not something to hide from the children, that they already know something is wrong and by not telling them I am hurting them.  She says they are going to be afraid and have trouble trusting us (my wife and me) because everyone will know there is a big secret that no one is allowed to talk about.  She actually said it in a nice way, but that was the gist of what she was saying..."

 

Local cancer support groups have a lot invested in kids programs.  Of course they want you to tell the kids, if nobody told their kids they wouldn't have anything for all those people that work in the kid support programs to do, and a fairly significant loss of...a$$i$tance, for lack of a better word.

 

garychris wrote:

 

On one hand I understand what they are saying, but I am questioning whether there "one size fits all" approach to cancer is appropriate.  They weren't too familiar with CML; I spent a decent amount of time explaining my disease and treatment options to them instead of them explaining to me.

 

Having to spend a decent amount time explaining your treatment options to a Cancer Support Group should be a pretty good indicator that they will be of little or no help.  Cancer = ((Operation To Cut It Out) +( Lose Hair For A While) * (All Better Now)), that's their pretty basic equation.  You won't have it cut out, you won't lose your hair, and chances are you won't be all better now ever. You HAVE something, most of them HAD something.  It won't work.

 

Just my curmudgeonly experience, I hope more than anything that yours turns out different.

 

rct

PhilB   352 posts since
Apr 7, 2009
Currently Being Moderated
13. Jul 15, 2010 2:00 PM in response to: rct
Re: Telling the kids?

rct wrote:

"Cancer = ((Operation To Cut It Out) +( Lose Hair For A While) * (All Better Now)), that's their pretty basic equation.  You won't have it cut out, you won't lose your hair, and chances are you won't be all better now ever."

 

I'd agree with the basic equation, except for them it's an equation with 2 possible answers and the other one involves lilies.  The bad news with CML is you don't get the 'all better', the good news is you have better odds of avoiding the floral tributes than for almost any other cancer.  Either way we really don't have that much common ground with most other cancer sufferers.

 

phil

 

knoppl   31 posts since
Jan 27, 2010
Currently Being Moderated
14. Jul 15, 2010 3:44 PM in response to: PhilB
Re: Telling the kids?

This was a tough decision for my husband and I as well. I have 2 boys who are 6 and 9. We decided not to tell them. My oldest son has some anxiety and I could only imagine what this diagnosis would have done to him. There will come a day that I decide to tell them but that will be when they are older. Cancer is very scary for adults, let alone children. My mom was diagnosed with cervical cancer when I was in my teens and all I thought about was what if she died. It was very tough and luckily she is still here with me and healthy aside from rheumatoid arthritis. I as a diabetes nurse and work with many health professionals all of the time and one thing that has become very clear to me since being diagnosed in January is that you know what is best for you and your family. Professionals can give suggestions based on their experience but you know your children and your family better than anyone. You will make the right decision and trust it.

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