How to tell the kids

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Awaywego
Awaywego Member Posts: 16

Hello Ladies,

I have recieved a pathology report that states I am ER/PR- with more testing not yet complete for HER-2. The initial pathology says something about a weak HER-2 presentation so I am guessing I might be negative for that too.  During the biopsy they sized my tumor at .9mm and it is IDC. I have yet to have surgery to remove the lump and investigate the nodes. I am walking in a haze while I await appts. with surgeons. In the meantime, I am hoping you may have some advice on how to break the news to the kids. I have a 5 yr old and a 9 year old. My 9yr old daughter is aware that my mom died of breast cancer. So far from what I read online, is that you should be encouraging as possible without making promises. I am so afraid to scare my kids and turn their worlds upside down. And now that I am learning about triple negative BC I am really concerned. Any advice appreciated!

Comments

  • thenewme
    thenewme Member Posts: 1,611
    edited February 2010

    Awaywego,

    I'm soooo sorry you have to be here.  I have 6, 8, and 14 year-old kids, so I know how heart-wrenching it can be.  Openness worked best for us - we basically gave each child as much or as little information as they wanted/needed.  One thing that helped my younger two was a book called "Becky and the Worry Cup" - it's a childrens book about a girl whose mother had cancer, and she developed some good strategies for helping cope with emotions and fears.  I highly recommend it.  

    We tried hard to balance the tears and fears with lots of humor, hugs, and extra family activities and memory making.  Kids are remarkable strong and resilient, and I bet you'll find that they handle things better than you expect.  I think it's important to make sure they have things they can control. Give them responsibilities and let them help you.  

    Hang in there, and keep reaching out.  There's a ton of support here, and a wealth of experience with just about anything you can imagine.

    PS - If you do happen to be triple negative, focus on the fact that chemotherapy is especially effective for TN since it acts on fast-growing cells.  There's a specific forum for triple negative too, but check out some of the other forums too.  

  • Awaywego
    Awaywego Member Posts: 16
    edited February 2010

    thenewme,

    Thank you for your encouragement. I will look up the book you you referenced. We've been through so many changes during the last year, including a move from overseas back to the US and my kids are still getting their footing. Now I'm about to pull the rug out from beneath them. I know there is no way around this but through this. I've got to get my head straight and get past this initial shock...

  • ruthbru
    ruthbru Member Posts: 57,235
    edited February 2010

    Just be as factual and non-emotional as you can stand to be. They shouldn't have to share your fears; after all there is no reason why you shouldn't be OK at the end!!! I tried to keep the schedule as normal as possible; I went to all the activites I felt up to, and my husband was there if I couldn't be. We did a lot more 'quiet' activites like watching movies etc. so even if I didn't feel good, I was still there. Good luck!

  • JulieD
    JulieD Member Posts: 1
    edited February 2010

    I am triple negative with kids aged 9 and 11.  On the triple negative when I read a lot of stuff on the internet it scared me, however having talked to oncologists one of the real positives is it's response to chemo (which I am finding), so actually the chemo treatment can be really effective.  Triple negative is also an area with lots of great research at the moment and there are trials going on with a new drug (to match what Herceptin does for Her2 positive).  So there is something new coming too.  On talking to the kids we were matter of facts about it and shared the news over dinner. It is amazing how adaptable they are.  Given the succcess rates in treating breast cancer I have been very positive and in turn they have responded in a positive way.  My 9 year old has since asked more questions, like it is contagious as he wondered if I caught it from a friend!.  The thing I have found important is to manage potential resentment in disruption to their routines.  We had to cancel a holiday which did not go down well.  So replacing things I would have done with them, but can't because of my immune system, with other treats I am finding important.

  • Issymom
    Issymom Member Posts: 264
    edited February 2010

    As the others have said, be straightforward and honest but they really don't need a lot of details.  I have a 12 and 17 year old (obviously older than you kids).  We told our kids an hour or so before dinner, talked about it, answered their questions, and then they went off to do whatever they were doing.  We then had dinner, watched a movie, etc...  All the things we would have done on a Sunday night.  There will be disruptions to their lives but we tried to keep things as normal as possible.  I had lots of doctor's appt early on, trying to figure out who "my team" would be and what I was going to do.  It got much better after the first couple of weeks.  I had a bi-lat mastectomy in early in Dec. and now I am doing chemo.  Yes, the good news is triple negative is highly responsive to chemo.

  • Awaywego
    Awaywego Member Posts: 16
    edited February 2010

    Thanks to all of you for your support. I've never used a discussion board before and I'm amazed at what a supportive community this site offers. We recently moved to our area and our closest family is 10+ hours away. We don't have an extensive (or any, for that matter!) local support system so I'm going to lean pretty heavy on this site for support and encouragement.

    I think my game plan now is to get through the initial consultations and some time between these appts and before actual surgery, my husband and I will talk with the kids. I dread it, but think I will feel some relief too. I feel like I've been keeping a secret. Lots of guilt. I know none of this is my fault but at the same time I have this nagging feeling I have let everyone down. Often times I perceive my cancer as a weakness.... Anyone have these thoughts?

  • lassie11
    lassie11 Member Posts: 1,500
    edited February 2010

    You aren't weak or letting anyone down. All those people who will tell you that you should have done or not done this or that to prevent this whole thing have no idea what they are talking about. Unless you have the BRCA gene (and most do not) there is no particular reason you got this other than bad luck. It might even be time to buy a lottery ticket to see if your good luck is working in other spheres - that theory hasn't worked for me yet, but it should for somebody!

    I'd bet that the children already know that something is happening. If you tell them a child's version of what is going on sooner rather than later, you won't be keeping a secret any more. From what you have said, your prognosis is good which means you can present the information without fear. My then five year old grandson needed to be told as he lives one street away and is in my daily life. His mother (my daughter) and I decided to tell him before surgery that I had a bad boo boo in my boob and the doctors were going to fix it. Then when it was determined that I would have chemo, we told him that I needed some medicine to make the bad boo boo stay away - and then he learned about silly side effects. The information was presented without fear and without the C word (he didn't know it anyway) - he has been very matter of fact about it and brought a ton of sunshine into my days.

  • jenn3
    jenn3 Member Posts: 3,316
    edited February 2010

    I will echo what the others have said, be straight forward, don't focus on the negative, answer their quesitons the best that you can and don't show your fear when talking to them. Your children will follow your lead, if you keep a clear head and tackle this head on, your children will follow in your footsteps. 

    Your game plan sounds good.  Don't feel guilty you're not keeping a secret, you're just waiting until you have enough information and understand more about what will happen before you talk to them.  Cancer is not your weakness, we don't ask for it, it sucks, but it's not your weakness.  In the end you will find from your inner most being that you have a strength you didn't know you had.

  • Ezscriiibe
    Ezscriiibe Member Posts: 598
    edited February 2010

    Hugs, Awaywego, you are in my heart. I can also relate to this: "I know none of this is my fault but at the same time I have this nagging feeling I have let everyone down. Often times I perceive my cancer as a weakness.... Anyone have these thoughts?"

    I don't know when or how we got the memo that mommies (and nanas) aren't allowed to get sick, but somehow we all picked up on it! 

    I still find myself apologizing to my husband when I come down with a bad cold or a flu. It's probably one of the single most things he says frustrates him most about me.

    In my head, I know it's not my "fault" -- but in my heart I feel weak and vulnerable, and don't like that feeling.

    My daughter told my grandsons, (ages 6, 12, and 15) and pretty much explained it without the word cancer, too. The older boys took it really well. The younger one just keeps hugging me and wanting to kiss the boo boo away. They are so precious!

  • Awaywego
    Awaywego Member Posts: 16
    edited February 2010

    Thank you Lassie11, Jenn3, Ezscriiibe. I will take all your words to heart.

    Ezscriiibe you hit it right on the mark when you talked about vulnerability. I don't like that feeling and the feeling of not trusting my own body! I'm Mom, I'm supposed to make everything better..to be there for everyone. I know I am overconscientious about the needs of others to the extent I make myself miserable sometimes. I guess this is an opportunity (and a challenge!) to put myself first. I'll do my best to provide some kind of normalcy to my family over the course of my treatment (whatever that means)but I'll just have to cut myself some slack. Wish it weren't due to these circumstances though. I'll let you all know how things go with the kids. 

  • livvienigelmom
    livvienigelmom Member Posts: 25
    edited February 2010

    Good heavens yes and i thought i was the only one! I feel as though I am just a huge disappointment to my kids. I sit up at night to deal with my emotions and zoom around this site and others just to connect with other triple negs and others. I feel so guilty sometimes!

  • thenewme
    thenewme Member Posts: 1,611
    edited February 2010

    Oh yes, that awful vulnerable feeling - yep. 

    Awaywego-how are you doing today?  Livvienigelmom, ugh- you too?  Gaaaahhhh I hate this disease!

    As you see, we're all in this together. Please do cut yourself a lot (!) of slack.  When I was first diagnosed, I was told that it would be about a year of treatment, and even though my "active" treatment ended after 7 or 8 months, I have to say that the one-year mark is when the intense treatment phase felt like it had an end in sight.  So for those just starting the journey, hang in there!  As Jenn3 said, you'll find strength you never imagined you'd have (and so will your kids).  

    Stick around here. We get it.  Sometimes it's really helpful to "offload" some things here with people who have been through it and can commiserate.  There are threads for specific treatment phases, and for triple negatives, but be sure to check out some of the other threads too.  There are some really, really funny humor threads if you need a chuckle!  Hugs to you all!

  • Awaywego
    Awaywego Member Posts: 16
    edited February 2010

    I'm hanging in, thenewme! I had my first consult today with a local surgeon and will have another consult next monday at a larger cancer center with an oncologist. It seems to me that it makes more sense to see an oncologist first, particularly with TNBC because it has an impact on your surgical approach. May get genetic testing too (family history). I live 2.5 hours away from the cancer center so I am not so sure I will be able able to get all my treatment there. I am trying to set up a pier-to-pier relationship between the cancer center and a local oncologist. Any experience with this ladies?

    Overall, I feel a bit better since I am actively getting involved with figuring out treatment. Waiting to get the process rolling is emotionally exhausting though. Haven't slept in 3 nights and I am having a hard time focusing on anything! This morning I put my cordless phone in the refrigerator and my jelly on the counter by the phone stand! I am hoping that tonight I will get a good nights sleep....if I can keep my mind from racing.

    Yesterday, out of the blue, I recv'd an email from a friend of mine who I haven't spoken to in 6 months. We were expats in europe and were both moved back to US recently (different states though).  She sent me the email because she is celebrating her 3 year mark as a brain cancer survivor.  Our daughters used to attend the same school when she was first diagnosed - shortly after giving birth to triplets!!! It was awful. She was given all gloom and doom about her prognosis. John Hopkins has given her a different story though (she was originally diagnosed overseas) and told her she has such a slow growing tumor she can enjoy a normal life span. What a success story and the timing of her email couldn't have been better. It gave me a bump up in the encourage dept! Hope all you ladies are well!

  • ruthbru
    ruthbru Member Posts: 57,235
    edited February 2010

    Ask for prescription sleeping pills if you can NOT sleep. I did, and felt so much better and like I could handle things once I was actually able to get a little rest!!  

  • Hoolianama0508
    Hoolianama0508 Member Posts: 162
    edited February 2010

    My kids are 4 years and 15 months old. My daughter had not turned 4 yet when I was diagnosed. I was afraid to talk to her about it and did not know how to begin. I decided to tell her that mommy has a "bad boob" and the doctors are going to help me fix it.

    As time went on, and she got used to me going to the hospital for treatment, I started to bring her for follow up visits. She needed to see that even though mommy was sick for a few months, that I was getting better.

    After my bilateral mastectomy, my home health nurse gave me the best advice. She said that children are very accepting. When she finally saw my scars a week later, my daughter told me they were beautiful.

    Since then, I have been talking to my daughter about radiation. She did ask me some questions about dying. I just told her that was why I was going to see the doctor and having treatments, so that I woud prevent that from happening.

    I hope this helps.

  • Titan
    Titan Member Posts: 2,956
    edited February 2010

    I hate to say this but I love this thread..my kids were 18 and 20 when I was diagnosed..so they were older..but then again I am still THE MOM..the one who does alot of the stuff around the house..I don't know...I still wanted to be strong for them..and I was...even though they are now 19 and 21 they still want to see me as the same Mom..I think it has helped me get through things...to be strong..I'm sorry but if the time would come that I can't do things and take care of them...well just shoot me..Bad attitude?  Maybe...The only time I was "down" was one day after each chemo..that darn Neulasta shot..I wasn't bad but I just couldn't do things like normal...

    Being older..my kids knew exactly what cancer is...I still remember their faces..it broke my heart..I just did my best to be as nornal as possible...I think that helped in a way..it forced me to get up and just be..instead of laying around complaining what fate has dealt me....I never felt sick through all of this..

  • Awaywego
    Awaywego Member Posts: 16
    edited February 2010

    Thanks Titan and all the ladies for giving me advice. I finally talked to the kids over the weekend and I have to say that things went SOOOO much better than I expected. We kept the conversation positive, the kids asked some questions, then they headed outdoors to play. They must have said something to their friends, which is ok as we told them it wasn't a secret, because they later told us that a girl down the street said that I was going to die. We expected this to some extent and even mentioned to our kids that they might experience people saying things like this. Did any of you have experience with this? We are new here so we don't have close relationships with our neighbors but I feel I will need to inform them of my medical situation in fairness to my own kids. I dread this but I think its better than my kids hearing negative messages like they did this weekend. I certaintly want to avoid the situation where they hear this message on a repeated basis.

  • ruthbru
    ruthbru Member Posts: 57,235
    edited February 2010

    I had some comments like that too (some from adults!!), and my son (who was in HS) had a friend whose mom DID die from BC not long before I was diagnosed. So I know it was even more concerning to him, as he personally knew what COULD happen.  All you can do is to say it was caught early, and that you should be fine (which is true); and then just show up, carry on, be calm, keep things as normal as possible, and people will eventually take their cue from you (except the really STUPID ones, I don't know what one does about them). Anyone with little kids, does it help to talk to the friend's parents? because if the kids are saying stuff like that, they are hearing it from adults.

  • YATCOMW
    YATCOMW Member Posts: 664
    edited February 2010

    My children were 7, 9 and 13.  They had just lost a friend from leukemia six months prior.

    I was slow telling them that it was cancer but they eventually figured it out.  They asked ..."do they have a cure" and I said no but that my doctors were great and they were going to work hard at it. That seemed to help.

    I think my youngest was the most scared about me losing my hair although I always wore my wig. (being vain and all).  We tried to make light of all of it.  I told them that laughter killed cancer cells so they all pitched in......whenever I had a great laugh they reminded me that the cancer was being killed.....even the dogs helped!

    For Halloween they wanted me to answer the door without my wig to scare the kids.  And then there was something on Nickelodean where they wanted me in a video so they could submit and win a prize.  (Fortunately they eventually forgot about that)

    I went to work every day..... I made sure that nothing changed in my house....things were exactly as it always was.  I think this was key.

    You can look at my signature......very bad path but I will be celebrating six years this year.  The treatment today is good.....  If I can beat it....so can you!

    All the best.... I know our children are everything.

    Jacqueline 

  • benaroberts1
    benaroberts1 Member Posts: 15
    edited February 2010

    Hi All,

    I have a 4 year old and 6 year old.  I was given some books by the hospital and I just read it to them.  I didn't mention anything else and then all of a sudden my boy started saying.... Mummy had cancer she can't lift that anymore"

    The only bad thing happened when my hair fell out and the kids thought it was funny to pull my hat off. I had to be quite hard and say, "mummy gets VERY upset when you do that" then all was good and it didn't happen again.

    But all in all - honesty is the best policy.

    Bena

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