Telling the kids...or not
Hello ladies,
I have recently been given the Grade 4 diagnosis, and will likely be starting Ibrance soon. No chemo, surgery, or radiation. From what I hear my life will proceed as usual. I intend to keep working.
I am known as an honest, straight-forward person. I pride myself on these qualities. However, this subject makes me feel conflicted.
My children are 30, 34, and 40. We are a close family and talk and get together frequently.
I understand the reasoning for sharing my diagnosis, and how it could bring the family even closer together. Yet, I am greatly influenced by my experience with my parents and their declining health. I was in my 30's when this happened. For a period of years I was on pins and needles. They were in and out of the hospital. Whenever the phone rang I jumped. It didn't help that they kept talking about ending their lives if their "quality of life" didn't exist anymore.
One son got married two months ago. I want for he and his bride to experience their first few years together with joy, and not having the cloud of my illness over their lives.
My daughter, husband, and granddaughter, 8, live on the East Coast. She is a worrier, and her friend, in his 30's, just passed away from cancer. She and her husband have professional careers and a happy life. I don't want to burden them either.
My youngest son is a great guy with whom I'm very close, but he has anxiety issues. I don't want to add to them.
If I truly can live for a number of years on new meds that I'll keep switching, is it wrong to keep this diagnosis from them until it's really necessary to tell them? If I lost my hair, of course I wouldn't lie to them why it was happening. But if I'm going on with life as usual, is there anything wrong with this subterfuge?
My husband will go along with whatever I want. A close friend says I should tell the kids. I say not yet. How have all you ladies handled it? Thanks.
Comments
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hi Kitkit
I just want to start off by saying that I’m sorry that you are here and have to deal with this disease and your struggle with telling your children or not is one I’m familiar with. My children are younger then yours I do have a 28 year old(she’s my oldest) and 4 others ranging in ages 14-21. When I was diagnosed almost 6 years ago I wanted to wait until I thought it was necessary to tell them but put myself in their position and realize that if it were my mother I would have wanted to know. We tell the kids what we think they can handle and for some that’s a lot for the others basic info and let them come to me when or if they want to talk. This is a very personal decision and what works for me may not Be what works for your family. I wish you all the best of luck and this is a great site for support and info.
Kristin
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Kitkit, what I hear a lot of in your post is, “I still have to take care of my kids, even tho they are adults and have been adults for many years." It sounds like you are minimizing your situation to accomodate them. Like what you are dealing with isn't as important as what they have going on in their lives.
Your life is important. It is not less important than their lives.
I agree, the decision is a personal one. I told my high school senior when I was diagnosed 8 years ago and recently when I had progression. He knows I will not hide anything from him.
It could be a teachable time in your life, that your adult children will see what it is like for their mother to deal with this. Some day they may face their own similar difficulties and look at your example of how you handled things.
I remember saying bc was not going to change me. I was wrong. Mbc puts you on a different trajectory. Why put your energy into trying to keep your diagnosis a secret from them, pretending that all is well? Just some food for thought. The choice is ultimately yours to make.
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Our kids are young adults. I was first diagnosed 10 years ago and became metastatic almost 4 years ago. We told them even back then that what we know, they know. No secrets in our family. Just how we do things. Each family is different and I respect everyone’s personal choice.
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I know most people will say tell, but I think that if you are doing well, and want to keep things feeling more normal, it's ok not to tell for now, and wait until the right time for you. If it brings you joy to see your kids live without the burden, that is something to consider. I do agree, don't lie, as that would break trust. And if important life or financial decisions need to be made in reference to you, that could be an issue. But if you can do well for a number of years, what is there to tell right now? It's ok to give yourself time to adjust mentally to this before you decide to tell others, even family.
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If you don't tell them, don't tell anyone. Because it would suck for a family member or friend to blurt it to them not realizing they had not been told....
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My (at the time 20 yo) daughter was with me in the ER when they came in and told me the "good news" was that my Xrays showed that I had a "whole bunch of stones in my kidney".. and the bad news that my entire skeleton appeared to be riddled with mets. So there never was a question of not telling- however I didn't tell anyone else beyond family members and two close friends, and I am extremely grateful about that because it has allowed me to live a normal life otherwise.
I have a bit of a different take on your situation- not only do I feel more aware that the days are sweet and precious, but I do a ton more things with my kids (now 23 and 28) and they are more cognizant that I will not be here forever, so the experiences and our discussions, whether important or exciting issues about their futures or less significant things, seem to be a lot more meaningful to them, too. They know I hope to see a functional cure in my lifetime, but if not, at least they will have gotten quite a long time to adjust to the situation..
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The more I think about it the more I would lean towards telling your 'kids'. First, they are not kids and it might feel insulting not to be included in a significant health situation. They may have anxieties, but they are likely to take cues from you. You can set the tone. It may be you are projecting your anxiety about them feeling pain (like you did, as a young adult) and underestimating their true ability to handle it. You will not moan and groan as your parents did!
When you have your treatment plan in place, and you have wrapped your mind around things, and can quote the doctors' hopeful affirming stats, and show that you are calm, my suspicion is they will 'follow the mother duck' and adopt that attitude. I'd say, "HIV used to be a death sentence and now it is a chronic illness that can be managed-- MBC is becoming more and more like that, with many many treatments to keep it quiescent, and I am likely to be healthy and feeling normal for many years... My doctor says X. Y, Z (hopeful facts)... but still I wanted you to be aware of it, so you are dealt into what''s going on for me in case I seem off, or distracted."
This way, whether you do or don't have successful treatment and years of wellness, or whether you might have side effects, or god forbid progress, they have been given the relevant info about their mom and can act accordingly and understand the bigger picture.
I was honest w my three kids (20, 27, 31) -- and I had a bad diagnosis (TNBC) but luckily caught at an early stage. I was honest because I knew I could be dead in 3-5 years if things went poorly for me. But that's not how I presented the info. I said, "this is a nasty cancer that can be lethal, but is also paradoxically very responsive to chemo, so I am fortunate to be young, healthy, and in an early stage, and I am hoping to wipe it out w aggressive treatment."
I am single, so I had friends who offered to come stay and help me out during chemos. My 27 year old son insisted on covering one of my chemos (Me: you don't need to do that I have lots of coverage" HIM "Mom, I DO need to do it, and I'm coming for one of your chemos, so tell me which dates are best.") He took time off, flew home and stayed for 2 weeks. IT WAS BEAUTIFUL to share this time with him, to receive love and support, to be cared for by my son, to eat the meals he cooked for us, and to witness him in a caregiving/fatherly role (especially in case I would miss seeing that). I count it as one of the best two weeks of my life, baldness and fatigue included.
Don't rob yourself of such experiences, nor rob your kids of the chance to step in and show maturity, love and support.
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Your children are adults and I'm willing to bet that you have equipped them well to handle adult situations with grace, resilience and support. Yes, this is a personal decision, but put yourself in their shoes. Would you, as an adult, want something like this kept from you? Are you infantilizing their emotional strength by believing that this news will somehow be too hard on them? Please don't disrespect their love for you and the ADULTS they have become by keeping this from them. They will be fine and their love, support and trust (please trust their ability to handle this, and don't betray that trust!) will benefit all of you. They are your children but they are not kids. Treat them like adults
*My children are adults too. Given that we are close, they would be very upset (very upset!) if I kept something like this from them, even if I was doing well. It’s been over 7 years since my dx and though I have done well, I can’t imuaginekeeping it from them for so long. Major breach of trust...
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I agree that withholding this information from your children could cause more difficulty for them down the road. They could wonder then if you might be giving them only partial disclosure to spare them, based upon earlier secrecy. I told my children. It wasn't easy, but I told them there was hope, and that I would be open with them. Santabarbarian makes a wonderful point about allowing our children to express their care and concern for us. (My children have in no way smothered or overwhelmed me, and I don't think they are "pre-grieving" in any way.) It might be harder on you to maintain secrecy.
Good wishes!
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You are all so kind and thoughtful. Beyond that, you are right. I was discounting my adult children's resiliency while wanting to protect them as a mom from bad news. My experience with my parents was different. As they each deteriorated they reminded me constantly of their pact to kill themselves, or each other, if their "quality of life" didn't exist anymore. My father was a chemist, and always talking about his secret stash of cyanide. They went along with the pact, unsuccessfully several times, then ultimately successfully. It was very hard for me, in my 30's, as an only child with no sibling to share with, to jump every time the phone rang for several years, wondering whether they had killed themselves.
My situation will, of course, be different. I am a strong, resilient person and have always shown that to my children. I will attack this with everything I've got, and hope that my strength, along with my husband and theirs, will see me through and also teach some lessons about how one deals with lousy news in life.
I'll most likely tell them at the end of the week, after I have my second and final MO consultation re whether I qualify for a clinical trial. If not, it's Ibrance and all the rest and back to work (in criminal justice system) with my fingers crossed.
Thanks to all of you wise women.
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KitKat,
What a rough experience you had with your parents. I am so sorry that you had to go through that nightmare. Both you and your children will benefit by you being open, honest and forthright about your situation. You will maintain high levels of trust and open communications which will be far more valuable in the long run than sheltering them from your situation. Best of luck
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Glad you will let them in on it -- I am sure your tone will be calm and strong.
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Hello,
Over 4 years ago I got my stage 4 diagnosis which was 16 years after primary. My daughter had just started University and my son had just moved to a new city. My husband passed away when the children were young and that has been hard for them. The mets were in my bones and my medication was Exemestane. I decided not to tell them much to the amazement of the small group of people I did tell. I am now on Faslodex another relatively easy treatment. I work and socialise pretty much as normal. I feel I have given them a gift of not having to worry about me for these past years. When my mets get worse and my treatment changes then I will talk to them. I don’t want this horrid disease to be on their minds every day. I will know when the time is right. That’s my decision but I think I’m in the minority.
With love
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