Offer ideas of what could help: You could add some ideas of how people can help - such as through prayer or sending your child encouraging cards.  Your own feelings of shock, anxiety, fear and impotence will also be felt by friends and family as they hear the news.  People will inevitably want to help, but may not know what to do or say.  Giving them prompts of how they can support you will be immensely useful at this time.  You may want to include a link to the              on this site which addresses the issue in detail.
"The year before Adam was diagnosed, I had led a school ski trip, and devised a parents' telephone network through which information could be shared in the event of an emergency.  We decided to use a similar network to pass information on to our family and friends. Occasionally, that information became distorted, but people were generally very good at making notes and keeping the facts straight."
"I couldn't bare to tell people what Charlie was going through.  Witnessing her struggle first hand was enough.  I could not bring myself to share the reality with others.  But because I didn't explain so much, people constantly asked me a lot of difficult, repetitive questions.  Later, I learnt to share information, and found my friends were more supportive and understanding as a result."

"We just said 'Sena has bilateral retinoblastoma; eye cancer in both eyes. She starts chemotherapy on Monday'."

"We gave a very brief description of eye cancer as it was quite complex at the time for us and for them. We also tried not to worry close family, because at the beginning the word 'Cancer' just meant fatal."

"We told everyone that it was eye cancer and was a rare pediatric cancer. I wrote a note to the parents of my son's pre-school classmates encouraging them to get eye exams and explaining the disease. We did not give too many details other than to describe the symptoms."

"I had bilateral RB as an infant. Having had the disease myself made it easier to explain to our friends about what we were dealing with. However, sharing information with friends regarding exams under anesthesia, plaque therapy, and chemotherapy was too much information for some people to understand. I feel this way because some friends gave us opinions on which they had no knowledge, with respect to the treatment of the disease. We felt we were doing the best we could to treat our daughter's cancer, and we did not appreciate opinions from those who weren't dealing with it themselves."

"We have been telling people pretty much everything. Our families know exactly what we know as we learn it. Friends, when they ask. It almost feels like people are now afraid of us."

"I seemed to be constantly writing or talking in those early days.  I wanted people to hear about this thing which had torn our lives apart, to know the strange words which were seeping into my vocabulary, to understand what was happening to us.  It was good therapy for me at the time.  Now my reports tend to be shorter, or more about 'us' than 'it'."


"Do not go where the path may lead, go instead where there is no path - and leave a trail."
~ Ralph Waldo Emerson ~
Communicating with family and friends.

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The Dolphin Family Pages
ORPHANS OF THE CANCER STORM
Disclaimer

This information page has been prepared by an individual who does not have medical training.  Contributions have been shared by the parents of children diagnosed with retinoblastoma or optic glioma.  Orphans of the Cancer Storm cannot make any assurances relating to the validity of medical information contained within this page.

The OCS website is intended for information purposes only and should not be used as a guide to diagnosis or treatment. If this information raises any concerns about your child’s condition or care protocol, discuss them with his or her paediatrician, oncologist, or other appropriate medical professional who has knowledge of the case.
Copyright © 2004, Orphans of the Cancer Storm. All Rights Reserved.
Notifying family and friends
What to say
Keep people informed
Losing and gaining friends
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Notifying family and friends is one of the first challenges you will have to face following your child's diagnosis.   Whom you tell, and how much information you give, should be entirely your decision.  Some families prefer not to tell people immediately, whilst others need to tell everyone within days.  There is no right or wrong way to go.  However, at such a time of crisis, friends and family will naturally want to provide support, encouragement and comfort, and your news will probably spread quickly, even if you only tell a couple of people.
Notifying Family And Friends
“We immediately called close family members, and they were all at our side the same day. Everyone helped search for the best doctors and institutions. Many helped us prepare for our first consultations and also accompanied us. They kept us focused, took notes and later could recall information that we couldn't.“

"Looking back on our experience, I feel notifying our friends was not in our best interest. Some of our friends wanted too many of the details which were difficult to talk about, especially after a long day at the hospital.  On the other hand, notifying our family was quite helpful. For example, my mother in law stayed with us for one month, in order to help with our older son. She also took a load off of our shoulders by helping us deal with cooking and cleaning, since we were so focused on our daughter."

"As my husband had bilateral retinoblastoma, we were aware of the risks and had discussed them openly with friends. When our girls were diagnosed, although we were devastated, we felt more freely able to discuss the situation with friends. I think it was easier to talk to friends than family because they were more detached, and my husband's mother felt a lot of guilt."

"Initially Close family was contacted via phone and at the time I was quite happy at keeping it close, but word gets around."
As a newly diagnosed family, you are likely to be reeling, and although you may prefer to inform people personally, repeating the news over and over to different people can be particularly painful. 

Below are some suggestions which may help you ease the burden of sharing your child's diagnosis with others.

Delegate: Asking a close family member or friend to pass on the news will mean you don't have to face repeated stressful conversations and questions.  Your child may require more attention right now, and it is important that you do everything you can to remain positive, especially in her presence.
"I wanted to tell everyone myself.  I thought that if I heard the words often enough, I would begin to believe them.  The conversations were torture at first, but I found them oddly therapeutic after a while.  Once we began treatment, I let a friend take over the job of communicating our news to everyone."

"We called everyone personally so that the information wasn't exaggerated. We wanted everyone praying and checking their children's eyes as well."

"I called my mother first, and she offered to contact other members of our family so that we didn't have to.  I thanked her, but declined the offer - a decision I regretted deeply after four hours of tearful, painful conversations, regurgitating the same awful news.  After that, my mother kept people updated, and I will be forever grateful for that support."
Send an email: Writing an email and sending it to a large group of people will ensure that the correct facts are instantly imparted to many of your friends and family, thus avoiding any Chinese whispers.
"My husband was away on business the day of our son's diagnosis.  We spoke on the telephone and he arranged to come home right away.  He couldn't get a flight for three hours though, and spent the time writing emails to every friend he could reach online, explaining our news and asking for prayer.  It really helped him to stay calm in those initial hours, and proved to be a wonderful way of informing people."
This is entirely up to you.  Whether you give a blow-by-blow account of the events leading up to diagnosis, or a brief explanation of the situation will depend on your personal style and the people with whom you are communicating. 

The Facts: Explain as much or as little as you feel the need.  Remember that people may not have heard of retinoblastoma, pineoblastoma or optic glioma before, or understand the meaning or implication of terms like EUA, enucleation, chemotherapy, blood counts, and chiasm, so if you do discuss them, try to clarify the meaning, to avoid lots of questions or misunderstandings later.  You may want to include a link to this or other information sites so that the reader can find out more if they wish.
What to say
"It took us some time to realise that we had to find a way to communicate information to people effectively.  We had so many telephone calls and doorstep visits from people wanting news of Katie that we were quite overwhelmed.  Eventually, we sat down and discussed the situation.  After that, we asked people to check our special "news-line" for updates.

"I enjoy designing web pages, and we already had an established family site.  When we first told people about Bekah, we asked them to refer to our site for current details of her progress. It worked well, and took a lot of pressure off us."
Explain how people can stay in touch: If you can settle on a strategy for keeping people up-to-date on your child's progress, explain this to all whom you contact, and ask that they use this approach to keep in touch with your news. 

Consider sharing contact information if you have to travel away from home for treatment, or your child has been admitted to hospital, as people will want to stay in touch.  However, remember that if you give your child's hospital room/ward telephone number, your child will be able to hear your end of any conversations.  You may also want to remind people that your mobile phone will be switched off whilst you are in the hospital, according to the rules of that particular facility.
"People were so generous.  They would do things for us without asking, which was wonderfully kind, but sometimes a little unhelpful, despite the intention.  We once ended up with so many prepared meals that we ran out of storage space and sent them to the local homeless shelter.  After that, we realized that we would need to guide people so that their kindness and enthusiastic support was directed to areas of genuine need on our part."

"We produced a list of ways in which people could help, and posted it on our web site.  It was also pinned to the church notice board, which really helped."
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A number of factors will impact the extent and strength of support offered by your family and friends: the quality of your network of family and friends, their physical proximity to you, active communication, and a consistent exchange of specific information about your family's needs. Support may fail to materialise and existing support may dissolve if any of these elements are lacking.

As with the initial imparting of your news, there are a number of ways in which you can keep people abreast of your child's progress.  Knowing what the situation is will better enable them to offer you support, friendship and assistance though difficult times.

Set up a telephone tree: This involves a network of telephone communication.  Delegate one family member to pass on updates to perhaps five people.  Each of those five people can then pass the information on to five more people, and so on, until all your relatives and friends have been brought up to speed.  Make a list of the people (and their telephone numbers) whom you would like to be a part of this network, and draw up a telephone tree (or ask a friend or relation to do so), then let people know how it works and whom they will be asked to contact.
Keep People Informed.
"Our family is very widely scattered, and we have used email to stay in touch for several years.  So it feels natural for us to use our email to let people know how William is doing.  We usually send a weekly update, unless there is something specific going on, for which we would like particular prayer and support."
Send "round robin" emails: Most email providers enable you to create a group of email addresses under a single name.  When you type the group name into the "TO" line of you email, that message will be sent to all addresses in the group.  In this way, you can quickly and conveniently send email updates to many people at once.
"My daughter's Godparents offered to put a web site together for us.  It is really beautiful and gives us much comfort."

"Maintaining our daughter's web site is very therapeutic.  It is a project which involves the whole family as our children help to choose the photos and graphics we use, and we all contribute to the journal entries."
Maintain a website: You don't need to be a computer whiz to do this.  There are a number of easy-to-use web-building programmes available now - including the one used to create this very site.  Many of them are free, although these usually place advertisements or pop-ups on your pages.  If you have your own Internet Service Provider, the package may allow you to build a website, or you may choose to search the internet for a good programme. 

A number of organisations, such as                          and                  , exist specifically to enable families access to simple web-building programmes in order to keep people informed during illness or treatment. 

If you feel you do not have the time or skills do build a site yourself, perhaps ask a friend to maintain the site on your behalf.
"I have a web site, and update it following each EUA or change in Sena's progress. I also send out email updates to family and friends with more specifics regarding each EUA."

"Our church created a lovely page for Caleb on their web site.  It was always up to date with specific prayer requests, our notes of thanks, and instructions on how to contact us.  It also had a link to the Candlelighters Association and Childhood Brain Tumor Foundation.  We asked the church to remove the page once treatment was over, but we felt it served its purpose well, and we are thankful for the show of solidarity it presented us with."
Use your website to update on your child's treatment and health, ask for help, give thanks for support, let people know your postal address - such as the Ronald McDonald House or hospital ward, educate about the type of cancer itself, etc.
"We set up a second telephone line about a month in from Sara's diagnosis, and explained to our friends that the 'phone number would only be used for them to hear updates and leave messages.  They were mostly very happy to use it.  Our children called it the 'Saraphone'."

"We save all the [answer-machine] audio cassettes and store them in a box full of 'cancer memorabilia' which we intend Rachel to have when she is old enough to understand about the value of its contents."

"We update our out-going message every day.  We can even access the controls remotely, and update from Tim's hospital bedside if need be.  That way, we don't constantly have to let people know of a new telephone number when we are moved."
Use an answer-phone: If you have a voicemail facility, consider leaving updates on the outgoing message so that people can find out how all is progressing.  Some families have set up a second telephone-line which they use solely to leave updated reports and collect messages from well-wishers.
"One of my closest friends went into a complete panic when she heard that our baby was sick.  She became distant and unpredictable.  Eventually, we lost touch altogether.  The loss of our friendship still saddens me.  I know there was no malice in her actions, she just didn't know how to cope with our new existence."

"We definitely do not talk to friends as much, nor go out like we used to. They are still there in the background. It is depressing when you feel you have no one to talk to. Family members are always available, but grandparents, and such do not want to hear our fears."

"One of the families on our street never came to visit after Alex was diagnosed.  They would keep their children away from our own, as if fearing for their safety.  It was a horrible experience, especially as the children had previously been friends."
Like the majority of parents facing childhood cancer, you may sadly experience the loss of friendships, perhaps even those which had been considered solid prior to your child's diagnosis.   Individuals and families may disappear suddenly after hearing the news, or when the going becomes particularly tough, especially if they already face personal stress and are less able to cope with the enormity of your child's cancer.  More frequently, relationships dissolve slowly over a period of time.  Keeping in touch with friends, and letting them know how they can support you will often prevent the misunderstandings and communication breakdowns which lead to this gradual parting of ways.
Losing And Gaining Friends.
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"We did not lose friends after our daughter's diagnosis. It was just the opposite. We were given much needed support from friends."

"We actually gained new friends. A lot of people we didn't know would come up and introduce themselves as a friend of so-and-so, saying they had heard on the grapevine about our children having cancer, and could they do anything to help."

"Right from the start, all our friends have done everything they can to be as supportive as possible.  Often, they don't understand what is going on, and sometimes say or do hurtful or unhelpful things, but that is not intentional.  Their mere presence in our lives is such a blessing, and everything they do for us beyond that is a true gift.  We keep them regularly informed, and they respond with much kindness and giving."
On the other hand, times of crisis also bring out the best display of humanity.  You are likely to experience a tremendous outpouring of love and support from friends around you.  You may also find that you are approached by total strangers, offering prayers and practical help.  Most parents find they develop new and very meaningful friendships during their child's illness, and this gives them much strength and hope.
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