Childhood Brain and Spinal Cord Tumors
Making a decision
After obtaining information about your options, talk with the doctor about the merits of each type of catheter and ask for her opinion. Talk about the pros and cons with your child if she is old enough. Then make the rounds of the oncology unit, asking both parents and children which type of catheter they chose and why. You will probably hear many opinions about the benefits and drawbacks of each catheter.
The nurses in the clinic and on the unit are another source of valuable information. They will have seen dozens (or hundreds) of children with catheters, and they can give excellent advice, given your family situation. There is no right or wrong choice, just different options for each unique child.
When we asked one of the young children on the ward which catheter she had, she pulled up her shirt with a big grin to show us her Hickman®. She had a coil of white tubing neatly taped to her chest. My husband’s face turned as white as her tubing.
My 4-year-old daughter loved ballet and was extremely interested in her appearance. Her younger sister was very physical, and we were worried that if we chose the Hickman® she would grab and pull on the tubing. We chose the PORT-A-CATH® so that she could wear her tutus without reminders of cancer, and so the children could play together without mishap.
We chose the Hickman® for Shawn because we didn’t want any needles coming at him. He spent almost the whole first year in the hospital, so it saved him from so many pokes. The line was a blessing. He went 3 years and 3 months with no infections. We thought it was just a beautiful thing.
Table of Contents
All Guides- Introduction
- 1. Diagnosis
- 2. The Brain and Spinal Cord
- 3. Types of Tumors
- 4. Telling Your Child and Others
- 5. Choosing a Treatment
- 6. Coping with Procedures
- 7. Forming a Partnership with the Treatment Team
- 8. Hospitalization
- 9. Venous Catheters
- 10. Surgery
- 11. Chemotherapy
- 12. Common Side Effects of Chemotherapy
- 13. Radiation Therapy
- 14. Peripheral Blood Stem Cell Transplantation
- 15. Siblings
- 16. Family and Friends
- 17. Communication and Behavior
- 18. School
- 19. Sources of Support
- 20. Nutrition
- 21. Medical and Financial Record-keeping
- 22. End of Treatment and Beyond
- 23. Recurrence
- 24. Death and Bereavement
- 25. Looking Forward
- Appendix A. Blood Tests and What They Mean
- Appendix C. Books and Websites