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Why Diseases Like COVID-19 Are Scary for the Childhood Cancer Community

Why Diseases Like COVID-19 Are Scary for the Childhood Cancer Community

Over the past several weeks, millions of Americans have had their lives turned upside down. Schools and offices are closed. Weddings and vacations are cancelled. We don’t get together with friends. We avoid leaving the house unless it’s necessary. And we don’t know when, or if, life will ever return to normal.quinn_in_hospital_ copy

In some ways, we’re getting a taste of what daily life is like for so many children with cancer.

Children with cancer fall into the category of “immunocompromised” — a word that’s been thrown around a lot since the novel coronavirus came to the public’s attention. Being immunocompromised means that your immune system doesn’t work as well as it should. Sometimes it’s because the cancer itself weakens the immune system. Other times it’s because the treatments — chemotherapy, immunotherapy, radiation — wipe out the immune system, leaving you vulnerable to even the most commonplace germs.

Having a compromised immune system means you’re at greater risk of falling ill from viruses and bacteria in your environment. It also means that you’re at greater risk of developing serious complications from those illnesses. So something as simple as the common cold could mean a lengthy stay in the hospital for a child with cancer. It could mean bacterial pneumonia or meningitis. It could mean emergency surgeries and IV infusions. And, even with the best doctors and nurses at their bedside, it could still mean death.

Parents of children with cancer know this, so their families live life differently. They wash their hands dozens of times a day. They carry antibacterial gel and disinfectant wipes everywhere. For the child with cancer, birthday parties, sports or other events where they’d come into close contact with their peers are a no-go — they may go weeks, even months, without leaving the house or their hospital room. Something as basic as going to school once they’re well enough can be terrifying for their parents when even the slightest cough could land the child back in intensive care.

Many parents today can take comfort in knowing that most COVID-19 cases in children appear to be mild. But for parents of children with cancer, there is no solace because COVID-19, like the flu or the common cold, could easily be what takes their child’s life.

This is why social distancing is so important. Children with cancer need you to help keep them safe. So many of the changes we’ve had to come to terms with recently are already second nature for these kids, but that doesn’t make them any less difficult. They’re already missing out on school, playdates and so much of what defines childhood, and their restrictions won’t end when the government lifts them for the rest of us.

So please, do your part and stay home. We owe it to children with cancer, and to all the most vulnerable members of our community, to do what we can to stop the spread of the coronavirus. Their lives are depending on it.

We know these are difficult times for everyone, and so many are struggling financially. If you are able, please consider making a donation to the American Childhood Cancer Organization. We remain committed to our advocacy work and offering resources to children with cancer and their families, and we need your support now more than ever.

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Gold Ribbon Hero: Harper

Meet Harper – a fierce 3-year-old childhood cancer warrior. Harper loves all things pink and loves to dance! B9B3394B-6DE8-4D68-9385-B62517E38550

In June 2017, Harper was not feeling well. She had trouble keeping things down after eating, was very lethargic and looked very pale in color. After receiving some concerning lab results, the doctor told Harper’s parents she needed to go to Dell Children’s Hospital. Her blood cell counts were off the charts which pointed to a preliminary diagnosis of leukemia. At just 10 weeks old, Harper was diagnosed with infant Acute Lymphoblastic Leukemia with the MLL gene. Her prognosis was 10% chance of survival. Harper’s parents were initially fearful, angry and prevailed with faith.A710E1EF-D6EA-4D66-A26F-8E22A418DCE6

Treatment was aggressive and included numerous procedures and medications. After 8.5 months of hospital stays, six round of chemotherapy (12 different kinds), 21 blood transfusions, 11 platelet transfusions, 10 lumbar punctures with more to come in maintenance, 5 foley placements, 2 broviacs placed, 1 ng tube placed, more than 35 dressing changes and over 10 sedations – Harper was able to come home in January of 2018.

Today, Harper is in remission and ra81D846F4-FA0E-404B-96EE-DC2CF41C9A2Fng the bell in July of 2019! She is developing into a happy and healthy toddler alongside her twin brother, Cruz. Harper laughs, giggles, plays, claps and dances. “For those who battle cancer and win, ringing the bell is a battle cry of accomplishments. It signifies the ending of treatment; the defeat of cancer,” said Harper’s aunt, Lindsay Hill.

To follow Harper’s story: https://www.caringbridge.org/visit/harpercouch

To learn more about ALL, please visit: https://www.acco.org/blog/causes-risk-factors-and-prevention-of-childhood-leukemia-cancer/

You can help kids like Harper by making a donation to the American Childhood Cancer Organization. Your gift will help provide educational resources and support programs for children with cancer, survivors and their families, as well as raise awareness about childhood cancer and the need for more research.

Donate

Nominate your Gold Ribbon Hero here: https://www.acco.org/gold-ribbon-heroes/

 

Gold Ribbon Hero: Anastasia

Meet Anastasia, a sweet 3 year old with aggressive optic nerve glioma. GRH Anastasia

When Ana was just two years old, she was completely blind.  Anastasia’s mom, Graylenee, advocated when doctors wouldn’t listen. Ana was taken to the eye doctor who said that everything looked good and that she would probably snap out of it. Ana’s mom didn’t think this was the case so she took her to a neurologist. He asked if they had a cat in the house. Graylenee said they had just gotten one, and the doctor suspected “cat scratch fever.” The neurologist ordered an MRI but the first available appointment was three months away. A resident with the neurologist looked at the doctor and said, “this is not cat scratch fever, if it gets worse in the slightest way, take her to the ER where they have to do a scan that day.” Determined, Ana’s mom took her straight to the emergency room and told them she was having seizures, even though she was not. She was desperate to find answers and wanted the scan done immediately. The CAT scan revealed that Ana had an aggressive optic nerve glioma. “We were devastated, heartbroken and petrified. All I could think about was, was our daughter going to die?” remembered Graylenee. Ana’s diagnosis was on December 20, 2016.

Treatment was aggressive for Anastasia. A total of 10 different chemotherapies and debio 1347 with shrinkage was administered, but all standard chemotherapies were resisted. Radiation was not an option. Ana has had a craniotomy, shunts placed, biopsies, a Gtube and a mediport placement. Her tumors have been successfully reduced, only to grow back.

In the past few months, Ana was able to go to Disney for her wish trip and she was able to meet Amy Poehler on Christmas in 2019. Ana had major brain surgery in December, and doctors said she wouldn’t live through the week. She proved them wrong, which has happened several times through her treatment. “She smiles through her pain and refuses to give up,” says Graylenee.

Most recently, Anastasia has entered hospice care. Graylenee is still searching for other options, but at this moment there are no more treatments available. “Anastasia has her ups and downs, but every day she always manages to find a reason to smile. We are just praying for a miracle,” said her mom. 

Please join ACCO in sending well wishes and a birthday message to Anastasia and her family during this time.

Follow Anastasia’s Army: @AnastasiaArmy

To learn more about brain tumors, please visit: https://www.acco.org/blog/childhood-brain-tumor-cancers-detection-and-diagnosis/

You can help kids like Anastasia by making a donation to the American Childhood Cancer Organization. Your gift will help provide educational resources and support programs for children with cancer, survivors and their families, as well as raise awareness about childhood cancer and the need for more research.

Donate

Nominate your Gold Ribbon Hero here: https://www.acco.org/gold-ribbon-heroes/

Brain Tumors in Children

Brain tumors in children make up about 15% of pediatric cancers. They are the second most common cancer in children, after childhood leukemias.

The most common brain tumor in children is medulloblastoma. There are many other that affect children, including astrocytomas, gliomas, ependymomas, germinomas and more.Brain Tumor child

Symptoms of Brain Tumors in Children

The symptoms of brain tumors in children vary greatly and depend on the size of the tumor and where it is located. They can include:

  • Seizures
  • Nausea and vomiting
  • Problems with walking or balance
  • Changes in personality
  • Aggression and irritability
  • Weakness or lack of energy 
  • Learning difficulties
  • Memory loss
  • Problems with hearing, vision and other senses
  • Pain, especially back pain
  • Headaches, especially early in the morning or in the middle of the night

Because these symptoms are so variable and can be caused by many other things, brain tumors are often misdiagnosed at first, and it can take a long time for the right tests to be done to discover and identify the brain tumor.

Prognosis for Children with Brain Tumors

The prognosis for children with brain tumors depends on the type of tumor, its grade (a number that indicates how abnormal the cancer cells are and how fast they are likely to grow and spread), its size and its location.

For some tumors, especially those that can easily be removed by surgery, the prognosis is good. There are other tumors that very few children, or none at all, have ever survived.

Even when children do survive, they are often left with lifelong effects from the tumor and its treatment, including learning difficulties, growth problems, paralysis and more.

Treatment for Brain Tumors in Children

Like the prognosis, the treatment of brain tumors depends on the type, grade, size and location of the tumor. Treatment often involves a combination of chemotherapy, radiation and surgery.

Treatment for brain tumors is challenging because the brain is a crucial and highly sensitive organ, and it’s difficult to target treatment at the tumor without harming important parts of the brain.

Removing the brain tumor by surgery is ideal, but not always possible. Sometimes the tumor is too widespread and mixed with other healthy tissue, and sometimes surgeons won’t be able to get to the tumor without damaging other critical parts of the brain.

It’s also very difficult to get chemotherapy to reach the tumor because of the blood-brain barrier, a layer of cells that protect the brain from anything foreign — including most drugs — in the blood. 

Because treatment options are limited, some parents choose to enroll their children in clinical trials.

Naomi’s Story

Naomi was just a normal 8-year-old girl until one day she collapsed in school and couldn’t remember her name. After several trips to the hospital, her parents finally got the diagnosis they never could have fathomed: stage 4 pinealoblastoma, a brain tumor of the pineal gland. It had already spread to her spine.

Naomi’s treatment plan is tough: she’s already had four brain surgeries, and she’s undergoing chemotherapy and 30 proton radiation treatments.

Naomi’s a little girl with a big heart, and she keeps her spirits up by helping the other children in the hospital. Last year, she gave away her Halloween candy to kids who couldn’t go trick-or-treating, and now she’s starting a teddy bear drive.

You can help kids like Naomi by making a donation to the American Childhood Cancer Organization. Your gift helps provide educational resources and support programs for children with cancer, survivors, and their families, as well as raise awareness about childhood cancer and the need for more research.

Donate

Gold Ribbon Hero: Grayson

Meet Grayson, a 10-year-old brain tumor and spinal cord tumor survivor! Read on for his inspiring, five-year battle and how he persevered. Grayson grh

In October 2014, Grayson was a normal four year old boy – he loved playing ball, legos and being a normal kid. He started developing alarming symptoms like lethargy, dizziness and vomiting. Grayson was rushed to the ER by his parents and after much testing, it was revealed that he needed to be life flighted to Minneapolis Children’s Hospital. His brain had to be drained immediately because the pressure almost killed him. Six days later the neuro-oncologist gave the diagnosis to his parents. “This was one of the hardest days of our lives. We were told our spunky, smart, ball-loving, best squealer, four-year-old son had brain cancer: grade 2 diffuse astrocytoma (thalamus area), which is located in the middle of his brain, and it was inoperable.”

Options were limited for Grayson and included radiation treatment with chemotherapy or do nothing. He completed 30 rounds of radiation treatment without sedation teamed up with oral chemotherapy, MRIs and determination.

Nearly three years later, Grayson’s medication was switched. Grayson and his family traveled from the University of Minnesota Masonic Children’s Hospital to Children’s Hospital of Colorado. His new neuro-oncologist suggested taking him off of his medication which meant he was currently off of all cancer fighting drugs. He was not participating in radiation, chemotherapy or mekinist for 19 whole months. Two years later, a routine 3 month MRI revealed there was a very small spot contrast enhancing region in the original mass. Three months later, the hot spot was still present but changing on the MRI. It was decided in July 2019 that Grayson needed to be put back on Mekinist. In November 2019, Grayson was taken into surgery with “Rosa the Robotic Arm” to conduct a needle biopsy and thermal ablation.

In Grayson’s most recent update, he has been healing well from his brain surgery in December and his hot spot is reduced. According to his mom, Chelsey, “We are not dealing with grade 4, and the “hot spot” that was becoming a problem from January 2019 to November 6th has been thermally blasted. They will continue to watch Grayson closely (3 month trips to Denver for MRIs).” 

Grayson loves legos, hot wheels and playing with his siblings and friends. His mom said he is the best hugger!

Follow Grayson’s Journey here: @thepoptabkid

For more information on brain cancer, please visit: https://www.acco.org/brain-cancers/


Donate to help kids like Grayson, because kids can’t fight cancer alone!:
https://www.acco.org/donate/

 

Gold Ribbon Heroes: Tristen, Caison & Carter

 

Meet the Rush family warriors: Tristen, 6, Caison, 3, and Carter, 8 months old. Each of the boys have bravely fought retinoblastoma at a very young age. grh tristen Caison and carter copy

When Angie Rush was an infant, she was diagnosed with retinoblastoma. She fought hard, survived and now has three young boys with the same diagnoses.  ACCO was lucky enough to speak with the Rush family and get some insight into their unique story.

After spending four weeks in the NICU, Tristen’s parents Angie and Aaron advocated to have his eyes checked which revealed that he had retinoblastoma. “When he was diagnosed, you always hope for the best and assume everything was okay. It was really heartbreaking for us, even though my wife went through it when she was younger – it was unknown. She went through it as a baby, so when your son has it, it was kind of a whirlwind and you don’t know what to expect. It was overwhelming and heartbreaking and for a brief moment you have sadness and crying and then it turns into determination” said Aaron. Their son Caison was diagnosed at just two days old after the parents urged doctors to check his eyes after Tristen’s diagnoses. For the first six months, Carter was tumor free but in January of 2020, doctors found several tumors in his eyes. “We thought he was free and clear and that he wouldn’t have it – but we just pushed through the sadness to tackle this cancer,” said Aaron.

Each of the boys’ treatment plans have been very similar. They have all had monthly eye exams, chemotherapy for six months, laser surgery as needed and evaluations under anesthesia. The chemotherapy has caused minor hearing loss in Tristen so he wears hearing aids. Caison currently has a small vision deficit in one eye which doesn’t seem to slow him down.

img_3502According to Aaron, the boys have been minimally affected by their diagnoses. Tristen is currently in survivors clinic status and has once a year eye exams. He is extremely personable and loves to make people laugh. He is funny, smart and full of energy. He loves to draw, playing outside, playing sports, helping around the house and swim, among other hobbies. Caison is in observation status and gets eye exams every three to four months. He is very friendly but shy. He loves to show people new things, playing in the dirt, being outside and making up funny stories. Carter is currently on active chemotherapy treatments and has monthly eye exams. He is a happy baby who smiles at everyone! He can roll over, sit up and is working on crawling.

Please help ACCO send well wishes to the Rush family!

To learn more about retinoblastoma, please visit: https://www.acco.org/retinoblastoma/

To nominate your Gold Ribbon Hero: https://www.acco.org/gold-ribbon-heroes/

To donate to help kids like Tristen, Caison and Carter, please visit: https://www.acco.org/donate/

 

Gold Ribbon Hero: Molly

 

Meet Molly, a 19-year-old currently battling stage 3 anaplastic ependymoma. This warrior is currently a freshman at the University of North Carolina Greensboro studying musical theater. grh molly

A week before leaving for college, Molly experienced debilitating headaches. She went to the emergency room and was sent home with benadryl and a migraine diagnosis. After being asleep for 40 hours straight,  Molly had an MRI which revealed a tennis ball size tumor. On August 15, 2019, Molly was diagnosed with stage 3 anaplastic ependymoma. That same day she was meant to move into her college dorm. Her mom said it was a complete shock, while Molly was just worried about going to school.

Treatment began almost immediately with a total resection of the brain to remove the tennis ball tumor followed by months of rehab and seven weeks of proton therapy.  In January she had her first post op MRI and will keep having scans until officially cleared.

Music has been instrumental in Molly’s recovery. Three weeks after surgery, she danced for physical therapy. Within six weeks, she was on stage performing at a benefit. She wants people affected by cancer to “let yourself have bad days but know that you are strong enough to have good days too. Let people envelope you in love, because you aren’t doing this alone.”

unnamedMolly is an advocate for childhood cancer and has made some very exciting public appearances. She sang in front of 20,000 people at the Hockey Fights Cancer Night at the Blue Jackets and raised awareness at the Governor’s Mansion. In addition, she helps to raise awareness for pediatric cancer research by committing to ride a bike for 100 miles with her sisters.

Mighty Molly has been determined since day one of her diagnosis. She is a performer, singer and dreamer. She hopes to be on Broadway or a cruise ship to entertain the masses. Only six kids were chosen at UNCG for her musical theater and the spot was saved for her when she was unable to attend her first semester. Help ACCO send well wishes to Molly and her family.

To learn more about childhood cancer: https://www.acco.org/blog/childhood-brain-tumors-staging-and-prognosis-factors/

To donate because kids can’t fight cancer alone: https://www.acco.org/donate/

To nominate your Gold Ribbon Hero: https://www.acco.org/gold-ribbon-heroes/

#childhoodcancer #childhoodcancerawareness #awareness #goldribbonhero #themightymolly

 

Gold Ribbon Hero: Lilliana

Meet Lilliana, a survivor of Burkitt’s lymphoma!grh lilliana  

Lilli loves to draw and paint, and is currently looking at colleges to pursue a career as a social worker.

Lilli was diagnosed with thyroid cancer at the age of 13 on September 13, 2013 and was understandably scared and upset. Shortly after her initial diagnosis, the family got a call saying it was much more serious saying they needed to pack their bags for a two week stay in the hospital. Lilli was diagnosed with stage 4 Burkitt’s lymphoma.

Treatment was intense for Lilli, she endured seven long months of chemotherapy and spinal taps. She had a port placed in her chest and shortly after had to have it removed due to a severe infection. “I faced many challenges during my treatment both physical and mental but during the whole time I never let myself get a bad attitude about any of it.

“Personally, as a 13-year-old girl, my biggest trouble was feeling confident without my hair. During that time, I did not feel pretty and the only pretty thing about myself was my hair; but, I overcame it and learned that I was beautiful no matter what” said Lilli.

On April 8, 2014 Lilli was cleared for remission and in June of 2019 she was declared out of remission! She is now 19 and attends the survivorship clinic at Pittsburgh Children’s Hospital for check ups at least once a year. Please join ACCO in sending Lilli well wishes in her future endeavors.

Lilli was featured in a Buzzfeed article about her journey. Read her firsthand story here: https://www.buzzfeed.com/lillianabailey99/childhood-cancer-gmzl5dpr8
Learn more about childhood cancer here: https://www.acco.org/types-of-childhood-cancer/

Donate to help kids like Lilli fight cancer: https://www.acco.org/donate/

 

Gold Ribbon Hero: Natalie

GRH_ Natalie

 

 

 

 

 

 

 

 

 

 

 

Meet Natalie, a 12 year old aspiring astronaut who wants to become the first woman to walk on the moon! This courageous and determined little girl is a wilm’s tumor survivor!

At three years of age, Natalie was diagnosed with a bilateral Wilm’s tumor. Symptoms started with a swollen stomach and developed into vomiting and constipation.  Her pediatrician ordered an x-ray of her abdomen and initially said it was stool in the images. As a precaution, labs were drawn which came back showing Natalie was severely anemic. She was sent home and ended up in the Cincinnati Children’s ER that night. The family was in the ultrasound room for more than an hour before receiving the diagnosis.

Natalie was immediately admitted into the ICU and chemo started within a few days. A month later Natalie was rushed into emergency surgery in septic shock due to complications and as a result, the tumor and her right kidney were removed. After two months in the hospital, Natalie was released. Four months after the initial diagnosis, Natalie had surgery to help salvage her left kidney however doctors had to remove it and place her on dialysis. Over the next year, she was put under daily chemo and dialysis treatments. In October of 2012, Natalie received a life saving kidney transplant from a family member.

Today, Natalie is a normal 12 year old who loves spending time with family, drawing and participating in drama club. She was officially cured in October 2016 and is very thankful to be a survivor. She still has to go in for labs and doctors visits, but according to her mom Tracy, “she handles all of that like the pro she is.”

Please join ACCO in sending well wishes to the young astronaut to-be, Natalie!

For more information about Wilm’s tumors, please visit: https://www.acco.org/wilms-tumor-and-other-childhood-kidney-tumors/

To nominate your Gold Ribbon Hero: https://www.acco.org/gold-ribbon-heroes/

To donate to help kids like Natalie: https://www.acco.org/donate/

Gold Ribbon Hero: Naomi

Meet Naomi, a kind-hearted little girl who loves unicorns and helping people. Naomi is currently on treatment battling Pinealoblastoma, a subtype of a brain tumor and spinal cord tumor. grh naomi

Red flags started to arise after Naomi collapsed in school; she didn’t even know her name. Naomi visited the emergency room several times before doctors finally took a closer look. They found a mass in her pineal region and immediately sent her to Children’s in Cincinnati. On October 3rd, Naomi and her parents were given the diagnosis of stage four pineoblastoma with metastasis in the spine.  “We got the MRI results and they took us in a big room. It took my breath. I couldn’t believe it. All I wanted to do was go grab her and hold her. We were lost” her father, Kenneth, remembers.

The treatment plan for Naomi is rigorous consisting of 30 proton radiation treatments and six months of chemotherapy. October of 2019, Naomi had four brain surgeries and doctors told the family that if they got all of the cancer and it comes back, there is nothing they can do.

Naomi is a kind soul. While in the hospital, she bagged up her Halloween candy and passed it to the children that didn’t get to go trick or treating. She is working to start a teddy bear drive to donate to the hospital. She is currently undergoing chemotherapy for the next few months. Please help ACCO by sending her well wishes!

Follow Naomi’s story here: https://www.facebook.com/naomisfight/

To learn more about childhood cancer visit: https://www.acco.org/blog/childhood-brain-tumor-cancers-detection-and-diagnosis/

To donate to help kids with cancer: https://www.acco.org/donate/