One of the lucky ones?

Iris is well and continues to grow in strength and confidence.

She continues to undergo regular MRI scans – these have moved from every 3 months to every 4 months.

Over the past few months we, Iris’ parents, have been invited to take part in media discussions around parental consent in brain tumour treatment.

The discussion arose after one mother in the UK refused consent for her son (Neon Roberts) to receive radiotherapy for his medullablastoma (the same tumour that Iris had).

Neon’s mum has argued that radiotherapy treatment to the brains of young children is barbaric in the damage that it causes.

When Debra and I gave consent for Iris to receive radiotherapy we were told, very briefly, of the potential and the almost definite side effects that would result.

Consenting to a treatment that may kill your child, and is certain to reduce their potential, is a very difficult thing for any parent to face.

Knowing how much detail to provide to parents facing that decision is very difficult.

In our case we wanted to know more than the details we were being offered. Fortunately we were able to access the peer reviewed medical research independently.

In Neon’s mums case, the reports I’ve read, indicate that the language used was not helpful. Those same reports suggest that the alternative advice she received was equally unhelpful; more wishful thinking than fact grounded medicine.

The contention that the NHS (UK National Health Service) is too quick to use radiotherapy is not supported by the evidence. In places where radiotherapy is not used some children do survive. However the survival rate is far, far higher where radiotherapy is combined with surgery and chemotherapy.

The contention that the treatment should be unnecessary however is true. 20 years of investment in Leukemia treatment  has meant that survival rates are now improving dramatically. The comparative investment in brain tumour research has been minisule, and yet brain tumours kill more men, women and children in the UK than any other type of cancer. (More men than any other cancer, including prostate / more women than any other cancer, including breast / more children than any other type of cancer).

So yes, in spite of all of the things that are little girl has, does, and will go through, she is one of the lucky ones.

Hopefully increased investment in brain tumour research will mean that children in the future will be even luckier.

Happy Holidays

Sorry for the media blackout  – everyone is well (apart from seasonal coughs & colds)

 

Here are a few recent pics from Christmas 2012

Pile of presents

last minute cards

Wearing some presents

Sisters

More chocolate

Think of us this Tuesday

Our apologies for the recent lack of news. Basically, there hasn’t been much to say in many ways, we have just been busy “doing”, and enjoying our now relatively “normal” existence!

Iris has had some fantastic milestones; Taking part in her school sports day (bringing a tear or two of love and pride to more than a few eyes!)  Performing in her end-of-year school show. Falling over and laughing about it. Going to after school Spanish club with no parent, nanny, or teacher aide with her. Playing rough and tumble games with Athina. Starting to read, and with a lot more effort, write. Planting and growing an enormous pumpkin plant in our garden. Going on an after-school play date. “Swimming” without clinging onto Mummy, and actually laughing (not crying!) when she gets splashed. Drawing pictures of herself with extremely long hair!

Each little achievement (however delayed it may or may not be) makes us SO proud. Iris will always need to try harder and longer than most people to gain what seem to be relatively small and effortless skills and confidence. But she simply does not give up, which is why I admire her spirit and her will so much.

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The slow process of getting the growth hormone injections is happening, with it due for delivery in a few weeks. Athina (not the tallest 3-year-old) is almost as tall as Iris now. With a 2 & 1/2year age gap we get asked if they are twins. They just laugh! The eye ops have been a great success – it’s difficult to tell that they are not quite 100% straight still. The hearing loss is stable (which seems the best possible outcome) Concerns which we had about ongoing “congestion” in her ears were relieved when Mummy pulled out two (disgustingly huge!) lumps of solid wax from her ears a few weeks ago. Although I’m not going to confess to GOSH that I did it using (sterilised) veterinary instruments!

We have been asking for some time for Iris’s next MRI scan to be done conscious instead of under GA. There is alwys a long wait for GA slots, (especially now that she is “low priority”, i.e. not sick, hooray!) So the scans which should be every 3 months have been 4, almost 5 months apart. Which we hardly noticed until a couple of weeks ago. Luckily there is a scan booked for Tuesday, under GA. There is also a non-GA slot available Monday, but if we take that and it doesn’t work out, we will go back on the waiting list for the GA scan. And this time we don’t really want to wait.

Athina had a cough & cold, then Iris got it. I always feel strangely elated when she gets a cold, because she ISN’T neutropaenic, and we don’t have to worry! Iris herself does tend to worry about it a lot,she has no perspective on being sick in a normal kid’s way and simply getting over it in a few days. Fair enough.

The constant sniffing (Mum now, I know how annoying it was for you when I didn’t want to blow my nose) causes Iris to cough,and then to throw up. She has a very sensitive gag reflex now. Brushing her teeth usually makes her retch – but each day it makes me happy that the days of daily & nightly vomiting are behind us now 🙂

The late nights and changes to routine with recent events, appointments, parties, days out etc. have meant that she is often totally worn out by bedtime, so occasionally Iris has wet her bed at night (Athina somehow has the best bladder in the world, and never does!)

But if we rewind to November 2009, this is how it all started. Wet beds. Throwing up in the morning.

We are very scared.

There was also a lot of upset behaviour (probably headaches) and worsening balance. Which we don’t have this time at all. So it’s probably just the sniffling. But please keep your fingers crossed, and/or pray for Iris this Tuesday. We are hoping to get the results sooner than the usual week it usually takes.

Iris herself isn’t worried one bit! She doesn’t even cry when she’s sick, just quietly goes into the bathroom and vomits in the sink or loo. She told me that her brain tumour isn’t going to come back.

I hope she’s right.

In the meantime, Athina’s favourite book is now “Mary has a Brain Tumour”. I guess every little sister wants to emulate her big sister (except me and you of course Ali) Athina says she will get a brain tumour, but it won’t hurt, and she won’t vomit. She will just go to hospital and get presents and go to the cafe. She would like a portacath (not a hickman line) and a PEG tube (not a nasogastric tube)

I hope she’s wrong!

Guess this is parenthood, there is always something to worry about. But Iris has taught us that there’s always something to smile about too 🙂

If you go down to the woods today …

The angel and the tiger

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Angel eyes

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The white tiger

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Eye op

Iris had her eye op on Wednesday. Both sides of the right eye and one side of the left eye were operated on.  All went well.  The idea of the op is to make her eyes a bit straighter (not perfectly straight)  to improve her vision. The correction was needed after her eye muscles were damaged during surgery and radiotherapy treatment. A follow-up operation may be needed in the future.

Iris resisted opening her eyes much of Thursday, eventually giving in when daddy took her shopping for new clothes. She is expected to be off of school for 10 days.

On Monday Iris had her assessment for growth hormone replacement (damaged pituitary gland). The treatment will start soon – Iris plans to administer the injections herself.

The wettest drought on record

The photos of our driveway below are very indicative of the weather conditions we have experienced since the hosepipe ban came into force nearly a month ago.


Iris is continuing to do well but is very busy with hospital appointments. Last week we got the all-clear from the MRI scan the week before.

Tomorrow (Monday) Iris has a day of starvation and blood tests in order to determine the growth hormone treatment she will receive.

Wednesday, Iris is booked in for the eye surgery that was cancelled last month.

Thursday we are back in to see one of her consultants.

Deb appears to be recovering remarkably well from her marathon. Official pics of her during and after the run can be found on this link http://www.facebook.com/media/set/?set=a.422862464410496.111200.124390884257657&type=3