Stories of progress, inspiration, and information in overcoming osteosarcoma.

When Caregiving Takes Everything: Supporting Parents Through Pediatric Cancer

When a child is going through diagnosis and treatment for osteosarcoma, parents and caregivers face tremendous challenges. A parent whose child has battled osteosarcoma and a social worker who specializes in pediatric cancer share coping tips and advice.

Everything changes when a child is diagnosed with osteosarcoma. One day, the family is buzzing along with school, work, and everyday activities. The next, they are trying to understand the diagnosis, learn about treatment options, comfort the child, and deal with personal emotions while managing the emotions and changes affecting the rest of the family.

Becoming a caregiver for someone with osteosarcoma can feel overwhelming, but no one is alone. There are communities and resources available to help.

To offer a parent’s perspective, Yidrienne Lai is a mother whose daughter was diagnosed with osteosarcoma in 2022 at age 12. To offer a care professional’s perspective, Molly Rowe is a social worker for the pediatric oncology program at Duke University Medical Center.

Drawing on their different but complementary perspectives, one as a mother navigating her child’s cancer diagnosis, the other as a healthcare professional supporting families through it, Yidrienne and Molly share strategies and tips for coping with stress and uncertainty as a caregiver.

1. Control What You Can

Yidrienne and her husband focused on the day-to-day: the next step in their daughter’s treatment, keeping her comfortable, protecting her quality of life wherever they could, and finding the best path to recovery. Always having a plan helped them feel in control, especially in moments of uncertainty.

Both parents also continued to work during their daughter’s treatment, thanks to supportive and flexible employers. “For me, having something else that I could focus on that felt like normalcy was valuable for my sanity,” Yidrienne says. “There is only so much time you can devote to additional research. At some point, you cannot collect the thirtieth opinion.”

2. You Don’t Have to Figure Everything Out Today

It is okay not to know what to do next. In fact, Molly suggests that parents do not make major decisions right after a diagnosis without talking through the pros, cons, and options. Instead, she encourages caregivers to take a breath, ask questions of the care team, and take notes. There is no perfect way to navigate childhood cancer. Self trust and trust in the care team is crucial, and all caregivers should give themselves time and grace to figure out the next step.

3. Get the Support You Need

One important step is recognizing that the caregiver will also need support. Accept help from the medical center and care team. They are trained and equipped to provide health resources for everyone in the family, not just the patient. This may include mental health or psychosocial support.

The Osteosarcoma Institute (OSI) has a list of helpful resources and organizations to get started.

4. Connect With Your Community

When a child is diagnosed with osteosarcoma, many families may not know anyone else who has experienced this rare disease. Yidrienne was fortunate to have a built-in network of people to lean on who truly understood the journey, and she also proactively connected with others through OSI, MIB Agents Osteosarcoma Alliance and Facebook groups. Through these connections, she’s now part of a local community fundraising group, Battle Osteosarcoma.

Look for regional and local support groups for caregivers via these organizations. They can help make connections with people who have undergone similar experiences.

5. Accept Help

Yidrienne’s parents and in-laws stepped in to help with household tasks like cooking, cleaning, and helping the other siblings, giving Yidrienne and her husband more time to focus on their daughter’s medical care and their jobs. When family and friends ask how they can help, take them up on their offer.

“Your kiddo is going to be okay if you are okay. Their resilience is going to be impacted by you being okay.” —Molly Rowe

6. Prepare for Financial Uncertainty

Along with medical expenses such as copays and deductibles, caregivers may be paying travel expenses and working less, or not at all, so they can be there for the child. Talk to the child’s care team to find out what resources are available to help with expenses. Employers may also be able to help. Tangible resources such as social security disability might be an option, and philanthropic organizations may provide support, too.

7. Take Care of Yourself

“Something I hear frequently is, ‘As long as my kid is okay, I am okay,’” Molly says. “I understand what parents mean when they say that, but I invite them to think about it the other way around, too: Your kiddo is going to be okay if you are okay. Their resilience is going to be impacted by you being okay.”

It is perfectly reasonable to step away from the bedside to get coffee or a meal, or to ask a friend or grandparent to stay with the child while the caregiver heads to an appointment. It is also important to eat regularly and maintain a proper sleep schedule so that health does not suffer. In the long run, investing in self-care is vital for coping with caregiver stress, and will likely improve mental health.

8. Remember: Everyone’s Outcome Is Different

One of Yidrienne’s most challenging moments as a caregiver was when she thought about other children in her community who were diagnosed with osteosarcoma and did not survive. “It is one thing to have a cancer diagnosis, and it is another thing to know that the odds may be stacked against you,” she says. It’s important to remember that all outcomes are different and each case should be handled day by day. Fortunately, Yidrienne’s daughter has been cancer-free for three years.

9. Let Yourself Grieve the Changes for Your Child and Embrace Joy in All Forms

Osteosarcoma treatments and surgeries change a child’s body physically, which means they may face limitations or disabilities in movement. Yidrienne said one of the toughest parts was acknowledging the grief that goes along with knowing a child may not be able to engage in the full range of physical activities they once loved.

Beyond physical health, this experience can also change a child’s mental and psychological health and outlook. Communities, career paths, and independence might all look different going forward, but it is important to acknowledge the grief, come to terms with the changes, and look ahead to adapting to a new life. And while the path ahead may be different than imagined, it can still hold enormous joy, often in surprising forms.

“We have an annual community 5K walk honoring Childhood Cancer Month. Seeing our daughter complete the walk last year surrounded by family and friends was truly special; our hearts were so full watching her cross that finish line, knowing what she had endured through treatments and multiple leg surgeries.”

10. Keep Moving

“The way you feel right now is not how you will always feel. There will be hard times. There will also be lighter ones. But it’s not always going to feel completely out of control and chaotic,” Molly says.

Yidrienne had little time for herself when her daughter was in the midst of treatment. But now, she’s embracing volunteer opportunities and working toward ambitious fitness goals. She walked a marathon last year, and this year she plans to climb Half Dome in Yosemite.

“Ever since we got to a much better place medically, I’ve been committing my time to other things that I have been passionate about that I had not made room for,” she says. “Maybe part of it is the realization that anything can happen in life, and I should do all the things that bring me joy and energy.”

 

This article was produced with support from United Therapeutics. The views expressed are those of the authors.

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