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Life-limiting illness

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16 months old - Fear of lung cancer.

148 replies

mimmlw · 22/02/2021 18:49

My son was born October 2019. No problems at birth, born at 37 weeks gestation at 7lb 13 so a good strong healthy weight - if he'd gone to full term he could have been 10lb.

He was breastfed almost exclusively until August 2020 when I began to wean him off - I wanted to give his immune system the best chance.

In September 2020 he developed a severe infection that was suspected as some kind of blood infection. Some strong antibiotics and in a couple of weeks he seemed completely fine. Then between September and November he had a number of smaller infections, rashes, high temps etc but nothing requiring admission.

Then in November 2020 he became very ill, and this was the beginning of my 'bad feeling'. He was admitted for a week on IV antibiotics and his temperature was near impossible to bring below 40 celsius. No particular chest type symptoms although they did a Chest X-Ray as he was having mucusy nosebleeds which showed evidence of 'chest infection'. One doctor in A&E could hear a noise on his lower right lung, although no other doctor seemed to be able to find it. They did viral swabs and found evidence of Adenovirus and Rhinovirus - althought they said to us that they have no idea why he was so poorly from just this. I queried whether he is possibly immunocompromised, but it was shrugged off and told to 'see how he gets on'. He recovered from this illness completely and we had almost a week where he was the picture of health - as far as we were concerned considering his state since September.

At the end of November 2020 he started with a cough and I could hear his breathing be quite wheezy. No temperature. Took him back to the GP who diagnosed chest infection as she could hear a noise on his lower right lung (same place as A&E doctor - but seemingly more significant). A course of antibiotics but no improvement. Continued to take him back to the GP, but they just kept fobbing me off with 'well kids get ill, and he has no temperature and is generally well so be grateful' in a nutshell.

We then get a call from the Pediatric Consultant from the hospital at the very beginning of January 2021 as a follow up to his November admission. I say he isn't well and quite frankly I'd like something done about it as I've been ignored since it started in November. While he is generally 'well' in that he plays and laughs, compared to other children his age, he is simply not the same. He doesn't eat anywhere near enough, he can be incredibly lethargic and has a lot of 'off' days where he seems to be in pain we can't locate and he just wants to lay on the sofa, as well as his communicative development being slow. He was put on a 2 week course of Co-Amoxiclav (strong antibiotics), weighed and measured (he has gained since last measurements, although has dropped a full centile and needs monitoring), ordered an X-Ray and given a follow up consultation. The X-Ray shows shadows on his right lung - which was said to be a 'bacterial infection' despite antibiotics making no difference whatsoever. No improvement so he was referred to a specialist children's hospital but was told it may be 4-6 weeks until he was seen. I raised a concern that I had started to see blood on his cot sheets when I woke him up in a morning - but was told it was most likely nosebleeds so 'not to worry'.

I started noticing watery blood on his sheets and comforter more often, but there was no blood on him and it was just a couple of spots. Then last week he had a large coughing fit and coughed a large amount of bloody mucus. He has since coughed blood every day since, and regularly cries out in pain. I took him to A&E at the specialist children's hospital who were shocked he has been left this long. They said they don't believe it is an infection at all but 'wouldn't like to make guesses at this point' and was given an urgent referral to outpatients that they said should have given us an appointment within 48 hours. I phoned up as I hadn't heard anything and they forgot to make the referral. We now have a video appointment for the 1st March, which I said wasn't good enough, although they have nothing sooner.

I'm honestly terrified. I think any parent's logical conclusion would be to assume cancer when there are undiagnosed shadows on their lung, a noise and coughing blood. Although I still feel stupid for even considering this is an option and I hate jumping to conclusions - I just can't seem to find any viable alternatives and I feel so let down by his healthcare providers.

Is it normal that the appointments when it is suspected aren't extremely quick? Is there anything I can do to get him seen sooner? Am I being completely paranoid? How did you cope waiting for assessments and tests? Every hour feels like a year and the not knowing is unbearable.

OP posts:
Eloisedublin123 · 22/02/2021 23:36

Definitely go private to start with op x

Isadora2007 · 22/02/2021 23:50

Go back to the consultants secretary tomorrow and insist to be seen sooner. Trust your instinct and do not hang around until
March.

Isadora2007 · 22/02/2021 23:52

www.gkcct.org/i-am-worried-my-child-may-have-cancer

Isadora2007 · 22/02/2021 23:58

Someone I know had a daughter who died from a rare form of lung cancer just before her 3rd birthday. Had she been seen when mum first went to the GP she’d have had a 90% survival rate following treatment. By the time she was diagnosed it was less than 30%.

PastMyBestBeforeDate · 23/02/2021 00:02

If you do go private then try to pick a consultant at the hospital you have been seen at already. I did that and he checked my blood results etc before I saw him which saved a lot of time and money.

AleynEivlys · 23/02/2021 00:19

Could it be aspiration of food and/or drink?? Either silent or typical?

Has he ever had a swallow study?

PickleStick · 23/02/2021 00:22

@Isadora2007 how does that help, reassure or add anything at all to this post?

DishingOutDone · 23/02/2021 00:23

@Hope4theBestPlan4theWorst recommended someone earlier, and @Isadora2007 suggested the same thing that I would have. Consultants' secretaries are your friend here OP. Ring up say you are at your wits end and can he/she help you; can you speak to the consultant on the phone this week.

I remember when my DD had an undiagnosed illness and I was getting nowhere in the end I said to the doctor I am sorry and I have respected your opinion but I am not going to take no for an answer anymore this is a 16 month old baby coughing blood. We actually got referred to Great Ormond Street in London, but any specialist paediatric hospital will help you. In fact I remember once actually travelling over an hour to the nearest large teaching hospital to be seen in A& E just to get someone who knew what they were talking about. I think when your child is so ill you have to go all out. You can still be polite, but its Tuesday tomorrow, take all the advice on board and get this sorted out early this week - you can do it mamma.

DishingOutDone · 23/02/2021 00:24

(Sorry I meant @Isadora2007 suggested ringing the consultant's secretary, I wasn't referring to that poster's later comments Shock )

Marcipex · 23/02/2021 00:32

My son had tb antibodies, discovered by the vaccination programme, when he was 13.
I was amazed. We’d never known of anyone with tb, we live rurally in as low a tb rate area as you can get, but when I asked about it, the dr said ‘Had he ever been on a bus, or to the cinema?’
Yes of course, I said. ‘That’s enough to give him exposure’ they said.
So it could be something that you feel you could discount as impossible.
The inhaled pea/sweetcorn/Lego possibility needs considering too.

I totally understand why you’re frantic by now.
What others have said, about keeping on pushing, is unfortunately quite right. Make a fuss. Document everything. Photograph the blood on his sheets, with some item to show the scale.
It might be worth keeping a food diary too.

If you feel he’s getting worse, get straight on to them. Please come back with an update. I really feel for you.

Gobbeldegook · 23/02/2021 00:50
Flowers
WhereIsMyMojo · 23/02/2021 01:14

Sorry to hear all this OP. it’s so worrying when you feel you don’t know where to go or how to make something happen. Unfortunately with this stuff until the kid is really “bad” and gets assigned a consultant, it’s just an awful service. My son started having lung infections at about 1 year old. Then skin infections. Then more and more lung infections. He constantly had a shadow on lower right lung. Revolving door into hospital, admitted for a few nights, recover, go home, back in two weeks later, it went on for forever.

The hospital eventually said they didn’t know what was happening (when I pushed and pushed for an explanation) and referred us to the larger specialist hospital and we got the county respiratory consultant, she was to provide guidance to the regional hospital for his care.

The first thing she did was test him for CF. Then referred us to the Brompton in London to be tested for PCD. that was inconclusive, we went back twice more. She also scoped him under GA. discovered scarring and gunk in the dodgy lung. Which also collapsed under light suction.

Treatment and infections and hospital admissions continued aggressively for three years, it’s been 10 months since we’ve been in hospital. He’s five now. I will celebrate when we get to a year. And yet, they still don’t really know why he went though all that or what he “has”. But they always said to me, that kids have a growth spurt, intercostal muscles strengthen and they lay more cartilage also. And this all helps with lung function, making the lungs work more effectively (I am over simplifying for sure). They said age and growing would go in my sons favour, and I think it has.

Fingers crossed for you. Push push push for answers as this will get you in front of the consultant quicker. take him in whenever you feel the need. I remember that decision making process of weighing up his need for sleep too. We got open access for six month windows so we could present him on the paed ward bypassing a+e, it took a huge stress out. Very hard all the same. Good luck. I’m in east of England if that’s any help to you. Happy to talk. X

Guineapigsarepigs · 23/02/2021 07:24

WhereismyMojo my DS had lung scarring which caused endless similar problems in early childhood. It was a hugely stressful experience but he did completely outgrow it by age seven. You would never know these days. Hopefully your DS is already close to outgrowing it. Hang in there.

boredinthouse · 23/02/2021 07:33

I wondered about pneumonia too when I read your post. My DS had pneumonia when he was 1 and was really quite ill, although it was fairly easily diagnosed. He then was ill for a good few years after, maybe four or five where he just wasn't quite right. As soon as he got a cold or something he'd be almost back to square one. An X-ray showed a shadow and they said it was from his previous pneumonia. Very gradually I noticed that he was catching less infections and wasn't as ill. He's now 10 and in perfect health. Maybe it's something like that for your DS.

mimmlw · 23/02/2021 23:37

Sorry I can't reply to you all individually - I'm feeling very emotionally exhausted. I do appreciate you all taking the time to share your experiences and give advice

OP posts:
DishingOutDone · 24/02/2021 01:34

That sounds a bit more positive OP, so you are being seen on Monday coming, but sooner if possible - is that by a paediatric specialist? Well done for taking him in today, your poor baby is going through the mill. Monday must seem like a lifetime away.

DaisyandIvy · 24/02/2021 09:00

Well done OP, all the best for your appointment on Monday. Everything crossed for you that this gets diagnosed and treated soon. Hope you can all get some rest for a few days.

mimmlw · 24/02/2021 10:32

Yeah the appointment monday is with a pediatric respiratory specialist so he's going to be best.
Trying to take things one day at a time, but it's so difficult. Wish I had a time machine to skip to Monday. I just hope that any tests they order then are done quickly.

OP posts:
AleynEivlys · 24/02/2021 11:55

Best of luck OP. You must be having such a horrifying time at the moment - I know I would be an anxious wreck having to deal with this. Sounds like he is seeing the best person for the job, so hopefully soon this will all just be an unpleasant memory. Everything crossed for you.

whatisheupto · 24/02/2021 23:26

Remember to take a list with you on Monday of all the things you want to ask/say and also show any photos or videos if you think it's helpful.

PippaRose · 01/03/2021 19:49

How did you get on OP?

mimmlw · 01/03/2021 21:03

UPDATE Video call with the respiratory specialist at the Children’s Hospital has gone well! Although he’s been seen by A&E doctors and GPs regularly, he hasn’t been seen by a specialist since November, so they want to see him in person before making any concrete plans. They’ve booked him in at clinic for a week tomorrow on an urgent appointment (they would typically see referrals within 4-6 weeks, and he’s had to go in as an overbook so they are seeing him mega quickly in the grand scheme of things). They’ll do a general assessment, listen to his lungs, repeat his blood test again to check his haemoglobin levels (due to the bleeding) and repeat his chest x-ray to see if there’s been any changes to the shadow on his lung compared to last time and so they have one more accessible on file as the first two have been performed at a different hospital. They’ll then make a detailed plan from there as a team, however it will likely involve either a bronchoscopy (camera into his lungs with possible biopsy), and/or a CT scan - both of which he’ll have to be sedated for.

In terms of what they think is wrong, they don’t know basically. There’s a wide range of possibilities from an infection his body just isn’t able to fight off, to structural abnormalities/damage to his lung. They can’t rule out that it isn't cancer - hence the speed in seeing him - although on the list of probabilities, the risk of something more sinister is low in her opinion.

His new consultant seems genuinely invested in figuring this out, and seemed so disappointed and concerned that previous healthcare professionals have dismissed us and that we’ve been fobbed off with ‘it’s viral, give it some time’ for so long. She also personally called to check we had received the clinic appointment confirmation as she wanted to make sure it had gone through as she is very keen to see him as quick as possible.

OP posts:
altlife · 01/03/2021 21:07

I didn't want to read and run.

I'm so sorry you're going through this but I'm glad you have a specialist who wants to get to the bottom of it. Stay strong OP xxx

Marcipex · 01/03/2021 21:47

I’m so glad you’ve got someone really on the case now. There’ll be answers, and it will be sorted.

snoopy8 · 01/03/2021 21:56

Gosh it sounds like you've been going through a hell of a time OP. My DD is only one month older than your DS and I would be as equally worried/frustrated as you have been.

It sounds like you're getting somewhere now. Sending you lots and lots of well wishes and I hope they find the source of the problem and can make him fully better again ASAP.

Please do keep us posted x