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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:
NickyHeath · 11/05/2021 12:15

I hope your little one is improving and you have a clearer idea of what is happening.

AlmostSummer21 · 11/05/2021 12:36

@mimmlw

It must all be so overwhelming & scary!

How are you both doing now? x

DoYouRememberTheInnMiranda · 11/05/2021 15:00

I've stumbled on this thread today and read it all with my heart in my mouth - I am so sorry you're going through this, and wanted to send you my very best wishes.

mimmlw · 21/05/2021 23:50

So sorry I haven’t posted an update. I had some complications towards the end of my pregnancy so have been in and out of hospital for just over a month with that and now our newest addition (10 days old) is in the hospital with a life threatening infection himself (cellulitis) so having an intensive course of IV antibiotics. My eldest (Wren) has been bounced around grandparents while I’ve not been home so haven’t been able to monitor him as closely as I would have liked but they all say he’s doing okay and he’s not had to go back to hospital himself, just having the odd low grade fevers etc and his general ‘minor’ long lasting symptoms. We’re just having a bit of a rough time in general atm!
No diagnosis for Wren as of yet. We saw the immunology team but the consultant was sick so just saw a registrar who was extremely dismissive and said things like ‘perhaps he’s just unlucky and gets lots of bugs’ and ‘usually kids with immune deficiencies are in the high dependency unit a lot so I don’t think there’s much of a problem here’. Not sure how it’s ‘unlucky’ to have thickening and shadows on chest X-rays for over 6 months continuously but they just didn’t seem to care. Been bounced back to respiratory so have appointments booked with them and have a follow up appointment to see the original immunology consultant we were supposed to see on the 9th June.

OP posts:
PippaRose · 22/05/2021 12:12

So sorry to hear you are having such a rubbish time of it. Hopefully the antibiotics kick in for your youngest and you get some answers on 9th June.
So frustrating for you

Cheesybiscuitsmineallmine · 22/05/2021 18:08

So sorry you're having such a frustrating time and congratulations on the arrival of your new baby. Hope they feel better v soon.
Is there any possibility of paying for a private consult to see if you can get a definitive answer?

Hm2020 · 25/05/2021 10:12

Wow op just came across this thread sounds like your really going through it. The immunologist is talking absolute bs my ds is 7 he has a primary immunodeficiency was diagnosed probably around the same age as your lo he has never been in the hdu with an infection ever were under a few different teams in gosh and they’ve been fantastic I’m so sorry your going through this.good luck for your next apt

Cakequeen1988 · 17/06/2021 23:09

How was your appointment on the 9th. Have you had any answers as of yet?

mimmlw · 17/06/2021 23:26

Sorry I’ve been so MIA. I fell down the stairs with my youngest (5 weeks) and he fractured his skull 😔 he’s doing okay but our focus has been completely split. We’re just really going through it

The appt on the 9th was pretty unproductive. They said that they recognise there is likely a problem but they have no idea what. They’re just going to monitor him and want me to keep a detailed symptom diary to see if they can track patterns.

However he went to see a speech therapist to discuss his eating habits (or lack of) and she’s suggested the possibility of retrograde aspiration as that would also cause discomfort when he eats which would suggest why he doesn’t eat solid foods very well. Would also cause inflammation in his lungs from the aspiration so that could potentially explain his ‘busy’ chest X-rays. So they’re going to investigate that 🤞🏻

OP posts:
Marauder1994 · 30/06/2021 21:30

@mimmlw I'm so sorry to read about your son and his skull! How is he doing now? That must have been a horrible experience :(

Hopefully they can investigate the aspiration ASAP zz

Aliceclara · 20/07/2021 16:00

@mimmlw How is everything going now?

mimmlw · 20/07/2021 16:21

For the eldest DS, no further appointments have been made. He did have a test for cystic fibrosis today so just waiting on those results.

For littlest DS, he’s still being seen regularly by neurosurgery but no major concerns, they’re just keeping an eye to make sure the fracture isn’t separating

OP posts:
Geneticsbunny · 20/07/2021 22:31

Thanks for updating. Glad things are getting better.

TheRealMummyPig · 09/08/2021 11:42

@mimmlw
OP, how is everything going? I hope things are much better for you now x

mimmlw · 28/09/2021 13:55

Sorry I've been AWOL. DS seemed a little better for a while but he seems to have deteriorated again. He's getting temperatures for no reason and limping oddly but I can't find any inflammation or tenderness. He also wakes up screaming in pain. His cough is also back again. He's seeing immunology again on the 13th and respiratory again on the 18th.

OP posts:
LittleDidIKnow21 · 03/11/2021 12:51

Hi @mimmlw.
How is DS doing and how are you all getting on? X

mimmlw · 03/11/2021 12:57

@litttledidiknow21 He had another episode starting on Halloween so we've been in for a few days, discharged last night. Calpol and ibuprofen aren't touching his temps at all and this strange limp seems to come and go. Temps of 40.2 even after meds but he was still quite alert and active.
They xrayed and ultrasounded his hips to check for bone infection which he luckily doesn't have.
The first doctor scared me from his first set of bloods (31st Oct) because he told me there was a 'rapid increase in white blood cells' from his last blood test which was 16th October. And that 'even for an adult the numbers were abnormally high'. Turns out his WBC was about 20k which is average for an infection. Also had CRPs of about 50.
They ran more bloods 1/11 and 2/11 but not had results from those yet.

He's been discharged from respiratory and immunology have taken over his care so we're waiting to hear back from them about the blood tests and what they think is going on.

OP posts:
LittleDidIKnow21 · 03/11/2021 13:00

Bloody hell.
You are doing incredible!! Sounds like such a scary time, sorry for jumping on so randomly - I have been following your journey for quite a while!
Are they investigating as a priority or is it the horrendous waiting times given with the appointments? X

notapizzaeater · 03/11/2021 13:17

Not good, let's hope they can rush stuff through and you start getting somewhere

mimmlw · 18/11/2021 19:24

So we have an update! His blood was tested for amyloids which are present. Amyloids are an abnormal protein which shouldn't be in the blood at all. But these bloods were taken while he had a temperature and we're going to check if they're still there when he's perfectly healthy. The presence of them while ill but absent when not ill suggests Periodic Fever Syndrome which is basically the best case scenario atm but they have to see the presence of them during a fever twice more for an official diagnosis. Some varieties of PFS are worse than others but he will likely need his tonsils removing and long term/lifetime medication. In the worst case scenario the amyloids will continue to build up in his organs and he could need chemotherapy or eventually it could to organ failure.
The less severe type is more common although PFS is extremely rare in itself to begin with and there is no official diagnosis yet, it's looking like the most likely outcome. I need to look a little more into it and speak to his doctors again because I haven't quite got my head round it. But potentially this could be a good thing and we can manage it extremely well, or it could be the worst.
In a way I'm just glad we have some definitively abnormal blood results and we have a narrower view on what we're looking at and looking for.

OP posts:
notapizzaeater · 18/11/2021 22:40

It's not good but is good IYSWIM. Hopefully they can now do more tests and check

ShirleyPhallus · 06/12/2022 20:39

mimmlw · 18/11/2021 19:24

So we have an update! His blood was tested for amyloids which are present. Amyloids are an abnormal protein which shouldn't be in the blood at all. But these bloods were taken while he had a temperature and we're going to check if they're still there when he's perfectly healthy. The presence of them while ill but absent when not ill suggests Periodic Fever Syndrome which is basically the best case scenario atm but they have to see the presence of them during a fever twice more for an official diagnosis. Some varieties of PFS are worse than others but he will likely need his tonsils removing and long term/lifetime medication. In the worst case scenario the amyloids will continue to build up in his organs and he could need chemotherapy or eventually it could to organ failure.
The less severe type is more common although PFS is extremely rare in itself to begin with and there is no official diagnosis yet, it's looking like the most likely outcome. I need to look a little more into it and speak to his doctors again because I haven't quite got my head round it. But potentially this could be a good thing and we can manage it extremely well, or it could be the worst.
In a way I'm just glad we have some definitively abnormal blood results and we have a narrower view on what we're looking at and looking for.

@mimmlw been thinking of you, can’t believe it’s been a year, how are you all doing? Did you get a formal diagnosis in the end?

GoT1904 · 26/01/2023 17:08

Hey OP, wondering how you and your DS are doing now? X

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