Monday, October 01, 2007

Worse Than Cancer

If you talk to enough parents of autistic children, eventually you will here some sort of comparison to cancer. I know I've made the comparison at least once during the early days of grappling with this new (to us) and unknown "affliction." AUTISM, it's a scary word.

In many ways, hearing that your child "has autism" is every bit as scary as hearing that your child has cancer, or at least it must seem that way to parents who have never heard the latter. I think most parents who decide to invoke the 'C' word are simply trying to use an extreme example of how difficult it can be to have and raise an autistic child. It's an act of desperation when conventional descriptions fail to garner the desired level of sympathy or understanding from their audience. If you aren't raising an autistic child it's nearly impossible to understand the unique brand of stress that can accompany the diagnosis and all that can come with it.

After a few years, if you happen to be blessed with a good memory and the honesty to accurately recall the origins of these emotions, you may feel more than a bit guilty for ever uttering those words. For those who are new to autism, I strongly advise thinking long and hard about the similarities and many, many differences between having a child diagnosed with autism and learning that your child has cancer.

There have many been great advances in the treatment of pediatric cancers in recent years, and survival rates continue to increase as new drugs and treatment modalities are discovered, but survivors and their families will always live with specter of relapse and secondary health complications from the very treatments that saved their lives. CANCER is a scary word because most people associate the word with DEATH. Another scary word.

Autism, on the other hand, is never a fatal condition, though many autistic people may require extra help to recognize and avoid dangerous situations.


Unlike autism, cancer can be divided into increasingly narrower sub-categories through relatively accurate testing procedures. Treatment recommendations usually depend on many factors including stage and type of malignancy. True, many drugs and procedures begin or began as experimental treatments but response and outcome are predictable, to some degree, and treatment protocols are based on many years of clinical trials. There is little doubt that many cancer treatments carry considerable risk. Radiation, surgery and chemotherapy aren't the sort of things that a responsible medical professional would recommend if he or she didn't know that the benefits outweigh the risks. Left untreated, most cancers are fatal so the choice is usually clear.

More often than not, the horrors of autism are perceived as such by parents who may read of how terrible it is to be autistic or how hard it is to raise an autistic child. Again, I'm not saying that parenting a child with disabilities is always easy, but it is nothing like cancer.


Don't believe me? Get in touch with a family who has been through it. Ask a parent who has lost a child to a fatal disease if they would trade places with a parent of an autistic child. Ask them if they would trade all of the difficult moments for a hug or a glimpse of happiness in their child's eyes as they engage in a favorite stim.

Or ask family members of a child who has survived cancer if they would rather have an autistic child if it meant they could spare their child all of the medical procedures that allowed them to survive.


"But a pediatric cancer survivor," one might observe, "stands an excellent chance of living a long 'normal' and fulfilling life, right?" There was also a good chance that they wouldn't. Want to know what it's really like? You really can't but maybe try reading a few stories like this one before you decide to compare autism with cancer.

In a perfect world, no child would ever have to battle cancer. No child would be born with or develop a disability. Every child would be exactly what we wished for and we'd all live happily ever after. Fortunately, or unfortunately if you prefer, we don't get to make those choices. We do what we can to protect our children from harm and help them if they are sick or injured, but certain choices are beyond our reach, no matter how much we try to convince ourselves otherwise.

If you are reading this and you absolutely must insist on trying to draw parallels between cancer and autism, take some time to really think about that and imagine how you would make healthcare decisions for your child if he or she were faced with a potentially fatal disease rather than a developmental delay.


When was the last time you heard a cancer patient or family member say "This is worse than autism."

17 Comments:

At 1:15 PM, Anonymous Ms. Clark said...

parents need to read all of the leukemia story It was bringing back too many memories for me, from days my kid spent in the hospital with other kids who had Broviac's etc.

Has your kid ever been in "Trendelenburg"? Mine has.... my kids been hooked up to a machine to beathe for him/her, too. But what my kid went through was a cake walk compared to what kids with cancer deal with. Normal kids can die of cancer comparitively quickly, even with lots of intereventions. It's so sad... autism is not like this at all... not in my experience.

 
At 1:17 PM, Anonymous Ms. Clark said...

I forgot to say, thank you for this blog entry. "Reasonable People" has a description of a very little boy dying of cancer. He was a friend of the Savarese family, or a relative... There's a description of the funeral, very sad.

 
At 1:45 PM, Blogger abfh said...

This post has been removed by the author.

 
At 1:47 PM, Blogger abfh said...

In a perfect world, no child would ever have to battle cancer. No child would be born with or develop a disability.

Cancer shouldn't be equated with autism in this way, either, because disability is socially constructed. Cancer would kill people regardless of what the medical profession had to say about it, but whether or not autism (or any other set of traits) is disabling depends on the social environment.

My idea of a perfect world is one of respect and equal opportunity, where disability no longer exists because everyone's differences are accepted and accommodated as a routine matter.

 
At 2:08 PM, Blogger notmercury said...

"Cancer would kill people regardless of what the medical profession had to say about it, but whether or not autism (or any other set of traits) is disabling depends on the social environment."

Good point, abfh. Thanks

 
At 3:14 PM, Blogger Steve D said...

Nicely put, NM.
I have a co-worker who lost a son to leukemia last year. It was devastating to our whole company, one can only imagine how he and his family must feel.
On the other hand, everyone lights up around when my boy comes in for a visit.
Worse than cancer? The comparison shouldn't even be made.

 
At 4:59 PM, Anonymous Anonymous said...

Let's cure Autism AND CANCER!!!

That way everybody's happy and we won't have stupid blog entries like this one.

 
At 7:50 PM, Anonymous HCN said...

Oh, grand Anonymous... Many of us are advocating the prevention of both cancer and neurodevelopmental disabilities.

Things that prevent cancer include the HepB and HPV vaccines, then there is also not smoking (something that the newly appointed autism "expert" Jenny McCarthy did while pregnant), plus reducing sun exposure.

Things that prevent disabilities include NOT smoking while pregnant, eating healthy and preventing diseases like measles, mumps, pertussis, rubella, Hib and polio through vaccination.

I hope you are all aboard with us on these preventative measures.

In the mean time, there are those conditions that are genetic and are not really "curable" that parents have to cope with. These include cystic fibrosis, sickle cell anemia, Williams Sydrome, Cri du Chat, Maple Sugar Disease, muscular distrophy and hypertrophic cardiomyopathy (oh, the last thing is what my kid has). What do you propose we do for these conditions?

 
At 9:11 PM, Blogger Janine said...

There's a commercial on now that equates having a child diagnosed with autism with dying in a car accident. I see what they're trying to do there, but autism is not death (unless you're really into chelating, then maybe).

I love anonymous comments with no substance. I also love when people throw around the world CURE as if it's so simple.

 
At 10:48 PM, Anonymous HCN said...

Some don't realize how many medical conditions actually impact a family.

We were just so glad that the boy's heart condition was found through a routine medical exam (new heart murmur led to echocardiogram)... instead of the more common way: Sudden Cardiac Death.

 
At 5:53 AM, Blogger Maya M said...

Nice post, NM.
At http://www.velichkov.eu/wordpress/?p=91, you can see the photo of Darina (3) who died of leukemia. In my country, no matter how much health insurance one has paid, there is never money for treatment if his child needs transplantation. He appeals to charitable people to collect the money and he either fails, or the money is collected too late - as in this case.
HCN, I can only offer good wishes to your child and all your family.

 
At 8:00 AM, Blogger Joseph said...

I think life is a medical condition with no cure. You eventually and inevitably die from it.

Another thing non-disabled people don't realize is that their non-disabled state is temporary. Unless you manage to die first, disability is also inevitable.

I love anonymous' comment. Just cure everything and all will be fine! How many things are really curable anyway?

 
At 10:54 AM, Blogger Gonzo said...

How many things are really curable anyway?

Not stupidity. Unfortunately. As anonymous has made so evident.

 
At 1:32 PM, Blogger Club 166 said...

If you can equate autism with cancer, then it becomes much easier to submit that person to invasive, painful, and potentially dangerous treatments and procedures.

Joe

 
At 7:52 PM, Blogger Jeff M said...

I agree that one should not equate autism and cancer. But I want to add a point of clarification that always gets on my nerves.

Not all children with autism are alike just like not all children with cancer have the same symptons. Some forms of cancer are not deadly and some are very treatable. I have two kids with ASD, one you can easily call autistic and one has Asperger.

My son with Asperger is not too difficult and it's not that much of a burden on our family.

My son with "Autism" can be very sweet but unfortunatley his behaviors are more often completely devastating for the family. He also has Cystic Fibrosis (CF) which is a deadly disease. If I could pick just one affliction for my son to have it would be CF. I would gladly pick all the medical treatments and short lifespan of CF over his level of autism. His autistic behaviors are making himself miserable and all those that love him.

So I agree that one should not compare autism to a deadly disease, but follow through with that promise and don't compare the two by saying one is worse than the other.

 
At 5:40 PM, Anonymous autismfamily said...

Great post and I am glad that I came across your blog. I hate when people make the comparison. my sister was born with a brain tumor. My ex is schizophrenic. Alzheimer's runs in my family and I have two kids on opposite ends of the spectrum.

I am glad that I have not seen the commercial that was mentioned in the comments.

 
At 1:33 AM, Blogger David N. Andrews MEd (Distinction) said...

My dad was somewhat autistic himself and he also had cancer. I know (from discussions I had with him on the phone) which of these was the major pisser for him. I also know which it was that killed him.

Equating autism with cancer is at best a fatuous exercise; at worst, it's insulting to those who have cancer or who have died because of it, and to those who have/had relatives/friends who have died (or are dying) because of it.

 

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