Apples and Oranges: comparing Leukaemia and Down syndrome

I was in a shopping centre months after Sam was diagnosed with Leukaemia and in the distance, I saw an elderly friend-of-a-friend approach me, shaking her head. As she came closer, she took my hands, said she’d heard the news of Sam’s illness and lamented our “rough couple of years.”

Weeks later, I happened to be standing in a gathering area at school and I was introduced to another mother. After some discussion, she looked at me in bewilderment and said, “You mean you have a child with Leukaemia? And a child with Down syndrome?” I know. I hit the jackpot 😉

I totally get where these statements and sentiments come from. In the space of just over two years, our family has received two separate, very challenging diagnoses that have completely changed our lives. There have been many similarities in the process of receiving those diagnoses too – the signs, the suspicion, the waiting, the confirmation, the grief, the sharing of news. Yes, there have been some very rough moments in the past few years. Yes, we have a lot going on in one little family.

But, despite the similarities in the process of diagnosis, is it fair to compare Down syndrome with Leukaemia? Is it fair to compare the potential complications of having three copies of a 21^st chromosome with Cancer? I think it’s like comparing apples with oranges, chalk and cheese.

When Sam was first diagnosed with Leukaemia, Ben and I mused that “two weeks ago, the biggest thing in our world was having a son with Down syndrome.” And it was a big thing to us back then. But Leukaemia has helped us put Down syndrome into perspective, and very quickly it paled in comparison.

Receiving the news at 18 weeks into the pregnancy that our baby had Trisomy 21 was devastating. But, in hindsight, we know that Nicholas’ diagnosis was our training ground for what was to come. Ben and I learned a lot about ourselves and our relationship as we came to terms with the diagnosis, and it prepared us in many ways for facing the next curve ball. We learned that, in spite of the fact that we deal with challenges differently, we needed to lean in and love each other even more, even when our natural inclination can be to shut down and fly solo. Through the gift of the Trisomy 21 diagnosis, ‘Team Love’ became stronger and more resilient for when we had to face Leukaemia.

If we had chosen to terminate the pregnancy and not keep our third baby, I’m pretty sure that after Sam was diagnosed with Leukaemia we would have been saying something like, “Isn’t it lucky we don’t also have that high needs child to think about at a time like this”. We might have been thinking we’d saved ourselves some heartache not having two children to worry about. But the truth of the matter is that, in the very challenging time after being told Sam had Leukaemia, Nicholas was the light in our darkest of days. His big smile, his cheeky giggle, his melting hugs – they saved us, and we needed his presence like oxygen. Nicholas is pure love.

While it’s in my nature to see the good in both diagnoses, Down syndrome isn’t like Leukaemia. Yes, we have been blessed by a child whose Trisomy 21 label hasn’t been accompanied by any health complications so far, but even if it did, I would choose three copies of a 21^st chromosome over Leukaemia in a heartbeat. If I had to choose between watching my child achieve milestones a little later, low muscle tone, almond shaped eyes and a list of ‘possible’ symptoms, or watch my child endure chemotherapy and face losing him to Cancer? There is no question.

Some days I do feel exhausted and overwhelmed by the needs of two ‘high needs’ children. But, most days, I’m just exhausted and overwhelmed by the juggle of having three children in general. I have learned that all children come with their own version of ‘high needs’, they just manifest in different ways (and, just quietly, Nicholas is probably the lowest maintenance of all my children ;). We make a conscious choice to take one day at a time.

While they are very different diagnoses, both Leukaemia and Down syndrome have helped us to slow down, appreciate our blessings, and celebrate every milestone achieved and every day that we have together.