There are many
hospitals in the USA which are specialised centres for the diagnosis and treatment of
children's cancers. If the doctors at your local hospital suspect that your child has a
cancer they are most likely to send your child to one of these centres. Often some of the
later treatment can be given at your local hospital under the guidance of the nearest
specialist centre and this is known as shared care. Many people will
be involved in the care of your child both at home in the community and whilst in
hospital. Some of them are described below. Although you will not meet all of them, you
will probably come into contact with many of them including the staff in the hospital
outpatients department.
General practitioner
Your own family doctor may have been the first to suspect that there was something
seriously wrong with your child, and will have referred you to a specialist. Since
childhood cancer is very rare, your general practitioner cannot possibly know all the
details of diagnosis and treatment. You may like to show him a copy of this booklet so
that he is aware of the information that you have received. Your hospital doctors will
write regularly to keep your GP up to date with your child's progress.
Paediatric oncologist
Paediatric oncologists are doctors who have chosen to specialise in children's cancer.
Ward doctor
In the hospital you will meet specialist registrars and senior house officers (SHOs). Most
of the tests and treatment are done by these doctors under the supervision of the senior
doctors.
Nurse
The Sister or Charge Nurse is in charge of the ward. Staff nurses, student nurses and
health care assistants work under the Sister / Charge Nurse's direction. There may be a
specialist nurse in your hospital who works only with children who have cancer. Community
nurses may also be available to visit your child at home.
Surgeon
Surgeons carry out operations. They may take a biopsy (remove a piece of tissue from the
tumour for examination under the microscope) and / or remove the whole tumour. They also
put in central lines.
Haematologist
Haematologists are doctors who specialise in blood disorders (including leukaemias and
lymphomas). They work in the laboratory examining samples of blood and also on the ward
looking after patients.
Radiotherapist
Radiotherapists are doctors who have specialised in radiation treatment. Your child's
course of radiotherapy will be planned by a radiotherapist and given by radiographers.
Radiologist
Radiologists use x-rays and other scans to get pictures of the body which they can then
interpret.
Social worker
Social Workers help with practical, emotional and financial problems that can arise. The
Sargent Cancer Care Fund provides social workers who care specifically for children with
cancer and their families.
Psychologist
A psychologist may be able to help children who have difficulties with behaviour or
learning during their treatment.
Dietician
Dieticians look after the nutritional needs of your child during treatment.
Pharmacist
The pharmacist is responsible for preparing and dispensing the drugs your child receives.
They are based in the hospital pharmacy department and may visit the ward.
Play therapist
Play therapists are trained to help children cope with the experience of being ill and in
hospital by using play.
Pathologist
The pathologist specialises in analysing specimens, such as samples of tissue taken at
biopsy.