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You are here: Home1 / Retinoblastoma Resource2 / Medical Care3 / End of Treatment4 / A New Normal
A child life specialist uses a toy cat with removable eye to help a young girl receiving chemotherapy cope with eye removal and artificial eyes.

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A New Normal

Cancer diagnosis propels families into the unknown.  Rediscovering life beyond therapy can be challenging.

Even when enucleation surgery cures the child, and no further treatment is needed, families mourn the loss of their child’s eye. The grief they feel may linger for months or years.

After diagnosis, ending therapy is often the most traumatic time for parents, and the anticipation begins weeks before the final treatment.

A young survivor.

The crisis of treatment is replaced by unspoken fears of relapse that friends cannot understand.

Most families struggle to rediscover normal life in the midst of this emotional turmoil.  For many, recapturing the days before diagnosis is impossible, but you can regain a calm, positive life beyond treatment.

Rediscover Family Life

Months or years of intensive therapy gradually mutilates family life beyond recognition.  This may not be obvious until treatment ends and you try to return to the life you knew before cancer.  This dramatic change can be a traumatic discovery, sometimes more upsetting than the cancer itself.

As constant hospital appointments, procedures and treatments subside, you will begin to settle into a regular routine of family life.  Take time often to be together, to “rediscover” one another.

Eat together, walk the dog together, go away for a family holiday.  Sharing time with one another will help you regroup and look forward to the future together.

Find a Balance

Treatment is physically and emotionally draining for the whole family, but actively fighting the cancer is a great comfort to many parents.  Treatment is the security against an unseen enemy.  When it ends, parents often feel helpless and lost.

Fears of relapse and second cancers continue even after years of clear EUAs and MRIs.  Most parents experience periods of anxiety about headaches, leg pain, unexplained lumps and other symptoms.  Talk to your child’s doctors about the risks, and what to do if you have concerns.

Try to accept and embrace the uncertainty of your child’s future.  Knowing the risks, what to look for and what to do if you are concerned can help you find a healthy equilibrium between high vigilance and letting go of your fears.

Give Back

Contributing to the cancer community is a deep salve for many families.

Raising awareness of leukocoria enables parents to work through feelings of guilt and anger about not recognizing the sign early.

Reaching out to others in need helps grow hope from the depths of despair and fear, puts life in perspective and is very empowering.

If you would like ideas of how you can give back to the global retinoblastoma community, especially children who currently have little chance of surviving curable eye cancer, please visit our Programs and Give Hope sections.

Walk Away

Some families feel they need to draw a line under their child’s cancer experience, to disengage completely from the retinoblastoma community.  This is a normal response and very healthy.  However, it is essential that you educate your child about her cancer history and risks as she grows up, so she can advocate for her own healthcare and that of her children.

Conflict can arise when one parent wishes to be very involved in the retinoblastoma community while the other parent or affected child wishes to walk away.

Take time to talk with one another about how you feel and why you wish to engage or not.  Understanding and respecting one another’s feelings and needs will help you establish healthy boundaries together and diffuse potentially difficult situations.

Give life and sight to a child with eye cancer today

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  • Retinoblastoma Overview
    • How the Eye Works
    • Retinoblastoma Biology
    • Unilateral Retinoblastoma
    • Bilateral Retinoblastoma
    • Extraocular Retinoblastoma
    • Trilateral Retinoblastoma
    • Genetics of Retinoblastoma
    • Global Incidence
    • Signs and Symptoms
    • Referral and Diagnosis
    • Treatments
    • Care After Treatment
    • Prognosis
    • Retinoblastoma Glossary
  • Know the Glow
    • Fundal (Red Eye) Reflex and Red-Eye Reduction
    • White Eye Reflex
    • Photo Challenge
    • White Eye and Rb
    • White Eye after Rb Diagnosis
    • White Eye and Adults
    • PhotoRED Technique
    • Next Steps
    • Examining the Fundal / Red Reflex
  • Medical Care
    • Questions to Ask the Medical Team and Yourself
    • Diagnosis and Staging
      • Staging Systems
      • Multidisciplinary Team and Tumour Board
      • Treatment Plan and Care Pathway
      • Hospital Packing Tips
    • Retinoblastoma Genetics
      • Rb Genetics Explained
      • Mosaic Mutations
      • MYCNA Retinoblastoma
      • Genetic Counseling
      • Genetic Testing
      • Genetic Test Results
      • Pre-implantation Genetic Diagnosis (PGD)
      • Genetics Glossary
    • A Therapeutic Alliance
      • Your Child’s Doctors
      • Good Communication
      • Resolving Conflict
      • Second Opinions
      • Changing Doctors
      • Medical Staff
    • Medical Procedures
      • Informed Consent
      • Procedure Pain
      • Blood Draw
      • Bone Marrow Aspiration
      • Bone Scan
      • Chest X-ray
      • CT Scan
      • Echocardiogram
      • EUA
      • Eye Pressure Test
      • General Anaesthetic
      • Hearing Tests
      • Inserting an IV
      • Intrathecal Injection
      • Lumbar Puncture
      • MRI Scan
      • Radionuclide GFR
      • Subcutaneous Injection
      • Taking a Temperature
      • Transfusion
      • Ultrasound of the Eye
      • Vision Testing
      • Vision Testing – Support Your Child
      • Vision Testing – Just For Kids!
    • Treatment
      • Risk of Under-Treatment and Over-Treatment
        • Reduce Risk of Under-Treatment and Over-Treatment
      • Treatment Decision Making Guide
        • Step 1 – Acknowledge Your Thoughts and Feelings
        • Step 2 – Understand Your Decision-Making Style
        • Step 3 – Find Your Expert Team
        • Step 4 – Understand Shared Decision Making and Informed Consent
        • Step 5 – Set an Intention to Make Balanced Decisions
        • Step 6 – Learn About Retinoblastoma
        • Step 7 – Evaluate Your Options
        • Step 8 – Consider Your Values and Goals
        • Step 9 – Manage Disagreement and Conflict
        • Step 10 – Make Your Decision
        • Step 11 – Review Your Decision
        • Step 12 – Support Your Child and Yourself
        • Review the 12 Decision Making Steps
      • Enucleation
        • Making the Decision
        • Eye Removal Surgery
        • Orbital Implants
        • Types of Orbital Implant
        • Side Effects
        • Pathology
        • After Surgery
        • Coping with Other People
        • Artificial Eyes
        • Artificial Eye Care
      • Focal Therapy
        • Laser
        • Cryotherapy
        • Periocular Chemotherapy
        • Intravitreal Chemotherapy
      • Chemotherapy
        • Chemotherapy for Rb
        • Intra-Arterial Chemotherapy
        • Regimens and Protocols
        • During Treatment
        • Central Venous Catheter
        • CVC Care and Risks
        • Blood Test Results
        • When to Call the Doctor
      • Radiation Therapy
        • Radioactive Plaque
        • Coping With Isolation
        • Radiotherapy
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        • Treatment Process
        • EBRT Side Effects
        • Ask the Doctor
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        • Low Blood Counts
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        • When to Call the Doctor
      • Occlusion Therapy (Eye Patching)
        • Introduction to Eye Patching
        • Preparing to Patch
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        • Eye Patching – Just For Kids!
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    • Surviving Hospital
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    • End of Treatment
      • Celebration
      • Follow Up Care
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      • Removing the Central Line
      • A New Normal
      • Relapse
      • Second Primary Cancers
      • Symptoms of Second Primary Cancers
      • Ask the Doctors
    • End of Life Care
      • Changing Treatment Goals
      • Palliative Care
  • Child Life
    • Child Life is More Than Play
      • The Art of Child Life
    • Procedure Support
      • Stay Calm
      • Make a Plan
      • Medical Play
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      • Comfort Positions
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    • Pain Management
      • Know the Signs of Pain
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    • Living With a Special Eye
      • Before Enucleation
      • Going to the Ocularist
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      • Handling the Special Eye
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      • The Young Child Living With a Special Eye
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      • When There Is No Eye
    • Psychological Support
      • Reduce Your Stress
      • Infant Massage Training
      • Talking With Kids About Vision Loss
      • Talking About Vision Loss – For Kids!
      • Support and Encourage
      • Coping With Difference
      • Worry Eaters Guide
      • Personal Story Books
      • Youth Retinoblastoma Support at Upopolis
      • Camp Sunshine Rb Week
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      • Post-Traumatic Stress Disorder in Childhood Cancer
  • Living With Retinoblastoma
    • Children
      • Children Learn From You
      • Sibling Responses
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      • Communicate
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      • Tantrums
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    • Parents
      • Emotional Responses
      • Manage Anger
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      • Relationships
      • Sharing the News
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    • Grandparents
      • Genetic Implications
      • How You Can Help
      • Look After Yourself
    • School Life
      • Effects of Treatment
      • Preparing For School
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      • Prevent Eye Injury
      • First Aid for the Eyes
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    • Bereavement
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      • Before the Funeral
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      • Carrying the Torch
    • Focus on Hope
      • False Hope
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      • The First Alphabet of Hope
      • Alphabet of Hope 2018
      • Alphabet of Hope 2019 – #LifeBeyondRb
      • Alphabet of Hope 2020 – #FamilyInSight
      • Alphabet of Hope 2021 – #MindAndBody
      • Alphabet of Hope 2022 – #RbCare
      • Alphabet of Hope 2023 – #RbResearch
      • Alphabet of Hope 2024 – #RbEarlyDiagnosis
      • Alphabet of Hope 2025-2026 – #RbChildLife
  • Family and Friends
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  • Through Our Eyes
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    • Unilateral Rb
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    • Bilateral Rb
      • Daisy (UK)
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      • Hope (South Africa)
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    • Extraocular Rb
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    • Trilateral Rb
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  • Other Organizations
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