To mark International Childhood Cancer Day, Tiffany Ernst reflects on the past two years since her five-year-old daughter, Haylen was diagnosed with leukaemia.
The family have endured countless challenges; being torn apart when Haylen needed urgent treatment in a capital city, braving aggressive chemotherapy and then battling the constant fear of infection.
Living in Toowoomba, Queensland, the family including husband, Karl, older sister, Jayda, 11 and nine-year-old brother, Chevy were leading a very normal life running their own plumbing business.
โIn January 2019, the business was busy as we had just returned from the Christmas break and the kids were about to start school again,โ remembers Tiffany.
โHaylen was just three-years-old at the time and was not herself; she wasnโt eating and was sleeping long hours.
โI remember sitting in the doctorโs office, telling him everything and I could see it ticking over in his head.
โI asked straight up if she had leukaemia, but he couldnโt tell me anything until she had urgent blood tests.โ
After the โlongest couple of hoursโ, the family were given the devastating news that Haylen had leukaemia.
She was given a blood transfusion and platelets before being urgently transported to Queensland Childrenโs Hospital, a two-hour drive away in Brisbane.
โWe arrived at four oโclock in the morning and started treatment by one oโclock that afternoonโฆnot even 24 hours since we were told she had leukaemia,โ said Tiffany.
โThe oncologist told us that afternoon it was acute lymphoblastic leukaemia (ALL) and what treatment Haylen would need going forward.
โTo be honest, I donโt remember much about that time, it was all a big blur, and we didnโt really make any decisions โ just put all our trust into the treatment team.โ
Each year in Australia around 213 children are diagnosed with ALL, making it the most common type of cancer overall in children aged 0 to 14 years. Click here to read more about childhood ALL.
For the first six months of Haylenโs intensive treatment the family were pulled apart.
โMy oldest two kids stayed with family in Toowoomba while we were down in Brisbane with Haylen,โ explained Tiffany.
โBut Karl still had to run the family business back home so couldnโt be there the whole time.โ
The family were offered a unit at a Leukaemia Foundation Patient Accommodation Village close to the hospital and free-of-charge.
โWe felt so lucky to be able to come home to a little bit of normality,โ said Tiffany. โWe set it up so Haylen could have all her toys from home there and made it feel cosy.
We knew we were safe there as everyone else was going through exactly what we were and understood the risks completely.
โHaving a place to call home during that time took a lot of the stress away.โ
Haylenโs intensive treatment caused her to have high temperatures, mouth ulcers and mucositis.
โThat was a tough time; we would often get home and then have to head straight back to the hospital as Haylen had gone downhill,โ said Tiffany.
โBut the most difficult thing was getting Haylen to take her medication as it did not always taste great and we would often need the nurses to help us.โ
Risk of infection was always at front of mind for the family throughout Haylenโs treatment.
โDuring our time in Brisbane, we couldnโt just pop down to the grocery store and we didnโt really leave the bubble of the unit fearing we would pick up a germ that could make Haylen sick,โ explained Tiffany.
โWe also had to be really cautious when our other kids came to visit to make sure Haylen didnโt catch anything from them โ that was hard.โ
Apart from a eight week break between treatments, Haylen and Tiffany did not return home until July 2019.
Since then, they have been travelling back to Brisbane every 12 weeks for Haylenโs maintenance treatment, with a telehealth consultation every six weeks and blood tests at their local hospital every fortnight.
โWe are just so happy to be home and have the family all under one roof again,โ said Tiffany. โBut I still consider the hospital in Brisbane our little safety net and happy we can continue to go back there for treatment.
Having chemotherapy and what it does to little bodies means Haylen doesnโt really know what itโs like to be a โnormalโ kid and not have to worry about germs all the time.
โShe seeโs her older siblings going for a swim without a swim shirt in a crowded public pool, but she just knows thatโs something she canโt do while having treatment,โ said Tiffany
โWe had a little tablet box which has all the tablets for each day in it. She would get to Sunday and say to me, โThereโs no more left!โ and Iโm like, โNot quite, weโve still got a few more weeks to go.โ
The family celebrated the end of Haylenโs maintenance treatment in March 2021.
My biggest joy now is seeing Haylen attending Grade 1 and getting back to being a typical kid again.
โIโm so proud of the little person that she has grown into since her diagnosis. Seeing her with beautiful curls and the biggest smile on her face makes me so incredibly happy.โ
Tiffanyโs advice for parents:
Make sure that you take time for yourself. It is not selfish to leave your loved one for a couple of hours to give yourself a break. If you are struggling, make sure that you speak to someone.