When All We Do is still Not Enough

Pain is a subjective thing I guess. People talk about the most painful thing that’s ever happened to them, childbirth and broken bones normally being top of the list. However, I can’t imagine anything worse than watching your own child in pain. I spent a few days this week laid in bed with Milo because we weren’t able to get his pain under control. He was either in agony or the meds had him totally knocked out while I lay next to him worrying about what this new turn of events means.

I promised myself when he was diagnosed with this brain tumour that I would not let him go through any painful treatment just to prolong his life for a little longer if that treatment would also make his life miserable. It’s a decision many might disagree with and I respect that. I understand only too well that there’s a want, need and responsibility to give your child the very best options and chances of survival.

But I also have the experience of having gone through this kind of treatment on the sidelines twice, both times with the same heart-breaking and life changing outcome.  So, my words when I met Milo’s oncologist and Macmillan nurse for the first appointment last year were very clear: I am willing to do everything for my child to survive, but I will not prolong his life for a few weeks or months if his quality of life is seriously compromised. It is the most painful and brave words that have ever come out of my mouth and I have no way of knowing if I am right, and am I right to choose so drastically what is right for my 5-year-old son?

Of course, I believe that I am; as parents we constantly make choices for our children – it’s just that when you make actual life or death choices for your child there is no way you can ever come out of that with your heart, your mind or your beliefs intact.

It has broken me having to make these choices and having to make them alone without Ian here to talk to, but I stand by what I have said so many times: treatments for brain tumours are horrifyingly harsh on anyone, let alone small children, and had I known Oscar would die I would never have let him have some of the treatments he had to endure.

This, of course, is irrelevant as hindsight is wonderfully cruel. Ian and I had to let him have the treatments because at the time those treatments were definitely right for Oscar and should with 70-80% certainty have saved him, even with the side effects he would have had to live with. And we would have taken that, of course we would, to still have him with us and so would he.

But now is different because there is no treatment for Milo that will save him from his brain tumours, the treatments they are suggesting may, or may not, only prolong his life a little longer. I have a lot more knowledge of the genetics behind his particular illness and how limited his treatment options are, so I take the hard road and trust I am right. I give up maybe a few more weeks or months with him, which is precious time for me and his brothers, but we spend that time together at home and not split up by regular hospital visits, daily General Anaesthetics(if you have ever had one and remember how tired and sick it made you, imagine having 30 in a row), sudden frantic nights apart, spending every evening online trying to find an answer, the stress of waiting for a phone call that will bring everything crashing down again, nerves and tempers constantly frayed and all the other things that come with this life that we all live.

This may be hard for others to understand, and I find it hard to write this down knowing others may judge me for it, but I am not so sure it wouldn’t be selfish of me to do differently. I have a clear picture of what Oscar and Ian would tell me to do and I choose to trust that. The fact that I don’t have to fight his doctors for the right to not push every possible painful and invasive treatment at Milo just supports my thinking (and we have the support of the most fantastic doctors and nurses I have ever met who truly come to work to support and do what’s best for every child, saving many and somehow saving families even when losing).

Don’t get me wrong, Milo is still having treatment and it’s the reason why he is feeling so ill.  Well, it’s one of the reasons anyway – the other possible reason is that the disease is already progressing and even with his current treatment this is going faster than fast. Either way I am watching my child in pain, but at least he is in his home, with his family and not laid in a hospital bed going through agonising and traumatising treatment that we know will only end with the same outcome.

So, we lay in bed or on the sofa cuddling up and chatting when possible and who knows; he might just take a turn for the best and be out on his bike again or chasing around playing superheroes – he has done this plenty of times before. And if he doesn’t and he stays inside, well then I will have given him a more gentle time with us all together.  We watch films, talk about the fun times we’ve had and our plans for the future, playing games when he can, baking and sitting outside. I know my child best and I am doing what is best for him and for us. It is terrifying that we are not any further with treatments – although we have still come a long way since Oscar died. But for my boy we are sadly not far enough.

Marie

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Rachel James

Community Fundraising Assistant
Rachel will join our team on September 1st and will be doing a wide range of tasks including promoting the charity in the local community, developing relationships with different people and organisations, and finding new fundraising opportunities. She comes from a caring background having been a teaching assistant and emotional literacy support assistant in York for many years, and previously leading a community care team. She has also done many years of work in the voluntary sector.

Matthew Taylor

Trustee

Matthew Taylor is Director of the York Health Economics Consortium at the University of York. He has been a supporter of OSCAR’s since its inception and, through his twenty years of research into the measurement of health-related quality of life, Matthew is keenly aware of the huge benefits that new treatments can bring to people living with brain tumours.

Matthew is actively involved in national-level healthcare decision making, having had former roles as the Scientific Director of the National Institute for Health and Care Excellence (NICE)’s Economic and Methodological Unit and as a committee member for NICE’s Public Health Advisory Group. He has over fifty peer-reviewed scientific publications, including a chapter in the textbook ‘The Business, Policy and Economics of Neurosurgery’.

Ryan Mathew

Clinical Trustee

Ryan Mathew is an Associate Professor at the University of Leeds and an Honorary Consultant Neurosurgeon at Leeds Teaching Hospitals.

The Hughes Family story had a big impact on Ryan. He first learnt of the charity when he became surgeon to Oscar’s dad, Ian. After a successful surgery, he continued to show great care and concern for the family when Ian became ill again and when Milo, Oscar’s brother, was diagnosed with a brain tumour. Ryan is driven to make life outcomes better for brain tumour patients and their families. His extensive work in both research and surgery is testament to that commitment.

His clinical practice covers the full spectrum of general neurosurgery with a subspecialty in brain tumours. His research focuses on advanced brain tumour models, residual therapy-resistant glioma cell populations, local therapeutic treatments and surgical technologies and devices. He peer-reviews for several journals and grant award committees and has published numerous papers.

More information on Ryan’s work

Lisa Dawson

Trustee

Lisa has been a friend of the Hughes family since 2016 and was honoured to be asked in 2022 to represent OSCAR’s PBTC as Social & Digital Trustee.  Both Lisa and her family have taken part in numerous fundraising events and are dedicated to raising awareness of paediatric brain tumours.  Lisa is a social media content creator, blogger and writer and lives in York with her husband Joe and three children, Ella, Max and Leo.

Alice Beckwith

Trustee

Alice has been involved with OSCAR’s PBTC since 2020. She passionately supports the aims of the charity and believes that if the charity can change one life for the better, then it is a success. Working in the public sector for 18 years, Alice has helped transform Adult and Children’s Social Care Services by ensuring heavy investment in preventative services. This is why the impact OSCAR’s work will have on families is at the forefront of Alice’s motivation to be involved.

As partnerships trustee, Alice is keen to involve businesses, trusts and individuals in the work OSCAR’s does and show them the role they can have in providing the base for the charity to continue to expand its projects to help children with brain tumours.

Sarah Jane Gray

Trustee/Secretary

Sarah has over 20 years of experience in the pharmaceutical and surgical sales sector and is very familiar with the importance of medical advancements for better patient outcomes. She believes research is essential for improving diagnosis, treatment and prognosis for all children with brain tumours and hopes OSCAR’s PBTC can offer much needed funding to help push the boundaries in finding better ways of curing this devastating disease. Sarah’s focus as a treasurer will ensure record-keeping and accounts meet the conditions of the statutory bodies and compliance with regulatory organisations.

Holly Dixon

Trustee

Holly is mother to George, diagnosed with an ATRT brain tumour in 2022, and works as a primary school teacher. She believes that action to support others -however small- can make a massive difference.


She brings real-life experience of what it is like for a parent navigating everyday life, the NHS, the education system, questions from people and a lively young child with different needs.

meet the oscar's team

Sam Marino

Trustee

Marie Hughes

ChAIR OF THE BOARD OF TRUSTEES

Marie founded the charity with her husband Ian, who passed away in 2020. She is the mother of four boys. Two of Marie’s sons have died from different types of brain tumours – Oscar who was 9 and Milo who was 5 years old. She is determined to help find better treatments for brain tumours so other children won’t have to go through what her own sons and her family have.

Marie is Chair of the Board of Trustees, working closely withe the team on strategy and vision. Marie lives in Copenhagen with her two other sons, Sebastian and Lucas, and works as a Risk Manager on the Danish railway.