Don 🐝 Kerr en Cancer & the Male caregiver, beBee in English, Healthcare Writer • Don Kerr Writes 31/8/2016 · 4 min de lectura · +700

Collateral Damage

The following was first published on my site Riding Shotgun ( on January 4, 2015.

I am reposting here as a result of a couple of prompts including my response to Jena Ball's superb posting ( and my commitment to follow up with some more thoughts concern Dr. Dan Siegal in my post (

Collateral Damage

Collateral damage is damage to things that are incidental to the intended target.  It is frequently used as a military term where it can refer to the incidental destruction of civilian property and non-combatant casualties.  Wikipedia

It is clear there are many motivations to cause someone to write, to share, to express, and sometimes to vent.  I was tempted to vent today.  Upon reflection, I shall not.  Not because it mightn't be cathartic. Because venting is not particularly useful in this case. This case is about the insidious impact of cancer and its continuing ability to throw curves and the occasional knuckleball.

My story today revolves around the notion of collateral damage and it has specific reference to my sons and is even more directly centered on Gabriel, our five-year-old.

Regular readers will know that when Katie was diagnosed Gabriel had only recently turned four while Sammy was just approaching two.  If we are grateful for anything related to this it is that Sammy was too young to comprehend that an asteroid had just hit his house and the next couple of years would be spent in recovery and rebuilding.

Gabriel, on the other hand has been a sensitive soul since birth.  He's a lovely boy with big brown eyes and a thriving curiosity about all that surrounds him.  A student at Clanmore Montessori, he was being taught to explore, touch, feel, and sense all that he came in contact with and his teachers had done (continue to do) a wonderful job in forming his mind.

The formation of a child's mind is a hugely complex undertaking and one we're learning more about every day.  We are fervent disciples of Dr. Dan Siegel's book The Whole Brain Child and it was a passage within it that partially gave rise to this posting.

"In fact, even though entire libraries have been written discussing mental illness, mental health is rarely defined.  Dan has pioneered a definition of mental health that researchers and therapists around the world are now beginning to use.  It's based on the concept of integration and involves an understanding of the complex dynamics surrounding relationships and the brain.  A simple way to express it, though, is to describe mental health as our ability to remain in a 'river of well-being.'
"Imagine a peaceful river running through the countryside.  That's your river of well-being.  Whenever you're in the water, peacefully floating along in your canoe, you feel like you're generally in a good relationship with the world around you.  You have a clear understanding of yourself, other people, and your life.  You can be flexible and adjust when situations change.  You're stable and at peace.
"Sometimes, though, as you float along, you veer too close to one of the river's two banks.  This causes different problems, depending on which bank you approach.  One bank represents chaos, where you feel out of control.  Instead of floating in the peaceful river, you are caught up in the pull of tumultuous rapids, and confusion and turmoil rule the day.  You need to move away from the bank of chaos and get back into the gentle flow of the river.
"But don't go too far, because the other bank presents its own dangers.  It's the bank of rigidity, which is the opposite of chaos."
Dr. Dan Siegal

It is difficult for me to contemplate the notion of mental health when thinking about my children.  One has a perspective of them as being total innocents just beginning a wonderful journey through a sparkling life where little can intrude upon their sense of wonder apart from the occasional scuffed knee or earache.  Until I began to think of my boys as little people, not just tiny toys, none of this made sense.

Then I realized that Gabriel had been floating along pretty comfortably until his Mommy and Daddy moved from Toronto to Oakville when he was still an infant.  Then Mommy and Daddy introduced to him another human, a brother, a sibling, a rival - something that quite often smelled bad and made a lot of noise at inconvenient times and seemed to get an awful lot of attention.  Then Mommy and Daddy decided to move him and, by the way, bring along that little smelly, noisy thing to another new house.

And then...

Mommy got sick.

His canoe now was well and truly bumping along the banks of chaos and what made it even worse was that his Daddy may not even have noticed because Daddy was preoccupied with the fact that...

Mommy was sick.

For grown-ups the onslaught of a cancer diagnosis is overwhelming.  Can you begin to imagine the impact upon a little boy, very aware of his environment trying to understand that something very different was going on in his family but being incapable of fully absorbing, expressing, and understanding?  Can you imagine, when it is so important for all of us to feel felt, what this little boy was struggling with and doing so all the while enveloped in a cloud of big-person words and clearly confused parents who were behaving very oddly and not at all in the way to which he had become accustomed?

Can you then begin to imagine what happens to the parents when they begin to witness behavioral changes in their little angel?  What's going on?  Is this just a phase?  Surely he's not succumbing to the same fears and uncertainties that we are just learning to manage?  After all, he's just a little boy.  He can't understand what cancer is and what it might potentially mean and really, we've been ever so careful to gently inform him in ways that we thought to be open yet non-threatening to his welfare - both physical and emotional.

I am here to tell you folks, your kids get it.

I am here to tell you Dads, your sons and daughters know what's happening.

I am here to tell you caresharers that your caregiving activities just got bigger and even more complex.

And, I hope I am here telling you this before you wake up one morning and realize that there has been collateral damage in your home.

Wrap your children in whatever approach you decide to take.  Keep them informed or shelter them.  Try to teach them about chemo sharks or keep these discussions to late-night parental conversation.  Whatever you choose be consistent.

We chose to bring our children into the fold and to share, as best we could, what was happening at all stages.  We believe that they are intelligent and won't succumb to parental anxiety.  While that may have been wrong at the very least we stuck to our guns and didn't try to blow smoke.

If Gabriel has become anxious about talk of doctors and hospital visits, that is our accountability.  It is further our accountability to help him find his way through this by helping him continue to grow his whole brain.

That is our vow.  We cannot undo what has been done but we can certainly bring an even more mindful approach to ensuring that the collateral damage caused by this horrid disease does not disable our kids' emotional connection to the ups and downs of life.

With perseverance and commitment we will find a way to bring Sam and Gabe back to the middle of the river and provide them with the smoothest ride possible while still helping them acknowledge the realities of life and living.

Photo credit: Me 

Copyright 2016 Don Kerr Writes

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Don 🐝 Kerr 1/9/2016 · #4

#2 Further, thanks for the link to your friend's blog. I will check it out.

Don 🐝 Kerr 1/9/2016 · #3

#2 I agree @Sarah Elkins that we can't nor should we endeavour to always seek the calm in the middle. Life would frankly be dull as hell nor would it be at all reflective of reality. I think we're talking about creating resilience so that when we hit the rough patches we can find a way back to the middle knowing that thoughts are not facts and misery is a transitory state.

Sarah Elkins 1/9/2016 · #2

She hasn't written recently, but my friend Rebecca's blog, Chronic Town, is an amazing journal of her experience raising a son while dealing with life-threatening chronic illness. I'm guessing you and Katie will fall in love with this woman:

It seems the river analogy can be taken in many ways related to life, and that mental illness takes many different forms. Without going into the depths of mental illness, here's my feeling about the general analogy of life as a river: I know it's good to be in the middle of the river, flowing along and adjusting to changes; I also know that to think we can keep our children or ourselves out of the reeds and eddies near the banks, we are delusional. And I'm not so sure it's a good idea to try, really, because real life takes us to those places, and if we haven't had our share of experiences there with the unconditional love and comfort of our parents when we're little, how will we navigate when we're adults?

It's obvious to me that you are doing everything you can imagine to be right for your children at every step; you are giving them the foundation to deal with trauma in the future. Your family is in my thoughts, @Don Kerr

Pascal Derrien 31/8/2016 · #1

Happy canoeing then :-)

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