November 7, 2019

Pediatric Support Group Helps to Deal With Tumor Diagnosis, Treatment

Sheann Brandon, Loma Linda University Health News

Six-year-old Gavin Bullington went to his mother, Veronica, complaining about stomach pain, headaches, and severe vomiting. Veronica quickly took her son to the emergency department, where he was prescribed a medication to help with the vomiting and sent home. After five more days of nearly continuous vomiting, Veronica knew something was very wrong with Gavin.

After returning to the hospital, Gavin went through various tests, including a computed tomography (CT) scan at the Loma Linda University Children’s Hospital, a Seventh-day Adventist health institution in Loma Linda, California, United States. The scan revealed a tumor.

It would be the beginning of a long and trying journey for the Bullington family, but they wouldn’t be alone.

“From that point on, Loma Linda University Children’s Hospital pediatric neurosurgery team was by our side,” Veronica says. “We couldn’t have gotten through this anywhere else.”

The team wouldn’t know if the tumor — located in the posterior fossa or back of his brain — was cancerous or benign until surgery. Pediatric neurosurgeon Tanya Minasian conducted the first surgery on Gavin.

Minasian and her team were able to successfully remove the entire tumor from Gavin’s brain. Doctors discovered that it was a benign tumor, meaning he wouldn’t need any chemotherapy or radiation.

“Unfortunately, post-operation, Gavin developed posterior fossa syndrome,” Minasian says. “While this syndrome generally resolves with time, it is extremely difficult and even heartbreaking for the patient and the family to live through.”

Posterior fossa syndrome, also known as cerebellar mutism, is seen in up to 30 percent of children with posterior fossa tumors. The individual loses the ability to speak, in addition to having emotional lability, and without aggressive rehabilitation, symptoms could persist.

“He was very different and not the Gavin they knew,” Minasian says. “It took a significant amount of rehabilitation for him to recover back to his normal self.”

Recovery and Support

Nearly two years later, Gavin has undergone four surgeries on his brain. Although it hasn’t been an easy process, Gavin’s family wants to provide support and encouragement for other families fighting through similar diagnoses.

They, together with Minasian, meet with families once a month in a pediatric brain and spine tumor support group, allowing families to share their stories, ask questions, and carry the load — good and bad — together.

Minasian began the support group in response to patients and their families who have undergone neurosurgical and oncologic care. Gavin’s family was the first family that came to Minasian’s mind when she decided to start the group — she knew their story would resonate with others.

The monthly support group is led by doctoral students in Loma Linda University’s Department of Psychology, by Children’s Hospital child life specialists, and by Minasian. The group offers specific support for children, including encouragement, education, coping mechanisms, emotional support, and hands-on activities. These activities educate and empower the children through discussion and play.

For parents, their discussions have included mindfulness, coping with stress and post-traumatic stress disorder (PTSD), and ways to navigate through the education system after their child has been diagnosed with a tumor.

“In addition to performing surgery and providing pristine outcomes, we must also stand by the mission of Loma Linda University Health: ‘To make man whole,’” Minasian says. “It is what prompted me to create the support group — the ability to be able to offer that wholistic care to our patients and their families.”

Individual Care

According to the American Cancer Society, brain and spinal cord tumors are the second most common cancer in children, with more than 4,000 diagnosed in the United States each year.

While Gavin has come so far, his journey post surgeries and rehabilitation is still ongoing. His mother says she is thankful that they will continue to have the support of Minasian and Children’s Hospital.

"Children's Hospital doesn't treat you like just another patient — they truly care about each case," Veronica says. "I'm comforted knowing that Gavin continues to be in the care of Doctor Minasian. She has such high standards for everyone who is treating her patients, and I would never want to go anywhere else.”

The original version of this story was posted on the Loma Linda University Health news site.