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23 Tammuz 5766 - July 19, 2006 | Mordecai Plaut, director Published Weekly
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Home and Family

To Tell or Not to Tell
by A. Ross

In almost every educational establishment, there is at least one child with some chronic illness. Unfortunately, many parents are unwilling to disclose the fact that their child has a problem, with the result that instead of a happy child who is an integral part of the class, he has to live with a constant 'secret' which he cannot discuss with his friends. It is not in a child's nature to conceal things, and a secret is a heavy burden for any child to bear. Whether the child suffers from cystic fibrosis, or epilepsy, diabetes or congenital cataracts, it is a difficult lesson to learn at a very young age that he may not confide in his friends. Moreover, it might be potentially dangerous if the teacher does not know of the child's condition.

A little boy with cystic fibrosis was registered at a school without mentioning his illness. At first it was not too difficult, but as he became older, he needed almost superhuman strength to participate in the physical activities. He spent much time on inhalers at home, and several hours a day on physiotherapy. He would not eat at school because of the numerous tablets he had to swallow in order to be able to digest his food. Finally, he refused to go to school altogether, and the family decided to 'come clean.'

When the father came to school and explained C.F to the class, the boys were astounded. This quiet introverted boy became a hero when they heard of all the obstacles he had to overcome in order to live a fairly normal life. Before the father left, quite a few of the boys admitted that they, too, used an inhaler at home, frequently.

The reason for parents' unwillingness to reveal anything unusual about their child's health, are twofold. Firstly, principals may refuse to accept the child into their establishment. They do not know what is involved and are not looking for extra responsibility! Secondly, parents are afraid of stigma, which might be attached not only to the sufferer himself, but also to the siblings when it comes to shidduchim. In spite of their (maybe justified) fears, it is a great deal better to let the child be an open- hearted child, integrated into the class. Sooner or later, a neighbor or relative will talk about a mysterious illness or hint darkly at something wrong in the family, which might be worse than the real truth. Furthermore, it is safer when the staff knows about the child and are taught how to react in an emergency.

Occasionally, a parent will mention to a teacher that her child has to miss quite a few school days, in order to attend hospital appointments. The parent may be quite vague about the illness and be astounded if the teacher asks point- blank if the child suffers from a particular disease. In spite of wagging tongues and gossip, there will be a general feeling of relief when the staff is fully aware of the problem. Children are more understanding and supportive when they are entirely cognizant of the difficulties faced by a classmate. Far from despising, or looking down in the sufferer in any way, his classmates will want to know all the details and will admire him for coping with all the difficulties involved.

If the teacher finds he is responsible for a child with a certain condition, he must familiarize himself with the cause, symptoms, and prevention of an attack or episode. Additionally, he has to be quite sure that he is familiar with the treatment, in case of need. Furthermore, he has to explain to the class that in the same way that some people need glasses to help them see, some people need pills before meals to help them digest food or inhalers, etc. to help them breathe. The children's acceptance of their slightly different classmate depends largely on the teacher's attitude. This attitude will have quite an influence on the way the children will think about chronic illness, or differences among humanity in later life.

In a previous article, the various chronic illnesses and how to treat them in schools were listed. It should be mandatory for schools to equip themselves with an epi pen, and teach teachers how to use it, and to have an inhaler, among their first aid equipment. Unfortunately, many schools do not see the need for this, because, as said, they either refuse to accept children with a chronic illness or allergy, or the parents do not admit to any problem.

When a principal or teacher informs parents that their child is not doing very well, and is below the standard of the class, there are parents who will refuse to let their child be given extra help; they claim he does not need it, and that the child has no learning problem of any kind. They are afraid "people will talk," and frequently, they honestly do not see that the child is far behind the rest of the class. They, too, are afraid of the stigma attached to a child who needs extra help.

With this same mistaken idea, parents of children with a physical problem are actually being quite unkind to their child when they deprive him of the help he may need in an emergency. They do not understand that in both instances, the children will become isolated. As mentioned, when things are out in the open, classmates will readily accept the differences; as soon as there are secrets, classmates, and even parents, will begin to whisper.

A child was on a school outing recently without the school knowing that he had a problem. A very tragic end was avoided by two quick-thinking teachers, but the incident spoiled an otherwise pleasant trip. Hence this article.

 

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