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Eashan’s NF1 story

11 November 2023

Why Run: January 2022, the beginning of 18 months chemotherapy 

My son Eashan is the biggest chatterbox you are likely to ever meet. He has a lot to say, a lot of questions to ask and I am regularly told how polite and engaging he is, as he happily strikes up conversation with whoever he meets. Despite his happy disposition, his exuberant questioning and love of learning, he is going through a life-changing battle.

Eashan was diagnosed with Neurofibromatosis (NF1) after drastically losing his eyesight when he was 5 years old.

An emergency MRI showed he has a tumour (Optic Pathway Glioma-OPG) on his optic nerve. This news was delivered to us on New Year’s Eve (2021/2022) and he started his 18-month chemotherapy journey soon after in January 2022.

When Eashan started school in 2021, he was more than ready; he could not wait to start school! He started school brightly but very soon after, his confidence took a sharp tumble and this is what scared me the most when it became apparent.  He started becoming upset, anxious and wouldn’t sleep well through the night.

This was echoed by the teaching staff and triggered us to see the optician. He was thoroughly puzzled by him because while it was clear that his eyesight was bad, he could see nothing wrong inside. The issue had to be behind them. He thus referred us to the eye hospital. This tumultuous and frustrating experience took weeks, often due to clerical errors, phone calls to no avail, referrals, and hopeless dead ends. During this time his vision was declining and on Christmas Day it had reached the point where he couldn’t see his presents or our faces properly. Shortly after I took him to A & E and I had to persist that his decline was absolutely to be taken seriously and with immediacy.

Remarkably, the consultant took one look at him and had an immediate suspicion which led him to sanction an emergency MRI - there were coffee-coloured patches and freckles that cover his body. The scan showed that he has a brain tumour on his optic nerve and he was immediately transferred to Queens Medical Hospital in Nottingham for further tests and diagnosis. We were then given the official diagnosis of Neurofibromatosis Type 1, as per the first consultant’s suspicion. We were then told he needed 18 months of chemotherapy and surgery to have a port fitted under his skin to facilitate treatment. Chemotherapy started straight away.

The next few months are a complete blur. Hospital stays and appointments were very frequent and very difficult, exacerbated by COVID restrictions which meant that we were rarely together as a family. Chemo devastated Eashan’s spirits but he fought so bravely. He was also confirmed as being severely visually impaired (blind) and we were told his vision would not regain and the little he had left would also be likely to reduce. Looking back to this, it was all such a shock I’m not sure how we processed it all. Eashan was confused and scared suddenly being in hospital meeting different nurses and consultants. Each round of treatment was hard to bear, particularly for Eashan, but we were struck by how brave all the little boys and girls are in the Paediatric oncology ward at QMC. Eashan had further complications such as infections and needed blood and platelet transfusions.

Even through the lowest of times, Eashan has the sort of spirit that made others smile. He is very cheeky with the nurses (both in hospital and the KITE team) and they have developed a lovely relationship. It took him a lot of time to get used to all the treatments, scans and at-home-visits. We are so proud of how he has evolved. He is so confident now that they often bring student nurses with them.  A million miles away from where we were at the beginning. He also talks very confidently about his brain tumour to his peers.

We were told the aim was to keep the tumour stable and retain whatever eyesight he had left but fortunately, treatment has exceeded expectations and he has, to the surprise of medical professionals, restored eyesight in his right-eye, while he is completely blind in his left.

I fell apart at the beginning, but honestly Eashan has made me the proudest Mum on the planet, he is a special boy, loved by many and his personality is out of this world! He is the cheekiest, chattiest boy! He loves to learn, and nothing gets in his way.

You wouldn’t notice all the difficulties he has if you met him, he has adapted so well. He and his sister have a lovely relationship and although like all siblings they squabble, she looks up to him so much! He is our superhero.

As Eashan’s Mum, the advice I would give others in this situation, is you are your child’s biggest advocate and at times you have to fight their battles, take on their emotions and shield them. You also need to refill your cup to be able to pour. Take a break so you can be stronger. For me, this has been through running. Running makes the world stop for a little bit, gives me fresh air and time to manage my emotions one step at a time.

Why Run: July 2023 Eashan's end of chemo and the start of the 2024 London TSL Marathon journey

280 runs later and 1,961km covered since Eashan first started his treatment, we are now in preparations for Eashan's end of chemo celebration and fundraiser for Nerve Tumours UK.

Eashan finished his chemotherapy last week (for now) and I finished my running challenge of 100km.

I set myself the challenge to run 100km per month throughout his 18 month treatment. 

1800 km further down the line, we are now in preparation for celebrations and our next fundraising event 'Eashan's End of Chemo Party'

August 2023

Its been a really busy few weeks with Eashan finishing treatment and his 'Brave Party'.

We invited everyone to dress up as superheroes if they wanted to.

Eashan designed his own gold and blue costume as he is 'Eashan the Brave'.

He had the best ever time and it was a really uplifting party, something that we all needed.

I had friends on hand to help with the face paints, 

lots of people brought cakes

and of course the special guest and Eashan's idol - Spiderman was there! 

Eashan and his little sister Eila are going to do a sponsored 1km on Eashan's birthday weekend at Alton Towers. We did it last year, but Eashan didn't have enough energy then as he was on chemo, so he really wants to give it a go this year.

 

September 2023

The Superheroes Walk took place and went really well.

We wanted to hold a Hero Walk for all of Eashan's friends and children in our villages, to walk collectively to reach 53km.

This is significant as it's the total number of the rounds of chemotherapy that Eashan braved over 18 months.

We held the walk at our local cricket ground (Ockbrook and Borrowash Cricket Club). Eashan plays for the Junior Kwick Cricket Club. The club have been incredibly inclusive and supportive of Eashan.

We worked out each child would need to walk one loop around the grounds, but in the end we had about 80 children... so we were well over our target of 53km.

To start the event, Nicola and Dan from our running group 'The Borrowash Jolly Joggers'  put on a superhero warmup which the kids loved!

We then started the walk, in which the children participated in a scavenger hunt to find the superheroes' lost belongings (capes, boots, stethoscope etc),

this then led to an obstacle course and at the end they had to defeat the 'baddie' - the highlight of the day as they got to throw wet sponges at Brij! 

We were then absolutely treated by Dream Parties, who donated their time and superheroes to the event. Spiderman, Bat Girl, Spider Girl, Iron Man and Wonder Woman were all there to greet the children and they put on some spectacular fun and games.

We can not thank them enough! 

It was emotional and heartwarming to see everyone walk in solidarity with Eashan and come together for this event. Our community has lifted us through all of this, and to support us at this event, meant the world.

Just wanted to post a short update. We are building up our running! 

I recently completed the Alton Towers 10k

and we both completed the Derby 10 mile with the Borrowash Jolly Joggers

Eashan was cheering us on!

Thank you to everyone who supported us at the Ockash Toy Sale and all the local businesses that donated to Nerve Tumours UK

Eshan had an MRI some weeks ago and we are awaiting the results.

Having been through all this and understanding the lifelong nature of the condition, we anticipate that there are more challenges ahead.

"Therefore, we want to use our story to raise awareness about NF in the hope that other families have a better chance of an earlier referral and diagnosis, and are better equipped to identify signs of NF such as café-au-lait spots. In our opinion, Nerve Tumours UK is an indispensable organisation that will continue to help us achieve this."

– Jen

Through my love of running and wanting to raise awareness of NF1,

my amazingly supportive running group (Borrowash Jolly Joggers) and I ran the Derby 10K for Nerve Tumours UK

Jen's parents held a small fundraiser in their village hall on 4th May

I also completed my first half-marathon (Great North Run) and raised over £5,000 for Eashan’s hospital ward (through Nottingham Hospital Charity). 

Our next challenge is already in planning as my husband and I run the London Marathon 2024 for Nerve Tumours UK. Our places have just been confirmed. I feel that these challenges are necessary for us to continue to cope with this journey and allow us to focus on something positive while spreading awareness.

This is also why I have set up an Instagram page where I have pledged to run 100km per month for the duration of Eashan’s treatment. I have also recorded a podcast ‘running…while my son is on chemo’

Of course, he is my son, so I am slightly biased, but he is the most loveable, chatty, sincere little boy. He is ridiculously confident and has been since a tot, striking up conversations with all he meets, he is always greeted by everyone in our village and loved by many.  He has been unbelievably brave, and I am in awe of how he has handled the last year and a half. There is something very special about Eashan and I truly believe he is going to do brilliant things in his life.

Masterclasses in NF: Constitutional Mismatch Repair Deficiency Syndrome as Differential Diagnosis to NF1/Legius Syndrome - Prof. Dr. Katharina Wimmer

Constitutional Mismatch Repair Deficiency Syndrome as Differential Diagnosis to NF1/Legius Syndrome

Prof. Dr. Katharina Wimmer, Medical University of Innsbruck

Masterclasses in NF: Rare NF1-Associated Tumors in Adults - Eric Legius & Prof. Ellen Denayer

Masterclasses in NF: Rare NF1-Associated Tumors in Adults

Eric Legius, MD, PhD, University Hospital Leuven

Prof. Ellen Denayer, University Hospital Leuven

Masterclasses in NF: Optimising Hearing Outcomes in NF2-Related Schwannomatosis - Simon Freeman

Masterclasses in NF: Optimising Hearing Outcomes in NF2-Related Schwannomatosis

Simon Freeman, MPhil FRCS, Manchester Royal Infirmary and Salford Royal Hospital

Masterclasses in NF: NF1 Dermatological Manifestations - Pierre Wolkenstein, Laura Fertitta & Sirkku Peltonen

Masterclasses in NF: NF1 Dermatological Manifestations

Pierre Wolkenstein, MD, PhD, Hopital Henri-Mondor, Paris, France

Laura Fertitta, MD, Hôpital Universitaire Henri Mondor

Sirkku Peltonen, MD, PhD, University of Gothenberg, Sweden

Masterclasses in NF: Breast Cancer in NF1 - Gareth Evans

Masterclasses in NF: Breast Cancer in NF1

Gareth Evans, MD, University of Manchester, UK

Masterclasses in NF: Pain in Non-NF2-Related Schwannomatosis - David Pang

Masterclasses in NF: Pain in Non-NF2-Related Schwannomatosis

David Pang, MD, ChB. Guys and St Thomas' Hospital NHS Trust, London

Masterclasses in NF: Distinguishing Non-NF2-Related from NF2-Related Schwannomatosis - Clinical and Genetic Approaches - Said Farschtschi

Masterclasses in NF: Distinguishing Non-NF2-Related from NF2-Related Schwannomatosis - Clinical and Genetic Approaches

Said Farschtschi, MD, University Medical Center, Hamburg-Eppendorf, Germany

Masterclasses in NF: NF1 Pre-Implantation Genetic Diagnosis - Eric Legius & Prof. Ellen Denayer

Masterclasses in NF: NF1 Pre-Implantation Genetic Diagnosis

Eric Legius, MD, PHD, University Hospital of Leuven, Belgium

Prof. Ellen Denayer, University Hospital of Leuven, Belgium

NF2 Working Together: from a tentative diagnosis and beyond

Understanding the impact that a tentative diagnosis has on a parent. Information and access to the existing NTUK and Specialist Nerve Tumours medical and non medical care network.

NF1 Working Together Part 2: from a tentative diagnosis and beyond

Understanding the impact that a tentative diagnosis has on a parent. Information and access to the existing NTUK and Specialist Nerve Tumours medical and non medical care network.

NF1 Working Together Part 1: from a tentative diagnosis and beyond

Understanding  the impact that a tentative diagnosis has on a parent. Information and access to the existing NTUK and Specialist Nerve Tumours medical and non medical care network.

Masterclasses in NF: Surgery in NF2 - Michel Kalamarides & Andrew King

Masterclasses in NF: Surgery in NF2

Michel Kalamarides, MD, PhD, Hôpital Pitié-Salpêtrière, Paris, France

Prof Andrew King, MBBS FRCS FRCS(SN), Salford Royal Hospital, Manchester, United Kingdom. Member of the MAB of Nerve Tumours UK

Masterclasses in NF: Cognition and Behaviour in NF1: Phenotype and Treatment Approaches - Shruti Garg, Andre Rietman

Masterclasses in NF: Cognition and Behaviour in NF1: Phenotype and Treatment Approaches

Dr Shruti Garg, MBBS, MRCPsych, MMedSci, PhD, Royal Manchester Children’s Hospital, United Kingdom. Member of the MAB of Nerve Tumours UK

Andre Rietman, PhD, Erasmus University Medical Center, Rotterdam, Netherlands

Masterclasses in NF: Emotional Challenges in NF1, NF2 and Schwannomatosis - Susie Henley, Thomas Pletschko & Verena Rosenmayr

Masterclasses in NF: Emotional Challenges in NF1, NF2 and Schwannomatosis

Susie Henley, DClinPsy, PhD, Guy’s and St Thomas’ NHS Foundation Trust, London UK

Thomas Pletschko, PhD, Medical University of Vienna, Austria

Verena Rosenmayr, Clinical Psychologist, Medical University of Vienna, Austria

Masterclasses in NF: NF1 Pediatric Management - Rianne Oostenbrink

Masterclasses in NF: NF1 Pediatric Management

Rianne Oostenbrink, MD, PhD, Erasmus University Medical Center, Rotterdam, Netherlands

Masterclasses in NF: Associated Glioma in Children - the Optic Pathway and Beyond - Amedeo Azizi

Masterclasses in NF: Associated Glioma in Children - the Optic Pathway and Beyond

Amedeo Azizi, MD, PhD, Head of the Paediatric Neurofibromatosis Program and Paediatric Neuro-Oncology Program, Medical University of Vienna, Austria

Masterclasses in NF: NF1 Orthopedic Manifestations - Eric Legius and Christophe Glorion

Masterclasses in NF: NF1 Orthopedic Manifestations

Eric Legius, MD, PhD. Head of Clinical Genetics Department of the University Hospital Leuven, Belgium

Christophe Glorion, MD, PhD, Department of Paediatric Orthopedic and Traumatologic Surgery, Hopital Necker-Enfants Malades, Paris, France. 

Masterclasses in NF: NF1 Malignant Peripheral Nerve Sheath Tumours - Rosalie Ferner and Viktor-Felix Mautner

Masterclasses in NF: NF1 Malignant Peripheral Nerve Sheath Tumours

Prof Rosalie Ferner, Consultant Neurologist and Lead Clinician for Neurofibromatosis, Guy's and St. Thomas' NHS Foundation Trust, London. Member of the MAB of Nerve Tumours UK and Trustee of Nerve Tumours UK

Viktor-Felix Mautner, MD, PhD. University Medical Centre in Hamburg-Eppendorf, Germany. Head of NF Outpatient Department

Masterclasses in NF - Neurofibromatosis Type 1: Cutaneous Neurofibromas - Pierre Wolkenstein and Sirkku Peltonen

Masterclasses in NF - Neurofibromatosis Type 1: Cutaneous Neurofibromas

Pierre Wolkenstein, MD, PhD. Hopital Henri-Mondor, Paris, France. Head of the Department of Dermatology

Sirkku Peltonen MD, PhD. University of Gothenberg, Sweden. Professor of Dermatology

INFER (International NF Educational Resources) is a series of online educational lectures for medical professionals by leading neurofibromatosis experts. The Masterclasses take place online approximately once a month, each on a different topic, and include real-time interaction between the expert presenter and the participants. The presentations are conducted in English, with real-time audio interpretation available in 6 additional languages: French, German, Italian, Portuguese, Russian, and Spanish. A recording of each INFER masterclass is then be made available online in each language for those who could not attend an event. INFER is an initiative of Children’s Tumor Foundation Europe, supported by an educational grant from AstraZeneca. https://ctfeurope.org/research/masterclasses-in-nf

BPNA Keynote Lecture - Prof Rosalie Ferner - Neurofibromatosis 1 in the 21st Century

‘Neurofibromatosis 1 in the 21st Century’

Keynote Lecture at the 48th British Paediatric Neurology Association Annual Scientific Meeting on 21st January 2022

Prof Rosalie Ferner, Consultant Neurologist and Lead Clinician for Neurofibromatosis, Guy's and St. Thomas' NHS Foundation Trust, London. Member of the MAB of Nerve Tumours UK and Trustee of Nerve Tumours UK