Non thal siblings of thalassemia patients are affected by their siblings disease. I often wonder how it affects their development and self esteem.
The siblings grow up around this disease, they sense their parents worry and sometimes their needs become secondary (despite parents best intentions). A flu or a cold in a non thal child does not mean a drop in hg therefore parents may not have the same reaction when the non thal child is sick, compared with the reaction they have when the thal child is sick or injured. So much time and energy is spent on observing the behavior, possible fatigue, blood tests, supplement and medication schedules, and appearance of the thalassemia child that parents simply can't spend on the non thal child.
These children also spend time around hospitals, medications, doctors, concerns and worries. All of this must also affect them in various ways - they must feel left out. At times they may worry about their siblings and have various fears about the illness. They may feel guilty, as their sibling is poked and prodded, while they themselves aren't.
The may also miss the praise that their siblings receive. Thal patients are often told that they are brave and wise. The siblings are watching wondering if they also are brave, how could they possibly display bravery as their siblings do? Also, when thal patients do well in life despite their thalassemia - again the parents and teachers are dually proud because not only has the thal patient succeeded, but they have done so despite their illness. The nonthal sibling, regardless of how well they do cannot compete with this - afterall they may have done well but there was no 'disease' or 'obstacle' that they had to overcome in order to succeed.
As families, I believe that it is important to incorporate the siblings' understanding of the disease, their growth and development as is pertains to their siblings thalassemia, and their importance regardless of their thalassemia status is very important. These children need more attention than a child who does not have a sibling inflicted with thalassemia because they are watching everyone give a lot of attention to their thal sibling - therefore their perspective on attention and love is different from the average child - who does not witness this.
I am interested to hear everyone else's views on this and ideas about how we can educate siblings of thalassemia patients
Sharmin