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509 510<figure class="wp-block-image size-large"><img decoding="async" width="1024" height="679" src="https://www.calhealthreport.org/wp-content/uploads/2026/09/iStock-2157382349-1024x679.jpg" alt="" class="wp-image-38216" srcset="https://www.calhealthreport.org/wp-content/uploads/2026/09/iStock-2157382349-1024x679.jpg 1024w, https://www.calhealthreport.org/wp-content/uploads/2026/09/iStock-2157382349-600x398.jpg 600w, https://www.calhealthreport.org/wp-content/uploads/2026/09/iStock-2157382349-768x510.jpg 768w, https://www.calhealthreport.org/wp-content/uploads/2026/09/iStock-2157382349-640x425.jpg 640w, https://www.calhealthreport.org/wp-content/uploads/2026/09/iStock-2157382349-1200x796.jpg 1200w, https://www.calhealthreport.org/wp-content/uploads/2026/09/iStock-2157382349.jpg 1257w" sizes="(max-width: 639px) 98vw, (max-width: 1199px) 64vw, 770px" /><figcaption class="wp-element-caption"><em>When family members are diagnosed with cancer, children are sometimes confused. The author created a way to explain the treatments and their effects. Photo by iStock/Rawpixel</em></figcaption></figure> 511 512 513 514<p class="wp-block-paragraph">When I was nine, I could not understand how medicine could make someone look sicker.</p> 515 516 517 518<p class="wp-block-paragraph">My grandmother had Stage 3 pancreatic cancer. She was the person who picked me up from school, cooked for me and taught me games, especially Mahjong. Then suddenly I was sitting in hospital waiting rooms hearing words like chemotherapy, tumors and side effects while watching her become more tired and weak.</p> 519 520 521 522<p class="wp-block-paragraph">Adults told me the treatment was supposed to help her. To a nine-year-old, that did not make sense. If medicine was helping, why did she feel worse?</p> 523 524 525 526<p class="wp-block-paragraph">What I remember most is that some of her doctors did not brush off my questions. They sat down and explained, in words I could understand, that chemotherapy can damage healthy cells while trying to kill cancer cells. The explanation did not make cancer less serious. It made it less mysterious.</p> 527 528 529 530<p class="wp-block-paragraph">My grandmother died about six months after her diagnosis. For a long time, games were one of the ways I still felt close to her.</p> 531<aside class="scaip scaip-1 "><aside id="custom_html-2" class="widget_text widget_custom_html clearfix"><div class="textwidget custom-html-widget"><!-- Begin Mailchimp Signup Form --> 532<link href="//cdn-images.mailchimp.com/embedcode/classic-10_7.css" rel="stylesheet" type="text/css"> 533<style type="text/css"> 534 #mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; } 535 /* Add your own Mailchimp form style overrides in your site stylesheet or in this style block. 536 We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */ 537</style> 538<div id="mc_embed_signup"> 539<form action="https://calhealthreport.us17.list-manage.com/subscribe/post?u=aaa23a84f5f4cb18f937c7ca4&id=60181cc63b" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate> 540 <div id="mc_embed_signup_scroll"> 541 <h2>Subscribe to our mailing list</h2> 542<div class="indicates-required"><span class="asterisk">*</span> indicates required</div> 543<div class="mc-field-group"> 544 <label for="mce-EMAIL">Email Address <span class="asterisk">*</span> 545</label> 546 <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"> 547</div> 548 <div id="mce-responses" class="clear"> 549 <div class="response" id="mce-error-response" style="display:none"></div> 550 <div class="response" id="mce-success-response" style="display:none"></div> 551 </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--> 552 <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_aaa23a84f5f4cb18f937c7ca4_60181cc63b" tabindex="-1" value=""></div> 553 <div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div> 554 </div> 555</form> 556</div>
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557 558<!--End mc_embed_signup--></div></aside></aside> 559 560 561 562<p class="wp-block-paragraph">Years later, cancer entered my family again when my grandfather was diagnosed. This time, I was 15, and my seven-year-old sister was the one sitting in the doctor’s office looking confused. I recognized that look immediately.</p> 563 564 565 566<p class="wp-block-paragraph">So I became the person who pulled up a chair.</p> 567 568 569 570<p class="wp-block-paragraph">I read my grandfather’s medical reports and tried to translate what I understood into language my sister could follow. I did not have perfect answers. But I realized that understanding even a little could make a frightening situation feel less impossible.</p> 571 572 573 574<p class="wp-block-paragraph">Some children encounter cancer long before they take a biology class. A parent, grandparent, sibling, teacher or friend can be diagnosed, and suddenly kids hear unfamiliar words while also watching someone they love change physically and emotionally. Trying to protect children by saying very little can leave them to fill in the blanks themselves.</p> 575 576 577 578<p class="wp-block-paragraph">The <a href="https://www.cancer.org/cancer/caregivers/helping-children-when-a-family-member-has-cancer.html">American Cancer Society</a> recommends honest, age-appropriate conversations with children about cancer, including what treatment may do and how it may change the way a loved one looks or feels. It also suggests using play and art to help children process what is happening.</p> 579 580 581<div class="wp-block-image"> 582<figure class="alignleft size-large is-resized"><img decoding="async" width="1024" height="683" src="https://www.calhealthreport.org/wp-content/uploads/2026/09/content-1024x683.jpg" alt="" class="wp-image-38214" style="aspect-ratio:1.4992888417882142;width:312px;height:auto" srcset="https://www.calhealthreport.org/wp-content/uploads/2026/09/content-1024x683.jpg 1024w, https://www.calhealthreport.org/wp-content/uploads/2026/09/content-600x400.jpg 600w, https://www.calhealthreport.org/wp-content/uploads/2026/09/content-768x512.jpg 768w, https://www.calhealthreport.org/wp-content/uploads/2026/09/content-640x427.jpg 640w, https://www.calhealthreport.org/wp-content/uploads/2026/09/content-1200x800.jpg 1200w, https://www.calhealthreport.org/wp-content/uploads/2026/09/content.jpg 1536w" sizes="(max-width: 639px) 98vw, (max-width: 1199px) 64vw, 770px" /><figcaption class="wp-element-caption"><em>Tumor Tactics teaches children how cancer treatments work. Photo courtesy of Daniel Zhang </em></figcaption></figure> 583</div> 584 585 586<p class="wp-block-paragraph">That idea eventually led a few classmates and me to create Tumor Tactics, a card game that lets students learn how treatments such as chemotherapy, immunotherapy and targeted therapy work. We did not make it to turn cancer into something lighthearted. We made it because games were a language I already understood as a kid.</p> 587 588 589 590<p class="wp-block-paragraph">In workshops with younger San Diego students, I have seen how quickly fear or hesitation can turn into questions when kids are given permission to engage. Why does chemotherapy cause side effects? Why do some treatments work for one cancer but not another? Those questions matter.</p> 591 592 593 594<p class="wp-block-paragraph">Hospitals, schools and families do not need a card game specifically. But children do need adults willing to explain hard things honestly, patiently and in ways they can understand.</p> 595 596 597 598<p class="wp-block-paragraph">I cannot go back and explain cancer treatment to my nine-year-old self. What I can do, and what more adults can do, is make sure the next child is not left alone with words they do not understand.</p> 599 600 601<div class="wp-block-image is-style-rounded"> 602<figure class="alignleft size-full is-resized"><img decoding="async" width="418" height="418" src="https://www.calhealthreport.org/wp-content/uploads/2026/09/Carson-Headshot.jpg" alt="" class="wp-image-38213" style="width:130px;height:auto" srcset="https://www.calhealthreport.org/wp-content/uploads/2026/09/Carson-Headshot.jpg 418w, https://www.calhealthreport.org/wp-content/uploads/2026/09/Carson-Headshot-300x300.jpg 300w" sizes="(max-width: 639px) 98vw, (max-width: 1199px) 64vw, 418px" /></figure> 603</div> 604 605 606<p class="wp-block-paragraph"><em>Daniel Zhang, 17, is a senior at Canyon Crest Academy in San Diego and co-founder of STEAMLabs International, where he helped create Tumor Tactics, a cancer-education card game for younger students.</em></p> 607 </div> 608 609 610 611 <!-- <nav id="nav-single" class="nav-single"> 612 <div class="nav-single-inner"> 613 <span class="nav-previous"><a href="https://www.calhealthreport.org/2026/09/23/opinion-removing-glp-1s-from-medi-cal-will-lead-to-higher-long-term-costs/" rel="next"><span class="meta-nav">«</span> Opinion: Removing GLP-1s From Medi-Cal Will Lead to Higher Long-Term Costs</a></span> 614 <span class="nav-next"><a href="https://www.calhealthreport.org/2026/09/09/opinion-keeping-nursing-home-residents-safe-should-not-mean-taking-away-their-choices/" rel="prev">Opinion: Keeping Nursing-Home Residents Safe Should Not Mean Taking Away Their Choices <span class="meta-nav">»</span></a></span> 615 </div> 616 </nav> --> <!-- .nav-single --> 617 </section> 618 619<aside class="sidebar"> 620 <article id="related-posts-by-taxonomy-2" class="widget related_posts_by_taxonomy"> 621<h6>Related Stories</h6> 622<ul> 623 624 <li> 625 <a href="https://www.calhealthreport.org/2026/09/23/opinion-removing-glp-1s-from-medi-cal-will-lead-to-higher-long-term-costs/">Opinion: Removing GLP-1s From Medi-Cal Will Lead to Higher Long-Term Costs</a> 626 </li> 627 628 <li> 629 <a href="https://www.calhealthreport.org/2026/09/09/opinion-keeping-nursing-home-residents-safe-should-not-mean-taking-away-their-choices/">Opinion: Keeping Nursing-Home Residents Safe Should Not Mean Taking Away Their Choices</a> 630 </li> 631 632 <li> 633 <a href="https://www.calhealthreport.org/2026/08/27/opinion-we-cant-protect-californians-from-heat-if-we-arent-counting-whos-most-affected/">Opinion: We Can’t Protect Californians from Heat If We Aren’t Counting Who’s Most Affected</a> 634 </li> 635 636 <li> 637 <a href="https://www.calhealthreport.org/2026/08/17/analysis-rights-for-people-with-disabilities-are-under-attack-but-california-can-protect-them/">Analysis: Rights for People With Disabilities Are Under Attack, But California Can Protect Them</a> 638 </li> 639 640 <li> 641 <a href="https://www.calhealthreport.org/2026/08/14/opinion-patients-need-better-care-and-bigger-savings-but-consolidation-steals-both/">Opinion: Patients Need Better Care and Bigger Savings, but Consolidation Steals Both</a> 642 </li> 643 644 <li> 645 <a href="https://www.calhealthreport.org/2026/08/03/opinion-california-has-a-solution-to-fix-medi-cal-heres-the-missing-piece/">Opinion: California Has a Solution to Fix Medi-Cal. 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It Still Doesn’t Measure Whether Residents Can Walk</a> 654 </li> 655 656 <li> 657 <a href="https://www.calhealthreport.org/2026/06/24/opinion-how-becoming-a-father-shaped-my-work-to-end-domestic-violence/">Opinion: How Becoming a Father Shaped My Work to End Domestic Violence</a> 658 </li> 659 660 <li> 661 <a href="https://www.calhealthreport.org/2026/06/02/opinion-california-will-break-its-promise-to-provide-health-care-to-all-kids-unless-lawmakers-step-up/">Opinion: California Will Break Its Promise to Provide Health Care to All Kids — Unless Lawmakers Step Up</a> 662 </li> 663 </ul> 664</article> </aside> 665<!-- Sidebar: article-bottom --><aside id="republication_tracker_tool-2" class="republication_tracker_tool clearfix side-widget"><div class="license"><p><button name="Republish This Story" id="cc-btn" class="republication-tracker-tool-button modal">Republish This Story</button></p><p><a class="license" rel="noreferrer license" target="_blank" href="https://creativecommons.org/licenses/by-nd/4.0/">
665<img alt="Creative Commons License" style="border-width:0" src="https://www.calhealthreport.org/wp-content/plugins/republication-tracker-tool/assets/img/cc-by-nd-4.0.png" /></a></p></div><div class="message"><p>Republish our articles for free, online or in print, under a Creative Commons license.</p> 666</div></aside> <div id="republication-tracker-tool-modal" style="display:none;" data-postid="38211" data-pluginsdir="https://www.calhealthreport.org/wp-content/plugins" role="dialog" aria-modal="true" aria-labelledby="republish-modal-label"> 667 <div id="republication-tracker-tool-modal-content" style="display:none;"><button class="republication-tracker-tool-close"><span class="screen-reader-text">Close window</span><span class="republication-tracker-tool-close-icon"></span></button><h2 id="republish-modal-label">Republish this article</h2><div class="cc-policy"><div class="cc-license"><a rel="noreferrer license" target="_blank" href="https://creativecommons.org/licenses/by-nd/4.0/"><img alt="Creative Commons Attribution-NoDerivatives 4.0 International License" style="border-width:0" src="https://licensebuttons.net/l/by-nd/4.0/88x31.png" /></a><p>This work is licensed under a <a rel="noreferrer license" target="_blank" href="https://creativecommons.org/licenses/by-nd/4.0/">Creative Commons Attribution-NoDerivatives 4.0 International License</a>.</p> 668</div><p></p></div><div class="article-info"><h1>Opinion: Kids Deserve Explanations About Cancer They Can Understand</h1> 669<p class="byline">by Daniel Zhang, California Health Report <br />September 16, 2026</p> 670</div> <div class="republication-content-section"> 671 672 <div class="republish-content-container"> 673 <textarea 674 id="republication-tracker-tool-shareable-content" 675 class="republish-content__textarea " 676 data-tab-content="html" 677 readonly 678 rows="5" 679 aria-label="Republish this article (HTML format)" 680 ><h1>Opinion: Kids Deserve Explanations About Cancer They Can Understand</h1> 681<p class="byline">by Daniel Zhang, California Health Report <br />September 16, 2026</p> 682<br /> 683<figure class="wp-block-image size-large"><img src="https://www.calhealthreport.org/wp-content/uploads/2026/09/iStock-2157382349-1024x679.jpg" alt="" class="wp-image-38216" /><figcaption class="wp-element-caption"><em>When family members are diagnosed with cancer, children are sometimes confused. The author created a way to explain the treatments and their effects. Photo by iStock/Rawpixel</em></figcaption></figure> 684<p>When I was nine, I could not understand how medicine could make someone look sicker.</p> 685<p>My grandmother had Stage 3 pancreatic cancer. She was the person who picked me up from school, cooked for me and taught me games, especially Mahjong. Then suddenly I was sitting in hospital waiting rooms hearing words like chemotherapy, tumors and side effects while watching her become more tired and weak.</p> 686<p>Adults told me the treatment was supposed to help her. To a nine-year-old, that did not make sense. If medicine was helping, why did she feel worse?</p> 687<p>What I remember most is that some of her doctors did not brush off my questions. They sat down and explained, in words I could understand, that chemotherapy can damage healthy cells while trying to kill cancer cells. The explanation did not make cancer less serious. It made it less mysterious.</p> 688<p>My grandmother died about six months after her diagnosis. For a long time, games were one of the ways I still felt close to her.</p> 689<p>Years later, cancer entered my family again when my grandfather was diagnosed. This time, I was 15, and my seven-year-old sister was the one sitting in the doctor's office looking confused. I recognized that look immediately.</p> 690<p>So I became the person who pulled up a chair.</p> 691<p>I read my grandfather's medical reports and tried to translate what I understood into language my sister could follow. I did not have perfect answers. But I realized that understanding even a little could make a frightening situation feel less impossible.</p> 692<p>Some children encounter cancer long before they take a biology class. A parent, grandparent, sibling, teacher or friend can be diagnosed, and suddenly kids hear unfamiliar words while also watching someone they love change physically and emotionally. Trying to protect children by s
692aying very little can leave them to fill in the blanks themselves.</p> 693<p>The&nbsp;<a href="https://www.cancer.org/cancer/caregivers/helping-children-when-a-family-member-has-cancer.html">American Cancer Society</a>&nbsp;recommends honest, age-appropriate conversations with children about cancer, including what treatment may do and how it may change the way a loved one looks or feels. It also suggests using play and art to help children process what is happening.</p> 694<figure class="wp-block-image alignleft size-large is-resized"><img src="https://www.calhealthreport.org/wp-content/uploads/2026/09/content-1024x683.jpg" alt="" class="wp-image-38214" style="aspect-ratio:1.4992888417882142;width:312px;height:auto" /><figcaption class="wp-element-caption"><em>Tumor Tactics teaches children how cancer treatments work. Photo courtesy of Daniel Zhang </em></figcaption></figure> 695<p>That idea eventually led a few classmates and me to create Tumor Tactics, a card game that lets students learn how treatments such as chemotherapy, immunotherapy and targeted therapy work. We did not make it to turn cancer into something lighthearted. We made it because games were a language I already understood as a kid.</p> 696<p>In workshops with younger San Diego students, I have seen how quickly fear or hesitation can turn into questions when kids are given permission to engage. Why does chemotherapy cause side effects? Why do some treatments work for one cancer but not another? Those questions matter.</p> 697<p>Hospitals, schools and families do not need a card game specifically. But children do need adults willing to explain hard things honestly, patiently and in ways they can understand.</p> 698<p>I cannot go back and explain cancer treatment to my nine-year-old self. What I can do, and what more adults can do, is make sure the next child is not left alone with words they do not understand.</p> 699<figure class="wp-block-image alignleft size-full is-resized is-style-rounded"><img src="https://www.calhealthreport.org/wp-content/uploads/2026/09/Carson-Headshot.jpg" alt="" class="wp-image-38213" style="width:130px;height:auto" /></figure> 700<p><em>Daniel Zhang, 17, is a senior at Canyon Crest Academy in San Diego and co-founder of STEAMLabs International, where he helped create Tumor Tactics, a cancer-education card game for younger students.</em></p> 701<p>This &lt;a target=&quot;_blank&quot; href=&quot;https://www.calhealthreport.org/2026/09/16/opinion-kids-deserve-explanations-about-cancer-they-can-understand/&quot;&gt;article&lt;/a&gt; first appeared on &lt;a target=&quot;_blank&quot; href=&quot;https://www.calhealthreport.org&quot;&gt;California Health Report&lt;/a&gt; and is republished here under a &lt;a target=&quot;_blank&quot; href=&quot;https://creativecommons.org/licenses/by-nd/4.0/&quot;&gt;Creative Commons Attribution-NoDerivatives 4.0 International License&lt;/a&gt;.&lt;img src=&quot;https://www.calhealthreport.org/wp-content/uploads/2012/10/[email protected]&quot; style=&quot;width:1em;height:1em;margin-left:10px;&quot;&gt;</p> 702&lt;img id=&quot;republication-tracker-tool-source&quot; src=&quot;https://www.calhealthreport.org/?republication-pixel=true&amp;post=38211&quot; style=&quot;width:1px;height:1px;&quot;&gt;&lt;script&gt; PARSELY = { autotrack: false, onload: function() { PARSELY.beacon.trackPageView({ url: &quot;https://www.calhealthreport.org/2026/09/16/opinion-kids-deserve-explanations-about-cancer-they-can-understand/&quot;, urlref: window.location.href }); } } &lt;/script&gt; &lt;script id=&quot;parsely-cfg&quot; src=&quot;//cdn.parsely.com/keys/calhealthreport.org/p.js&quot;&gt;&lt;/script&gt;</textarea> 703 704 </div> 705 </div> 706 <button data-copy-active class="republication-tracker-tool__copy-button republication-tracker-tool__copy-button--main show-for-html">Copy to Clipboard</button> 707 </div> </div>
708 </div> 709 710 <div id="pre-footer-1" class="pre-footer-widgets"> 711 <div class="pre-footer-inner max-width-twelve-hundred"> 712 <article id="related-posts-by-taxonomy-4" class="widget related_posts_by_taxonomy"> 713<h6>Related Posts</h6> 714<div id='rpbt-related-gallery-1' class='gallery related-gallery related-galleryid-38211 gallery-columns-4 gallery-size-thumbnail'><figure class='gallery-item' role='group' aria-label='Opinion: Removing GLP-1s From Medi-Cal Will Lead to Higher Long-Term Costs'> 715 <div class='gallery-icon landscape'> 716 <a href='https://www.calhealthreport.org/2026/09/23/opinion-removing-glp-1s-from-medi-cal-will-lead-to-higher-long-term-costs/'><img width="300" height="300" src="https://www.calhealthreport.org/wp-content/uploads/2026/08/VietCatholicCenter_07292026-03-300x300.jpg" class="attachment-thumbnail size-thumbnail" alt="" aria-describedby="rpbt-related-gallery-1-38245" decoding="async" loading="lazy" /></a> 717 </div> 718 <figcaption 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Line numbers count LF bytes from the start of the resource, as the search results do. Vendor segments are library code the classifier recognised; they are stored but not indexed. Bytes are shown as Latin1 characters, one per byte.