When a child shows persistent health issues—frequent infections, unexplained fever, unusual tiredness, low blood counts, or bleeding—many parents begin a long and exhausting journey. They consult multiple doctors, try home remedies, seek opinions from friends and relatives, and often hope the problem will resolve on its own.
Unfortunately, in paediatric blood disorders and cancers, delay is not harmless.
According to Dr. Shraddha Chandak, one of the most common reasons treatment becomes more complex is not the disease itself, but late referral to a specialist after months of trial-and-error care.
Why Delays Happen So Often
Parents rarely delay out of neglect. Most delays happen because:
- Early symptoms appear mild or non-specific
- Blood reports fluctuate initially
- Parents are reassured repeatedly that “it will settle”
- Specialist care seems intimidating
- There is fear of a serious diagnosis
- Families hope to avoid long treatments or hospital visits
While these reactions are understandable, they can cost valuable time.

Early Symptoms Are Often Subtle, But Significant
Many paediatric blood disorders and cancers do not announce themselves clearly at the beginning.
Early warning signs may include:
- Recurrent or prolonged fever
- Frequent infections
- Unusual paleness or fatigue
- Poor weight gain
- Easy bruising or bleeding
- Enlarged lymph nodes
- Bone pain or limp
Individually, these symptoms may seem minor. Together or persistently, they deserve specialist evaluation.
What Happens When Parents “Try Everything” First
Before reaching a specialist, many families:
- Consult multiple general physicians
- Take repeated antibiotics
- Rely on supplements without diagnosis
- Wait for symptoms to improve
- Seek reassurance rather than clarity
By the time they reach a paediatric haemato-oncologist, the condition may have:
- Progressed in severity
- Required more aggressive treatment
- Led to complications
- Caused physical or emotional strain on the child
Early intervention often allows simpler, safer, and more effective treatment plans.
Why Specialist Care Makes a Difference Early On
Paediatric blood disorders, immune conditions, and cancers require:
- Child-specific diagnostic protocols
- Interpretation of blood counts based on age
- Understanding of paediatric immunity
- Experience with rare conditions
- Long-term treatment planning
A specialist can:
- Confirm or rule out serious conditions early
- Avoid unnecessary medications
- Identify patterns others may miss
- Plan treatment at the right stage
This clarity reduces uncertainty for families.
The Cost of Delay Is Not Always Financial
While parents often worry about treatment costs, delay can create other burdens:
- Increased treatment duration
- More hospital admissions
- Higher physical stress on the child
- Emotional exhaustion for the family
- Loss of confidence and trust
Early specialist consultation often reduces overall burden, not increases it.
A Common Misunderstanding Parents Have
Many parents believe they should consult a specialist only when:
- The condition becomes severe
- All other options fail
- Someone strongly recommends it
In reality, specialists are best involved early, not as a last resort. Their role is not only to treat advanced disease, but to guide diagnosis and decision-making from the start.
When Parents Should Seek Specialist Care Without Delay
Parents should consider early specialist consultation if:
- Symptoms persist beyond expected timelines
- Blood reports remain abnormal
- Infections keep recurring
- The child is not responding to routine treatment
- There is unexplained fatigue or weight loss
Trusting instincts and seeking clarity early can change outcomes.
Reassurance for Parents
Early consultation does not always mean serious disease. In many cases, specialist evaluation provides:
- Reassurance
- Clear explanations
- Simple management plans
- Relief from uncertainty
Even when treatment is required, early-stage care is often more effective and less intensive.
A Message to Parents
Choosing to see a specialist early is not overreacting—it is being proactive.
Parents who act early often say:
- “We wish we had come sooner.”
- “At least now we understand what is happening.”
Clarity brings confidence, and confidence helps families move forward.

Final Thought
In paediatric blood disorders and cancers, time is not an enemy—but delay can be.
The right care, at the right time, from the right specialist, can make all the difference in a child’s journey.
