Childhood cancer a parent s guide to

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 Praise for previous editions of Childhood Cancer
“This practical guide will empower parents to understand the disease better and participate
more actively in the treatment process. Recommended for all consumer health collections.”
—Library Journal

“There’s only one word to describe this book—terrific! It is definitive, comprehensive, and easy
to read…I recommend this guide to health professionals in pediatric oncology and all parents
coping with a child with a solid tumor.”
—Denise Cain-Jones, MSW, ACSW
Update Newsletter, Association of Pediatric Oncology Social Workers

“In my 15 years of experience as a pediatric oncology nurse, I have never come across a book
as informative, easy-to-read, honest, and encouraging as Childhood Cancer… [It] will truly
empower those who read it to be better advocates for their children. I am recommending this
book to all the pediatric oncology nurses, social workers, and family support personnel I know.”
—Kari Yarwood, ND, RN, CPON
Pediatrics Special Interest Group Newsletter, Oncology Nursing Society

“Having a child diagnosed with cancer is an emotional time that often leaves a family feeling
helpless and without control. Written by parents who have walked in the shadow of childhood
cancer, this book provides detailed information, open-armed support, and the arsenal of tools
needed to fight the battle that lies ahead.”
—Clarke Anderson, MD
Children’s Center for Cancer and Blood Diseases, Children’s Hospital Los Angeles

“Childhood Cancer is an exceptional resource for parents who are forced to navigate the
complex world of childhood cancer. It is invaluable for all family members.”
—Eleanor Pask, RN, MScN, EdD, Executive Director
Candlelighters Childhood Cancer Foundation ~ Canada
“This guide is written specifically for the families and caregivers of newly diagnosed children…
The authors blend technical information in easy-to-understand language with advice from
scores of parents and survivors…The book is sensitively and thoughtfully rendered.”
—Today’s Librarian
“An excellent, supportive, and well-needed book.”
—Alan Rees
Consumer Health, A Majors Report

“This book uniquely succeeds in meshing clinical knowledge of impeccable scientific quality
with a pragmatic, ‘been there done that’ sensibility of what is important to parents and
caregivers. I recommend it most highly for those in need of helpful knowledge that will
empower and help parents and caregivers to cope.”
—Mark Greenberg, MD
Professor of Paediatrics & Surgery, University of Toronto Chair, Paediatric Oncology Group
of Ontario

“We are eternally grateful for the invaluable information and advice found in this book! As
parents, a patient, and participants in this project, it is truly a gift of guidance, hope, and
comfort. Not only would I recommend it for anyone in need, but it definitely should hold a
proud place on the book shelf of every pediatric facility.”
—Cheryl, Michael, and Shoshana Tobias
Childhood cancer survivor and her parents

“Patient empowerment is the theme, and this new book gives parents and caregivers the
knowledge and skills to partner for the best medical care possible.”
—School Nurse News

“I am a physician and the parent of a child with cancer. The toll that pediatric cancer takes on
families is unquantified, but it includes physical and psychiatric illness in the child and in
family members, divorce, and tremendous financial stress. Having a resource for coping with
all the hardships is the first step toward putting the world back together, and Nancy Keene’s
books are the best solution I have found.”
—Catherine L. Woodman, MD, parent of a childhood cancer survivor
Departments of Psychiatry and Family Medicine, University of Iowa
Childhood Cancer: A Parent’s Guide to Solid Tumor Cancers, Third Edition

by Anne Spurgeon and Nancy Keene

Copyright © 2016 Childhood Cancer Guides.

Published by Childhood Cancer Guides, P.O. Box 31937, Bellingham, WA 98228. Printed in
the United States of America.

Printing History:
1997: First Edition
2002: Second Edition
2016: Third Edition

All rights reserved, including the right to reproduce this book or portions thereof in any
form whatsoever. Contact the publisher at info@childhoodcancerguides.org for
information.

For information about special discounts for bulk purchases, please contact Independent
Publishers Group Special Sales at specialmarkets@ipgbook.com.

This book is meant to educate and provide general information. It is not intended as, and
should not be used as, medical advice for individual patients or as an alternative for
professional medical care. In researching this book, the authors have gathered information
from sources they consider to be reliable and current. However, neither the authors nor
Childhood Cancer Guides guarantee or warrant the accuracy, completeness, or currency of
the information provided in this book. In no event will the authors or Childhood Cancer
Guides be liable for any direct, indirect, consequential, or other damages resulting from
reliance on or use of the information provided in this book.

Certain pharmaceuticals, devices, treatments, other products and services, and companies
have been referred to in this book by the trademarks, service marks, or trade names of their
providers. Such references are made for the sole purpose of identifying the item or company
in question and without intent to infringe upon the rights of the respective owners of the
trademarks, service marks, or trade names referenced.

ISBN 978-1-9410-8990-3
Library of Congress Cataloging-in-Publication Data

Names: Spurgeon, Anne, author. | Keene, Nancy, author.

Title: Childhood cancer : a parent’s guide to solid tumor cancers / Anne Spurgeon, Nancy
Keene.
Description: Third edition. | Bellingham, WA : Childhood Cancer Guides, 2016. | Series:
Childhood cancer guides | Revision of: Childhood cancer / Honna Janes-Hodder &
Nancy Keene. 2002. 2nd ed. | Includes bibliographical references and index. | Description
based on print version record and CIP data provided by publisher; resource not viewed.
Identifiers: LCCN 2015045112 (print) | LCCN 2015044034 (ebook) | ISBN 9781941089910
(pdf) | ISBN 9781941089927 (mobi) | ISBN 9781941089934 (eBook) | ISBN
9781941089903 (pbk. : alk. paper)
Subjects: LCSH: Cancer in children--Popular works.
Classification: LCC RC281.C4 (print) | LCC RC281.C4 J36 2016 (ebook) | DDC
362.19892/994--dc23
LC record available at http://lccn.loc.gov/2015045112
 To our children—Alison, Julia, Kathryn, Nate, Peter
and
To all children with cancer—past, present, and future—and those who love
them
 Table of Contents

Foreword

Introduction

1. Diagnosis
Signs and symptoms
Where should your child receive treatment?
Physical responses
Emotional responses
The immediate future

2. Bone Sarcomas
The skeletal system
Osteosarcoma
Ewing sarcoma family of tumors
Information on standard treatments

3. Liver Cancers
The liver
Signs and symptoms
Diagnosis
Hepatoblastoma
Hepatocellular carcinoma
Undifferentiated embryonal sarcoma
Choriocarcinoma of the liver
Liver transplantation
Information on standard treatments
4. Neuroblastoma
The sympathetic nervous system
The adrenal glands
Who gets neuroblastoma?
Signs and symptoms
Diagnosis
Staging
Prognosis
Treatment
Information on standard treatments
Newer treatment approaches

5. Retinoblastoma
The eye
Who gets retinoblastoma?
Signs and symptoms
Diagnosis and staging
Prognosis
Treatment
Information on standard treatments

6. Soft Tissue Sarcomas

Muscles and connective tissues
Signs and symptoms
Diagnosis of soft tissue sarcomas
Rhabdomyosarcoma
Non-rhabdomyosarcoma soft tissue sarcomas
Information on standard treatments

7. Kidney Tumors
The kidneys
Signs and symptoms of kidney tumors
Wilms tumor
 Other types of childhood kidney cancers
Information on standard treatments

8. Telling Your Child and Others

Telling your child
Telling the siblings
Notifying the family
Notifying friends and neighbors
Notifying your child’s school

9. Choosing a Treatment
Treatment basics
Standard treatment
The protocol
Clinical trials
Making a decision
The entire clinical trial document
Removing your child from a clinical trial
Protocol changes

10. Coping with Procedures

Planning for procedures
Pain management
Procedures

11. Forming a Partnership with the Medical Team

Choosing a hospital
The tumor board
Finding an oncologist
Types of relationships
Communication
Getting a second opinion
Conflict resolution
 Changing doctors

12. Hospitalization
The room
The floor
Food
Parking
The endless waiting
Working with the staff
Staying with your child
Preventing mistakes
Playing

13. Venous Catheters

External catheter
Subcutaneous port
Peripherally inserted central catheter
Cost
Choosing not to use a catheter
Making a decision
Adhesives

14. Surgery
Pediatric surgeons
Types of surgery
Presurgical evaluation
Anesthesia
The surgery
Discharge
Rehabilitation

15. Chemotherapy
How chemotherapy drugs work
 How chemotherapy drugs are given
Dosages
Different responses to medications
Questions to ask the doctor
Guidelines for calling the doctor
Chemotherapy drug list
Chemotherapy drugs and their possible side effects
Prophylactic antibiotics
Colony-stimulating factors
Antinausea drugs used during chemotherapy
Drugs used to relieve pain
Topical anesthetics to prevent pain
Complementary treatments
Alternative treatments

16. Common Side Effects of Treatment

Bed wetting
Changes in taste and smell
Constipation
Dental problems
Diarrhea
Fatigue and weakness
Hair loss
Learning disabilities
Low blood cell counts
Mouth and throat sores
Nausea and vomiting
Rehabilitation needs
Serious illnesses
Skin and nail problems
Can pets transmit diseases?
17. Radiation Therapy
Children who need radiation therapy
Types of radiation therapy
Questions to ask about radiation treatment
Where should your child go for radiation treatment?
Radiation oncologist
Radiation therapist
Immobilization devices
Sedation
What to expect during a radiation treatment
Possible short-term side effects
Possible long-term side effects

18. Stem Cell Transplantation

What is a peripheral blood stem cell transplant?
When are transplants necessary?
Choosing a transplant center
Stem cell harvest and storage
The transplant
Emotional responses
Paying for the transplant
Complications after transplant
Long-term side effects

19. Siblings
Emotional responses of the siblings
Sibling experiences
Helping siblings cope
Positive outcomes for the siblings

20. Family and Friends

Restructuring family life
The extended family
 Friends

21. Communication and Behavior

Communication
Common behavioral changes in children
Common behavioral changes in parents
Improving communication and discipline

22. School
Keeping the school informed
Keeping the teacher and classmates involved
Keeping up with schoolwork
Helping siblings
Returning to school
Avoiding communicable diseases
After treatment
Federal laws
Section 504 of the Rehabilitation Act of 1973
Individuals with Disabilities Education Act
Individual healthcare plan (IHCP)
Your legal rights (Canada)
The terminally ill child and school

23. Sources of Support

Hospital social workers
Support groups for parents
Online support
Support groups for children with cancer
Support groups for siblings
Parent-to-parent programs
Hospital resource rooms
Clergy and religious community
Individual and family counseling
 Camps

24. Nutrition
How treatment affects eating
What kids should eat
Making eating fun and nutritious
Vitamin supplements
What kids really eat
Dietitian/nutritionist
Parent advice
Commercial nutritional supplements
Feeding by tube and IV

25. Medical and Financial Record-keeping

Keeping medical records
Keeping financial records
Coping with insurance
Sources of financial assistance

26. End of Treatment and Beyond

Emotions
Last treatment
Catheter removal
Ceremonies
What is normal?
Initial follow-up care
Long-term follow-up care
Treatment summaries
Employment
Health insurance

27. Recurrence
Signs and symptoms
 Emotional responses
Goal setting and treatment planning
Making a decision about treatment

28. Death and Bereavement

Transitioning from active treatment
Supportive care
Dying in the hospital
Dying at home
Involving siblings
The funeral
The role of family and friends
Sibling grief
Parental grief

Appendices

A. Blood Tests and What They Mean

Values for healthy children
Values for children on chemotherapy
Common blood tests
Your child’s pattern

B. Resource Organizations
Solid tumor organizations (United States)
Solid tumor organizations (Canada)
Solid tumor organizations (Australia)
Solid tumor organization (Germany)
Other service organizations (United States)
Other service organizations (Canada)
Other service organizations (Australia)
Camps
Educational and legal support
Despite the inspiration and contributions of so many, any errors, omissions,
misstatements, or flaws in the book are entirely our own.
Another random document with
no related content on Scribd:
 Tunc Aper Oxonie cecidit de sede et castra, que
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FOOTNOTES:
651 Cronica Tripertita. The MSS. are SCHG, as for the Vox
Clamantis, and also the Bodleian MS. Hatton 92 (H₃).
652 Preface margin capitosus] obstinatus H₃
653 1 margin In hac prima parte CHH₃
654 2 margin primo tempora distinguens H primo distinguens
tempora H₃
655 14 ipsum qui iure carebat] semper mala quin faciebat H H₃
mala semper quin faciebat C
656 34 diffundat vbique CHH₃
657 55 presens] fallax H (ras.)
658 56 Eclipsata dolis sequitur consorcia Solis H (ras.)
659 69 parte CHH₃ parce SG
660 71 fraudis HH₃
661 80 tetis SH thetis CGH₃
662 85 trancit C
663 93 dum] cum CH
664 109 margin ad sui salutem CHH₃
665 133 legis H collater ales C
666 141 margin Burlee CHH₃
667 161 margin qui om. S
668 170 amicis] iniquis CHH₃
669 173 ausam (?) MSS.
670 175 Possit C
671 182 Sic CHH₃
672 186 munus] nimius C
673 191 sibi] ibi H
674 213 laude] verba CHH₃
675 219 eis] ei H

Explicit prima Pars Cronice et Incipit Secunda.

Hic in Secunda parte Cronice declarat

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circumuenit; ita quod vnum ex istis iugulari,
alium decollari fecit,676 tercium vero vna cum
domino de Cobham, qui regni verus amicus
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quod detestabile fuit, idem crudelissimus rex
reuerendum in Cristo patrem Thomam
Arundellie,677 tunc Cantuariensem
Archiepiscopum, de Sede sua penitus expulit,
ipsumque pro perpetuo in exilium
d e l e g a r i c r u d e lissime constituit.

O dolor in mente, set prothdolor ore loquente!

Heuque mee penne, scribam quia In hac secunda
facta gehenne! parte cronice
Obice singultu, lacrimis pallenteque compositor
primo ea que
vultu,
post sequntur
Vix mea penna sonat hec que dolorosa
michi Cronica donat.678 infortunia
 Vt prius audistis, hii tres, quibus doloroso corde
Anglia tristis deplangit.
Plus delectatur, magis hos fortuna minatur:
Rex facie bina fallax, latitante ruina,
Omnia fingebat, que dolos sub fraude tegebat.
Ad regale latus, quasi frater et associatus,
Cignus erat factus, et eos quos vult Qualiter, vt hii
10 facit actus: tres proceres,
Taliter est et Equs regis de carmine de quibus
audistis, cum
cecus,
rege, quem
Quod non discernit ea que fallacia dolosum
cernit: sciebant,
Est incantatus eciam quasi pacem
magnificatus securiorem
Vrsus, et ignorat finem, qua sorte habere
laborat. possent, cartas
Set magis vt tuti maneant de lege concordie ab
ipso impetratas
statuti,679 optinuerunt.
Hii regis querunt cartas, quas
optinuerunt:
Sic se conformant, sic se cum rege reformant,
Quod viuunt more quasi grex pastoris amore.
Hoc credunt plane, set transit tempus inane;
20 Cum se stare putant, subito sua tempora mutant.
Ecce scelus magnum, latitans quasi vulpis in
agnum,
Sic dolus expectat, quos ira Qualiter rex, vt
tirannica spectat. 680 ipse sub
dissimilate
O fraus, o que dolus, quos rex
pacis concordia
s u b y m a g i n e solus, proceres
Dum scelus exhausit, tam longo decipiat, vulpe
tempore clausit! fallacior
Set magis ad plenum tunc fuderat continua
ille venenum, circumuencione
Quo prius inflatus quamsepe dolet dolos
machinatur.
sceleratus:
Turbinis vt ventus, sic irruit acra iuuentus
 In Cignum spretum, dum se putat esse quietum.
O quam fortuna stabilis non permanet vna!
Exemplum cuius stat in ordine Qualiter rex sui
30 carminis huius. pectoris odium,
Rex agit et Cignus patitur de corde quod adiu
latuit, ad
benignus,
expressam
Illeque prostratus non est de rege vindictam primo
leuatus: contra ducem
Ad Plescy captus tunc est velut Glouernie, qui
hostia raptus, Cignus dicitur,
Rex iubet arma geri, nec eo voluit in oculis
misereri. omnium fulmine
plus subito
Cum sponsa nati lugent quasi produxit. Nam
morte grauati, et ipse rex in
Plusque lupo seuit rex, dummodo propria persona
femina fleuit: dictum ducem
Nil pietas munit, quem tunc manus apud Plescy
inuida punit; improuisum
Rex stetit obliqus, nec erat tunc manu forti
cepit, et eum
vnus amicus.681 sic captum
O regale genus! princeps quasi Calisias indilate
pauper egenus produci, et ibi
Turpiter attractus iacet et sine iure sub arta
40 subactus. custodia
striccius
Sunt ibi fautores regis de sorte
incarcerari
priores, constituit.
Qui Cignum prendunt, vbi captum
ducere tendunt:
Sic ducendo Ducem perdit sine lumine lucem
Anglia, que tota tenebrescit luce remota:
Trans mare natauit, regnum qui semper amauit,
Flent Centum Mille, quia Cignus preterit ille.
Calisie portus petit, vnde dolus latet ortus,
Error quem regis genuit putredine legis:
Carcere conclusus subito fuit ille reclusus;
50 Nescit quo fine, sit vite siue ruine.
Tunc rex elatum sumpsit quasi falco volatum,
 Vnde suas gentes perdit custode carentes.
Amoto Cigno, rex feruens corde Qualiter rex,
maligno qui per mille
Prendere querit Equm, super meandros
procerum corda
hocque reuoluere secum
exagitans
Caucius in mente conspirat fraude inquietauit,
latente. Ricardum
Periurans Cristum Comitem sic Comitem
decipit istum: Arundellie682
Ipse libro tacto iurat, firmanteque qui dicitur
pacto Equs,
Promisit certe que fidem donauit fraudulenter
decepit. Erat
aperte, enim tunc frater
Dicens quod tutus nulla de fraude dicti Comitis
volutus Thomas,
Liber transiret, ad eum si quando Cantuariensis
60 veniret. archiepiscopus,
Hoc iuramentum frater Comitis cui rex sub
iuramento
manutentum
fidem prestitit,
Primas feruore regis suscepit ab quod, si dictus
ore: Comes ad sui
Presul letus erat, sub tali federe regis
sperat, presenciam
Et sic cautelis captus fuit ille fidelis. obediens
Vrsus vt audiuit, non ergo sponte veniret,
liber extunc
remotus abiuit;
absque
Signans se Cristo mentem stabiliuit calumpnia,
in isto: vbicumque
Non facit excursus paciens que transire vellet,
piissimus Vrsus, cum firma regis
Set magis attendit mala que fortuna amicicia
rependit: fiducialiter
permaneret: et
Londoniis mansit, nec ab vrbis sic veniens
cardine transit, probus Comes
Quo captiuatus fuit hic sine labe ab improbo
reatus. rege decipitur.
70 Sic tres persone vi set non iure Qualiter
corone Thomas, alio
Carceribus stricti remanent velut nomine Vrsus,
tunc Comes de
vmbra relicti.
Warwyk, a
Celsius in scanno tunc creuit regis
pompa tiranno, satellitibus
Nulli parcebat, sibi dum fortuna Londoniis
fauebat:683 captus et in
Stat scelus extentum statuit quo carcerem
missus inmunis
parliamentum, culpe paciens
Vt sit finalis sic vlcio iudicialis. succubuit.
Tunc appellantes fuerant octo Super quo
dominantes, suum
Qui tres appellant, vt eos a luce parliamentum
repellant. apud
Westmonasteri
O, quis pensare posset quin fleret
um in proximo
amare, pronunciandum
Dum scelus explorat, per quod rex tirannus
magis Anglia plorat? decreuit.
80 Ecce dies mortis aderant, qua Qualiter
pompa cohortis pronunciato
Regem pomposum statuit magis parliamento
esse dolosum. octo tunc
Pro regis parte subtili fingitur arte, appellantes
contra dictos
Cignum tam purum sine response tres proceres
moriturum: ad eorum
Cum magis expresse rex nouit eum perdicionem
superesse, promptissimi
Finxit eum lecto transisse sub interfuerunt, et
ordine recto. quia rex propter
metum populi
Sic non inuento Cigno, nil
ducem
parliamento Glouernie
Pro se respondit, quem rex sub coram eo
claue recondit: personaliter in
Cum non apparet, vt se de lege parliamento
iuuaret, comparere
noluit, subtili
 Hunc condempnarunt subito, quem mendacio finxit
90 post spoliarunt. eum in lecto
mortuum
O scelus inferni, poterunt quo flere
fuisse, qui
moderni, adhuc
De iugulo Cigni quod constituere superstes in
maligni! carcere Calisie
Occulte querunt quod aperte non sub claue
potuerunt, tenebatur; et
Dumque timent gentes, clam sunt sic ducem
absentem
s u a f a c t a gerentes. absque
Assunt tortores de nocteque responsione
feruidiores rex pestifer
Cignum prostratum iugulant quasi falsissime
mart i r i z a t u m: condempnauit.
Calisiis actum sceleris fuit hoc Qualiter rex,
malefactum, cum ipse se
Regis precepto, iugulo qui gaudet ducem
prenotatum
adepto.
cautelose, sicut
Sic nece deuictum, sic corpus ab audistis,
hoste relictum, condempnari
Clam de conclaui susceperat spirauerat,
100 Anglia naui; postea infra
Per mare regreditur corpus, nec tempus
adhuc sepelitur, quosdam
tortores sibi
Namque sepulturam defendit Rex quasi ab
sibi puram: inferno
Desuper a latere patris loca iusta confederatos
tenere Calisias, vbi
Dummodo quesiuit, vix bassa dux adhuc
sepulcra subiuit. viuus
O que nephas tale, quod nec ius incarceratus
est, transmisit,
imperiale, qui illuc
Set neque lex Cristi proceri sic aduenientes,
contulit isti! ad regis
Eius enim vita periit sine iure preceptum de
sopita, iugulo pre
manibus
 Et mors eius ita negat esse excogitato,
sepulcra petita. ducem
improuisum
Heu! quia iam viuit, vnquam qui
clanculo de
talia sciuit, nocte sub
Sic regis natum per regem pondere lecti
110 mortificatum? plumalis
Heu! quia regalis stirps Anglica tam mortaliter
specialis depressum
Regis precepto periit sine crimine absque pietate
subito
cepto. suffocarunt.
Heu! quia tortorum quidam de sorte
malorum
Sic ducis electi plumarum pondere lecti
Corpus quassatum iugulant que necant iugulatum;
Quod nimis ingratum dolet Anglia tota relatum.
Det deus hoc fatum, sit adhuc quod corpus
humatum,
Spiritus atque statum teneat sine fine beatum!684
Est recitandus Equs, Cignus quia Qualiter Comes
preterit equs: Arundellie ab
Non hos morte pari voluit sors impio rege in
parliamento
120 equiparari.
accusatus, ad
Rex sedet, et cuncti fautores tunc ea que sibi
sibi iuncti obiciuntur
Sunt ibi presentes ad Equm mala intrepidus
plura loquentes; respondit; et
Isteque solus erat, que deum primo singula
solummodo sperat, que per ipsum
fiebant,
Quo pius et fortis permansit ad secundum sue
vltima mortis. intencionis
Rex prius accusat, et Equs scelus propositum ad
omne recusat, regis honorem
Pretendens regisque sigilla sub facta fuisse
ordine legis claro sermone
Cartam monstrauit, qua tucior esse iustificauit;
secundo enim
putauit: regis cartas
super hoc
 Non fuit absque nota, prius est pacem et
concordia nota. concordiam
Set rex cautelis Comitis responsa specialiter
testificantes in
fidelis auribus
Caucius extinxit, que dolos sub omnium
130 fraude refinxit. manifestius
Tunc conspirati cum rege que pronunciauit:
magnificati685 set ille, coram
quo nullum ius
Regis predicta firmarunt omnia procedit, rex
dicta. impius Comitis
Heu! nimis ingrata tunc est responsa non
sentencia lata, acceptans, ex
Horrida, mortalis, quia pena fuit propria malicia
capitalis. ipsum mortali
Per loca, per vicos ductus respexit sentencia
dampnatum, in
amicos, impetu furoris
Qui magis occulta dederant apud montem
suspiria multa: Turris
Vndique tunc flebant qui talia fata Londoniarum
videbant, decollari fecit,
Cum prece deuota facientes vbi fratres
Augustinenses
plurima vota. corpus cum
Sunt et fallaces alii, pro rege capite secum
sequaces ad eorum
Qui veniunt equites, neque iusti set ecclesiam cum
140 neque mites; psalmis
Hii penam talem proclamant tunc deferentes in
capitalem, loco congruo
deuote
Ad loca signataque iubent sepelierunt.
procedere fata.
Tunc Comes ad Cristum sermonem dixerat istum:
‘Omnia tu nosti: moriar, quia sic placet hosti;
Hostibus exactus perio, sine iure subactus;
Inmunis pergo, miserere michi, precor, ergo.’
Expansis palmis que sonantibus vndique psalmis,
Sic patitur tandem, penamque subintrat eandem:
Quin caput amittit sibi gracia nulla remittit,
150 Milia quo Centum maledicunt parliamentum.
Corpus ad ima cadit, dum saluus ad ethera vadit
Spiritus in celis, vbi viuit amore fidelis:
Augustinenses fratres tunc Londonienses
Hunc magis extollunt, que caput cum corpore
tollunt;
Vix tamen audebant hoc ponere quo cupiebant,
Set magis occultum condunt pro rege sepultum.
Det deus hoc sciri, poterit quod adhuc sepeliri,
Eius et heredes proprias habeant sibi sedes.
Iam refrenato violenter Equo que grauato,
Vrsum querebant, quem tunc Qualiter Comes
160 agitare volebant; de Warwyk,686
Pestiferique canes aderant tunc ex regis
regis inanes, collusione
circumventus,
Vndique latrando pacem nec in parliamento
habent aliquando. se culpabilem
Ad latus omne terunt, set ad hoc recognouit,
quod plus potuerunt sperans per
Non magis attendit, quin rex sua hoc
recia tendit. certissimam
O! quam subtilis oritur tunc fraus regis veniam, vt
sibi
iuuenilis, promittebatur,
Per quam tunc fraudem nequit infallibiliter
Vrsus carpere laudem. promeruisse.
Hoc rex testatur, Vrsus quod si Set rex omni
fateatur 687 fallacie
Quod reus existat, nec ad illa relata intendens,
per talem
qui
resistat, rec o g n icione
Rex sibi prestabit veniam, qua m alios de
curia stabit, querela
Et sic transibit sine morteque liber convicisse
170 abibit; putauit, dicto
Sique recognoscat aliter, sibi Comiti mala pro
bonis
iuraque poscat, retribuens,
Incidet in mortem: trahat hanc ipsum pro
quam vult sibi sortem. mercede
 Qui cum rege pares fuerant tunc exheredatum in
consiliares, partes
longinquas, vt
Vrsum temptarunt, eius quoque
ibi in carcere
velle probarunt: seruaretur,
Hic vitam portat, alius mortemque exulem pro
reportat; perpetuo
Hic consolatur, alius quandoque mancipauit.
minatur;
Quisque dolos fingit, quibus Vrsi pectora stringit,
Quo minus agnoscit quid regi dicere possit.
Sicque fatigatus tandem de labe reatus
180 Se fore conuictum reddit: fuit hoc male dictum:
Tali sermone concrescunt iura corone,
Rex tres deuicit, vnus quia talia dicit.
Ad regis vota fuit Vrsi diccio tota,
Omneque respondet verbum, quod rex sibi
spondet:
Set cum sic vere regi putat ipse placere,
Regis et ad nutum sperabat se fore tutum,
Tunc magis amisit que rex sibi federa misit;
Nam quod promisit rex pactum denique risit,
Et sic delusus fuit Vrsus ab ore reclusus,
190 Vnde pium verbum gustu magis extat acerbum.
Heu, quam res tristis! heu, quam fuit error in istis,
Quando suum pactum rex non produxit in actum!
Fingit et ignorat que rex tunc fraude colorat,
De quibus extentum finis docet experimentum.
Vrsus poscebat, quod rex non perficiebat,
Nec pudet hoc gestum, fraudis quod erat
manifestum.
Vrsum contemptum, nulla pietate redemptum,
Exilio demptum statuit rex esse peremptum:
Insula tunc hominis longinqua que plena ruinis
200 Carcere concludit Vrsum, quem pena retrudit.
Quod sic ledebat, regi non sufficiebat,
Set capit ex toto terras herede remoto,
Nec sibi dimissam solam fouet hic Comitissam,
 Set magis amouit, inopem quam Curia nouit.
Sic rex deleuit, quem tota prouincia fleuit;
Ne plures ledat, moriens prius ipse recedat.
Restat adhuc dira mons Ethna latente sub ira
Regis, d u m q u e faces magis obtinet i n d e
voraces.688
Quem rex iratus, q u a m u i s s i n e l a b e
r e a t u s,689
210 Ta n g i t i n a r d o r e, subito perit ille dolore.
Cum plus morosus sit homo, magis est viciosus,
Regi qui seuit pestis quo pessima creuit.
Vnus erat dignus, paciens, pius atque benignus,
Prouidus et iustus, morum virtute Qualiter rex,
robustus, omnes
Non erat obliqus, regni set verus quoscunque
ledere posset
amicus:
querens,
Hunc rex odiuit, in quo bona talia tandem
sciuit; innocentem
Vt dicunt Mille, dominus Cobham dominum de
fuit ille, Cobham, qui
Cronica quos lesit, quibus ille fidelis per prius
seculo
adhesit.690 renuncians in
Cristo set vere voluit quia fine domo
placere Cartusiensi
Transtulit ad sedem se tunc moram
220 Cartusiensis ad edem: traxit, eciam in
Sic cepit Cristus, voluit quem iudicium
parliamenti
tollere fiscus;691 produxit. Set
Quem Cristus duxit, fiscus sine iure ille, nullo
reduxit. minarum
Rex scelus accusat, Cobham terrore aut
scelus omne recusat, blandimentoru
Iustificans factum; sic res processit m exhortacione
locum tiranno
in actum: prebens, in
Que sapit hec loqitur, nec in hoc omnibus suis
vecors reperitur, responsionibus
 Immo quod est certum regi fidelissimus
manifestat apertum. inveniebatur:
vnde rex quasi
Sic, quia veridicus tribus est
confusus, eius
constanter amicus, constanciam
Rex condempnauit Cobham, set abhorrens,
non maculauit: ipsum pre
Sic non conuictus gladii non senciit verecundia
ictus,692 absque mortis
sententia in
230 Exilii lora subiit tamen exteriora. exilium longius
Hinc rogo quod purus redeat cum ab Anglia
laude futurus, destinauit.
Vt sic felici reditu letentur amici.
Heu! mea penna madet lacrimis, Qualiter rex,
dum scribere suadet qui nec deum
Infortunata sceleris quibus horreo timet nec
hominem
fata.
veretur, contra
Non satis est regem mundi reuerendissimu
deflectere legem, m in Cristo
Vt pereant gentes sub eo sine lege patrem
manentes,693 Thomam
Set magis in Cristum seuit, Arundellie, tunc
Cantuariensem
quapropter ad istum Archiepiscopu
Casum deflendum non est michi m, dum inter
credo tacendum. eos maior
Anglorum Primas, suppremo putabatur
culmine primas dileccio,
Qui tenuit sedes, melius dum occasiones
discordie
240 sperat in edes,
importabiles
Hunc rex compellit et eum de Sede ductus auaricia
repellit, fingere non
Dum Simon Rome supplantat erubuit. Vnde
federa Thome. idem Thomas,
Hic Thomas natus Comitis fuit de
intitulatus, Archiepiscopo
in non
Clericus aptatus, doctor de iure Archiepiscopu
creatus,695 m694 subito
 Legibus ornatus, facundus, mutatus, omnia
morigeratus, bona sua tam
temporalia
Cum Cristo gratus in plebeque
quam spiritualia
magnificatus. dolosa regis
O quam prelatus tam purus et circumvencione
immaculatus penitus amisit;
Ad regale latus tandem fuit expulsusque
illaqueatus! insuper absque
Tramite subtili latitans plus vulpe vllo mundi
releuamine,
senili
solum deum
Rex studet in fine Thomam reclamans exul
250 prostrare ruine. et pauper ab
De tribus audistis, cum rex scelus Anglia recessit.
intulit istis,
Presul vt adiutor fuit hiis Hic declarat
quodammodo tutor, aliqualiter
Non contra legem, set ab ira figmenta
causarum, per
flectere regem
quas pontifex
Nomine pastoris temptauerat supradictus a
omnibus horis: parliamento
Semper erat talis, restat dum spes tunc absens
aliqualis, contra omnem
Si contra mortem poterat saluasse iusticiam, vt
cohortem. audistis, exilii
sentenciam ab
Rex tulit hoc triste, quia
improuiso quasi
Cancellarius iste nescius
Tempore quo stabat hos tres incurrebat.
constanter amabat;
Sic procurator pius extitit et mediator,
260 Cartas quod Regis habuerunt munere legis.
Pontificis more summi pro regis amore
Sic pacem mittit, mortis gladiumque remittit:
Hec ita fecisset, pactum si rex tenuisset,
Set que iurauit hodie, cras verba negauit.
Cernite pro quali culpa magis in speciali
Pontifici tali sine causa materiali
Rex fuit iratus, set et altera causa reatus