The tiny
form in the hospital bed appeared to have arrived from an African famine rather
than an Andean mountain. Never have I seen a child so skeletal and
mal-nourished and never have I been so surprised to see a child so sick, live.
Daniel’s distressed Quechua mother really spoke only Quechua, with just a
little Spanish so from the start it was clear that communicating was going to
be difficult. With a little help from the mother of the boy in the adjacent
bed, I learned that Daniel, nearly three, had fallen from a horse and suffered
a severe head injury leaving him paralysed, all his muscles contracted, stiff
as a board and with just a little movement of his head, eyes and mouth. The
poor little mite didn’t look as though he’d last another day to be honest, but
I went downstairs to the room in the Burns Unit where we store our toys and
clothes and found him a little jumper, more to try and show some kindness to
his mother than anything.
A couple of
days later. to my surprise, Daniel was still there. He didn’t look any better,
and his mum was still very distressed. I still hadn’t got a clue how to help. I
started to get to know the mum of the boy alongside and learned that Daniel’s
mum had five children, but two had already died and she had a 9 year old at
home with cerebral palsy. She had a Quechua Bible with her that she couldn’t
read, but was a Christian and had a church she belonged to in her community.
Over the next few weeks, Jenny O and I visited Daniel, and Jenny, with her OT
background, had a few ideas to help him – some alpaca fleece between his knees
to stop pressure sores, the beginnings of stretching his little clenched hands
and arms, a musical toy.
His mum left at one point to go back to her other
child, so that week Jenny went in every day. That week he seemed to have a
respiratory infection and we thought that would be the end for him, but he
surprisingly fought it off and recovered. He seemed to be losing weight rather
than gaining it, although his weight chart was going up and down between 7 and
9 kg rather randomly – we’re not sure
they were actually weighing him! One week I came across a visiting American
doctor downstairs and asked him to have a quick assessment of Daniel. He said
the injury was extremely bad, but it was too early to give up hope of any sort
of recovery. It was an interesting exercise in three-way translation as I went
from English to Spanish, and the grandpa of the girl in the next bed translated
from Spanish to Quechua!
Daniel’s
mum was starting to give up hope of being able to care for Daniel back in her
community, so the hospital started to look for a children’s home place for him.
However, the local home that is best for rehabilitation said they weren’t
interested in him because he wouldn’t improve. And then all the other places
that might have taken him were either full or said his needs were too great for
them to handle. At this point we were afraid Daniel’s mum might just disappear
and leave him - which would have been the worst thing for Daniel as, apart from
being abandoned, he would have been stuck in the hospital for weeks, possibly
months, while they waited for a place to be available. Thankfully Mum stayed,
and came round to the idea that maybe she could take Daniel home after all. By
this time Jenny had convinced her that she could pick him up, and he did seem
to be pleased to be in his mum’s arms rather than stuck in his bed full-time.
Robyn had also ventured back into the ward (she’d been thrown out a few weeks
before basically for being too helpful, i.e.’ interfering’!) to help us with
Daniel.
Finally a
relative of Daniel’s dad arrived who it seemed was able to accompany them back
to their community, if we could help with the bus fares. This we were pleased
to do as we had been trying to find someone who could do the 12 hour plus
journey with them but to no avail. Robyn helped them get a letter from the
hospital to the nearest community clinic (which I think is still several hours
walk from where they live) – we hope the staff there will give some sort of
help. And I wrote a letter to their church, trying to encourage them to support
Daniel’s family – not sure if that will have helped, but there is so much
superstition in the countryside about kids with disabilities being cursed that
I thought a letter might be better than nothing.
We don’t
expect to see Daniel again in Cusco. We hope and pray that his family love him
and care for him as best they can, and that they will remember the advice given
to his mum about feeding him, turning him and doing some gentle exercises with
him. At least we were happy to see Daniel stay with his mum instead of becoming
yet another abandoned child left to whichever overcrowded children’s home that
would take him.
What would
be great is to have some type of outreach worker who could support mums like
this who, with help, could keep their children and learn how to care for them.
The biggest obstacle to this is literally an obstacle, or rather quite a few
obstacles – 4000m+ high mountains and treacherous unpaved roads! But not all
the kids come from places as inaccessible as Daniel, so perhaps there is some
mileage in the idea. The best solution for these children cannot be to leave
them amongst total strangers in an institution.
It would be fantastic to contribute to reducing the constant flow of
abandoned children!