Tuesday, October 29, 2013


This is Sebastian, one of our favorite stories from the whole trip. His grandmother brought him to see us on the 1st or 2nd day of therapy and we almost didn’t see him because we already had so many kids lined up outside. Sebastian doesn’t have a cleft, but he is deaf. His family was concerned that he was not talking, and at about 9 years old he still wasn’t in school. Theresa and I began teaching him some signs we knew when we realized he was probably profoundly deaf. His eyes lit up and he quickly learned everything we showed him. His excitement brought tears to my eyes as I thought that this might have been the first time that was able to communicate with others in a way that made sense to him. He had never been exposed to sign language and he was so eager to learn more. At the end of the session his family asked about an operation for his tongue (a tongue clip), thinking that would solve his problem and allow him to talk. We had to explain that his tongue was fine, and that without the ability to hear, he would never speak like they did. It seemed like hard news for them to hear, and the grandmother told me the next day that her family cried over the realization. We were so concerned about what would become of Sebastian, because he had already gone so long with no language input. The only option was for him and his family to learn sign language. As luck would have it, Jose, our regional government guide, said he knew a local woman who knew sign language and had connections at the local special education schools who might be able to help. The next day she arrived and was able to explain again to the family (in much better Spanish than me!) that Sebastian needed sign language instruction in school and they offered adult classes as well for the family. We told his family that they should take him right away to be enrolled in this school, and that they could teach him more sign than we ever could. As far as we know, he is now in school and hopefully learning tons. Theresa and I would love to return in the future to visit the special education schools, and hopefully find that Sebastian is able to communicate with his friends and family.

Entered by Jocelyn Noble


Sunday, October 6, 2013

A FEW BEFORE AND AFTER...NOW THAT I'M HOME WITH STRONG WIFI!





OK..So I have internet...but am having lots of trouble entering the pictures in an order with any sense...so a few quick comments about the pictures...
The little girl on top had the most beautiful hair!  She was always happy and always calm (at least when we were visiting the ward!)  She was a little less smiley the day after and day she went home- and so beautiful! The LITTLE boy in second row- was affectionately referred to by his mom as "Gordo"! He was 10 months and huge...and was always smiling (before the surgery- a little less right after surgery). His mom and the mom of the little guy in the yellow bib seemed to become friends since they were in the ward at same time and their babies had their cleft lip surgeries on same day! The moms and babies came over to where Jocelyn and I were doing speech therapy (a building around the corner from the ward and surgical center to say good-bye to us and let us take pictures. THE MOMS WERE SO HAPPY and how special to get to support each other through the surgery.  The little boy in the lion bib had a cleft lip on both sides of the lip (called a bilateral cleft lip) so his immediate "after" has much more swelling. When the swelling goes down it will look all that much better!  Great surgeries by Dr. Williams and 2 other plastic surgeons from Lima who helped.  Also present in OR team were 2 anesthesiologists- one from Lima and one from Oaxaca Mexico.  All the babies, children and adults did well post-op.

50 CHILDREN SCREENED FOR SURGERY OR SPEECH THERAPY
25 SURGERIES, including cleft lip repair, cleft palate repairs, secondary palate surgeries-for speech improvement; and 5 burn cases, and one tongue clip (for tongue tie).
15 speech only screenings and 12 seen for speech therapy.
(I think that's the total on speech... I have to check our notes!)
more soon,
Theresa