She waits with us in Léon, Nicaragua's Oscar Danilo Rosales Arguello teaching hospital, as her mom is screened for precursors to cervical cancer. She is seven. A young American bound for med school teaches her the alphabet. After the lesson, the little pupil struts through the hot, humid waiting area with her hand on hip, her black hair swishing against her shoulders, and her black-brown eyes reflecting the fluorescent glow. Everyone is taken, delighting in this child's apparent joy -- our smiles and laughter reflected in hers. Then this: Our host tells us our new friend is no stranger to this clinic; she's been treated repeatedly for sexually-transmitted gonorrhea. We are frantic to help, but we can do nothing. No authority exists here to step in. Stunned, we soon watch the girl leave, waving goodbye and looking over her shoulder with her huge smile and white teeth flashing against her brown skin.
- Larry Shushan
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