in memory of
W.H. Bates, M.D.
1860-1931

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STORIES FROM THE CLINIC

CHAPTER 1
EXPERIENCES WITH SCHOOL CHILDREN


JOEY AND PATSY

An Italian boy named Joey, nine years old, was struck on the head In an automobile accident and injured in such a way that he became almost totally blind in the left eye. From Joey's brother Patsy it was learned that when the accident occurred Joey was at the head of his troops, conducting a well ordered retreat after a fierce conflict in which he had been obliged to yield to greater numbers. His face was to the foe and the automobile was behind him, yet Joey did not know that an automobile had struck him. He thought that more enemies were attacking him from the rear. Later when he found himself lying on a hospital cot and realized that he was hurt, his first remark was, "Let me at the guys who soaked me from the back."

Patsy told me later what an awful time he had convincing Joey that an automobile and not his enemies, had struck him. What a punishment it must have been to Joey to lie there on his cot 1 To suffer pain was bad enough, but more painful to him was the knowledge that his gang was without a leader.

A week later he was brought to the hospital clinic by his aunt. Dr. Bates examined him and found that he was suffering from an injury to the optic nerve of the left eye, as a result of which the vision in this eye had been reduced to mere light perception.

The child was then brought to me for treatment, and never have I seen a more forlorn tittle specimen of humanity. I did not know then that a gang of street boys had once looked up at him as their leader, and I never should have suspected it. There was not the shadow of a smile upon his face, and he had not a word to say. Both his face and his clothes were dirty. The latter were also ragged, while his shoes were full of holes. His teeth were wonderful, however, and beneath the grime on his small countenance one could catch glimpses of the complexion of perfect health, I told him to rest his eyes by closing and covering them with the palms of his hands, and after a few minutes he was able to see the largest letter on the test card with his blind eye at five feet. The vision of the right eye was normal. I told him to rest his eyes by closing them six times a day for five minutes at a time, and to come back on the next clinic day.

The next time I saw him not only had he made no progress, but he was as blind as he had been at the beginning. His aunt said: "You scold him. Tell him you will keep him here, because he will not palm or do anything he is told to do at home."

I answered, "You do not wish me to lie to him, do you?"

Joey, so sad and worried, looked up into my face, waiting for me to defend him again, as his aunt replied: "Well, I will leave him here and not take him home again."

"All right," I said. "I live in the country, and perhaps Joey would like to go home with me and play in the fields and watch the birds build their nests. Maybe he will learn how to smile then as boys should."

It was good to see his dirty little face flush up with excitement and pleasure. I really meant what I said, but Joey did not give me a chance to take him to my home, because he did not come back after his eyes were cured. However, when I noticed that he began to take a little Interest in what I was trying to do for him, I said, "Joey, you are going to love me a whole lot, because I love you already, but you must mind what I say, because if you don't you will go blind." Joey consented to palm for a few minutes, and his sight improved so that he was able to see the large letter of the test card three feet away. He now made an effort to see the next line of letters but not only did he fail to do so, but he also lost the large letter. The strain had made him blind again. How I wished I had more time to spend with him. But the room was full of patients, and more were coming continually. I had to attend to them. So I asked Joey, very gently, to palm and not take his hands from his eyes until I came back to him. After ten minutes or so I returned and asked what he could see. To my surprise he read five lines of the test card with the blind eye. Much encouraged I sent him home and he promised to palm six times a day. He stayed away almost a week and I worried about him, for I knew he would forget what I had told him to do. Then one day he returned with his brother Patsy. My, how Patsy did talk! Joey had not a word to say, and did not smile until I asked him. Patsy said that Joey did not practice, and that his father hit him on the head and threatened him with all sorts of things to make him do so. It was quite evident that he had not practiced. When I asked him to read the card, all he could see was the big letter at the top at three feet.

Poor little Joey) I gathered him in my arms, patted his dirty face and told him that if he would count six fingers for me and practice palming as many times every day, I was sure Santa Claus would have some toys for him at Christmas time. Joey was all smiles, and stood with his eyes covered for a long time. When he again looked at the card he read the fifth line, which is called the forty line letters. In the meantime Patsy was telling me all about the rest of his family. His big brother was going to be married, he said, but not until another brother, eighteen years old, was out of prison. Patsy talked like a man and his voice sounded like a foghorn; but I saw that he had a gentle nature, and I enlisted him as my assistant for Joey. I asked him if he would not try to get Joey to palm more, and told him that he must always speak kindly to him. The father was warned not to hit Joey on the head again, because that made the hemorrhages worse and Joey would go blind. Bless Patsy's heart! He promised to help me all he could, and I am sure he deserves much of the credit for what I was afterward able to do for his brother.

Thereafter, Joey's progress was steady. He responded to kindness as a flower responds to the sun. But if I ever forgot myself and spoke to him without the utmost gentleness, if I even raised my voice a little, he would at once become nervous and begin to strain. One day I remonstrated with him because he had not done what I had told him, and a few moments later when he read the test card with his left eye, he said, "I can only see the large letter." I explained how important it was for him to see with both eyes, because h« might be a great man some day. He smiled and palmed, and in a short time he again read five lines of the card.

At a later visit he was very conspicuous because he had had his face washed. I could see that he wanted me to notice this, as of course I did, giving him high praise for his improved appearance. He smiled and started to palm without being told, and his sight improved more rapidly than at any previous time.

His last visit was a happy one. He saw all of the bottom line at ten feet without palming. Dr. Bates then examined his eyes with the ophthalmoscope and found that the retina had cleared up, and that there were no more hemorrhages. The optic nerve had become normal.

One day Patsy appeared at the clinic wearing spectacles.

"Patsy, for heaven's sake, what are you wearing those things for?" I inquired.

"The nurse in school said I needed glasses and my father paid four dollars for them -- but I can see without them."

His vision without glasses was 20/200, After resting his eyes by palming five minutes, his sight improved considerably.

"Do you want to be cured without glasses?" he was asked.

"Sure, I don't want to wear them."

"Well, you ask father's permission and I will cure you."

Fortunately, father had no objection, and now Patsy sees much better without glasses than he ever did with them. He says that the blackboard looks blacker than It used to, and that his lessons do not seem so hard.

Patsy continued to come with Joey for treatment until both were cured.

Christmas time was near at hand and when the day arrived for our Christmas party, the boys appeared at the clinic two hours ahead of time, to be sure that they would not be disappointed. Never did I see two kiddies happier or more grateful than they were, as they marched out of the room with their gifts and candies.




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