A little boy came into the clinic yesterday, 5 years old and slight. This little boy, his mother said, had been getting red eye as far back as she could remember but he would always sleep well and quietly and so would she. On his fourth birthday and on the urging of her husband, she finally brought him to a doctor. She spent the money allotted for his cake on a tiny bottle of antibiotic they had nursed for the better part of a year.
Today, she hands us this bottle, still over a third full, and wonders aloud why her little boy has been crying out of his left eye for weeks. He still sleeps well, she said, and off to the side, looking up at his momma, he concurs. He finishes his homework and cleans up after dinner. She insists she instills a drop of antibiotic each time his eye turns red and checks, first thing in the morning, that his eye had turned bright again, white and shining, before slipping the bottle back onto her dresser. She does not understand why the antibiotic does not seem to be working this time.
We motion him towards the slit lamp, this monster of a microscope made of metal and glass, and he follows without a word. Every once in a while, we touch a drop of fluorescein onto his lower lid. He blinks (one, two, thrice), a little frown on his lips at the sting of the dye, but stays still regardless. We watch as a gush of water carves a river through the green. His infection had burrowed a hole through the crystal of his eye. He was crying aqueous instead of tears.
He sits on his mothers lap as we explain his prognosis to her. We talk of antibiotics and proper dosing and patching and giving the cornea time to heal and prepare her for the eventual need for transplant surgery. He listens attentively, head tilted to the side as if he understood as much as she.
I wonder often what it must take to raise a child and raise a child well, to raise this kind of boy who, at 5, already understands that discomfort and love can be an equal exchange. God knows, I forget, far too often for my own good. Mabuhay ka, Ray. Thank you for reminding me that the world is always bigger than I.