I carry a picture in my wallet. I have for over 20 years. The photo reminds me that our work is all about connection.
One of the boys in the photo holds a special place in my heart. On one of our Team Peru trips, we had a clinic at the Casa Girasoles for the boys and staff. The home had over 40 children at the time, and the staff visits included all their family members.
At the end of a long day, a staff person approached me and asked if I would see one of the younger boys. She explained to me that the boy was timid and self-conscious. She told me he had been “suffering” from a rash. She described the intense irritation and itch the boy had been dealing with for weeks.
The boy, I will call him Marco, was small in stature and much younger looking than his eight years of age. His shyness was almost overwhelming as he sat in the chair, unable to make eye contact and mumbling responses to my questions. The caregiver accompanying him provided most of the child’s history, and the boy confirmed with subtle gestures.
His skin was indurated and chaffed from the weeks of intense scratching. He had a secondary skin infection that developed from the extensive irritation. He squirmed uncomfortably in the chair and barely said a word. The pained look on his face gave away the silence.
Having spent much of my clinical training and career working with people living in the experience of homelessness, I had little trouble identifying the cause of his symptoms. Working with the caregiver, we outlined the steps to disinfect his clothing and bedding. We provided topical treatment to eradicate the scabies mite and started him on an antibiotic to treat the skin infection.
His treatment plan was comprehensive and also included topical steroid cream to decrease the irritation and inflammation and oral antihistamines to help with the pruritis. I was worried – Marco and his caregiver had a told of steps to juggle before he would get the relief he deserved.
A few days later, having been consumed with our school outreach campaign (the subject of another day), I went to check on Marco. I knew the treatment often made a patient more irritated and uncomfortable before they felt better. I first reached his caregiver. I expressed my concerns and sheepishly asked for an update. She excitedly told me that Marco was doing great. She said it was the first time she had seen him smile in weeks.
The caregiver told me Marco was eager to see “his” doctor. She informed me how excited he was to tell me something.
To my surprise, the Marco I met that evening was not the same shy boy I had seen a few days before. He had a smile from ear to ear. His eye contact was startling and comforting. He hugged me and told me thank you. Uncertain of what thanks I deserved, I asked him how he was doing. He informed me that he had been able to sleep for the first time in quite a while. He expressed gratitude for the relief he was experiencing from the intense itching and irritation. He was a completely different boy.
Whatever concern may have lingered about how Marco was doing was quickly assuaged. He hugged me as we said goodbye and whispered, “Mi querido y amable doctor. Gracias por permitirme faltar a la escuela [estos últimos días]. Me he divertido mucho (My dear kind doctor, thank you for allowing me to miss school these past few days. I have had a lot of fun).”
I often think about Marco, wondering where and how he is doing. I wonder if he knows how much he impacted me.
Lincoln’s Dilema – wayne centrone
/0 Comments/in Blog /by Wayne CentroneI greatly admire President Abraham Lincoln. He was a man of sincere and unwavering conviction. He was also a person who had to take a stand in his life.
Lincoln is one of the most outstanding leaders the U.S. has ever had the privilege of producing. Many historians describe him as the “best” U.S. president in history. He came of age in an era of slavery and profound disconnection. He was a statesman who sought to unite a divided nation.
Challenged by the pressing need to end slavery and his political desire to unite his political coalitions, Lincoln faced an ethical dilemma. He knew ending slavery was the right thing to do, and he had a nation so divided that succession was alarmingly close. He had a choice: take an iterative approach to dismantling the institution of slavery and pacify the political divisions – or bend the moral arc to justice and risk further fracturing the United States.
History tells the story of Lincoln’s decision. A decision righted many wrongs and ultimately led to the end of his life. Most decisions are not as life or death as Lincholn’s. However, every day, we make decisions. Some are conscious and deliberate; others occur on autopilot.
In our work with children separated from their homes, children whose lives are upended by poverty, violence, and trauma – every day is filled with important decisions. Our team faces decisions about staffing the homes, providing the necessary resources, and ensuring the safety of the facilities. However, more than any decision regarding how we do our work, we are solidly grounded in why we do it.
Every decision we make is thoroughly grounded in our commitment to a better life for every child. There is no moral ambiguity. We are all with our efforts. We are unwavering in our actions.
The decisions we make have significant consequences. We can’t sit back and hope the change we wish to see in the lives of the children we care for will happen. We need to push forward to ensure they will happen. We don’t want iterative change.
We are dedicated to creating a world where every child, youth, and young adult can access a life built on health, hope, home, and purpose. There is no dilemma for us. It’s just full speed ahead.
Connecting with Marco – wayne centrone
/0 Comments/in Blog /by Wayne CentroneI carry a picture in my wallet. I have for over 20 years. The photo reminds me that our work is all about connection.
One of the boys in the photo holds a special place in my heart. On one of our Team Peru trips, we had a clinic at the Casa Girasoles for the boys and staff. The home had over 40 children at the time, and the staff visits included all their family members.
At the end of a long day, a staff person approached me and asked if I would see one of the younger boys. She explained to me that the boy was timid and self-conscious. She told me he had been “suffering” from a rash. She described the intense irritation and itch the boy had been dealing with for weeks.
The boy, I will call him Marco, was small in stature and much younger looking than his eight years of age. His shyness was almost overwhelming as he sat in the chair, unable to make eye contact and mumbling responses to my questions. The caregiver accompanying him provided most of the child’s history, and the boy confirmed with subtle gestures.
His skin was indurated and chaffed from the weeks of intense scratching. He had a secondary skin infection that developed from the extensive irritation. He squirmed uncomfortably in the chair and barely said a word. The pained look on his face gave away the silence.
Having spent much of my clinical training and career working with people living in the experience of homelessness, I had little trouble identifying the cause of his symptoms. Working with the caregiver, we outlined the steps to disinfect his clothing and bedding. We provided topical treatment to eradicate the scabies mite and started him on an antibiotic to treat the skin infection.
His treatment plan was comprehensive and also included topical steroid cream to decrease the irritation and inflammation and oral antihistamines to help with the pruritis. I was worried – Marco and his caregiver had a told of steps to juggle before he would get the relief he deserved.
A few days later, having been consumed with our school outreach campaign (the subject of another day), I went to check on Marco. I knew the treatment often made a patient more irritated and uncomfortable before they felt better. I first reached his caregiver. I expressed my concerns and sheepishly asked for an update. She excitedly told me that Marco was doing great. She said it was the first time she had seen him smile in weeks.
The caregiver told me Marco was eager to see “his” doctor. She informed me how excited he was to tell me something.
To my surprise, the Marco I met that evening was not the same shy boy I had seen a few days before. He had a smile from ear to ear. His eye contact was startling and comforting. He hugged me and told me thank you. Uncertain of what thanks I deserved, I asked him how he was doing. He informed me that he had been able to sleep for the first time in quite a while. He expressed gratitude for the relief he was experiencing from the intense itching and irritation. He was a completely different boy.
Whatever concern may have lingered about how Marco was doing was quickly assuaged. He hugged me as we said goodbye and whispered, “Mi querido y amable doctor. Gracias por permitirme faltar a la escuela [estos últimos días]. Me he divertido mucho (My dear kind doctor, thank you for allowing me to miss school these past few days. I have had a lot of fun).”
I often think about Marco, wondering where and how he is doing. I wonder if he knows how much he impacted me.
Good work, great people – wayne centrone
/0 Comments/in Blog /by Wayne CentroneToday was packed and very productive. We met as a team to discuss, debrief, and plan for the newborn resuscitation training program (NRTP). For those who aren’t aware, HBI has partnered with the Peruvian College of Nurses and the Peruvian College of Midwives to develop and implement a train-the-trainer program around NRTP. Our moonshot goal for the program is that every birth in the country of Perú will be attended by at least one professional training in newborn resuscitation. Yup, there’s nothing lofty about that. 😉
As I bet you can imagine, setting such a big goal means we are constantly imagining and reimaging the program. This weekend, we are meeting as a team to take stock of where we have been, consider our challenges and successes, and build a plan for the future. Today, we focused on understanding where we are vulnerable or at risk of break points in our program work. We used the discussion to position our team to address the more forward-moving questions of how we will fortify our efforts and simultaneously build preventive measures into the work.
The day was stimulating, energizing, and exhausting. It reminded me why this work is so important—the people. We have a fantastic team – committed, generous, humble, and hard-working. I believe that doing good work in the world is everyone’s responsibility. I know that doing good work with great people is one of the most significant accomplishments in life.
Today was a gift. A gift I know we will use to build a model program.
On that thought, I will leave you with the words of one of my favorite poets and activists, Marge Piercy.
To be of use
Greetings from Lima – wayne centrone
/0 Comments/in Blog /by Wayne CentroneWelcome to the vibrant city of Lima, where the heat and humidity starkly contrast our northern hemisphere winter. It’s like stepping from winter into the late summer of Latin America- quite a jolt!
I arrived early this morning. We have a couple of days for really intense meetings around the Newborn Resuscitation program. Dr. Bob, Medical Director, and Dra. Mary, one of our key leads on the NRTP work, along with Dr. Roberto, Karen, and myself will be meeting over the next two days to strategize for the future of this incredibly valuable program.
After two full days of meetings, I am into another full-day retreat with our Girasoles administration team. From that point forward, it’s a series of driving trips, flights, and connections. I will be posting about the focus of this trip and curating videos and pictures. I will be posting a couple of stories about our work as well. Consider the next two weeks of stories from HBI on the road. I hope you enjoy it.
Thanks for all your incredible and ongoing support.
Our Commitment – wayne centrone
/0 Comments/in Blog /by Wayne CentroneWorking with children and families living in the experience of multidimensional poverty is a unique and challenging journey that often goes beyond professional boundaries. It is a journey of deep personal exploration and recognition of our vulnerabilities. We have come to understand that a deep emotional connection with the people and communities we serve means facing undeniable struggles and challenges – and embracing a profound joy from the transformative power that emerges from the relationships.
We recognize that building bridges is about investing in long-term impact.
We don’t measure the outcomes and impact of our work in days or weeks but in years and decades. It requires a slow and steady commitment to stay in connection and relationship – even if the challenges seem overwhelming. We ground our work in the belief that people living in the experience of extreme multidimensional poverty know what they need to build the lives they deserve. We can best support their visions for their futures through deep connection.
To keep us continually focused, we follow some clear directives. These are not rules but guidance and reinforcements for our work. Our efforts are grounded in deep awareness, committed connection, and empowering relationships.
This is who we are. This is our commitment.
Investing in Children and Youth, wayne centrone
/0 Comments/in Blog /by Wayne CentroneIt’s been a while. I stepped back from blogging (goodness, I never thought I would use that word). I am offering a little story as we unfold the new year. It is a story of hope. It is a story of possibility—a tale of investment. I hope you enjoy the story. Please message us and let us know how we can help keep our HBI community better connected to this beautiful work. The work of building a world where every child has access to health, hope, home, and purpose. Enjoy!
Once upon a time, in a world filled with chaos and conflict, a group of wise leaders decided that investing in children and youth was the key to healing the world and bringing peace.
They knew that the future of their world lay in the hands of the next generation and that by nurturing and empowering them, they could create a brighter and more harmonious future for all.
So, they began investing in education, healthcare, and community development programs focused on children and youth. They built schools, clinics, and community centers where young people could learn, grow, and thrive.
They also created programs that focused on developing life skills, leadership, and empathy so that young people could become confident, compassionate, and responsible members of society.
As a result of their efforts, children and youth began to flourish. They gained access to education, healthcare, and opportunities that were once out of reach. They learned how to communicate, collaborate, connect in meaningful relationships, and develop a deep sense of purpose and belonging.
Over time, the world began to change. Communities once divided by conflict and mistrust began to unite in peace and harmony. The next generation of leaders emerged, inspired by the values of compassion and cooperation.
And as the years passed, the world became brighter and more hopeful, all because of the wise investment in children and youth.
Happy New Year 2024
/0 Comments/in Blog /by Wayne CentroneWhen something ends, something new always begins.
As we end 2023 and look forward to the promise and uncertainty of 2024 – I am a bit torn. A part of me is mourning the loss of yet another year. I feel sad about the changes that continue all around me. I’m nostalgic for the experiences that are now distant memories.
At the same time, I am excited about a new beginning. A clean slate. A chance to keep building and rebuilding the work we have now invested in for nearly 30 years.
So here is to 2024 and the new frontiers. Without a doubt, 2024 won’t be without its challenges. We have an expanded responsibility for a staff of over 40 people and two child welfare programs – but there is so much to look forward to.
It is exciting to know that we are helping to create a world where every child has access to health, hope, home, and purpose.
Here we come 2024 . . . We are just getting started.
30 Days of Impact
/0 Comments/in Blog /by Wayne CentroneWe’re posting daily stories about how you impact the lives of families and children in Perú. Follow all the stories on our 30 Days of Impact webpage or by subscribing to our emails. To receive our email updates, scroll to the bottom of the webpage and complete the subscription request or contact us at info@hbint.org. Thanks for all the support.
30 Days of Impact 2023: Starts on Novemebr 24th
/0 Comments/in Blog /by Wayne CentroneConstructing Futures, One Pedal Stroke at a Time – wayne centrone
/1 Comment/in Blog /by Wayne CentroneGreetings from the Sacred Valley of Cusco. The weather has changed in the high mountains, and spring has brought rain. It is just beautiful. A lush Eden of a place.
I want to tell you a story about one of the boys in our Casa Girasoles program. I will call him Raul. Raul has always been a bit shy. He was the sort of adolescent that blended into the background. When we started our Girasoles Sanos Cycling Team, Raul took to the bike like a fish to water.
Thanks to the generosity of Mike Colbach and BicycleAttorney.com from Portland and a group of committed volunteers (Hugh Givens, Kevin Chudy, and Laura Miller), the bike team has grown to support the boys at each Casa Girasoles home. The program is a lifeline for some of the boys.
Last week, Raul competed in his first bike race. A cross-country event that went from the city of Cusco to the town of Urubamba in the Sacred Valley. The race took a route that included technical descending, tight single track, and a mountain pass of over 15,000 FASL.
Raul was third overall. Competing against seasoned riders and elite competitors, he took a spot on the podium. In all our work, with all our efforts – nothing has been more effective to help connect more deeply with Raul (and to help him connect more deeply with himself) than a bicycle.
Thanks, Mike, Hugh, Kevin, Laura, and Team!