His Eyes--May 2015

Sergo--1995

It is January in Haiti and his eyes find mine. They always connected and grabbed you whether you wanted them to or not.

Looking down in his hospital metal crib with flaking white paint I see a pathetic 10-month-old baby boy with a big head and beautiful brown eyes which seem to know. He stares back up at me, his face contorts and wrinkles like an old man’s, and he begins to cry. He does not want to be looked at.

I notice there is a large pressure ulcer on the back of his head which is eating through his scalp. He has been lying flat for much of his life without the strength to roll over or even turn his head. He has a cloth diaper on and the rest of him looks skeletal.

This baby was found near a pile of garbage in the street on Soleil 17 ten years before the gang wars and UN would shoot up that street and the slum. Elmonika, who is now dead, found him one morning and carried him to the hospital.

The nurses say to let him go. They have seen many like him. Typical slum hydrocephalic with no chance and no future. But a Polish Sister Lila says no. And she feeds him. And she names him Sergo after a bad guy with a big head in Soleil who threatens the nuns but dies of AIDS before he can kill them.

Sister Lila sings to baby Sergo in French and Polish and refuses to let him die. She even pushes Sergo propped up in a stroller to the nurse’s station. History has shown that Poles and Haitians together are hard to deny.

My neurosurgeon friend Dr. Bill tells me, “If you get him here I will shunt him”. Sister Lila was a tough sell but reluctantly agrees that Sergo must leave the slum and her loving care. Theresa brings him from Haiti to Laurie and Karen takes him from Laurie and deposits Sergo on our kitchen floor in Illinois. It is now late spring.

Twelve of us just stand around and look at him and scratch our heads. He looks back at us with those eyes but does not cry. What do we do? Will we drop him if we pick him up? Will his large head fall off? My eighty-year-old mom stands back watching us watch Sergo. She is enjoying this. We clearly have no clue what we are doing.

As the weeks go by mom gently feeds Sergo sips of warm milk and crushed banana from a small spoon. He does not know how to suck from a nipple. Every time the microwave goes on, Sergo’s eyes dart around in his immobile head and his little body starts jumping in his baby seat with happiness knowing more milk and bananas are on the way.

He starts to say “mama” as his eyes capture and control all of us.

His CAT scan is done and I look at it on the view box in neuroradiology. A surgical resident walks by and sees the large cranium filled almost entirely by fluid and sardonically says, “What do we have here? A Martian?” She doesn’t know that I have an affinity for this baby. I say nothing to the surgeon but peer even harder at the scan to see the thin rim of gray matter that assures me he will be fine.

It only takes Dr. Bill twenty minutes to insert a plastic tube into Sergo’s brain to drain the excess fluid into his abdomen. The pediatric nurses put Joules in a clean crib with white sheets and position his head just so. The Haitian hospital and Sister Lila flash into my mind’s eye as I witness his American nurses’ care and gentleness.

Sergo recovers fine and we bring him home. After second shifts in the ER I hurry back to his bedroom to make sure he is still with us. Warm summer air wafts in through his screen window at night and the crickets chirp like they do each year in the late summer. I am so happy that Sergo seems content sleeping in peace.

Many people are fascinated with Sergo and help my mom and me as the months pass. During the day I put him in a baby seat on the front porch alone and Sergo watches cars go by. Cars slow and people inside of them stare back at him. The police come to my door once after they are notified about an abandoned baby on our porch and they are partially right…

Autumn comes and Laurie returns often to visit Sergo and brings her parents Doris and Paul. Laurie wants to adopt this baby and I can think of no one better.

The big day comes at the end of October and we have an enormous going away party for Sergo who is renamed Joueles. We stand in the front yard as Laurie drives away with him in her van. As I stare at her waving goodby I am amazed at her courage and strength and I can’t believe I let him go. My mom and I go back in the house.

We visit Joules pretty often. Joules stares down people in the grocery store as they turn their eyes away from him. He tells them “hello” in perfect English and their surprised eyes dart back at him as they smile and struggle with a “hi”. He refuses to be denied. In restaurants people we don’t know will come over to the table and ask if Joueles can come eat with them. His personality is magnetic.

The years pass quickly. Joules gets bigger. He stands and walks with a walker. He is baptized, receives his first holy communion, and goes to school. Laurie and Doris and Paul turn him into a fine young man. He is no Martian after all.

We keep Sister Lila in Haiti informed of Sergo’s/Joueles’ progress. Laurie sends Sister pictures of Joules which she keeps close by her. Laurie travels to Haiti and meets Sister Lila and genuine happy tears are shared between two women from different parts of the world who have nourished and loved the same brown boy.

Twenty years pass. Sad things happen in these two decades that are too painful for me to think about let alone write about.

But Joules thrives. He emails me often now and explains clearly what he is doing that particular day and what his next vacation will be all about. He loves life and has changed all of ours.

And his eyes are the same.

Joueles (Photo by John Carroll)


you can’t help but love this young man!! I feel so blessed to have met him and able to see him grow.

Bravo John! This heartwarming story was beautifully written. It brought back memories for me as I remember babysitting for Joules one day.
One of my fondest but painful memories is when I made a visit to Mother Teresa’s home for babies. I was holding a beautiful brown eyed baby and singing to him because of his pathetic crying. The sisters begged me to take him home. I so wanted to do that but knew that I couldn’t. With 8 children already at home, I had to refuse. Even after 30 yrs, I think of that baby often.
By the way, he looked like a baby because of his size but he was 2-1/2 yrs. old.
God Bless You and Maria in your work. I pray for you everyday and those that have the good fortune of knowing you.
God Bless, Patty

Your posts are always inspiring but this one made me proud of you for several reasons. Of course, you are a physician’s physician and very, very few of the doctors I have met in my life can be so aptly described. Secondly, your writing reflects greatly upon you and your ability to convey a message most of us miss in our daily blessed lives even though we feel we actually “know medicine and life.” Finally, I am simply proud to say I know you. What is happening in medicine today seems important to hospital administrators, physicians finishing their residencies and fellowships seeking employment status as opposed to being a real physician (my opinion) and, worst of all, those who teach what they think is right. Unfortunately, many physicians never see what you have and never learn what Hippocrates felt REAL physicians should be. You are my inspiration. I will soon leave the profession but will always pray that you will continue to “live your dream.” Many of us never get that real chance to succeed as you have. You are always in my prayers. Please keep me in yours. After all, I need it more!

John,
After showing a picture of Joules, one of your other miracles, Immacula, says “I kind of remember him, mom.” I truly need to get in touch with Laurie so that Immacula & Joules can meet again. Somewhere I have a picture of Joules, Immacula & Whitey at a picnic we were all at. It was about this time in May 17 1/2 yrs ago, when you and our beautiful Haitian with piercing brown eyes came into our lives. She forever changed our lives & we’re eternally grateful for all you’ve done & continue to do. I still remember your beautiful mother, John…how she welcomed us into your home, gave me tips about becoming a new mom to a very sick little girl.
Thank you seems so inadequate…but we Thank You, John….for being the wonderful man, physician and friend. May God Bless You and your family….always.
Much love,
Susan, Sal, Immacula & Laura❤️

As Widy’s Mom this story brings loving memories of our Haitian babies. I have never felt so much joy and happiness as when I was Widy’s Mom. Thank you

Hello Anne! Joueles talks about Widy still. You ARE Widy’s mom. One of my favorite pictures is of Widy, Joueles, and Immacula. I hope all is well with you and your children and grandchildren.

Laurie
AKA Joueles mom-

John, I am so happy I found this your site and this article. I am sooo happy that my little buddy is now a man. I have thought of him often and wondered how he and Laurie were after they left Peoria. I remember all the fun times we had, making up silly songs, watching cartoons, throwing whirlly birds in the front yard , taking him to hockey games and his love of ranch dressing. I hope Joules sees this and get in contact. Love you guys!!

Lori,
He still LOVES ranch dressing! And he remembers his time with you fondly!! He will be SO excited to be able to email you himself as he talks about you often. He has great memories of your times together. We still hang the stocking you made together every Christmas. So glad to make to the connection!!! You were such an important part of our life and only way I could go to work and know my baby was safely cared for. What a blessing. Laurie

Laurie, I am so glad to hear from you. Friend me on facebook so we can chat more and then I can chat with Joueles. I showed my mom the picture of Joueles that accompanied this article and she couldn’t believe how grown up he is. You can see pictures of my daughter on my facebook page. She couldn’t believe I knew someone in an article, let alone that her daddy and I used to take Joueles to the hockey games AND Joueles knew her Meme and Poppy. Again, can’t wait to hear from you and Joueles soon.

I am Joueles’ mom. Something I am not worthy of but work every day to live up to. I started this venture as we all start parenthood, in love with the idea and promise of nurturing a new life. My life with Joueles has been a blessed adventure. He is a jewel. We have weathered struggles which we could not have made it through without the help and support of Karen and Mick Kenny, Mary Kay Williams and family, my parents, brother and family and many, many others that helped me out in a pinch when we lived in Peoria. I now live in Champaign and Joueles walks to his Nana’s house (my mother) every day to ‘take care of her.’ He works twice a week sorting clothes at a local social service agency and is working on using the public transit system independently. He is an uncle now and very proud of his nephew and looking forward to teaching him all sorts of important things. And the circle continues…

Dr Carroll,
I have admired your work for many many years. I worked at OSF in Er several years ago I watched you do wonderful things when no one would take a stand and try….and I want to applaud you on what you do… Those babies need love and care and if we all could put our selfishness aside and all our thinking that society should be with no problems or ignored because they are not directly in contact with those who suffer and in need of desperate medical care. you have opened that door!!!! Continue your work and maybe more will join in this crisis . Thank you for everything you do…


John A. Carroll, MD
www.haitianhearts.org

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