Originally written for my Narrative Medicine college class in 2018. Further editing completed prior to posting, and permission granted from all parties mentioned by name as well as from my professor.
In March of 2018, over spring break of my junior year in college, myself and several other nursing students traveled to Nicaragua for our community health clinical experience. This was made possible through a partnership between Norwich University’s Director of the Nursing program, Dr. Paulette Thabault, and an organization called Corner of Love based in San Ramone Nicaragua. This month marks three years already since my trip over there,

Corner of Love is an organization founded by a married couple named Tanya and Nelson Amador. Nelson was a native himself, who immigrated to the United States following the war that took place there in the 1980s. It was during his time in America that he met Tanya. They were married and together felt called to return to Nicaragua and start a mission there. Over the years, Corner of Love has grown to serve more people than ever before. It is maintained by the work of Tanya, Nelson, the natives they employ, and the labor of many volunteers that filter in and help as they are able. They also depend heavily each year on donations from others, both monetary and material supplies including food, clothing, and medical supplies. Following violent political unrest in Nicaragua in 2018, Corner of Love was forced out of the country. They are now stationed in Costa Rica where they care for Nicaraguan refugees who have been forced to flee their home country.
One of the requirements for going on the trip in 2018 was that each person bring at least one-hundred pounds of donations to go towards the villagers we would be caring for. Donations ranged from clothes and shoes to over-the-counter medication and supplies. A handful of people brought extra supplies and suitcases with them that exceeded the minimum of one-hundred pounds. With a group of around thirty-five or so individuals, it added up to nearly two tons of donations; enough to fill the beds of two large pickup trucks until they were heaping.
Our first big task that we did in San Ramone was sort and organize all the donations, specifically between clothes and shoes, medication, hygiene items, toys, and various other items. After arriving at the community center, the unloaded pile of suitcases was an incredible sight to see. As we tackled the task head on, something amazing happened; despite high temperatures, heavy workload, and little prior interaction, everyone worked together eagerly and efficiently. The ability to become acquainted while serving others made the problems of our own daily lives fade away. Together, we realized the importance of helping others as well as the value of our peers and the perspectives each person brought to the table.
The structure of our trip was centered around a total of four clinic days, two of which were done in the community center, a building owned by Corner of Love in San Ramone, and the other two were done out in remote villages located an hour drive or more away. With each passing day spent with the Nicaraguans, the stress of my life in America seemed insignificant and petty. As time went on, I found myself smiling more and more, while being immersed in their culture and the simplicity of their lifestyle.

Midway through our second clinic day spent out in the villages, I served as a scribe with Dr. Thabault serving as the provider. Our translator had gone to get the next person in line, and as they returned, my eyes immediately fell to the child. She was a beautiful little girl who came walking over with her mother and looked to be about five or six years old. As she approached, we made eye contact and her bright eyes twinkled as her smile spread across her face. It was a genuine and contagious smile that seemed to light up the room, and I couldn’t stop myself from smiling back.
They sat down at our table, and I began my routine as I had with every other patient that day. I asked the mother for their paperwork, and she passed it across the table. I began looking at the data: height, weight, blood pressure, age… Age? On the card, it said that the child was eleven years old. I knew that couldn’t be right, could it? I showed Dr. Thabault, who agreed with me and we asked the translator to verify the child’s age with her mother. He did, and the mother’s response was the same: eleven.
I was so surprised but attempted to put my questions about that in the back of my mind as we proceeded. After consulting the mother, the translator told us her symptoms and why she was here. It was all the same symptoms that we had heard over and over again all morning: headache, abdominal pain, diarrhea, etc. As I prepared to get up and start my assessment, her mother pulled up the child’s shirt, and I noticed a large abnormality within seconds. There were two incision sites that were each two to three inches long on her abdomen. It was clear that they were old incisions that had healed closed, but they were deeply indented into the little girl’s belly. On seeing them, Dr. Thabault said she would do the assessment, and I watched attentively. When asked, the mother said that the incisions were from the child having her appendix removed when she was three years old. Through the translator, the mother went on to tell us that the child’s vocabulary was very limited, and she was only able to speak in basic words with her family.
My brain took off at full speed, as I sat there trying to figure it all out and connect all the pieces. There was so much going on that I couldn’t understand based solely on the information we had, and I hated it. Immediately and somewhat without thought, my brain began compiling a check list of things that were wrong with her and things I wanted to be able to “fix” and change for the little girl and her family. There were so many questions I wanted to ask, and so much more digging I felt like needed to be done.
As I sat there, too busy in my own head to do much else, Dr. Thabault had written down parasite medication, ibuprofen, and children’s vitamins. She then had the translator ask the mother if her daughter had gone to school at all. The mother responded that she had only gone for part of kindergarten, due to the fact that she was fighting with other kids. Dr. Thabault encouraged the mother to try to send her back to school, even for just half days, to help with socialization and vocabulary. From there, the translator explained the medications and Dr. Thabault’s recommendations to the mother.
As she sat there listening, my gaze fell to the child. After choosing a brightly colored blue beaded necklace, Dr Thabault walked around the table towards the child, crouched down and extended it towards her. Once again, the child’s face lit up with a smile from ear to ear as she reached for it. She couldn’t stop smiling as she held it in her hand. Words were unnecessary in that moment, and as I watched, my heart flooded with joy for her and peace about her situation. She was so happy and loved so deeply. I didn’t need her to tell me that for me to know.

The entire rest of the day, this case stayed on my mind, and I couldn’t understand why. I did a lot of thinking and self-evaluation, and by the end of our time in Nicaragua, came to understand why it had left such an impression on me. On our final morning with Corner of Love, we all stood in a circle together as Tanya shared about a special little child her and Nelson had known, and the heart wrenching story of what had happened. During her retelling, there was pure emotion in her voice, and tears in her eyes. When her story ended, she continued that she suspected each of us probably had one person or situation in particular that we would always remember in a special way. She said her hope for us was that we would never forget them, and that we would carry them with us in our heart as we continued on in the world caring for others. and that would always leave a mark on us.
My eyes filled with tears at her words, and I felt like she had touched my soul. I immediately thought of the precious little girl from several days earlier and was overwhelmed with emotion. Not only was she someone I would never forget, but she had taught me so much about myself, humanity, and my outlook on the world without even trying.
I learned that sometimes it’s not about a checklist and having it all figured out. I struggled with feeling that the care we were able to offer was inadequate when compared to her needs, and I wanted so badly to understand how all the different things in her case fit together and why. In reflecting back on that day, I became painfully aware that in focusing on the things, I lost sight of the person. It also meant that instead of focusing on how to help them in what they need now, it became more about me than them. I learned the importance of viewing the whole person, and not just what their illness or challenges may be.
In this precious beautiful little girl, I saw happiness in spite of all circumstances. Her smile lit up the entire room, and she loved deeply, more than I could even understand. If she was able to find pure happiness in her life, despite her difficult and painful circumstances, how much more could I in my life, where the daily struggles were not even comparable.

Going to Nicaragua was an incredible experience, in which the most important lessons were unplanned, and unexpected. I was consistently in awe of the contagious joy I saw in the children that I worked to assess, as well as those I just saw from afar. Even as they glowed with happiness, I could see clear indications of the pain and discomfort that they had already experienced in their young lives. My heart ached for the conditions that I came across, and I struggled with the feeling that I was not doing enough to help them. Over time I came to realize that we were often treating symptoms with no way to impact the underlying causes. So much suffering seemed preventable and needless, yet it would take so much for me to do anything about it, and I felt like my hands were tied. There were times when our capabilities for treatment options fell short of what I wanted my patients to have, which made me feel sad, angry, and even ashamed at times.
In the middle of such obvious poverty and suffering, I witnessed smiles so pure and so intense that I couldn’t help but smile back. These children and their smiles were not hindered by a language barrier. Education, opportunity, and circumstances do not inhibit love and gratitude. Love is universal. Gratitude is a human language. My love is their love, and theirs is mine. I never needed the translator for the truly precious moments of my trip that I have carried with me into my career. Love is a language that crosses all barriers and speaks to the heart. Love was why I went there in the first place, and love was why I hope to go back.
At the end of my trip, they had taught me how to truly love.






