The World Health Organization predicts that more than 2,500 babies will be born in Brazil with microcephaly if current trends continue in the Zika virus outbreak. Zika is spread by mosquito bites and sexual contact. It is not preventable by medications or vaccines. Women who contract Zika in their first trimester of pregnancy are up to 13 percent likely to pass on microcephaly to their growing babies. Microcephaly usually means incomplete brain development and can lead to intellectual disability as well as hearing or vision loss. Therapy is needed from birth to help affected babies develop. Photos and name information for this blog taken from the Los Angeles Times special report: Living with Zika, by Alexandra Zavis and Katie Falkenberg. Read the story here.
I woke up last night at 4:30 a.m. because my son was crying. His name is Joshua. He's about the same age as Nicolas, and just as loved.
I was tired, though, at 4:30. I walked from my king-sized memory foam mattress in my bedroom into his bedroom and lifted him out of his wooden crib. He was lying on a mattress in a muslin sleepsack. He was a little hungry. He wasn't sweaty because we had our air conditioning running. I went back to sleep a half hour later.
I thought about you because at 4:30 you were already awake for at least an hour. Did you even go to sleep at all? The van came at 3:45 a.m. It was dark and sometimes Nicolas slept and sometimes he cried. When he sleeps he looks like an angel. I saw you holding him as you both slept, exhausted, at Pedro I Municipal Hospital in Campina Grande, Brazil. You were so tired. I don't know if you have other children at home. I don't know if you are married or if Nicolas' dad takes him sometimes on the van to the hospital.
Nicolas' story is your story. The story of our children is always written on mamas' foreheads. When I saw you in this photo, your forehead was peaceful. Nicolas looks like you.
You're so tired and scared. You've barely healed from your pregnancy. Sometimes you are hopeful and sometimes you are afraid you're not doing good enough. Just like me.
Nicolas has microcephaly.
I don't know when you had Zika, if you knew it was Zika. The mosquitoes are everywhere. It was only a bite, maybe a rash. There was nothing you could have done.
Diseases don't read but they understand social contracts. They kill and maim the poorest among us, the weakest among us - first: pregnant women, people without air conditioning, people who have to store water outside in case of shortages: places where mosquitoes breed and grow and bite and viruses swarm the placenta and maim a growing baby's brain.
Where I live moms worry a lot. I guess moms worry a lot everywhere. But I didn't have to worry about Zika. It wasn't allowed into my neighborhood. Affluence and privilege blocked it, like they did with cholera and starvation and polio and measles, though we're willfully testing our immunity because we are so privileged we think we're smarter than we are.
We have other diseases here. Anxiety and depression and meanness and isolation. Not that you don't have those too, but maybe ours grow because we're so isolated from you and from each other. From our sister moms across the world who remind us the sacred trust between a mother and her baby; who remind us to trust ourselves and trust our love more than the Internet.
We call each other lazy or overprotective. We judge silently. We try our best. We keep track of silly things, like preschool tests or Pinterest snacks or percentiles.
You watch your percentiles, too. Each time they wrap the measuring tape around Nicolas' head he screams. Somewhere he knows. His numbers aren't about 30th or 70th percentile, about "red-shirting" kindergarten or jumping ahead. His numbers aren't on the doctors' chart. His numbers are the answer to an equation stacked against him before he was conceived.
Still he is a fighter. Like you.
You hold your head up with your hand on one exercise ball. You heard once these were good for sit-ups. Sometimes we use them to help Josh fall asleep.
Nicolas is rolling on his exercise ball with his therapist. His eyes are wiser than they're supposed to be for his age, for his Zika-ravaged brain. He's wearing a polo shirt with two buttons. Did you pack it in his bag? Did you dress him in it at 3 in the morning before the van came to pick you up and take you to the hospital?
I didn't see your diaper bag. How did you have time to pack it? How do you do it?
He looks perfect. He reminds me of Josh.
Maybe you're like me and you hate when moms use the word perfect because no one is perfect. Nicolas has microcephaly.
Seconds later Nicolas is screaming. He's tired. He's hungry. He's all the things babies are and he's not even 6 months old and he's doing physical therapy. It's not fair. Maybe he wants you. They always do.
The appointment is over and then it's the long wait and the long van ride back. Sometimes for my doctor appointments with Josh we have to wait 45 minutes. You wait hours. A day. I'm embarrassed of my complaining, my entitlement.
And still we are all, especially Nicolas, more complicated than we first appear.
There is no certainty with Zika, with microcephaly, with motherhood, with life. Maybe Nicolas will go to college. Maybe he'll need help his whole life to walk or feed himself.
Maybe well-off American moms think we should pity you. Your waiting, your lack of air-conditioning, the social circumstances of your environment that predisposed you to Zika, Nicolas to microcephaly.
The motherhood we experience is so different.
In this waiting room at Pedro I municipal hospital in Campina Grande, Brazil, this small room filled with fake flowers, coffee, cake and broken scanners - mamas are laughing.
In a few weeks, or a month or two, maybe Nicolas will laugh, too. You'll hear it and forget everything else. You are a mom. Perversely, perhaps, the waiting room is a sanctuary - a place where motherhood is what it was meant to be. Women supporting each other. Babies crying and laughing and living. Imperfectly.
Your laughter, your support for each other, your refusal to quit in the face of fear, of Zika, of microcephaly, of despair: it is a revolutionary act. Mighty warriors have fallen down before in the face of much less.
Your laughter won't cure microcephaly.
It won't cure hatred or injustice or the various geopolitical alignments, the cheating, the offshore accounts, the excesses, that left you vulnerable to Zika.
But God is watching you. The God who created Nicolas is the God who loves Nicolas is the God who transformed death on the cross into everlasting life.
The evil in the world, the Zika the microcephaly the injustice the violence the fear they are all still there.
But God is transforming them. See I thought your story was about Zika but it wasn't about Zika at all.
It was about love, and the courage and faith that turns death into life.
Rest well, Kalissandra. Rest well, Nicolas. Rise and bear witness.
Where, O Zika, is thy sting?
Photos and name information taken from the Los Angeles Times special report: Living with Zika, by Alexandra Zavis and Katie Falkenberg. Read the story here.