01 February 2015

A Shepherd Needs His Shoes

Using an inner tube and foam from his mattress, our
patient rigged up a 'shoe' to cushion his steps.
A few weeks ago, I saw a young man -- maybe 16 or 18 -- limping through the hospital.  I was walking behind him, analyzing his gait pattern.  On the left foot, he wore a DarcoShoe which we had given him a while back.  His right foot wasn't visible as the leg of his pants encircled what remained after a midfoot amputation.

I didn't think much more about him, until a couple hours later he and his father showed up at our gym.  He didn't want the Darco any more . . . the wound where they had removed his left big toe, was all healed and the wedge of the sole made his limp worse.

Walking, for this young man, isn't just a form of transportation . . . it is his source of income and identity.  He's a shepherd, and his life is spent roaming the wide open spaces of Niger, leading his sheep and goats out to pasture.

As we asked him some questions in order to best gauge our intervention approach, he began to sling a little rubber disk around the ring finger of his right hand.

'What's that?' I asked.

'My shoe.'

'Where'd you get it?'

'I made it myself.'