by Cathy Glass
‘Not so far, although it’s early days. Oskar is very quiet and withdrawn at present, but not upset. He didn’t want a bath or shower last night, and I didn’t insist.’ This point wasn’t just about hygiene; it meant I hadn’t had a chance to check Oskar to see if he had any injuries apart from the bruise on his cheek.
‘I’m going to arrange a medical for him, hopefully for later today,’ Andrew said. It’s usual for a child to have a medical when they first come into care, but it can sometimes take a few days to organize. ‘Oskar’s mother is still abroad, but I’ve left a message on her voicemail to phone me. Has Oskar said any more about how he got the bruise on his cheek?’
‘No.’
‘Are there any other injuries you can see?’
‘No. But I haven’t seen him undressed. He wanted to sleep in his clothes to begin with. I persuaded him to change, but I had to wait outside his bedroom door while he did so.’
‘I see. I’ll sort out a medical. That should pick up anything else. You’re keeping a note of all this?’
‘Yes.’
‘Thanks. I’ll be in touch about the medical and also I’ll need to visit Oskar and you later in the week.’ When a child is placed in care the social worker is duty-bound to visit the child within the first week and then at least every six weeks for the first year.
We said goodbye, and I thought while I had the phone in my hand I should phone my supervising social worker, Edith, and update her. My call went through to her voicemail, so I left a message saying that Oskar had had a good night, was now in school and I’d updated his social worker. If she needed to know more, she’d phone me.
Now I’d gone through Oskar’s bag of belongings from home I had a better idea of what I needed to buy for him, so I made a list, downed a quick coffee and then drove into town. I’d just parked when my mobile rang. It was Andrew again. ‘I’ve arranged for Oskar to have a medical at the Health Centre this afternoon at two-thirty,’ he said. ‘I’m emailing the form to the clinic now. I’ll inform his school that you will be collecting Oskar early today. How much time will you need?’
‘Half an hour to be on the safe side, so I’ll have to collect him at two o’clock.’ I’d taken children to the Health Centre before, so I knew where it was.
‘I’ll tell them,’ Andrew said.
‘Any news from Oskar’s mother yet?’ I asked.
‘No.’
Having said goodbye, I headed for the shops, list in hand, where I quickly set about buying Oskar the items he needed. I could tell by looking at the clothes if they would fit him; I’m a reasonable judge after years of looking after children, as most parents and carers are. I bought him two sets of pyjamas patterned with pictures of dinosaurs, a dressing gown, slippers, casual clothes, socks, underwear and grey school trousers. The T-shirts and jerseys showing the school’s emblem could only be bought from his school. I was hoping I’d have time to buy those later when I collected Oskar for his medical. Andrew had arranged the medical very quickly and I assumed it was because Oskar had suffered at least one suspected non-accidental injury – the bruise to his face – and might have more, so it was prudent to have him examined as soon as possible. Had he had more serious injuries, he would have been taken to hospital to be treated and examined.
On the way out of the shopping centre I stopped off at the department store where I knew they had a good selection of cute, cuddly soft toys. I think all children need at least one cuddly toy they can hold close, take to bed if they wish and draw comfort from. Oskar might already have one at home, but it hadn’t been packed. After some deliberation – I could have bought the lot – I chose a traditional teddy bear with very soft brown fur. When my children were young and I had to re-equip a child we were fostering with virtually everything, I used to buy them a little gift to redress the balance, otherwise it could have seemed like favouritism. They didn’t expect it, and appreciated that they had plenty of clothes and belongings while the fostered child often had very little, but I felt better for doing it. Now they were older they often bought the child small gifts too, which was nice of them. It doesn’t take much to bring a smile to a child’s face. But of course, the best gift of all is to be shown kindness, attention and respect.
Once home, I made a sandwich lunch, which I ate as I put together a pasta bake for dinner later, then it was time to set off to Oskar’s school. I arrived outside at 1.45 p.m., buzzed the security-locked outer gate and a few seconds later it released. I crossed the empty playground and buzzed the entry system on the main door.
‘You’re early,’ the school secretary said a little curtly as I entered. ‘I was told to expect you at two o’clock.’ She was in the open-plan office to the right and was clearly very busy.
‘I was hoping I could buy Oskar some school T-shirts and jerseys,’ I said. ‘He only has one with him.’
‘We sell them at the end of school,’ she said, concentrating on her computer screen.
‘Shall I wait until tomorrow afternoon?’ I asked. ‘I won’t be returning to school today.’
There was a moment’s silence when I thought I might have heard a tut, and then she stood and asked, ‘What size and how many?’
‘Two of each, please. Aged six.’
She disappeared out the back of the office while I waited in reception. A few minutes later she reappeared with the garments in plastic bags. I thanked her and paid. ‘You can go up and collect him now if you like,’ she said. ‘It’s nearly two o’clock. Sign in the Visitors’ Book first.’
I thanked her again, signed the book and made my way to Oskar’s classroom, feeling like a chastised child. Much has changed since I was at school, but it doesn’t take much for me to be transported back to my own school days. The sounds, smells, classrooms, assembly hall, terse comments – they all form poignant reminders, good and bad.
I looked through the glass panel in the door of Oskar’s classroom and saw Miss Jordan moving between the tables as the children worked. She saw me and nodded, then brought Oskar to me. ‘Thank you,’ I said.
‘See you tomorrow,’ she smiled, and returned to her class.
‘Where are we going?’ Oskar asked, worried, as we went along the corridor.
I was sure Miss Jordan would have told him, but I explained. ‘To the Health Centre so a doctor can check you over and make sure you are healthy. There is nothing for you to worry about.’
We entered reception and I signed out of the Visitors’ Book as the school secretary watched from the office, then I pressed the button to release the main door.
‘Have you ever seen a doctor before?’ I asked Oskar as we crossed the playground.
‘Yes, I had a cough, but I’m not ill now.’
‘I know. This is to make sure you stay well. The doctor will weigh and measure you, listen to your chest, check your eyes and ears and probably feel your tummy. It’s nothing for you to worry about,’ I said again, for Oskar was still looking very serious. ‘I bought you some new clothes today,’ I said, changing the subject. ‘And a little present.’
Most children would have asked what the present was, but Oskar didn’t. He got silently into the car and remained quiet as I drove. ‘Are you all right?’ I asked him after a while.
‘Yes,’ he said, but in a way that didn’t reassure me at all.
‘You know you can tell me if there is something worrying you,’ I said, as I had said previously, and would say again.
‘Yes,’ he said quietly.
‘Did you have a good morning at school?’
He didn’t reply but gazed out of his side window, deep in thought.
‘What’s your favourite subject?’ I asked, trying to engage him.
‘Science,’ he said in a deadpan voice.
I continued talking to him and then I fed a CD of popular children’s songs into the player. Oskar was quiet all the way to the Health Centre and
then held my hand as we crossed the car park. I gave his name to the receptionist and said we were there for his medical. She told us to take a seat in the waiting area. The centre ran various clinics for children and adults, including immunizations, well-woman check-ups, blood tests and dentistry. Some of the children were playing with the toys provided, but Oskar just wanted to sit beside me. I picked up one of the children’s story books, but he was too preoccupied to take an interest. I tried talking to him, but he was locked in thought. I reassured him again that the medical was nothing to worry about. Another few minutes passed and then Oskar’s name flashed on the digital display screen together with a recorded voice giving his name and telling us to go to Consulting Room 2. He started and looked at me, petrified. ‘It’s OK,’ I said. ‘It’s telling us it’s our turn.’
I took his hand and we went down a short corridor until we came to a door marked Consulting Room 2.
I knocked and a female voice called, ‘Come in.’
As we entered, a young woman doctor seated at a desk swivelled her chair round to greet us. ‘Hello, I’m Doctor Yazdi, and you must be Oskar.’ She smiled pleasantly.
‘Yes,’ I replied on Oskar’s behalf, as he’d said nothing.
‘And you’re Cathy Glass, his foster carer,’ she said, glancing at her computer screen.
‘That’s right.’
‘Take a seat, please.’
We sat in the two chairs at right angles to her desk. She was very nice, but Oskar was frowning harder than ever now and his legs were jumping up and down agitatedly. ‘There’s nothing to worry about,’ I told him.
The doctor smiled. ‘And you’re six?’ she said to him.
He managed a small nod.
‘When did he come to you?’ she asked me.
‘Yesterday.’
‘Does he have bruises anywhere else apart from his cheek?’ she asked, glancing up. I assumed it was mentioned in the online form Andrew had sent for her to complete.
‘Not as far as I know, but I haven’t seen him undressed.’
‘OK. Good boy. Let’s start by having a look in your ears,’ she said to Oskar with a smile. ‘Can you hear all right?’
He gave a small nod. She took an otoscope from a drawer in her desk and looked in both of Oskar’s ears. He didn’t seem to mind, although I know it can feel a bit unpleasant. ‘They’re fine,’ she said, then typed in the result. She returned the otoscope to the drawer and took a wooden tongue depressor from a sealed packet and then asked Oskar to open his mouth so she could examine his mouth and throat. He did as she asked.
‘That’s all fine,’ she said, throwing the depressor in the bin. ‘And his teeth are in good condition.’ I threw Oskar a reassuring smile.
She then checked his eyes. ‘Do you wear glasses?’ she asked.
Oskar shook his head.
‘Can you read the letters on that chart?’ She pointed to the Snellen eye chart on the wall.
Oskar stared at her.
‘Does he know his letters?’ she asked me.
‘Yes,’ I said. ‘He’s learning to read.’
‘Read the top line for me, please,’ she told him.
Finally, he did. Slowly, in a small, plaintive voice, he began reading from the top, enough to confirm he could see all right.
‘Good boy,’ Dr Yazdi said with another cheerful smile. ‘His immunization programme is up to date,’ she said to me, glancing at the screen.
‘Is it? I didn’t know.’
‘According to our records it is, although the immunizations weren’t done in this clinic. Now, let’s weigh and measure you,’ she said to Oskar. ‘Can you stand on these scales for me?’
He didn’t move, so I took his hand and helped him onto the scales by the doctor’s desk. ‘His weight is at the lower end of average,’ she said. ‘Does he have a good appetite?’
‘From what I’ve seen, yes, but I understand he used to sometimes arrive at school hungry, which was one of the concerns.’
‘He could do with putting on a few pounds,’ she said, making a note. ‘Let’s see how tall you are,’ she said to Oskar, and drew him to the height bar. ‘Again, it’s the lower end of average,’ she said. ‘But nothing to worry about. He’ll probably have a growth spurt.’
I threw Oskar another reassuring smile and he looked back at me, expressionless.
‘Now I’d like you to come and sit on the couch so I can listen to your chest,’ Dr Yazdi said.
Oskar didn’t move, so I took his hand and led him to the couch.
‘Can you climb up onto it?’ she asked, pulling out a step stool from beneath.
Oskar shook his head.
‘I’m sure you can, a big boy like you,’ Dr Yazdi encouraged.
It wasn’t high and could be managed by the average two-year-old, but Oskar stood still, head down, staring at the floor.
‘Up you get,’ she said, ‘and sit on the couch for me.’
I touched his shoulder and reluctantly Oskar did as she asked. Her stethoscope was already looped around her neck. As she went to raise Oskar’s jersey at the front so she could listen to his chest he grabbed it and pulled it back down again.
‘What’s the matter?’ she asked, concerned.
He shook his head and clutched his jersey so tightly to him his knuckles were white.
‘There’s nothing to worry about,’ I reassured him.
‘I just want to listen to your chest, Oskar,’ Dr Yazdi said. ‘Look, like this.’ She slipped the chestpiece into the front of her blouse and put in the earpieces. ‘I can hear my heart beating. Would you like a listen?’
A trained paediatrician, she was so patient. She allowed him a listen and then gradually Oskar released his jersey and let her lift it up so she could listen to his chest and then his back. This also gave her the opportunity to check his skin for any more bruising or suspicious marks. I couldn’t see any.
‘His heart and lungs are fine,’ she said to me. Then to Oskar, ‘Good boy. Now I want you to lie down so I can feel your tummy. And I’ll have a look at your arms and legs too. Have you been to the toilet today?’
Oskar didn’t reply, so I said, ‘Yes, he went this morning.’
‘Good, and he takes care of his own hygiene?’
‘Yes,’ I confirmed.
‘Lie flat on your back then,’ she told Oskar, who hadn’t moved. ‘It’s not going to hurt.’ He still didn’t move.
‘Lie down, love,’ I said. ‘It’s part of the medical. I’ll hold your hand if you like.’
He gave me his hand and gradually I eased him down, but I could feel how tense he was.
‘He’s very anxious,’ Dr Yazdi commented. ‘Is he always like this?’
‘He’s been very quiet since he arrived, but he hasn’t been this tense.’
‘Don’t you like doctors?’ she asked him with a smile.
Oskar stared back, petrified.
‘It won’t take long,’ she said. ‘Let’s have a look at your arms and legs first then.’ She began by easing up his trouser legs as far as they would go to the knees and examining his legs. ‘They’re fine,’ she said. Then she looked at his arms and moved up his jersey. With a flat hand she began lightly pressing his stomach. Oskar shut his eyes, held his breath and grimaced.
‘I’m not hurting you, am I?’ the doctor asked, pausing, concerned.
He didn’t reply but kept his eyes screwed tightly shut. She glanced at me and then moved her hand to his lower abdomen. Oskar went rigid. He was so still and tense that for a moment I thought he was going to fit.
‘OK, that’s enough,’ the doctor said. ‘You can get off the couch.’ I helped him down. ‘From what I can see he appears healthy, but he’s very anxious. I’ll send my report to his social worker. He may want a follow-up medical in a few months when Oskar is more relaxed.’
I thanked her and helped Oskar into his jacket, then I took his hand as we left the consulting room. I wasn’t reassured by hearing the doctor pronounce Oskar healthy, not at all. The only other child I’d seen so stressed at having a medical and who hadn’t wanted to remove their clothes had been sexually abused. Alarm bells were ringing again, although of course it was still only a suspicion. There was no proof, and I sincerely hoped I was wrong.
Chapter Five
You Know Those Men?
Oskar was just as quiet in the car on the way home from the Health Centre as he had been on the way there. I asked him a couple of times if he was all right, without much response, and then I said I was going to stop off at the supermarket so he could choose some food he liked. He didn’t reply but I went anyway, as I needed to top up on general food items like bread, milk, fruit and so forth.
‘Would you like to push the trolley?’ I asked Oskar. Most children love being in charge of a supermarket trolley, sometimes to the detriment of other shoppers! Oskar shook his head, but he was content to walk beside me as we went up and down the aisles.
‘Tell me if you see anything you fancy,’ I said. It’s not an invitation I would offer to some children, as we would end up with a trolley full of crisps, sweets, biscuits and Pot Noodles. Oskar didn’t make any suggestions at all.
The supermarket, like many, had plenty of counters displaying food from other countries and I pointed these out to Oskar and lingered by them, hoping he would spot something he liked, but he didn’t. He wasn’t interested and remained thoughtful. When we got to the bread counter, I asked him if he could see any of the rolls he had for breakfast at home. Without any enthusiasm, he took a bag of sourdough bread rolls with seeds on and passed them to me. ‘Good. What would you like to go in them?’
He shrugged. ‘Don’t mind.’
I thought that once his social worker had spoken to his mother, I’d have a better idea of Oskar’s likes and dislikes. All I knew at present was what Oskar’s uncle had told Andrew: that Oskar didn’t have any food allergies or special dietary requirements. But all children have food preferences, which I try to accommodate within reason. For now, however, I bought the rolls and some more ham and cheese filling, as well as the other items we needed. Oskar remained quiet and pensive as we completed the shop, and afterwards, when we were in the car going home, I asked him if there was anything wrong, but he shook his head. Then, as I drove, he suddenly asked, ‘Will I have to have another medical?’