The second thing I noticed, a second later, was the flat bridge of Dachka's nose. Next, I saw her low-set ears. I took her bony hands in mine. Turning them over, palms upwards I noted a single crease, cutting straight across each palm.
Dachka is four and a half months old and she weighs 7lb 3.5oz. She is significantly malnourished. First I saw that she was beautiful. Next I saw that she had Down's syndrome.