ONE CHILD AT A TIME: PERU - Images | N. Scott Trimble Visuals

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Coya, Peru

Quechuan child

The waiting room

Dr David Shaw, a 69 year old orthopedic surgeon from Salem, Oregon, created the small non-profit team One Child at a Time to help impoverished children with orthopedic problems have a chance to live a more normal life.

Dr. Shaw surveys his patients

Sandra del Prado, co-founder of the Kausay Wasi Clinica in Coya, greets a young boy who had a club foot corrected the year before by Dr. Shaw's team. del Prado was the first Peace Corps volunteer to come to Peru, where she met her husband and cofounder, Guido, a former US Foreign Service agent.Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Sandra del Prado visits her children..need

Dr. Mel Wade lightens the mood for Andira during triage. Andira, afflicted with Cerebral Palsy and as a result her legs "scissor" as she walks. Nerves will be stripped out to help her use her legs normally.

Dr. Wade lightens the mood

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Nurse Lettie Turner comes to prep Elena, whose hands were not completely formed at birth. Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Winning Elena's trust

Elena waits for her operation

A birth defect fused Elena's fingers together, which doctors will separate to help her grasp objects like pencils, since she loves to draw.Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Elena's hands

Healing hands

Dr Shaw inspects the incision that seperated Elenas fore and middle fingers.Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Elena's transformation

Luis rides a pain wave with the help of a nurse after sedatives wear off. Luis had a club foot corrected and an elbow repair as well. Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Riding through the pain

Andira, 11, afflicted with Cerebral Palsy, underwent a procedure to strip out nerves in her legs that misfired and resulted in difficulty walking.Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Andira shines

Nine month old Roger smiles just hours after an operation to remove extra finger and toe from each limb. Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Six-fingered Roger

In addition to the hospital, Coya also houses a prosthetics clinic.Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Prosthetic lab

Occupational Therapist Andrea Serdar tests the range of the young girl's leg. Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Andrea performs therapy

Playful distractions

Kiara has a clubbed left foot. Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Kiara seeks help

Anesthesiologist Kim Miller regulates Kiara's gas feed during the operation. Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Kim administers anesthesia

Kiara. Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Kiara and her nurse

Kiara sleeps

Roger's hand

Coya

Roger and his father

Luis Elvis and his father. Luis has a severe clubbed foot that needs a triple axis restructure. Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Luis Elvis waits with Dad

Luis Elvis goes under sedation to work on his clubbed foot.Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Luis Elvis sleeps

A hammer and chisel are used by Dr. Shaw on Luis Elvis' foot.Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Fixing Luis' foot

Marie Elena flexes her leg for therapy after her hip replacement operation. Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

Marie Elena prepares for hip replacement

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Jennifer Frydl examines a patient just after surgery. Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

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Physical therapist Jennifer Frydll measures Miguel's legs to fit him to a unique brace that might allow the paralyzed boy to walk for the first time in two years after a tragic bicycle accident. 8Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

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Miguel was paralyzed two years ago in a bicycle accident and was fitted with a reticulated gait brace that, with assistance, will be able to stand and walk.

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$Fourteen year-old Roosevelt suffers from a condition that renders his bones a brittle as glass, and numerous fractures of his legs over the years have deformed his legs. His father carried him for two hours down from their mountain home and six hours by cab to come to the clinic.$

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Roosevelt sleeps as doctors slice through his tibias and "shish kabob" steel rods and pins in to reinforce his bones so he can walk. 8Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.

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$Roosevelt was born with brittle bones and suffered countless fractures growing up. The 14 year old will undergo a greulling procedure that will use steel rods run through his lower legs like a shish kabob to help straighten and strengthen them.and Oregon orthopedic doctors and support staff helped hundreds of Peruvian children in Coya, Peru performing corrective surgeries and therapy to improve their quality of life.$