Well, since you asked.
I am/will be working at this hospital called FLENI (which is essentially “Foundation for the Fight Against Infantile Neurological Diseases”; I am working in the CETNA division, which is the “Center for Educational Therapy for Children and Adolescents”). Each morning, I have to take an 8 AM van from the Belgrano Headquarters, which is a fifteen minute walk and a 7 minute subte ride away, to the Sede Escobar [Headquarters], which is about 40 minutes away. So I will be awakening regularly at around 6:40, which I guess I can deal with. (It just means that my late porteño1 nights are going to be only on weekends, and that I feel bad while staying in a dormitory at a hostel. Hopefully this will not be forever.)
I am working directly for this woman named Maria A, who is in charge of the DIR/floortime autism therapy2 at FLENI, and trains people in how to do the therapy, both parents and educators. She is a psychologist, and has a private practice as well; she’s quite young, but is one of the older people working there. She studied in the States, as did many of the higher-level people there; she speaks English quite well. Most of the speech/physical/occupational therapists are young women recently out of college; they look younger than they are, in general — perhaps because they don’t wear makeup to work (I’m not sure, but I’m consistently having to remind myself that these women have degrees and are not my age; some also have kids).
FLENI is a really nice hospital. It’s a private foundation, started by some benefactor, and it’s a non-profit; despite all of this, the people who come here are for the most part paying bucket-loads. (And you can often tell.) (And, I mean, each kid has his or her own fully-trained therapist at the school; that’s more than you get in the US at some places. People come here from around South America for neurological diseases.) Despite the name, they don’t just deal with kids; at Sede Escobar there’s a division, CR (Centro de Rehabilitación), that deals solely with adults. As Maria keeps reminding me, “Esto no es el Argentina real.”3 At some point, I’ll hopefully get to go to a state hospital and see how things are there; it’s completely different, she assures me.
In any case, I’m going to be (a) working with some of the kids at the school, doing floortime and observing a lot. This I did today and Wednesday — I helped out in a floortime evaluation with a really great kid named Lucás, who has gone from Aspergers to not even being autism-spectrum over the past few years, although he still has a lot of the signs of it. It was really nice to realize that my Spanish is okay for things like playing with kids. Especially kids who have fewer language skills than Lucás.
(b) I’ll be working with some of the kids who don’t get much exposure to floortime because not enough of the staff are trained in it yet (I get the impression that they’re somewhat hesitant to put too much money in it at FLENI), with Maria and with one of the therapists in charge of one of the classrooms, Belen; I’ll also be working in English with one of the kids (Carlos, I think), since he speaks, errr, English.
(c) I’ll be taking part in some of the training sessions for educators and therapists that Maria does, which is kind of difficult, since they’re entirely in Spanish. (Duh.) But should be interesting and really good practice.
(d) I’ll be occasionally helping out in Maria’s private practice, maybe, and perhaps working with a kid (from that practice, her consultorio privado) who is 15 and has Aspergers, and is studying English. This could be a cool opportunity to do something sort of different. The nice thing about her private practice is that there aren’t problems with administration; all we need is the parents’ permission for me to be involved.
(e) If things work out with Sebastien, who is a doctor at FLENI who also works at a state hospital in San Telmo, I may be going to another hospital to observe once a week, or something. This is still hazy (he needs to talk to administrators there; yay buraucracy).
(f) I will probably end up helping out with some of the folks who are going to study floortime stuff in the states; one therapist has a presentation in English she’s working on, and hopefully I can help with that (at least that I’ll be good at!)
Anyway, I won’t work Mondays since Maria only does private practice; some days I’ll only be there in the mornings and some days I’ll be there all day. As they find more things for me to do, I’ll do them, but thus far, this is what I’m going to be up to. Which is not insignificant, and about what I expected. I am hoping that things continue to work out as I originally thought they would.4
A few last notes, and then I’ll end.
Spanish & people. When people at FLENI are talking about floortime, I generally know what’s going on. At least in large part. When they’re talking about anything else, I get a few words, understand gestures, and the rest I can make out words but only vaguely understand. Still, I’ve definitely had some conversations, and I think I’m at least reasonably confident when I speak, so all is well. At the same time, eh, I haven’t really met anyone besides Rachel and her friends yet who I like. Which is fine of course, since Rachel is an awesome sister, and I like her friends, but they leave sooner than I, so while this is all good, I want to meet a few more people. Shrug. I am not so good at this, and there are not too many folks at the hostel. I’m sure I’ll figure it out by being friendly and dashing. (Hah!)
And, last, mate is delicious and Rachel got me a gourd and una bombilla5, and I drank it at work as well, with Maria and Belen, and this is all good.
And so it goes. I will talk about food another time, and thence about the search for an apartment. Probably.
1 see: person from Buenos Aires
2 Floortime (or, the DIR model, or, here, “el floortime”) is an up-and-coming therapeutic technique that some people think really works, Maria included, me somewhat; this is essentially what my “project” is about. D: Developmental. I: Individual differences. R: Relationship-based. It’s, in essence, a model that suggests that therapy for autism-spectrum disorders like autism, Aspergers, and PDD-NOS should be based on working with each individual child, at whatever level of development, in producing relationships and interactions. Google it for more.
3 You all get that. “This is not the real Argentina.”
4 Which is actually quite impressive. Like, who has a project that ends up turning out about as they expected it to? Really, things are going well, although of course I wish everything (see the stuff about Spanish, especially) were easier.
5 straw. The way yerba mate works is, you put a lot of te in a gourd, like three-quarters full, and then you pour hot water into it from a thermos, and people take turns drinking. The straw is long and thin and has tiny holes at the bottom, so the leaves of the tea don’t come in, but the tea does. It’s really strong, but I like it; it helps that I’ve drank it in the States before, both with Gina and when I bought some from the Head Nut.
silly jdb – there’s no way a language barrier is going to stop you from making friends. you made more friends in the first few days at haverford than i have yet to make. i’m really not worried on that score.
Comment by Mark — 23 May 2008 @ 9:01 am