KP, a 2.5-year-old infant with cachexia, recently was admitted to our hospital. A year ago, the
hospitalist team treated her for sequelae of Zika virus exposure: microcephaly, central
diabetes insipidus, and failure to thrive. Sadly, here she was again, weighing less than her
discharge weight when she was 18 months old. Her standardized weight for age had
plummeted from an already poor 22.5 to an abysmal 25.5. How had our medical system
failed this child? KP's mother had dual US and Dominican citizenship, but was homeless …