Alka was found by the police on the railway tracks of Vizag. She was adopted from the Woman and Child Welfare Centre by a family, only to be returned when they realized she was hopelessly spastic. Icha adopted her when she was 9 months old. Though she is on regular musculoskeletal and neurological physiotherapy it has made little difference to her motor movements. She will need to be supported throughout her life. Icha provides nurturing care and compassion to make Alka’s life as comfortable as possible. She may not develop the mental faculties to learn life skills.