I noticed that Johnny's right handright-hand thumb was swollen and he couldn't properly utilize this hand, this. This was noticed when I asked him to carriedcarry his lunch bag as part of his cosan programme as he arrived at the centre this morning at 9am butand he refused to useduse his right hand, but he carried the lunch bag with his left hand. I could not immediately figure it out why he refused to used two hands. SameThe same was repeated when hishe was making his breakfast, then. Then I noticed that his right thumb was swollen and I immediately called to the attention of my senior colleagues to checkthat his hand needed to be checked. We immediately informed gleneelyGleneely regarding this and a staff from gleneelyGleneely came to collect him. and weWe prompted the staff that Johnny might require an x-ray.