I don't see a child here for the simple reason that the first line sets a different stage: I come festooned with flowers, smiles and grapes... Would you bring those things to a child's hospital room? I don't think so; smiles, sure, but balloons and coloring books are more likely than flowers and grapes, eh?
I'm in the "don't reverse the couplet" camp as well, for reasons well stated above.
(robt)
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