Thursday, March 11, 2010

The story might be fiction but asks the question for real - Do I have enough?

I was doing some last-minute Christmas shopping in a toy store and decided to look at Barbie dolls for my nieces.

A nicely dressed little girl was excitedly looking through the Barbie dolls as well, with a roll of money clamped tightly in her little hand. When she came upon a Barbie she liked, she would turn and ask her father if she had enough money to buy it. He usually said "yes," but she would keep looking and keep going through their ritual of "do I have enough?" As she was looking, a little boy wandered in across the aisle and started sorting through the Pokemon toys. He was dressed neatly, but in clothes that were obviously rather worn, and wearing a jacket that was probably a couple of sizes too small. He too had money in his hand, but it looked to be no more than five dollars or so at the most. He was with his father as well, and kept picking up the Pokemon video toys. Each time he picked one up and looked at his father, his father shook his head, "No."

The little girl had apparently chosen her Barbie, a beautifully dressed, glamorous doll that would have been the envy of every little girl on the block. However, she had stopped and was watching the interchange between the little boy and his father. Rather dejectedly, the boy had given up on the video games and had chosen what looked like a book of stickers instead. He and his father then started walking through another aisle of the store. The little girl put her Barbie back on the shelf, and ran over to the Pokemon games. She excitedly picked up one that was lying on top of the other toys, and raced toward the check-out, after speaking with her father. I picked up my purchases and got in line behind them. Then, much to the little girl's obvious delight, the little boy and his father got in line behind me.
After the toy was paid for and bagged, the little girl handed it back to the cashier and whispered something in her ear. The cashier smiled and put the package under the counter. I paid for my purchases and was rearranging things in my purse when the little boy came up to the cashier. The cashier rang up his purchases and then said, "Congratulations, you are my hundredth customer today, and you win a prize!" With that, she handed the little boy the Pokemon game, and he could only stare in disbelief. It was, he said, exactly what he had wanted!

The little girl and her father had been standing at the doorway during all of this, and I saw the biggest, prettiest, toothless grin on that little girl that I have ever seen in my life. Then they walked out the door, and I followed close behind them. As I walked back to my car in amazement over what I had just witnessed, I heard the father ask his daughter why she had done that. I'll never forget what she said to him. "Daddy, didn't Nana and PawPaw want me to buy something that would make me happy?" He said, "Of course they did, honey."
To which the little girl replied, "Well, I just did!"
With that, she giggled and started skipping toward their car.

Apparently, she had decided on the answer to her own question of, "do I have enough?"

Okay so I am sucker for this but which one of you didn't feel a tug?

A famous singer had been contracted to sing at a Paris opera house and ticket sales were booming. In fact, the night of the concert, the house was packed; every ticket had been sold.



The feeling of anticipation and excitement was in the air as the house manager took the stage and said, "Ladies and gentlemen, thank you for your enthusiastic support. I am afraid that due to illness, the man whom you've all come to hear will not be performing tonight. However, we have found a suitable substitute we hope will provide you with comparable entertainment." The crowd groaned in disappointment and failed to hear the announcer mention the stand-in's name. The environment turned from excitement to frustration. The stand-in performer gave the performance everything he had. When he had finished, there was nothing but an uncomfortable silence. . . No one applauded.

Suddenly, from the balcony, a little boy stood up and shouted, "Daddy, I think you're wonderful!"
The crowd broke into thunderous applause.

When the Cause is Strong Enough

There were two warring tribes in the Andes, one that lived in the lowlands and the other high in the mountains. The mountain people invaded the lowlanders one day, and as part of their plundering of the people, they kidnapped a baby of one of the lowlander families and took the infant with them back up into the mountains.



The lowlanders didn't know how to climb the mountain. They didn't know any of the trails that the mountain people used, and they didn't know where to find the mountain people or how to track them in the steep terrain. Even so, they sent out their best party of fighting men to climb the mountain and bring the baby home.


The men tried first one method of climbing and then another. They tried one trail and then another. After several days of effort, however, they had climbed only several hundred feet. Feeling hopeless and helpless, the lowlander men decided that the cause was lost, and they prepared to return to their village below. As they were packing their gear for the descent, they saw the baby's mother walking toward them. They realized that she was coming down the mountain that they hadn't figured out how to climb. And then they saw that she had the baby strapped to her back. How could that be? One man greeted her and said, "We couldn't climb this mountain. How did you do this when we, the strongest and most able men in the village, couldn't do it?"


She shrugged her shoulders and said, "It wasn't your baby”

Sunday, March 7, 2010

The Tiny Foot - Dr. Loomis

Two years after I came to California, there came to my office one day a fragile young woman, expecting her first baby. Her history was not good from an emotional standpoint, though she came from a fine family. I built her up as well as I could and found her increasingly wholesome and interesting as time went on, partly because of the effort she was making to be calm and patient and to keep her emotional and nervous reactions under control.

One month before her baby was due, her routine examination showed that her baby was in a breech position. As a rule, the baby's head is in the lower part of the uterus for months before delivery, not because it is heavier and "sinks" in the surrounding fluid, but simply because it fits more comfortably in that position. There is no routine "turning" of all babies at the seventh or eighth month, as is so generally supposed. Only about one baby in 25 is born in the breech position. This is fortunate, as the death rate of breech babies is comparatively high because of the difficulty in delivering the after-coming head, and the imperative need of delivering it rather quickly after the body is born. At that moment the cord becomes compressed between the baby's hard little head and the mother's bony pelvis. When no oxygen reaches the baby's bloodstream, it inevitably dies in a few short minutes.

The case I was speaking of was a "complete" breech -- the baby's legs and feet being folded under it, tailor fashion -- in contrast to the "frank" breech, in which the thighs and legs are folded back on a baby's body like a jackknife, the little rear end backing its way into the world first of all. The hardest thing for the attending doctor to do with any breech delivery is to keep his hands away from it until the natural forces of expulsion have thoroughly dilated the firm maternal structures that delay its progress.

I waited as patiently as I could, sending frequent messages to the excited family in the corridor outside. At last the time had come, and I gently drew down one little foot, I grasped the other, but for some reason I could not understand, it would not come down beside the first one. I pulled again, gently enough but with a little force, with light pressure on the abdomen from above by my assisting nurse, and the baby's body moved down just enough for me to see that it was a little girl -- and then, to my consternation, I saw that the other foot would never be beside the first one. The entire thigh from the hip to the knee was missing and that one foot never could reach below the opposite knee. And a baby girl was to suffer this, a curious defect that I had never seen before, nor have I since!

There followed the hardest struggle I have ever had with myself. I knew what a dreadful effect it would have upon the unstable nervous system of the mother. I felt sure that the family would almost certainly impoverish itself in taking the child to every famous orthopedist in the world whose achievements might offer a ray of hope. Most of all, I saw this little girl sitting sadly by herself while other girls laughed and danced and ran and played -- and then I suddenly realized that there was something that would save every pang but once, and that one thing was in my power. One breech baby in 10 dies in delivery because it is not delivered rapidly enough, and now -- if only I did not hurry! If I could slow my hand, if I could make myself delay those few short moments. No one in all this world would ever know.

The mother, after the first shock of grief, would probably be glad she had lost a child so sadly handicapped. In a year or two she would try again and this tragic fate would never be repeated. "Don't bring this suffering upon them," the small voice within me said. "This baby has never taken a breath -- don't let her ever take one. You probably can't get it out in time, anyway. Don't hurry. Don't be a fool and bring this terrible thing upon them. Maybe your conscience will hurt worse if you do get it out in time."

I motioned to the nurse for the warm sterile towel that is always ready for me in a breech delivery to wrap around the baby's body so that stimulation of the cold air of the outside world may not induce a sudden expansion of the baby's chest, causing the aspiration of fluid or mucus that might bring death. But this time the towel was only to conceal from the attending nurses that which my eyes alone had seen. With the touch of that pitiful little foot in my hand, a pang of sorrow for the baby's future swept through me, and my decision was made. I glanced at the clock. Three of the allotted seven or eight minutes had already gone. Every eye in the room was upon me and I could feel the tension in their eagerness to do instantly what I asked, totally unaware of what I was feeling. I hoped they could not possibly detect the tension of my own struggle at that moment. For the first time in my medical life I was deliberately discarding what I had been taught was right for something that I felt sure was better. I slipped my hand beneath the towel to feel the pulsation's of the baby's cord, a certain index of its condition. Two or three minutes more would be enough.

So that I might seem to be doing something, I drew the baby down a little lower "split out" the arms, the usual next step, and as I did so the little pink foot on the good side bobbed out from its protecting towel and pressed firmly against my slowly moving hand, the hand into whose keeping the safety of the mother and the baby had been entrusted. There was a sudden convulsive movement of the baby's body, an actual feeling of strength and life and vigor. It was too much. I couldn't do it. I delivered the baby with her pitiful little leg.

I told the family the next day, and with a catch in my voice, I told the mother. Every foreboding came true. The mother was in a hospital for months. I saw her once or twice and she looked like a wraith of her former self. I heard of them indirectly from time to time. Finally I lost track of them altogether. As the years went on, I blamed myself bitterly for not having had the strength to yield to my temptation.

Through the many years that I have been there, there has developed in our hospital a pretty custom of staging an elaborate Christmas party each year for the employees, the nurses and the doctors of the staff. There is always a beautifully decorated tree on the stage of our little auditorium. The girls spend weeks in preparation. We have set aside this one day to touch upon the emotional and spiritual side. It is almost like going to an impressive church service, as each year we dedicate ourselves anew to the year ahead.

This past year the arrangement was somewhat changed. The tree, on one side of the stage, had been sprayed with sliver paint and was hung with scores of gleaming silver and tinsel ornaments, without a trace of color anywhere and with no lights hung upon the tree itself. It shone but faintly in the dimly lighted auditorium.
The first rows were reserved for the nurses and the moment the procession entered, each girl in uniform, each one crowned by her nurse's cap, her badge of office. We rose as one man to do them honor, and as the last one reached her seat, and we settled in our places again, the organ began the opening notes of one of the oldest of our carols. Slowly down the middle aisle, marching from the back of the auditorium, came 20 other girls singing softly, our own nurses, in full uniform, each holding high a lighted candle, while through the auditorium floated the familiar strains of "Silent Night." On the opposite side of the stage a curtain was slowly drawn, and we saw three lovely young musicians, all in shimmering white evening gowns. They played very softly in unison with the organ -- a harp, a cello and a violin. I am quite sure I was not the only old sissy there whose eyes were filled with tears. I have always like the harp, and I love to watch the grace of a
skillful player. I was especially fascinated by this young harpist. She played extraordinarily well, as if she loved it. Her slender fingers flickered across the strings, and as the nurses sang, her face, made beautiful by a mass of auburn hair, was upturned as if the world that moment were a wonderful and holy place.

When the short program was over, I sat alone, there came running down the aisle a woman whom I did not know. She came to me with arms outstretched. "Oh, you sw her," she cried. "You must have recognized your baby. That was my daughter who played the harp and I saw you watching her. Don't you remember the little girl who was born with only one good leg 17 years ago? We tried everything else first, but now she has a whole artificial leg on that side but you would never know it, would you? She can walk, she can swim, and she can almost dance. But, best of all, through all those years when she couldn't do those things, she learned to use her hands so wonderfully. She is going to be one of the world's great harpists. She is my whole life, and now she is so happy."

As we spoke, this sweet young girl had quietly approached us, her eyes glowing, and now she stood beside me. "This is your first doctor, my dear, our doctor," her mother said. Her voice trembled. I could see her literally swept back, as I was, through all the years of heartache to the day when I told her what she had to face. "He was the first one to tell me about you. He brought you to me."

Impulsively I took the child in my arms. Across her warm young shoulder I saw the creeping clock of the delivery room 17 years before. I lived again those awful moments when her life was in my hand, when I had decided on deliberate infanticide. "You never will know, my dear," I said, "you never will know, nor will anyone else in all the world, just what tonight has meant to me. Go back to your harp for a moment, please -- and play "Silent Night" for me alone. I have a load on my shoulders that no one has ever seen, a load that only you can take away."

Perhaps her mother knew what was in my mind. And as the last strains of "Silent Night, Holy Night" faded again, I think I found the answer, and the comfort, I had waited for so long.