The Baby is Healthy, but the Doctor Needs Surgery- An Amazing Childbirth Story

Moments before delivery, the concerned mom paused to ask the doctor, "Are you okay?"

Very few woman choose natural childbirth, mostly because it hurts really bad and epidural pain relief is safe and effective. This patient was the exception. She was determined to deliver her baby naturally, no medications at all. As a result during labor she could move and position herself as she pleased.

When it came time to begin pushing, she asked the nurse if she could squat at the end of the bed so she could push more effectively. The nurse and I found a "squat bar," attached it to the bed and helped her position herself for the final stages of labor.

Between contractions she rested, and then with each labor pain she lowered herself into a deep squat, hung on to the bar and pushed, her lower half a few feet off of the floor. While this was an effective pushing position it made it difficult for me to monitor her progress! I needed to kneel to perform an exam. When I thought the moment of birth was near, I again squatted down to check the baby's head position as she pushed.

As I settled into the squat, I suddenly felt searing pain as the reconstructed anterior cruciate ligament in my left knee exploded, my leg buckled and gave way beneath me. I felt myself falling and, almost in slow motion, I stumbled forward. In a panic I reached out my hand and grabbed the delivery table to catch myself, stopping my face mere inches from experiencing an embarrassing head on collision with the baby. (Not sure how I would have explained that to the dad!). The baby's head was "crowning" meaning the top the head was just emerging and delivery was moments away!

I gathered myself, balancing on my good leg. Pain had drained color from my face and I felt droplets of cold sweat appear on my forehead. The contraction ended and the mother looked at me with a concerned look on her face and asked, "Doctor, are you okay?" I wasn't, but it didn't matter. It was time.

I turned to the nurse, "Can you check and see if there are any other doctors on the floor?" I was not sure I could complete the delivery. The nurse picked up the phone and called the nurse's station. She turned back to me, shaking her head, "No one is here but you."

I took a deep breath and replied, "I think I am going to need a stool!"

The nurse wheeled a stool over and lowered the bed so I could be seated while the baby was born. Within a few minutes the baby arrived, fortunately without any difficulty or complications. Once I was sure mom and baby were fine, I hobbled out of the room. Leaving behind a happy family and a memorable story!

I was not at my best, but I was the only doctor available. There were no other options. It was an “Apollo 13” moment, failure was not an option!

I wonder if maybe Mary's husband Joseph didn't feel similarly incapable the night Jesus was born. Young, inexperienced and alone, there were no other options available. A teen-aged mother and a young man had no choice but to trust God and do their best.

Isn't that life in a nutshell? So many times we find ourselves in challenging circumstances, overwhelmed and seemingly alone. In those moments trusting God is so crucial. We must do the best we can, knowing that the God who "delivers" will "deliver" us again.

- Bart

This post was originally published 2 years ago, I share it again this Christmas in the hope that it will give perspective as we approach again the season of the year in which the Savior was born. Feel free to share it with others, or offer comments below.

When People Don't Matter, Opinions are Worthless

People are more important than their opinions and their value is independent of what they think.

This is a basic truth founded in the teachings of many of the world’s religions. It is foundational for Jewish and Christian faith, both of which have the command to “love your neighbor as yourself” as one of their essential tenets. It was once commonly taught to American children, accepted as true even by those who denied the existence of the supernatural. Those days are gone. It seems a large portion of the population believes it is perfectly acceptable, even desirable, to berate and demean those with whom they disagree.

Consider actor Seth Rogen’s recent assessment of neurosurgeon turned Presidential candidate Ben Carson. Dr. Carson, while making the reasonable assertion that an armed citizenry is better able to resist tyranny, made a questionable assertion that Hitler may have not been able to murder so many innocents if the population had been disarmed. Instead of challenging the doctor’s historical perspective by pointing out the widespread popularity of Hitler in 1930-40’s Germany, Mr. Rogen simply tweeted “F--- You @realbencarson.”

I observed a similarly demeaning tweet in response to those who oppose new gun control legislation. John Marshall of the website TalkingPointsMemo, commenting on those who favor gun rights wrote, “Amazing that w/2 new school shootings today, Obama greeted in Oregon by pro-Massacre activists.” To Mr. Marshall, the opinions espoused by those with whom he disagreed did not just make them confused or wrong or misinformed, it made them in favor of mass murder.

The dehumanizing insults are everywhere, a common feature of modern political discourse. Few attempt to engage or be engaged as it is easier to call someone an idiot, a misogynist, a bigot, a thief, or a racist than it is to dialogue and understand.

This modern tendency is not just worrisome, it is dangerous. When we dehumanize people, we make their lives mean less. The journey from devaluing a person to harming a person is not a long one. It is time for all of us to take a step back and ask ourselves what our true values are. When our opinions and political views are more important than people we have lost sight of that which matters most in life. When this is lost, our opinions don’t matter anymore.

- Bart

Thanks for reading. If you find this post valuable, please share it with others. If you think I am a fool or an idiot, share it with me by sending me a message! Comments and questions are welcome.

A lot of Blood, a little needle, and a life saved-An Amazing Childbirth Story

In a near death story of a mom and a baby we find a reminder that little things can make a big difference-

She had been hospitalized for a month, placed on bed rest for complete placenta previa. Instead of implanting higher up in the uterus, the placenta was low, completely covering the opening of the cervix. This was a potentially deadly situation for both mom and baby. Once labor started and the cervix began to open massive bleeding would occur.

Once the condition was diagnosed at 24 weeks of pregnancy the waiting began. She was placed on bed rest to stave off any contractions and cervical dilation and was to remain in the hospital until she either reached 36 weeks of pregnancy or the bleeding started. Either way the baby would be delivered by c-section, as a vaginal delivery was impossible.

I was the intern on the OB floor, responsible for rounding on each patient every day, performing deliveries and assisting on c-sections when needed. I came to know her well, as would be expected when a doctor sees a patient every day for a month. The first month had been uneventful, with no bleeding at all. We we all optimistic that things would go well. She had made it to 28 weeks, and each day that passed brought another day of maturity for the baby and an increased chance at survival.

Everything change in a moment. It was just after lunch. I had just changed from surgical scrubs into shirt and tie for my outpatient clinic that afternoon when I heard a nurse call out from the patient's room, "Dr. Barrett, she's bleeding!"

I hurried into the room. The patient lay on her back, a bedpan filled with blood between her legs. Unsure of how much blood there was, I grabbed the water pitcher from the bedside, dumped it out in the sink and poured in the contents of the bed pan. 500 cc of blood, a half of a liter. In less than 2 minutes she had lost over a unit of blood. I turned back to the patient, and watched as blood began spurting out between her legs. It was even worse than I feared. She was going to bleed to death in a matter of minutes.

I had one nurse place an urgent call for the obstetrician and another nurse call for the anesthesiologist. What else could I do? I surveyed the room and saw her single IV line. I remembered from somewhere in my training that when treating a patient in shock it was important to have at least two IV lines inserted so fluids could be rapidly administered. I turned back to the nurse, "I need a second IV, large needle, NOW!" The nurse got to work and a second line was quickly in place and fluid poured in. Moments later the anesthesiologist arrived and took over the case. I watched helplessly as they wheeled her away, the combination of my inexperience and clinic responsibilities excluding me from the operating room. I paused to whisper a prayer and went to the clinic, fearful for mom and baby. Things did not look good.

As soon as my clinic shift was over I hurried back to the hospital to check on her status. The anesthesiologist was at the nurse's station completing paperwork when I arrived. "Hey, Bart! She made it! 16 units of blood, 10 packs of platelets, but she made it, and so did the baby." I let out a sigh of relief.

She went on, "Oh, and great job getting that second IV started. She went downhill so fast that without it we would have lost her. It made all the difference."

Her words caught me off guard. I had a hard time believing that something so simple could be so important. Yet, according to her, a single needle was instrumental in saving her life.

A little thing made a big difference. I didn't think I had done much but when the time came to save her life, and the life of her child, everyone, including me, had played a part. Nurses, surgeons, anesthesiologists, lab technicians, blood bank employees, and me, a green intern, all had contributed.

It is easy to overlook bit players, but they can be important, including the bit players in the Greatest Childbirth Story ever. This Christmas, as you read the Christmas story, take some time to consider all of those who had a part in the story. Shepherds, angels, Mary, Joseph and the wise men, all had a role in the story of the amazing birth of the Savior.

A final note- Nine years ago I received an email from name I did not recognize. It read, "you do not know me, but 15 years ago, you saved the life of my sister and my mother. I just wanted to say thank you and let you know that we have not forgotten what you did for our family."

All because of a needle.

- Bart

This is part 2 of 6 of the Christmas series "Amazing Childbirth Stories". It was first posted to years ago. I am sharing it again this Christmas season. Subscribe to the blog to have the future posts delivered to your inbox! Enjoy the stories? Please share with your friends on Facebook or other social media by clicking one of the share buttons. Comments and questions are always welcome.

7 Lessons From San Bernardino

Families have been shattered by the loss of fathers, mothers, sons and daughters. Survivors will carry forever the scars of the attack. The community is united in its desire to find out why and how the attack occurred and to prevent it from happening again. With this in mind I share some of the lessons we need to learn from this tragedy. While they may seem obvious the comments of our leaders suggest they may be ignored.

 1-      There are evil people in this world, and they are here. We have long lived our lives comfortable in the illusion that terror attacks and mindless killings were for places like Israel and Iran. Those illusions have been shattered by the Islamist’s brutal attack.

2-      Our government is incapable of rooting out potential attackers. The female attacker gave false information on her visa and was a known member of one of the most radical Mosques in the world. She was “screened” when she was allowed into the country and passed through easily. She was not on any watch list. Something to remember the next time we are told not to worry because the government conducts a “rigorous” screening process for all who wish to come here.

3-      Political correctness has no place in a battle against terror. A neighbor who saw suspicious behavior did not report it for fear of being considered racist. Continuing the absurd policies that make a 90 year old grandmother as likely to be stopped at an airport as a 30 year old single man of Arab descent makes no sense. Not all Muslims are radical, but the overwhelming majority of terrorists are today. We need to live in this reality.

4-      Gun laws don’t work to prevent mass killings. California has the toughest gun laws in the country. The gun laws being put forth by the president already exist in California and they did nothing. We all want to make the nation safer and it does us no good to be focusing on regulations that have already been proven useless.

5-      Law enforcement was unable to stop these attacks. Police were at the scene within four minutes. In those four minutes there were over 30 casualties. The sad saying that “When seconds matter, the police are minutes away,” was proven true. As much as we hate to admit it, in circumstances such as this only an armed citizen, already present, is in a place to make a difference. 

6-      Police officers displayed sacrificial bravery. The officer who told the evacuating citizens that he would “take a bullet” for them has been deservedly praised.

7-      This will happen again. Our world has changed forever.

- Bart

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Authenticity and Transparency are Overrated

I do not understand modern Christian values. When it comes to what is acceptable in the church I feel like a moral Rip Van Winkle, as if I fell asleep twenty years ago and have awakened to a whole new way of doing things.

The church I grew up in valued character, godliness and (gasp) holiness. People were supposed to do the right things, believe the right things and say the right things. We were wretched sinners and we knew it, but our goal was to be less wretched with each passing day. We worked to be different, to be better. Foul language was foul, revealing clothes were inappropriate, and crudeness was crude. No one talked about “being true to yourself” because ourselves were sinful and not worth being true too.

Everything has changed.

I listened recently to the podcast of a prominent Christian teacher. In the podcast he and a friend were talking about the struggles and challenges they had faced in their lives. They shared stories of loss and suffering that were real. In the midst of these stories their values were revealed. They spoke of other Christians with an air of condescension, castigating those who responded to their struggles with what they considered clichéd and shallow platitudes. They implied that these people were less Christian and less loving. They did not consider those well-meaning but misspeaking people simply mistaken, they considered them wrong and hurtful and deserving of being called out.

Profanity was also a part of the podcast. Proudly and without apology the pastor and his friend used language that was unprofessional and crude. It was clear that they had no problem using this language and that they thought it was silly for anyone to take offense. What was also clear was that they had no aspirations to improve the content of their speech. The social mores and standards followed by people like me were to them artificial and outdated and not worth following.

How could this happen? How could people who purport to be spiritual leaders be so lacking in grace and honor?

The answer is found in the comments people posted about the podcast. In the comments the speakers were repeatedly praised for being “transparent” and “authentic.” Transparency and authenticity seem to have become the most important values in "modern" churches. Because we are all sinners what is most important is not dealing with our sin but accepting our sinfulness. Because we all struggle what matters is sharing your failings, not recounting victories. Because Jesus accepts us as we are what is important is loving ourselves as we are.

As warm and affirming as this sounds, it is not what God desires. While God understands our brokenness and our sinfulness, He did not send His Son to die so we could remain in our fallen condition. Jesus died that we might have new life, not that we feel comfortable in our old lives.

It seems some have cast aside those passages of scripture that call us to be better, that call us to aspire to be more like Jesus not only in love and kindness but also in words and character. I believe that we need to remember that God calls us to be better than we are. As Paul wrote to his disciple Timothy-

“Set an example for the believers in speech, in life, in love, in faith and in purity.” 1 Tim 4:12-13

The God who calls his people to “Be Holy, for I am Holy” wants his people to break free from the world’s practices and desires, to be well-rounded people of faith who, in every area of their lives, strive for the excellence displayed in Jesus. The apostle Paul said it well in another of his letters-

"Finally, brothers, whatever is true, whatever is noble, whatever is right, whatever is pure, whatever is lovely, whatever is admirable — if anything is excellent or praiseworthy — think about such things. Whatever you have learned or received or heard from me, or seen in me — put it into practice." Phil 4:8-9 NIV

Authenticity and transparency are of no value in and of themselves. There is no praise due those who are authentically crude and transparently selfish. We need to pursue lives that are authentically and transparently good, pure, just, holy, loving and godly. We need to be better.

-          Bart

Thanks for reading. Coming in a few days is the second Amazing Childbirth Story, a series of posts leading up to the birth of Christ. You can be sure not to miss posts by subscribing to the blog (posts will arrive in your inbox). Please share the blog with others by clicking on one of the social media icons below.