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THE STORY OF TINY TIM
It was a relatively calm day in my hospital’s NICU
(Neonatal Intensive Care Unit). Two other nurses and I were trying
to have a conversation amid the customary sounds of ventilators and
heart monitors.
I was in mid-sentence when the shrill ring of the
red emergency phone halted all conversation. “Come fast,” the voice
said urgently. “We need a neonatal nurse stat!”
Fear gripped my heart as I ran into the delivery
room. Instantly, I knew the situation was critical.
“What’s happening here?” I asked.
“It’s an ‘oops abortion,’ and now it’s your
problem!” responded one of the nurses. For us, an “oops abortion”
meant the mother’s due date was miscalculated, and the fetus
survived the abortion procedure.
A pediatrician was called to the scene. He ran by
me with the fetus (now called a baby) in his hand and yelled in my
direction, indicating he wanted me to follow him into the
resuscitation room adjoining the delivery room.
I looked into the bed of the warmer as I grabbed
equipment. Before my eyes was a baby boy. A very, very tiny baby
boy. The doctor and I immediately made an attempt at intubation
(inserting a tube down the trachea from the mouth or nose of the
infant to the tip of the lungs to ventilate, expand and oxygenate
them). The doctor’s effort at intubation failed, which further
traumatized the baby. I glanced at the doctor and hesitantly asked,
“Will you attempt intubation again?”
“You’ve got to be kidding,” he replied. “It would
be inhumane to attempt to intubate this poor little thing again.
This infant will never survive.”
“No, Doctor, I’m not kidding,” I said, “and it’s my
job to ask.”
The doctor softened for a moment. “I’m sorry,
Sharon. I’m just angry. The mother doesn’t want the inconvenience of
a baby, so she comes to the hospital so she can pay somebody to get
rid of it – all neat and tidy. Then the whole thing gets messed up
when the fetus has the audacity to survive.”
“Then everybody takes it seriously, and they call
the pediatrician, who’s supposed to fix it or get rid of it.”
With anger in his voice, he went on, “Some lawyers
will fight for the right to do whatever we want to our bodies, but
watch out for what they will do when these abortions aren’t so neat
and tidy! A failed homicide – and oops! Then all of a sudden
everybody cares, and it’s turned from a ‘right’ into a ‘liability’
that someone is blamed for!”
We looked at our pathetic little patient. He was
lying in the fetal position in the wrong environment, trying to get
air into underdeveloped lungs that couldn’t do the job. In a calmer
voice, the doctor said, “Okay, Nurse, I’m going back to the office.
Keep him comfortable and let me know when it’s over. I’m sorry about
this. Call me if you need me. I know this is a hard one. If it
helps, please know it’s tough for me, too.”
Holding the baby’s hand, I watched the doctor
retreat and then glanced back at the infant before me. He was
gasping for air. “Lord, help!” I prayed.
Almost instinctively, I took the baby’s vitals. His
temperature was dangerously low. I pushed the warmer settings as
high as they could go. His heart rate was about 180-200 beats per
minute. I could count the beats by watching his little chest
pulsate.
I settled down a bit and began to focus on this
tiny little person. He had no name, so I gave him one. Suddenly, I
found myself speaking to the baby. “Tiny Tim, who are you? I am so
sorry you weren’t wanted. It’s not your fault.”
I placed my little finger in his hand, and he
grasped it. As I watched him closely, I marveled that all the minute
parts of a beautiful baby were present and functioning in spite of
the onslaught.
I touched his toes and discovered he was ticklish!
He had a long torso and long legs. I wondered if he would have
become a baseball player. Perhaps he would have been a teacher or
doctor.
Emotions swept over me as I thought of my friends
who had been waiting and praying for years for a baby to adopt. I
spoke aloud once again to the miniature baby. “They would have given
you a loving and happy home. Why would people destroy you before
ever considering adoption? Ignorance is not bliss, is it, Tiny
Tim?”
Meanwhile, Tim put his thumb into his mouth and
sucked. I hoped that gave him comfort. I continued to talk to the
baby. “I’m sorry, Tim. There are people who would risk their lives
for a whale or an owl before they’d even blink about what just
happened to you.”
Tiny Tim gasped, and his little chest heaved as if
a truck were sitting on it. I took my stethoscope and listened to
his tiny, pounding heart. At the moment it seemed easier to focus on
physiology rather than on this baby’s humanity.
He wet, and with that my mind took off again. Here
was Tiny Tim with a whole set of kidneys, a bladder and connecting
tubes that functioned with a very complex system of chemistry. His
plumbing was all working! I turned the overhead light up and Tim
turned from it, in spite of eyelids that were fused together to
protect his two precious little eyes. I thought about them. They
would never see a sunset, a mother’s smile, or the wagging tail of a
dog.
I took his temperature again. It was dropping. He
was gasping for air and continued to fight for life. I stroked him
gently and began to sing:
“Jesus loves the little children,
All the children of the world.
Red and yellow, black and white,
They are precious in His sight.
Jesus loves the little children of the world.”
A nurse walked in. “How’s the mother?” I asked.
` “Oh, she’s fine. She’s back in her room resting.
The family said they don’t want to see or hear about anything. They
said, “Just take care of it.”
The nurse retreated with one last glance at the
tiny patient. “For such a little person, he’s sure putting up a big
fight.”
I looked at Tiny Tim and wondered if he knew that
what he was fighting for so hard was life – and I knew he was losing
it. He was dying and his family was resting. Their words tormented
me. Just take care of it! No muss and no fuss.
Then Tiny Tim moved and caught hold of my little
finger. I let him hand on. I didn’t want him to die without being
touched and cared for. As I saw him struggle to breathe, I said,
“It’s okay, Tim. You can let go. You can go back to God.”
His gasping started slowing down, but he still
clung to my finger. I stroked the baby ever so slowly and watched
him take his last breath.
“Good-bye, Tiny Tim,” I whispered. “You did matter
to someone.”
EPILOGUE
A few years later, Sharon Dunsmore became the
manager of a psychiatric unit. One day, Kathy, a young, severely
depressed woman, came to see Sharon following an unsuccessful
suicide attempt. As Sharon interviewed her, Kathy said she had gone
through an abortion three years before, and she was having recurring
nightmares. A baby was crying for help and kept calling her
name.
In her dreams, Kathy searched for the baby, but she
could never find him or her. As Kathy gave the name of the hospital
and the names of the doctors, a disturbing realization dawned on
Sharon – Kathy was Tiny Tim’s mother.
Because of hospital regulations, she couldn’t tell
her what she knew. Time passed. Sharon was no longer a nurse or a
therapist. Kathy was no longer a psychiatric patient. They ran into
each other at a restaurant, where Sharon gently unfolded the story
that had been hidden for so long.
Tears flowed as she gave Kathy the gift of answers.
Her baby was touched and loved by a mother. He was given a name. He
didn’t die alone. He was sent back to a loving God.
As the visit neared an end, they held each other
and wept. Sharon looked into Kathy’s eyes and saw new strength and
calm. There were scars, but she was beginning to heal. The
nightmares were being put to rest.
Sharon still lives with the haunting impact of this
experience. A choice that was intended to be “no big deal” turned
out to be a very big deal for everybody.
By Sharon Dunsmore
PO Box 84
Smith’s Creek, Mi. 48074
810-367-6091
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