Skip to content
  • About
  • Contact
  • Contribute
  • My Book
  • Careers
  • Podcast
  • Transcripts
  • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Custom enhanced author page pricing
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • Upgrade to the KevinMD enhanced author page

Honoring the impact of even the smallest, briefest lives

Cortney Davis, ARNP
Conditions and Diseases
May 16, 2015
Share
Tweet
Share

It was a Wednesday in late spring, 1972. I was a nursing student in my final months of training, eagerly awaiting graduation.

When I arrived on the maternity ward that morning, my nursing instructor told me that I’d be caring for a baby, only hours old, with special needs.

I thought she’d send me to the neonatal ICU. Instead, to my surprise, she motioned toward the linen closet, its doors closed tight.

“The baby was born without a complete brain,” she said. “A condition called anencephaly. He can’t see or hear. And,” she added, “they don’t expect he’ll live out the day. So try not to get attached.”

The nursing care plan was concise: “You don’t need to do anything other than observe his breathing, turn him occasionally, change his diaper and bathe him.”

Hearing these instructions, so different from the nursing care I’d seen given to other special-needs infants, I felt both curious — why is this baby hidden away in a linen closet? — and a bit frightened.

Cautiously, heart pounding, I opened the closet door.

The steel linen rack had been shoved aside to make room for a single isolette. It held a sleeping newborn boy. There was no card proclaiming his birth date, weight or name.

I had expected to see a monster. Instead, I saw an infant with a compressed forehead, tightly closed eyes and perfectly chiseled lips and chin. His skull was steeply sloped and covered with blond hair.

I stood and watched him sleeping. From some angles, he looked like an elderly man. If I turned him just a bit, he looked like a perfect, beautiful infant. My apprehension melted away. I touched his cheek and smoothed his hair. Maybe he would die within the day, but for now, I would pretend he was like any other newborn.

As I bathed him, I named him Baby Boy, trying to acknowledge the reality of his life, even if, as my instructor’s cool instructions implied, his life was worthless. At the same time, I struggled not to “get attached,” although keeping an emotional distance was already beginning to seem impossible.

After his bath, I picked him up and rocked him, although that wasn’t in the care plan. I sang to him, even though I knew he couldn’t hear.

When I returned from my break and found the linen closet light turned off, leaving Baby Boy alone in the dark, I felt a stab of anger and went in search of the charge nurse.

“Shouldn’t we leave a light on?” I asked, hoping that my tone didn’t reveal my agitation.

“Do you think a light would make any difference?” she replied.

“Might his mother want to hold him?” I persisted.

“Enough,” she said. “It’s a tragedy.”

One by one, the other students stopped by to see Baby Boy. Some wanted to hold him. A few shook their heads and said that it would be a blessing if he died. We all wondered about his mother — why wasn’t she involved in his care? We decided to do a bit of snooping.

We discovered that his mother’s room was just down the hall. One of the delivery-room aides told us that the baby had been whisked away at birth, before his mother awoke from anesthesia. At her husband’s urging, the doctors had told her that the baby was stillborn. She’d never seen or held him. She didn’t know that he was only a short walk away.

We students ambled past the mother’s room, peeking in to see her face. Her cheeks were flushed and her eyes puffy. She looked as if she hadn’t stopped crying.

“What if she could hold him?” one student asked our instructor. “Would that help to give her some closure?”

“Or would it simply increase her sorrow?” she responded.

As the afternoon wore on, I wondered if I’d been assigned to Baby Boy because he was considered a lost cause — even a bumbling nursing student couldn’t harm him. Wanting to do something, I asked if I might offer him some water.

“I suppose you could try,” my instructor said, “but I doubt there will be any sucking response. Remember, the doctors don’t expect him to live.”

Did he respond to the water bottle I offered? It seemed to me that he did: I saw his lips close around the nipple. Did he respond to my rocking? I thought that he did: he settled into my arms like any newborn might. A part of me hoped that the doctors were wrong.

Again, I approached the charge nurse.

“Could I try some formula?”

She rolled her eyes. “Really, I doubt the doctors would want to prolong the inevitable.”

On Thursday, when I returned for my eight-hour shift, Baby Boy was still alive. As I opened the linen closet door, he began to cry, a high-pitched, agonizing whine.

The charge nurse saw me coming.

“OK,” she said. “Try some formula.”

His lips smacked, and his cheeks tried to suck, but the formula just dribbled out of his mouth. I tried again and again, but there was no further response. I gave up and held him, rocking him as he cried. In that moment, I resigned myself to Baby Boy’s certain death, but I couldn’t close my heart.

When his keening persisted, the nurses worried that his mother might hear and, responding to some primal recognition, try to investigate. They moved her further down the hall, and that afternoon the doctors sent her home.

I wondered how long it would take her to stop crying over a baby she’d never seen, or how her husband lived with the knowledge that he’d left his boy in the hospital to take, in one doctor’s words, “way too long to die.”

On Friday, Baby Boy settled into a resigned stupor. His mouth worked in the pantomime of nursing. His fists curled and uncurled. His eyelids — did I imagine this? — opened, and his unseeing eyes seemed to search my face.

The following Monday, when I returned to the maternity floor, the closet held only linen. Baby Boy had died, alone, sometime on Saturday afternoon.

He died before the advent of grief counseling, before the time when his parents would have held him, taken his photograph and tied a lock of his hair in a blue ribbon. He died before we understood how necessary it is for families to gather together to welcome such a child and then to accompany him gently to his death.

Back in 1972, despite my own reaction to Baby Boy’s situation, I accepted that such disregard for life, secrecy and denial of grief was the norm. Here I am, all these years later, writing about Baby Boy.

Through his birth, his short life spent in the dark, and his death, he surely touched his parents’ lives — and that of an awkward nursing student as well.

Looking back, I know that we couldn’t have saved him. I only wish that we’d known then what we know now about honoring the impact of even the smallest, briefest lives upon our own.

Cortney Davis is a nurse practitioner. This article was originally published in Pulse — voices from the heart of medicine, and is reprinted with permission.

Prev

Getting congratulated on hand washing. Really?

May 16, 2015 Kevin 4
…
Next

Casual Fridays don't have a place in medicine

May 16, 2015 Kevin 42
…

Tagged as: OB/GYN

< Previous Post
Getting congratulated on hand washing. Really?
Next Post >
Casual Fridays don't have a place in medicine

ADVERTISEMENT

More in Conditions and Diseases

  • The delayed brain injury symptoms I almost ignored

    Wick Davis
  • Why a malpractice lawsuit follows you after you win

    Tim Brocklehurst, MBA
  • Needing external validation is a strategy that fails

    Jack Tiller
  • Physician trust in leadership drives health care execution

    Dave Cummings, RN
  • 5 ways to calm fight or flight insomnia at bedtime

    Lindsay Anderson
  • Pediatric gender transition needs evidence, not ideology

    William Malone, MD
  • Most Popular

  • Past Week

    • The case for an AI-native health care platform

      Brian Hudes, MD | Health Technology
    • EMR errors get blamed on physicians, not systems

      Dennis Hursh, Esq | Health Policy
    • Low T treatment is silently destroying sperm counts [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why AI cybersecurity is now a patient safety issue [PODCAST]

      The Podcast by KevinMD | Podcast
    • Xenotransplantation ethics tests our moral frameworks

      Chinmeri Nwuba | Conditions and Diseases
    • The 15-provider road to vestibular disorder diagnosis

      Bridgett Wallace, DPT, PT | Conditions and Diseases
  • Past 6 Months

    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Medicare physician pay has fallen 33 percent since 2001

      Kayvan Haddadan, MD | Health Policy
    • DOT ruling protects peanut allergies but not eggs, sesame, or milk [PODCAST]

      The Podcast by KevinMD | Podcast
    • Telemedicine as a career, not a side gig

      AIR Physician Academy | Physician
  • Recent Posts

    • Low T treatment is silently destroying sperm counts [PODCAST]

      The Podcast by KevinMD | Podcast
    • The delayed brain injury symptoms I almost ignored

      Wick Davis | Conditions and Diseases
    • Generalist physicians and AI are a comparative advantage

      Jeremy Fish, MD | Health Technology
    • Patients are turning to AI because doctors lack time

      Arthur Lazarus, MD, MBA | Health Technology
    • Why a malpractice lawsuit follows you after you win

      Tim Brocklehurst, MBA | Conditions and Diseases
    • The health care workforce crisis we keep ignoring

      Narinder Singh Parhar, MD | Health Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 3 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The case for an AI-native health care platform

      Brian Hudes, MD | Health Technology
    • EMR errors get blamed on physicians, not systems

      Dennis Hursh, Esq | Health Policy
    • Low T treatment is silently destroying sperm counts [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why AI cybersecurity is now a patient safety issue [PODCAST]

      The Podcast by KevinMD | Podcast
    • Xenotransplantation ethics tests our moral frameworks

      Chinmeri Nwuba | Conditions and Diseases
    • The 15-provider road to vestibular disorder diagnosis

      Bridgett Wallace, DPT, PT | Conditions and Diseases
  • Past 6 Months

    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Medicare physician pay has fallen 33 percent since 2001

      Kayvan Haddadan, MD | Health Policy
    • DOT ruling protects peanut allergies but not eggs, sesame, or milk [PODCAST]

      The Podcast by KevinMD | Podcast
    • Telemedicine as a career, not a side gig

      AIR Physician Academy | Physician
  • Recent Posts

    • Low T treatment is silently destroying sperm counts [PODCAST]

      The Podcast by KevinMD | Podcast
    • The delayed brain injury symptoms I almost ignored

      Wick Davis | Conditions and Diseases
    • Generalist physicians and AI are a comparative advantage

      Jeremy Fish, MD | Health Technology
    • Patients are turning to AI because doctors lack time

      Arthur Lazarus, MD, MBA | Health Technology
    • Why a malpractice lawsuit follows you after you win

      Tim Brocklehurst, MBA | Conditions and Diseases
    • The health care workforce crisis we keep ignoring

      Narinder Singh Parhar, MD | Health Policy

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Honoring the impact of even the smallest, briefest lives
3 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...