Susan Carlisle - A Forever Family - Their Miracle Child

‘I noticed her slow feeding time so I want you to switch to gavage feeding so she’s not working hard for the food and can conserve energy. Later we’ll try her sucking again but provide higher caloric formula. And I’ll see if they’ve decided on a name yet. I don’t want to refer to her by her surname. She needs her own name.’

Mitchell’s last few words made her smile. He genuinely cared so much for these babies and it wasn’t just his clinical abilities that impressed Jade. He treated the babies as little people with feelings, extending even to having a proper name. She was falling for the man, and there was no way to stop her tumble.

Jade followed Mitchell’s instructions, inserted a gavage tube into the tiny stomach and began the slow feed. Aware of the management of babies with congestive heart failure, Jade placed her in a semi-erect position for feeding and burped her every half an ounce to minimise the chance of vomiting after the feed. Jade felt an extra-special bond with this baby, who had a small tuft of blonde hair on her crown. Jade planned on spending additional time with Baby Morey as she didn’t have a mother who could visit and she wanted to provide that additional care.

Mitchell returned briefly to give additional instructions regarding the baby’s management and feeding but noticed Jade was already implementing those procedures. He was impressed with her abilities and initiative so did not interrupt. He just wanted to share something with her.

‘Baby Morey’s name is Alina. It apparently means light,’ he told her.

Jade lifted her eyes to meet his smile. A rush of warmth flowed over her. Mitchell was so pleased the baby had a name. It seemed to mean something to him. Jade could tell his happiness at bestowing the name on the baby was genuine. He was genuine. He was a good man. And it scared her that she was starting to only see the good in him.

Quickly, she averted her eyes and returned her focus to Alina.

He might be a good man but she needed to remind herself that she wasn’t looking for a man, good or not. But it was a message that was becoming less audible every minute.

‘Another delivery,’ Alli announced as she wheeled in another tiny patient and transferred the baby to a radiant heat warmer near Jade. ‘This is Liam. Dad’s just scrubbing in, Mum’s still in Recovery. Caesarean delivery, gestational age twenty-nine weeks.’

A few minutes later a very worried-looking man in his late forties arrived. He was still wearing his blue disposable scrubs from Theatre.

‘Over here, Mr Phillips,’ Alli called. ‘Dr Forrester is on his way. Just take a seat beside your son.’

‘Oh, my God, he’s so small,’ the man said anxiously as he looked at the baby lying on a radiant heat warmer. He looked around at the other babies and then back at his own. Jade could see the concern on his face. He was a big man but his fear was almost palpable.

‘Mr Phillips,’ Mitchell said as he approached the newborn, ‘I’m Mitchell Forrester and I’ll be assessing your son.’

Nervously, the man asked, ‘Why isn’t he inside one of those?’ He was pointing to an incubator. ‘Don’t you have enough of them? Wouldn’t that keep him warmer? Shouldn’t he at least have a blanket on him?’

‘There are different levels of care available in Neonatal and it depends on your baby’s needs where he will be placed,’ Mitchell began to explain. ‘At the moment we need to access Liam, he will need complex care and the incubator limits access for the medical staff. Please don’t worry, your son is being kept warm and is in the best place for him at this time.’

‘Okay, if you’re sure.’

‘I am, Mr Phillips.’

The man looked around to see other parents sitting beside their babies so tentatively he sat and began unconsciously wringing his hands. ‘How long will he need to stay here in Intensive Care?’

‘I can’t give you an accurate idea yet. Premature babies need additional help while their bodies catch up on the growth and development they missed in the womb. He’ll need assistance to stay warm because he can’t control his own body temperature yet. And Liam is just over two pounds, so he’s still too immature to feed. He’ll need a tube that carries milk into his stomach,’ Mitchell told him as he warmed the stethoscope and gently placed it on Liam’s tiny chest.’

‘But my wife wants to breastfeed. She told me that.’

‘She can express milk until Liam’s strong enough to feed but we need to get his weight up and feeding is tiring so we need to make it easier for him,’ Jade added, aware that Mitchell was listening to Liam’s heart.

The man understood and remained silent until Mitchell removed the stethoscope and put it back around his neck.

‘How many staff do you have here to take care of the babies?’ he asked. ‘Will there be enough to look after Liam if more babies arrive?’

‘Yes, there are more than enough staff to cover the patients and any unexpected arrivals such as Liam. You will see many different staff providing care to your son over the coming weeks. Neonatal Intensive Care has a number of special nurses like Alli who you just met, and we are very fortunate to have Jade, who is over from the States, bringing her knowledge and expertise from a large teaching hospital is Los Angeles.’

Mitchell spoke with pride about Jade and it wasn’t lost on her.

‘Then there’s Laura, the senior nurse in charge of the unit,’ he continued. ‘And the neonatologist, who, in Liam’s case, is me. I’ll be leading your baby’s care. On top of that there are other specialist doctors, such as surgeons if the need arises, and physiotherapists to help with your baby’s development, radiographers and dieticians, and then there are social workers to help you with family issues and support that might be needed after you take your baby home in a few months’ time. There is quite literally a small intensive care army to provide everything that your family will need over the coming weeks and months.’

Jade was still listening as Mitchell handled the barrage of questions with ease. He related so well and wasn’t short with his answers. He took his time to quell the man’s heightened anxiety and let him catch his breath. And the way he had spoken about her made her feel valued and important and it resonated in her heart.

‘It’s important that you visit as much as possible and no matter how many staff are attending to Liam, remember first and foremost he needs you and your wife. Having a parent here as much as possible makes such a difference to the child.’

Jade saw the man relax his shoulders into the chair. He had arrived feeling out of his depth and overwhelmed, but Mitchell had given him a sense of purpose and validated his questions.

‘I’m just going to continue my examination and you are most welcome to stay, or if you would like to check on your wife and let her know Liam is safe with us, you could come back down together. I’ll be here all afternoon and can answer any other questions you have. And there will be new questions every day so don’t hesitate to ask anything you’re concerned about. This neonatal unit has an open-door policy so parents can visit twenty-four hours a day.’

‘I think I might go and see my wife then and let her know everything’s under control,’ he said, climbing to his feet. ‘But if anything changes and you want me back here, call my wife’s ward and I’ll be straight back down.’

‘We’ll be sure to let you know, but Liam is stable at the moment. So you come back down when you’re both ready.’

Jade watched the man shuffle out of the unit in somewhat of a daze. There was so much to take in and he was clearly also concerned about his wife. They had a long road ahead of them until their son was in the nursery and preparing to go home.