I’VE ALWAYS ADMIRED Dr. Atkins, the pediatrician, but after hearing her list her credentials and rattle off her CV, I’m even more impressed. She is one of those rare individuals who has more awards and honors than you’d ever expect, because she’s humble enough to not mention it herself. She is also the first witness to take the stand who looks directly at me and smiles before turning her attention to the prosecutor.
“Ruth had already done the newborn exam,” Dr. Atkins says. “She was concerned about a potential heart murmur.”
“Was that a significant concern?” Odette asks.
“No. A lot of babies are born with an open patent ductus. A teensy little hole in the heart. It usually closes up by itself, the first year of life. However, to be safe, I scheduled a pediatric cardiology consult prior to patient discharge.”
I know, from Kennedy, that Odette will be assuming the medical issue Kennedy referenced in her opening statement is this heart murmur. That she’s downplaying it, already, for the jury.
“Dr. Atkins, were you working on Saturday, October third—the day of Davis Bauer’s death?”
“Yes. I came in to do the patient’s circumcision at nine A.M.”
“Can you explain that procedure?”
“Of course, it’s a very simple operation during which the foreskin of a male infant’s penis is removed. I was running a little late because I had another patient with an emergency.”
“Was anyone else present?”
“Yes, two nurses. Corinne and Ruth. I asked Ruth if the patient was ready, and she said she was no longer his nurse. Corinne confirmed that the infant was ready for the procedure, and I performed it without incident.”
“Did Ruth say anything to you about the circumcision?”
Dr. Atkins pauses. “She said maybe I should sterilize the baby.”
Behind me, in the gallery, someone whispers: Bitch.
“How did you respond?”
“I didn’t. I had work to do.”
“How did the procedure go?”
The pediatrician shrugs. “He was crying afterward, like all infants do. We swaddled him tight, and he drifted off.” She looks up. “When I left, he was sleeping…well…like a baby.”
“Your witness,” Odette says.
“Doctor, you’ve worked at the hospital for eight years?” Kennedy begins.
“Yes.” She laughs a little. “Wow. Time flies.”
“During that time, have you worked with Ruth before?”
“Frequently, and joyously,” Dr. Atkins says. “She is a terrific nurse who goes above and beyond for her patients.”
“When Ruth made the comment about sterilizing the infant, how did you perceive her statement?”
“As a joke,” Dr. Atkins says. “I knew she was kidding. Ruth isn’t the type to be malicious about patients.”
“After Davis Bauer’s circumcision, were you still working in the hospital?”
“Yes, on a different floor, in the pediatric clinic.”
“Were you made aware of an emergency in the nursery?”
“Yes. Marie had called the code. When I arrived, Ruth was compressing the chest.”
“Did Ruth do everything according to the highest standards of care?”
“As far as I could see, yes.”
“Did she indicate any animus or bias against this child?” Kennedy asks.
“No.”
“I’d like to jump back a bit,” Kennedy says. “Did you order any blood work to be done on Davis Bauer after his birth?”
“Yes, the newborn screening that’s done by the state of Connecticut.”
“Where does the blood work go?”
“The state lab in Rocky Hill tests it. We don’t do it in-house.”
“How is it transported to the state lab?”
“By courier,” Dr. Atkins says.
“When was Davis Bauer’s blood taken for the screening?”
“At two-thirty P.M., on Friday, October third.”
“Did you ever receive the results of the newborn screening test from the Connecticut state lab?”
Dr. Atkins frowns, considering this. “Actually, I don’t remember seeing them. But of course by then it was a moot point.”
“What is the purpose of the test?”
She lists a series of rare diseases. Some are caused by genetic mutation. Some are issues with not having enough of an enzyme or protein in the body. Others result from not being able to break down enzymes or proteins. “Most of you have never heard of these conditions,” Dr. Atkins says, “because most babies don’t have them. But the ones that do—well, some of the disorders are treatable if caught early. If we make accommodations through diet or medicine or hormone therapy, we can often prevent significant growth delays and cognitive impairment by starting immediate treatment.”
“Are any of these conditions fatal?”
“Some, if they’re left untreated.”
“You did not have the benefit of the results of this test when Davis Bauer had a seizure, did you?” Kennedy asks.
“No. The state lab is closed on weekends. We usually don’t get Friday’s results back until Tuesday.”
“What you’re saying,” Kennedy mulls, “is that it takes almost twice as long to get the test results back if the baby has the misfortune to be born at the end of the workweek.”
“That’s true, unfortunately.”
I can see the jury perking up, writing down notes, listening intently. Behind me, Edison shifts. Maybe Kennedy is right. Maybe all they need is science.