I open the file and scan the notes, committing the details to memory. “Davis,” I read. “That’s the baby?”
“Yeah. His vital signs have been normal, but his one-hour blood sugar was forty, so we’ve got him trying to nurse. He’s done a little bit on each side, but he’s kind of spitty and sleepy and he hasn’t done a whole lot of eating.”
“Did he get his eyes and thighs?”
“Yeah, and he’s peed, but hasn’t pooped. I haven’t done the bath or the newborn assessment yet.”
“No problem,” I say. “Is that it?”
“The dad’s name is Turk,” Lucille replies, hesitating. “There’s something just a little…off about him.”
“Like Creeper Dad?” I ask. Last year, we had a father who was flirting with the nursing student in the room during his wife’s delivery. When she wound up having a C-section, instead of standing behind the drape near his wife’s head, he strolled across the OR and said to the nursing student, Is it hot in here, or is it just you?
“Not like that,” Lucille says. “He’s appropriate with the mom. He’s just…sketchy. I can’t put my finger on it.”
I’ve always thought that if I wasn’t an L & D nurse, I’d make a great fake psychic. We are skilled at reading our patients so that we know what they need moments before they realize it. And we are also gifted when it comes to sensing strange vibes. Just last month my radar went off when a mentally challenged patient came in with an older Ukrainian woman who had befriended her at the grocery store where she worked. There was something weird about the dynamic between them, and I followed my hunch and called the police. Turned out the Ukrainian woman had served time in Kentucky for stealing the baby of a woman with Down syndrome.
So as I walk into Brittany Bauer’s room for the first time, I am not worried. I’m thinking: I’ve got this.
I knock softly and push open the door. “I’m Ruth,” I say. “I’m going to be your nurse today.” I walk right up to Brittany, and smile down at the baby cradled in her arms. “Isn’t he a sweetie! What’s his name?” I ask, although I already know. It’s a means to start a conversation, to connect with the patient.
Brittany doesn’t answer. She looks at her husband, a hulking guy who’s sitting on the edge of his chair. He’s got military-short hair and he’s bouncing the heel of one boot like he can’t quite stay still. I get what Lucille saw in him. Turk Bauer makes me think of a power line that’s snapped during a storm, and lies across the road just waiting for something to brush against it so it can shoot sparks.
It doesn’t matter if you’re shy or modest—nobody who’s just had a baby stays quiet for long. They want to share this life-changing moment. They want to relive the labor, the birth, the beauty of their baby. But Brittany, well, it’s almost like she needs his permission to speak. Domestic abuse? I wonder.
“Davis,” she chokes out. “His name is Davis.”
“Well, hello, Davis,” I murmur, moving closer to the bed. “Would you mind if I take a listen to his heart and lungs and check his temperature?”
Her arms clamp tighter on the newborn, pulling him closer.
“I can do it right here,” I say. “You don’t have to let go of him.”
You have to cut a new parent a little bit of slack, especially one who’s already been told her baby’s blood sugar is too low. So I tuck the thermometer under Davis’s armpit, and get a normal reading. I look at the whorls of his hair—a patch of white can signify hearing loss; an alternating hair pattern can flag metabolic issues. I press my stethoscope against the baby’s back, listening to his lungs. I slide my hand between him and his mother, listening to his heart.
Whoosh.
It’s so faint that I think it’s a mistake.
I listen again, trying to make sure it wasn’t a fluke, but that slight whir is there behind the backbeat of the pulse.
Turk stands up so that he is towering over me; he folds his arms.
Nerves look different on fathers. They get combative, sometimes. As if they could bluster away whatever’s wrong.