The Invisible Hand of God

I have no other explanation for what happened early that summer morning. The only thing that I can point to in order to explain my actions that day is the invisible Hand of God. I was a 27 year old medical resident just coming off a sixty hour shift in a tiny emergency room in Paris, Arkansas. I would moonlight extensively in emergency rooms over the weekends to help pay my bills during my training. Each shift would begin at 6:00 PM on Friday and would end at exactly 6:00 AM on Monday morning. It was understood that I could just walk away at exactly six o’clock and the local physicians would then start taking call from home until the regular staff arrived at seven.

I almost always left the hospital at exactly six in the morning because I had about a 45 minute drive back to Fort Smith and my work at the residency started at 7:00 AM. I was a little late getting out of the hospital one morning and was walking out the door with my bag of clothes in hand when I heard an ER nurse talking with an EMT. “Dr. Guyer”, she shouted down the hall. “We just had a lady deliver her baby at home. EMT says that both the mom and baby are doing fine. Do you want them to head on over to Fort Smith?” Without even thinking I answered, “No, have them come by here so that I can see them first.”

“What the hell?” I immediately thought to myself. “Why the hell would I say that? My shift ended fifteen minutes ago. I am already exhausted and now I am going to be late for work”. I opened my mouth to divert the patients back to Fort Smith when I started second guessing myself. “I am going to look stupid if I change my mind and reverse my decision”. I don’t know many doctors that would wait for a complete stranger (who was reportedly in stable condition) to arrive in the ER after their shift had already ended. Ninety nine times out of one hundred, I would not wait for this patient myself. For some reason, this morning was different.

Less than five minutes later, the EMT arrived with the mother sitting in a wheelchair covered in a blanket. “Where is the baby?” I asked. “I let the mom hold her”, the EMT replied. I pulled back the blanket to discover a slightly blue 27 week premature female infant still attached to the umbilical cord. This baby was mere seconds away from death. I immediately jumped into action. The medical rotation that I had been on the past month in my residency program just happened to include extensive neonatal intensive care. I had to quickly get the newborn much lower than the mother in order to get more blood back into her tiny system. I then clamped the cord and then started bagging her little lungs. I had to do chest compressions with just one finger to keep blood circulating through her body.  The infant was very cold and I had to get creative to warm her little body as much as possible. We called Children’s Hospital and had the child transported by helicopter to Little Rock.

The nurses in this small emergency room were extremely competent but were completely flustered because they had never dealt with anything like this before. Everyone in the emergency room agreed that this baby would have died within minutes if I had left for work at the end of my shift as usual. The EMT was placed on probation and was sent to get further training. My residency director told me that he was never more proud to have one of his residents arrive so very late for work. To my astonishment, this baby not only survived this incident but suffered no longer term consequences. She is now about to graduate from high school and is reportedly doing very well.  To this day, I can’t believe those words which caused me to remain in that ER left my mouth.  I know it sounds crazy, but I believe that God made me say those words and kept me from taking them back.  If you don’t believe in miracles, I am writing this to inform all of you that we all have one walking around us right here in Arkansas.  I don’t know what God has planned for the rest of her life… but I know without a doubt that this little girl is here for a reason.