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Sunday, November 28, 2004

In Delivery Room, Baby and Doctor at Risk
The obstetrician arrived to find an 18-year-old woman, well into labor and buckling under the weight of a 42-week pregnancy. She begged for a Caesarean section. Kearney drew on his decade as an obstetrician, gently counseling her, "Have it on your own." Cascading from that decision was a marathon delivery marred by complications: The baby became so tightly wedged in the birth canal that Kearney was forced to launch a desperate struggle to dislodge him. The delivery would leave permanent injuries.
...
Kearney is a father of four whose soothing brogue betrays his Irish roots. He landed in the United States by way of Johns Hopkins, where his grandfather, an obstetrician, was a visiting professor, and he set out to practice one of the most rewarding branches of medicine, where most patients are overjoyed with the outcome -- a healthy baby.
...
The pediatrician's diagnosis was Erb's palsy. Her son had "virtually no independent use of his right arm or hand," the chart said. "His arm is held at an awkward angle, close to his body, and his elbow and wrist are flexed. . . . The arm is wasted along its entire length and it is clear that this will become more noticeable." ...

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