I am a nurse. For 30 years of my career, I was a labor and delivery nurse. I took care of women through all stages of labor and through their delivery. Due to the many times that I have worked 16 hour shifts, I bonded with many women and helped them through long hours. Finally, through much work on the mom’s part with my guidance, she would be ready to deliver. In would sail the doctor, spend five minutes catching the baby, and then pose for all the pictures. I would hear from the families how wonderful he/she was.
Then why is my back killing me because I stood for two to three hours with a woman in a variety of positions including resting her foot on my shoulder while she pushed? Oh, and did I mention that she is also paralyzed from the waist down from the epidural, so I was also helping to hold her up while she squatted to push?
Why have I had to change my scrub clothes twice in a shift because someone either puked on me or amniotic fluid soaked everything?
Who is it that actually got that IV started while reassuring the poor mom?
Who is it that took the camera out of the daddy’s trembling hand and started taking family pictures because she knew that otherwise there would be no proof that he had even been in the room? And capturing the look of wonder on both parent’s faces at the same time.
Who is it that cleaned up every body fluid that can spew from a human, with a smile on her face and encouraging words for the mortified patient who has never been sick in front of a stranger in her life?
Who is it that tracked down the anesthesia people, chased them out of the lounge, and threatened them with their lives if they didn’t take care of her patient, NOW?
And when things didn’t go well, who was it that took that poor baby that didn’t make it, cleaned it up, dressed it, wrapped it in a soft blanket, and brought it to the broken-hearted parents to hold for the first and last time?
Oh, yeah, Dr. Marvelous is just great.
I’m just a nurse."
When scientists made the stunning announcement last year that a baby born with H.I.V. had apparently been cured through aggressive drug treatment just 30 hours after birth, there was immediate skepticism that the child had been infected in the first place.
But on Wednesday, the existence of a second such baby was revealed at an AIDS conference here, leaving little doubt that the treatment works. A leading researcher said there might be five more such cases in Canada and three in South Africa.
And a clinical trial in which up to 60 babies who are born infected will be put on drugs within 48 hours is set to begin soon, another researcher added.
If that trial works — and it will take several years of following the babies to determine whether it has — the protocol for treating all 250,000 babies born infected each year worldwide will no doubt be rewritten.
“This could lead to major changes, for two reasons,” said Dr. Anthony S. Fauci, executive director of the National Institute for Allergy and Infectious Diseases. “Both for the welfare of the child, and because it is a huge proof of concept that you can cure someone if you can treat them early enough.”
The announcement was the third piece of hopeful news in two days about the virus that causes AIDS.
On Tuesday, scientists reported that injections of long-lasting AIDS drugs fended off infection in monkeys, and on Wednesday, researchers announced a “gene editing” advance that might enable immune cells to repel the virus.
The first infant to make an apparent recovery from H.I.V. infection, now famous as the “Mississippi baby,” was described last March at the Conference on Retroviruses and Opportunistic Infections, the same annual meeting where the new case was reported on Wednesday.
The Mississippi child, now more than 3 years old, is still virus-free, said Dr. Deborah Persaud, a virologist who has run ultrasensitive tests on both children in her lab at the Johns Hopkins Children’s Center in Baltimore.
The second baby, a girl born at Miller Children’s Hospital in Long Beach, Calif., is now 9 months old and apparently free of the virus that causes AIDS.
Her mother, who has advanced AIDS and is mentally ill, arrived in labor; she had been prescribed drugs to protect her baby but had not taken them.
Four hours after the birth, a pediatrician, Dr. Audra Deveikis, drew blood for an H.I.V. test and immediately started the baby on three drugs — AZT, 3TC and nevirapine — at the high doses usually used for treatment of the virus.
The normal preventive regimen for newborns would be lower doses of two drugs; doctors usually do not use the more aggressive treatment until they are sure the baby is infected, and then sometimes not in the first weeks.
“Of course I had worries,” Dr. Deveikis said in an interview here. “But the mother’s disease was not under control, and I had to weigh the risk of transmission against the toxicity of the meds.”
“I’d heard of the Mississippi baby, I’d watched the video,” she added. “I knew that if you want to prevent infection, early treatment is critical.”"
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