"As a veteran photojournalist in Nashville, Tennessee, I was hired by USA Today newspaper to photograph a spina bifida corrective surgical procedure. It was to be performed on a twenty-one week old fetus in utero at Vanderbilt University Medical Center.
At that time, in 1999, twenty-one weeks in utero was the earliest that the surgical team would consider for surgery. The worst possible outcome would be that the surgery would cause premature delivery, and no child born earlier than twenty-three weeks had survived.
The tension could be felt in the operating room as the surgery began. A typical C-section incision was made to access the uterus, which was then lifted out and laid at the junction of the mother's thighs. The entire procedure would take place within the uterus, and no part of the child was to breach the surgical opening. During the procedure, the position of the fetus was adjusted by gently manipulating the outside of the uterus. The entire surgical procedure on the child was completed in 1 hour and thirteen minutes.
At that time, in 1999, twenty-one weeks in utero was the earliest that the surgical team would consider for surgery. The worst possible outcome would be that the surgery would cause premature delivery, and no child born earlier than twenty-three weeks had survived.
The tension could be felt in the operating room as the surgery began. A typical C-section incision was made to access the uterus, which was then lifted out and laid at the junction of the mother's thighs. The entire procedure would take place within the uterus, and no part of the child was to breach the surgical opening. During the procedure, the position of the fetus was adjusted by gently manipulating the outside of the uterus. The entire surgical procedure on the child was completed in 1 hour and thirteen minutes.
When it was over, the surgical team breathed a sigh of relief, as did I. As a doctor asked me what speed of film I was using, out of the corner of my eye I saw the uterus shake, but no one's hands were near it. It was shaking from within. Suddenly, an entire arm thrust out of the opening, then pulled back until just a little hand was showing. The doctor reached over and lifted the hand, which reacted and squeezed the doctor's finger. As if testing for strength, the doctor shook the tiny fist. Samuel held firm. I took the picture! Wow! It happened so fast that the nurse standing next to me asked, "What happened?" "The child reached out," I said. The surgical opening to the uterus was closed and the uterus was then put back into the mother and the C-section opening was closed. It was ten days before I knew if the picture was even in focus. To ensure no digital manipulation of images before they see them, USA Today requires that film be submitted unprocessed. When the photo editor finally phoned me he said, "It's the most incredible picture I've ever seen." - Michael Clancy
Samuel's parents, Alex and Julie Armas of Villa Rica, Georgia, testified September 25 before the U.S. Senate Subcommittee on Science, Technology, and Space about the photo and their experience with in utero surgery.
They were joined at the hearing by Dr. James Thorp, a maternal-fetal medicine specialist at the University of Florida Pensacola, and by Michael Clancy, the photographer who captured Samuel's awe-inspiring grasp.
Dr. Thorp testified that in utero surgery, while still in the experimental stages and posing significant risks, offers incredible promise to parents of unborn children with birth defects. Alex and Julie explained that their surgery, initiated to treat spina bifida, remarkably changed the course of Samuel's life and of their own lives. Alex testified, "Today, Samuel is nearly four years old and has not had to endure the surgeries that are common for most children with spina bifida. He's walking with leg braces, is cognitively normal, and loves looking for bugs."
Dr. Thorp testified that in utero surgery, while still in the experimental stages and posing significant risks, offers incredible promise to parents of unborn children with birth defects. Alex and Julie explained that their surgery, initiated to treat spina bifida, remarkably changed the course of Samuel's life and of their own lives. Alex testified, "Today, Samuel is nearly four years old and has not had to endure the surgeries that are common for most children with spina bifida. He's walking with leg braces, is cognitively normal, and loves looking for bugs."
Sitting behind his father who was testifying, Samuel wore a tee shirt displaying a few of those bugs. Committee chairman Sen. Sam Brownback (R-Ks.), himself the father of five children, called Samuel up to join his parents at the witness table for a few questions. He pointed to the large-scale version of the photograph and asked if Samuel knew what it was.
"Baby Samuel." - Jonathan Imbody
1 comment:
Wow. That's crazy!!
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