Saw my twin baby on Monday. He was born at 35 weeks by c-section, which I helped do. Everything was going great until one day on Peds when the post-call resident says to me "I admitted your kid yesterday. both of them." I knew it had to be bad news. she tells us about his mother's feeling that something wasn't right, he was slow eating and red in the face. "And he's always been the pale one." Group call took too long getting back to her, so she bundled the twins into car seats and took them in to the ER. Good thing, too, since that meant that when he crashed and needed intubation, he was in the ER. So they did the echocardiogram because of his huge whopping murmur (which I'd never heard) and it was significant. Off he went to $childrens_hospital to get his chest opened up and his ductus-dependent Total Anomalous Pulmonary Venous Return fixed. One month later, he's in my clinic for a follow-up. Just got out three days ago. His brother is 12 pounds. He's pushing six. This is a mom who has nothing - she's 21 and alone because she gave abusive father of the babies the boot. Her only help is some friends and her dad. But despite everyone's dire predictions, she's making it work.