+
upworthy

nicu

Education

Former NICU baby graduates medical school, intends to become NICU doctor

He plans to start a pediatrics residency specializing in infant care.

A former NICU baby is going to become a NICU doctor.

Marcus Mosley was born in 1995 at just 26 weeks gestation, meaning he spent his first few months of life in the neonatal intensive care unit (NICU). Now, 27 years later, Mosley has graduated medical school with the intention of specializing in the same kind of medicine that saved his life. He recently graduated from the CUNY School of Medicine at The City College of New York. His journey from being a patient to being a doctor in the NICU is well underway and the future is looking bright.

"It was very frightening when he was born and they told me that he was in the NICU," Mosley's mother, Pauline Mosley told "Good Morning America." "The doctors told me, they just kept giving me all these different percentages of very slim chance of him being normal, like less than 10% chance. They kept saying 90%, he might not be able to see. Eighty to 90%, he would have developmental delays. They didn't know."


While it's true that being born premature (before 37 weeks gestation) can lead to developmental delays and health problems that range from minor to severe, it's hard for doctors to predict that at the outset. The effects of being born premature and the care received aren't always known until the child gets older, but there is evidence that shows that Black babies are more likely to receive subpar NICU care.

A review of 41 studies that was released in 2019 found that Black preterm babies are the most vulnerable. Typically, hospitals with a higher amount of Black preemies had fewer nurses and lower-quality care compared to hospitals with a smaller amount of Black babies. Additionally, evidence showed that "minority-serving" NICUs had higher death rates. Lack of resources and understaffing at hospitals that serve communities of minorities is part of the problem.

Black parents have also talked about a lack of support as their babies leave the NICU. Some of the studies showed that Black parents were less likely to get referrals for follow-up care for their preemies. These parents also reported feeling less satisfied with their experiences, likely for the reasons mentioned above. If you're not feeling supported, then you're certainly not going to have a good experience.

Thankfully for the Mosley family, Marcus didn't suffer from any long-term health problems. But a return to the NICU when he was 13 set his life on its current trajectory. During the visit to the Westchester Medical Center, he met Dr. Edmund LaGamma, the chief of neonatology at Maria Fareri Children's Hospital at Westchester Medical Center. A relationship was forged between the two that would lead Mosley to make one of the most important discoveries of his life.

"He had called and said that he was a former patient of the Regional Neonatal Intensive Care Center and he was in high school and wanted to know if he could do a shadowing program over the summer," LaGamma told "Good Morning America."

LaGamma explained that in the time since Mosley had been a patient, "a lot of advances had been made," and he invited the young man to come join the team for rounds. Shadowing Dr. LaGamma and the team left quite the impression on Mosley.

"That is what really piqued my interest and then solidified my interest in wanting to go into medicine," Mosley explained.

After that summer of shadowing, LaGamma began to act as a mentor to Mosley, especially when he enrolled in the accelerated B.A/M.D. program at City College, which happens to be LaGamma's alma mater. Mosley is gearing up to begin his pediatrics residency at New York-Presbyterian Morgan Stanley Children's Hospital.

"I'm really excited and looking forward to starting residency and to be able to take care of patients now," Mosley said. "I'll be responsible for patients and involved in patient care and treating families."

And his mentor thinks that he is just the right person for such a special and important kind of job. "I think he has that personality which comes across as engaging and inviting so that he'll do well as a pediatrician," LaGamma said, adding that he's already offering Mosley a fellowship position in the future.

It's beautiful to see how a formative part of your life can lead you down a specific life path.

Ask anyone who has lost a loved one — grief creeps up at the most random times.

It doesn’t matter how many months or years it has been, all it takes is one second for those memories and heartache to rush back. For me, all it took was an awkward moment to remind me that grief never goes away.

I was recently at a routine appointment. As the woman walked into the room, she smiled and said, “How are the kids?” I gave her a puzzled look, wondering if I heard her correctly. As a mother of one surviving triplet, I’m not used to hearing the plural form of “kid.” She repeated herself and that’s when I realized — she didn’t know that two of my children died.


My heart began to race and my breathing became faster as I explained that Abby and Parker had passed away within two months of being born. The tears erupted as my mind instantly flashed back to three years ago, when I said my final good-byes to two of my children.

The woman felt terrible and rushed up to hug me. As awkward as I felt, I know she must have been mortified. It was the epitome of a “foot in mouth” moment, and here I was, a grieving mother brought to tears.

I left the office in a daze, my mind stuck on that awkward dialogue.

During the first year after my triplets were born, that was a common question. Some people weren’t aware that two of my babies had died and often asked how the triplets were doing.

Because it’s been three years, this time caught me off guard. I assumed most people knew my situation, or if they didn’t, they thought Peyton was an only child. I may have been surprised by the conversation, but I wasn’t mad or upset. All it takes is a simple mention of my children to bring me to tears. That’s part of living life after loss: the grief never goes away.We may moved forward in life, but we never forget. I wear those tears with pride, a sign that a piece of my heart will always be with Abby and Parker.

There is no perfect handbook on how to grieve the loss of a child.

The same goes for comforting a grieving parent. While a simple hug can go a long way, I was more comforted that day by how the conversation ended between me and the woman.

After mentioning that I only had one survivor, the woman went on to ask about my two angels. She repeated their names as I told her about sweet Abby and her peaceful face. And she listened intently as I shared stories of Parker and Peyton in the NICU. She asked about Peyton and I happily shared how strong and healthy she is today, a far cry from her NICU days.

I may have cried at my appointment, but I left that office with a full heart. As parents who've lost a child will tell you, one of the most comforting things people can do is to say your child’s name. Hearing the woman say “Abby” and “Parker” was a beautiful reminder that they existed, and sharing stories of them warmed my heart.

When I explain to people that my daughter is actually a triplet, their smile turns to shock before a sad look takes over their face.

It’s a common expression that I’m accustomed to seeing. A parent is not supposed to outlive their child, and when people realize that I’m the parent of two angels, it often becomes uncomfortable for them. Grief is a hard topic to talk about, especially when it involves the death of a child.

The awkward encounter I faced is something so many of us parents of pregnancy and child loss experience and it’s something I know I will face often in my lifetime.

While it can stir up emotions and memories that have been tucked away for years, there is something positive that can come out of it. I like to think that each time I’m asked about my children, it’s a sign from above. It’s Parker and Abby’s way of saying, “Hi, Mom,” from heaven. And while the other person may feel uncomfortable, they are actually giving me the best gift of all: the gift of remembering and embracing my children who are no longer here on Earth.

More

The NICU is the last place any parent wants to be. One mom thinks differently.

Even when she didn't know if her four children would live or die, the NICU provided peace for one mom.

"Are you f**king kidding me?" Those were the first words out of Andrea Boring's mouth in January 2008 when the ultrasound technician informed her that she was going to have twins.

The irony isn't lost on Andrea — because even though her last name is "Boring," her life is anything but.

She developed a rare pregnancy complication known as HELLP syndrome that affects less than 1% of all pregnancies and was rushed to the operating room after learning her liver was dangerously close to rupturing.


In doing so, her twin boys, Hayden and Logan, were delivered via cesarean section after only 28 weeks, and they weighed in at 2 pounds, 6 ounces, and 2 pounds, 5 ounces, respectively.

They spent 71 days in the NICU (Neonatal Intensive Care Unit).

Even though she's smiling, Andrea was pretty nervous during her first NICU experience. Photo from Andrea Boring, used with permission.

Eight years later, Andrea was back at the doctor and heard the same news: She was pregnant with twins. Again.

And, yes, she uttered the same phrase as she did the first time around, only louder.

Under much less stressful circumstances, in March 2016, Michael and Joshua were born after 28 weeks and weighed in at 2 pounds, 10 ounces, and 2 pounds, 11 ounces. These little ones spent 53 days in the NICU.

Michael and Joshua enjoyed a nice embrace in the NICU. Photo from Andrea Boring, used with permission.

So if you're keeping score at home, Andrea and her husband David endured two stints in the NICU with two sets of twin boys. Oh, and they also had a healthy little girl right in the middle.

Andrea, David, and their five children. Photo from Alisha Gilliam Photography, used with permission.

Real talk: The NICU is not a fun place. But the time spent there can have a silver lining.

Andrea's four boys survived the NICU, but many babies aren't as fortunate. With preterm birth being the greatest contributor to infant death, not all NICU stories have a happy ending.

Even still, the NICU provided Andrea Boring with some much-needed perspective on parenting, and she wants other parents to know the experience doesn't have to be so scary.

With that in mind, here are five positive things she took away from her time in the NICU.

1. Recovery from birth can be a lot easier in the NICU.

While in the NICU, Andrea felt that she had time to recover on her own schedule. Photo from Andrea Boring, used with permission.

Andrea knows what it's like to deliver babies inside the NICU and outside of it. When it comes to recovery, she believes the NICU holds an advantage.

"When I had my babies in the NICU, I was able to let my body recover the way it needed to," Andrea told Upworthy. "It's great to recover while top-notch caregivers are tending to your baby's needs."

2. Spending quality time with the older kids can be much easier.

Andrea treasures the time she spends with her older kids. Photo from Andrea Boring, used with permission.

Pregnancy didn't treat Andrea very well. She suffered from extreme morning sickness and felt tired and irritable most of the time. When her babies were in the NICU, she found happiness in being able to focus on her older children.

"I found that I enjoyed the time I had with my older kids when I wasn't pregnant anymore," Andrea said. "It's no secret that I'm a lot more fun to be around when I'm not uncomfortable."

3. Schedule, schedule, schedule.

When you have five kids, having them on a schedule is a big deal.

"In the NICU, the babies are always on a schedule and they come home on a schedule," Andrea said. "As a mom with five kids, I can safely say that is the best thing in the world."

4. If she had questions, they had answers.

Thankfully the NICU is filled with people who can answer the questions scared parents have. Photo from Andrea Boring, used with permission.

Being a new parent comes with a lot of questions. Is the baby latching correctly? Is she eating enough? Should his poop look like this?

Andrea was thankful to have lactation counselors, physical therapists, occupational therapists, and more right at her fingertips to answer all her questions while in the NICU.

"So many people were available to handle my concerns, and that's invaluable to any parent," Andrea said.

5. Nurses who can become like family.

Lauren is one of the amazing nurses who made Andrea's stay at the NICU such a positive one. Photo from Andrea Boring, used with permission.

It's impossible not to build powerful bonds with the individuals caring for your children, and Andrea is so thankful for them.

"Throughout our two NICU stays in two different states, I've kept in touch with the nurses who cared for our sons," Andrea said. "They kept my babies alive for months and I will always treasure them because of it."

In the often chaotic world of the NICU, Andrea leaves us with three small pieces of advice.

"Have faith, be open about your feelings, and don't feel that you need to spend every waking moment in the hospital or else you will go crazy," she said. "In my mind, the NICU showed me everything that is good about the world."

The four Boring boys. Photo from Alisha Gilliam Photography, used with permission.

Her four boys would agree.