FEATURE BY J.D. NUSCHKE, MD, FACP I t was a cold November evening in 1987. I had just completed my residency in internal medicine and was serving as the chief medical resident. I had decided to moonlight in the emergency room at the Allentown hospital to begin paying back my school loans. Around 10:30 p.m. a disheveled and disoriented-appearing 30-yearold man appeared from the ambulance entrance of the ER. He was wearing slippers and was bare-chested. My initial impression was he may be seeking help from the psychiatric ward. That was until he spoke, saying: "My wife just had our baby in the car," and then seemed to slide down to the floor. 14 Lehigh County Health & Medicine | SPRING 2017