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Dr Curley is an obstetrician that deals with a very difficult birth of the new Santorini child. The Santorinis have been through a stillbirth, and upon getting pregnant again, extreme cautions are taken to ensure the safety and health of their new child. This case takes the reader through the difficult decisions that must be made by the doctor and family as 'a perfect storm' of birthing complications ensues. The Santorini's son is born with down syndrome and heart problems that require difficult surgeries. To add on to the strain, the family is tied down by significant financial problems. The doctor must decide how to tell the family their options before they expose their newborn to highly risky surgeries, with the added financial difficulties.