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Notes about this site
Like a rose opening,
this page is a celebration of a life
One day I was chatting with a doctor
who mentioned that he did not believe
in animal research.
The following page is an answer to that.
As Tom's sister, I want it known,
had it not been for animal research,
I would not have remembered this wonderful brother
and my children would never have known their special uncle.
IN MEMORY OF
Thomas Richard Doggett
Beloved Son, Brother, and Uncle
April 1941~~June 1970
I would like to tell you the story of a little boy called
Tommy Dickey Joe
Thomas Richard (Tommy Dickey Joe) Doggett was born April 10, 1941 at Ames, Iowa. He was the third child of Ralph and Ruth (McCoy) Doggett and was the only one of their 4 children born at home.
Dr Ernie McFarland Sr. came to the house to deliver the baby. When he saw this tiny little boy, he decided it was best not to say anything to the mother or father about his condition.
The next day, Ruth noticed that her precious baby had awfully dark skin. His lips were blue and his fingers and toes were clubbed. Being a registered nurse, she recognized there was a serious problem. She gathered up her little bundle and took him to the doctors office.
The doctor told her that Tommy was a Blue Baby. This caused a pain, like that of a sword being thrust into her heart and twisted. She knew that this was a heart defect called tetralogy of Fallot and nothing could be done.
Tetralogy of Fallot (fel low') is a heart defect where, there is a narrowing of the artery leaving the heart. This constriction does not allow the body to get enough blood, so the body calls for more blood. More blood is made. However, because of the narrowing, that blood does not get out of the heart, so the heart steadily increases in size. (After 28 years, Tom's heart almost filled his entire chest cavity) There is also a hole between the chambers inside the heart. This causes some of the blood to be returned directly to the body instead of going to the lungs to be oxygenated. (Oxygenated blood is red, unoxygenated blood is blue.) Because of this, all the blood has a bluish color, hence the name Blue Baby.
The doctor told Ruth just take Tommy home and keep him comfortable for as long as his little heart would beat.
Dr. Ernie McFarland Jr. took over his care, but Sr. was always there as a backup. As tiny and fragile as Tommy was, he was a fighter and would not give up. He grew and grew. Not as fast as others but at least he was alive. He learned to crawl and then walk. However, he could only walk a few feet before he had to sit and catch his breath. But, my, how that little guy could talk. He talked, not only with words, but he had the biggest brown eyes. You could gauge how he was feeling just by looking at his eyes. He also got just about anything he wanted when he used those eyes on you. He was a constant joy to the rest of the family.
Ruth, being a nurse, had to go to work every day. Ralph's sister, Ruby came to stay. She just moved in. Tommy was the delight of her life, and she of his. When she got married, Tommy thought he was going to go and live with her. They remained favorites of each other all Tom's life.
One year--two years--three and four years. His doctor just could not believe that he was still alive. Four years old!! He was a happy little fellow. But he looked like he had just come out of a swimming pool on a cold day. His lips and finger tips remained blue, as well as the clubbing of his toes and fingers. He also was very thin. Any nutrition that he took in went just to keep him alive.
As year five was about to start, Ruth saw an article in a medical magazine about two doctors at Johns Hopkins Hospital in Baltimore, Maryland. Their names were Dr Alfred Blalock and Dr Helen Taussig.
Based on a theory developed by Dr Taussig, and with the help of a Surgical Technician, named Vivian Thomas, (called Tom) who assisted with the necessary animal research, Dr Blalock developed a surgical procedure that could possibly keep Tommy alive until more extensive heart surgery could be developed.
This surgery took a healthy artery from an arm and spliced it around the constricted artery to bypass the constriction, thereby giving the lungs sufficient blood for oxygenation. At this stage of heart surgery there was no way to open the heart and repair the hole inside. This operation was the beginning of modern heart surgery.
Ruth sought out both Drs. McFarland and asked them about it. They said they had heard about it but they were not at all optimistic about Tommy's chances. They also told Ruth that they knew it was the only chance he had. The doctor told Ruth, "It sounds like this is a very remarkable development, however, if you go, do not let them just experiment of our Tommy."
The doctor wrote to Johns Hopkins explaining Tommy's current condition and an appointment was made for May.
In 1946, flying (for the ordinary person) was out of the question. Ralph bought train tickets, even though there was an impending railroad strike.
He bought tickets for Tom, Ruth, himself and, of course, Aunt Ruby. After taking the other 3 children to the friends that were going to take care of them, off they went.
That is, all went except Aunt Ruby. Her brother-in-law in Nashville, Tennessee died suddenly and she went there first. Then on to Baltimore. The railroad strike caught her when she was almost there, but she continued on by bus.
What Ralph didn't know was that the appointment had been canceled. Tommy had been exposed to measles and Ruth had written to the hospital telling them. They wrote back telling her that, since Tommy had "contracted" measles, they were setting up another appointment in September, 4 months away. She could not believe they had misunderstood her. He did not "have" measles, but had only been exposed.
The letter came the day before they were to leave and Ruth thought, "If this were to come tomorrow, we would already be on the train". She took the letter downstairs and threw it in the furnace.
When they arrived in Baltimore, Ruth and Tommy started settling into a room while Ralph went to the hospital to begin the checking in process. He was very surprised when they told him that the appointment had been rescheduled for September. He was devastated, not only because they would have no money to make the trip again, but he knew that Tommy could not last that long.
Ralph asked if someone could, please, just look at him. Within an hour he was in an examining room and the doctors all agreed that, by September, there would be no Tommy to bring back. They scheduled his admission to the hospital for the next day, with surgery two days later. He was number 143 to have the surgery. (This was how new this surgical procedure was at the time.) The rest of that day was spent taking pictures. Just in case.....
The doctors knew that Tommy was not in very good shape to undergo such extensive surgery, but without it, the rest of his life would be very short indeed. After their examination, they told Ruth and Ralph that he only had about a 40% chance of making it out of surgery.
But those doctors did not know little Tommy. As Ruth and Ralph sat in the hall outside the operating room, word finally came; the operation went well. However, they knew it would be awhile before they would know if it was successful.
The changes that were seen right away were that his fingers and lips were not as blue as they had been. The clubbing of this fingers would take time to go away. People who saw him come into the hospital said they would not have known he was the same child. Within 3 days of surgery the sparkle came back into his eyes. Then, to top off the trauma of major surgery, Tommy managed to pick up a flu bug. It took a few days for him to come out of that, but he did.
In no time at all, he was on his way home. This time to be able to play with his brothers and sister.
This picture of Tom ran on the front page of the Ames Daily Tribune. The tricycle was waiting for him when he got home.