Josephine was born early on a February Monday morning — a “micro preemie.” A visit from the neonatal staff was not reassuring. I heard words like “redirect care,” “cremation” and “burial.” I knew Kelly to be capable of fierce application when challenged, but I was struck with wonder as I watched her fight for her baby. She sought counsel from another neonatal expert, a friend of hers, and he had a more hopeful outlook. Kelly and her husband, Chris, decided to press on. The baby had a breathing tube for months, suffered from hemorrhages into her brain, and required an operation for necrotizing enterocolitis, a disease of premature infants that can cause perforation of the intestine. If it weren’t for total parenteral nutrition, surfactant, modern antibiotics and the ceaseless dedication of her caregivers, she would have died many times in the first days of her life. One hundred and eleven days after she was born, Josephine went home on oxygen.