INT: SMITH-JONES RESIDENCE in Kensington. Afternoon. A baby shower is underway, with stylishly
dressed women sitting in a semicircle around DR. MARTHA SMITH-JONES, who is
clearly in her third trimester. A huge pile of pastel-festooned gifts is in
front of MARTHA, who is opening a large flat box.
MARTHA:
This is from Sarah, eh?
She takes out a yellow onesie, as all the women coo. She
turns it around to show off the back, which has a duck face on the bottom. The
women squeal.
SARAH:
I do wish you’d let us know whether it’s a boy or a
girl. It’s so hard to buy everything in gender neutral yellow, or purple, or
green, or white, or . . . Well, you know what I mean.
MARTHA:
It’s a mystery to us, too, on purpose. We’re totally
fine with being surprised, and besides, who knows how they might identify in
the futu-
She trails off, distracted by a telltale whooshing sound
outside their window. Only a few of the partygoers notice the sound, and seem
undisturbed by it.
MARTHA:
Excuse me. I
. . . think we might have a late
arrival.
She hoists herself up off her chair and walks with effort
towards the front door, clearly with equal parts apprehension and excitement.
TISH:
They’d better have RSVP’ed, yeah?
The women go back to chatting amongst themselves.
MARTHA takes a deep breath, opens the door and sees the back
side of the ELEVENTH DOCTOR, who is fussing with a gift bag. He wheels around. MARTHA
marvels at his transformed appearance and style, not sure what to make of it.
DOCTOR:
Well, look at you. Martha my dear. I heard the news
and just couldn’t pass up the chance to travel back 6,237 years and drop by for
some well-wishing.
MARTHA:
It really is you.
DOCTOR:
You look so . . . different!
MARTHA:
Likewise.
DOCTOR:
Hm? Oh, oh yes, right. My extreme makeover. (He
steps back with a flourish.) What do you think?
MARTHA:
. . . Quite
fetching. I . . . just wasn’t expecting.
I mean, I am. Expecting! That is. As you can surely – won’t you come in?
She steps back from the door and gestures him in. As he
enters the living room, all the heads turn to stare at him. He waves amiably if
awkwardly.
MARTHA:
Everyone, this is the Doc . . .tor John Smith,
DOCTOR:
Hello.
TISH (skeptically):
Dr. John Smith? So, he’s a . . .
relative of Mickey?
MARTHA:
No, no, just an old friend. Colleague.
SARAH:
Speaking of Mickey, this IS supposed to be ladies
only, Martha! You didn’t even want the father here, much less old flames. (She
giggles)
MARTHA (flustered):
Not a flame at all, just a friend.
DOCTOR:
Very old.
TISH:
Suit yourself, it’s your shower. But I only have
enough sticky toffees for those who RSVP’ed.
She exits to the kitchen, two other women following with
wine glasses in hand.
DOCTOR:
So, I brought you something. Made you something
actually.
MARTHA:
Really? You made something for me?
DOCTOR:
For you and little Stella.
He jovially pats her belly. The ladies gasp. Martha looks
stunned.
DOCTOR:
Ohhh. You – you hadn’t gotten there yet. Right. Well
she turns out to be just super, reall-
MARTHA gestures to stop and shushes him.
DOCTOR:
Sorry, right, got it. ANYWAY, here.
He holds the bag out in front of him.
MARTHA:
Can’t believe you did this. Thank you.
She smiles and sits down to open it. She pulls out a nipple-shaped
contraption with flashing lights, wires and electrodes extending from it. She and the party guests are all stumped.
MARTHA:
Um, wow! It’s, um. What exactly is it?
DOCTOR:
I call it the Tracking Incremental Totals Breastmilk
Infant Transfer.
MARTHA looks blank.
DOCTOR:
I know, a bit cumbersome, even for the brightest of
you humans. So you can just go by the acronym.
MARTHA (pauses to think):
. . . Oh no.
DOCTOR:
That's right. The TITBIT.
He beams. MARTHA is now completely nonplussed.
PARTY GUEST:
So, what’s it for? What’s it actually do?
DOCTOR:
Here, allow me.
The DOCTOR begins fiddling with the TITBIT, unwinding wires
and starting to set it up as he talks.
DOCTOR:
You see, I knew you’d want to breastfeed, since you
surely know it’s the biological norm and the optimal start for your baby.
He places electrodes on various places on mom, looks around
and grabs a throw pillow to place in her arms as the “baby”, places electrodes
on it as well, then goes to place the nipple shield component on her
breast. There’s an awkward pause. He then hands it to Martha to place herself,
which she does, skeptically.
DOCTOR:
But I read that early cessation of breastfeeding is
attributed largely to lack of maternal confidence in her supply, and not
knowing how much milk their baby is actually getting. So I thought, why not develop
technology that can demonstrate both! The TITBIT here measures flow of milk,
volume in the mammary gland, corresponding volume in the infant stomach, and
maternal hormonal levels as well.
He sets up a switch that goes *DING*
DOCTOR:
Brings back memories, eh? Then, all that lovely data
connects to an app [he grabs MARTHA’S phone off the side table and hands it to
her] so Mum can follow the whole flow of the feeding, right on her mobile. Not
unlike the monitors they use to track contractions at the hospitals when you’re
in labor! All right there in a readout.
He steps back to admire his handiwork, very self-satisfied.
DOCTOR:
There you have it.
There is a long, uncomfortable pause as Martha and the
guests all look at each other. The Doctor rocks back on his heels.
DOCTOR:
So, accolades now?
MARTHA:
It’s . . . I
know you mean well, and I can tell you put a lot of –
PARTY GUEST:
Oh, I’ll say it. I know he’s your friend, so
I’ll say it. Dr. Smith, I appreciate that what you meant to do was encourage
Martha, but honestly, all that contraptions like this do is undermine a new
mum’s confidence. Doing things like weigh-ins at home before and after
feedings, just creates an obsession with numbers, and makes mom start doubting
everything. Mums need to trust themselves, and if something seems to be going
off the normal path, they need real support, not a mechanical measuring system
spitting out numbers she can’t make sense of.
YET ANOTHER PARTY GUEST:
I thought the diaper was the breastfeeding
measuring system.*
ANOTHER PARTY GUEST:
Exactly. In most cases that’s the only
one you need! I’m a lactation consultant at Martha’s hospital, and while pre-
and post-feed weights can be useful information – and only if it’s done with a
VERY accurate scale, which is unlikely to be in a layperson’s home – but it’s
only one part of a very complex picture. Just giving mums the raw numbers
doesn’t give her any idea how to put them in context. And in most cases, she
doesn’t need to anyway.
The guests all murmur their agreement. The DOCTOR is taken
aback by the conversation, occasionally looking like he’s about to interject,
but thinks better of it each time, and continues to listen to them.
STILL ANOTHER PARTY GUEST:
And numbers aside, using a nipple
shield is already an intervention, isn’t it? And one that can interfere with
breastfeeding if it’s not actually indicated in their situation? Why would you
introduce one in a contraption like this, for no good reason?
YET ANOTHER PARTY GUEST:
What about the sensors supposedly
reading milk volume? It’s like he has no idea how human milk is synthesized –
which is constantly adapting and changing.
SARAH:
This won’t be the last such invention
we see, I’m afraid. I actually attended
the MIT Hackathon in Boston last fall. Many of the brilliant engineers wanted
to "fitbit" breastfeeding,
exactly like this device. I spent all
weekend telling them NO. And then explaining
why this would actually hurt breastfeeding.
They had a hard time understanding the concept, and I can imagine we will see
lots more devices like this in the coming years. Sigh. Let's hope the
innovative breast pump ideas I saw work better than
these feedback devices.**
YET ANOTHER PARTY GUEST (gesturing with her wine glass):
Quit trying to biohack breastfeeding, technology overlords!
The guests all raise their glasses.
DOCTOR:
Not overlord, actually, Timelo-
MARTHA shakes her head vigorously at him, and he zips it.
1st PARTY GUEST:
If you really want to create
something that helps nursing mums, why not hook up with Human Milk for Human
Babies to create an app that will match milk donors with babies who are in
need?
STILL ANOTHER GUEST:
Yeah, or what about an app that
connects mum to her community and helps coordinate all the support she needs?
Meals, errands, a load of laundry, I would have loved that in those early
postpartum days.
YET ANOTHER PARTY GUEST:
Or if you really must invent a
wearable device that measures something, make it measure the amount of time the
mother and baby spend skin to skin. That alone is so powerful and so
overlooked, since there’s no way to make money off it. Well, YET, I suppose.
SARAH:
Another area that could use some help
is
making at-breast supplementers a little more user-friendly, so that in the
cases where supplementation is truly needed – again, hopefully with
professional guidance - mums have an easier time with doing so at the breast.
But it needs to be minimally invasive. Not like this nightmare. [She gestures
at MARTHA, then looks at the DOCTOR.] No offense.
DOCTOR: None taken, none taken, but I . . .
TISH enters with a tray of sticky toffee cupcakes and her
two friends.
TISH:
Here we are, everyone. [To the DOCTOR] I think there
are some Jaffa cakes in the pantry, if you’d like.
MARTHA starts taking off the device and placing it back in
the bag.
MARTHA:
Come on, I’ll get them for you.
She rises from the chair and walks to the kitchen, the
DOCTOR following.
DOCTOR:
Is that all true, what they’ve said? What do you
think?
MARTHA (rummaging around in a cupboard):
Doctor, you know I
adore you, more that I even should. Even with the bowtie. I appreciate you
wanting to do this for me so much. You mean so well. But they really are right.
DOCTOR: Well, I just . . . I wondered about, you know.
You’re not particularly, um.
MARTHA turns around with a packet of Jaffa Cakes.
MARTHA:
I’m not particularly what?
DOCTOR (looking around, avoiding her gaze):
Not, well, I
mean relatively. Compared with, I mean . . .
He notices a portrait of a Rubenesque woman on the wall and
gestures to it.
DOCTOR:
With, say . . . and you, not that there’s anything
wrong. You’re, you’re quite comely, but, I mean, rather petite and . . .
He gestures quickly and bashfully at her chest.
MARTHA:
Oh Doctor. That? (She laughs, looking at her bosom.)
Breast size has next to nothing to do with supply. Women with cup sizes even
smaller than mine can produce more than enough milk quite well. It's supply and demand, as long as
babies have plenty of access and everything else is proceeding normally.
DOCTOR:
Really? I mean, that’s wonderful of course. But
really?
MARTHA:
Really. (She hands him the packet of Jaffa Cakes.)
Think of them as being bigger on the inside.
DOCTOR:
Marvelous.
MARTHA:
All that unbelievable intelligence, all those
hundreds of years in that spectacular head of yours, and yet you somehow missed
that little, uh, tidbit of information.
DOCTOR:
Well, it doesn’t happen often, but when it does, I
am happy to stand corrected.
He bows, takes a bite of cake and then looks suddenly
crestfallen.
DOCTOR (through a full mouth):
But now I have no gift for
you and Stel- er, the mystery fetus.
MARTHA:
Oh, it’s quite alright, just coming here at all was
such a nice ges –
DOCTOR: WAIT! I’ve got it.
He turns and runs back through the living room, past the
cupcake eating guests who watch him fly by.
DOCTOR:
Beg pardon, won't be a moment . . .
TISH:
Awfully rude.
He departs. We hear whooshing. Martha walks to the front door and waits. We
hear whooshing again. The DOCTOR races back up, slightly winded and hands her
another bag.
DOCTOR:
There we have it. Go on.
MARTHA cautiously opens the bag and takes out a tiny fez.
MARTHA:
I . . .
DOCTOR:
Cool, isn’t it? Now available in size Cute as well.
MARTHA:
It’s absolutely both. Thank you.
She reaches out and squeezes his shoulder. He pauses and
then hugs her in return.
DOCTOR:
Well, universe calls, as always. Best of luck. Dr.
Smith-Jones. And abundant breastfeeding.
MARTHA:
And best of luck to you, Doctor.
DOCTOR:
Oh, and if you ever need someone who speaks Baby to
translate . . .
He waves, hops back into the TARDIS and is gone. She walks
back into the party, smiling.
____________
* Quote by Pauline Gnesin, on Anne's personal Facebook page
** Quote by Lori Bond Atkins, on :LACTNET Facebook group discussion (links in quote are my own addition)