Scott Goldstein's Memoir

by David A. Goldstein

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APRIL, 1977
SCOTT'S FIRST SIGNS OF NEUROLOGICAL ILLNESS AT AGE FOUR +

From nursery school through kindergarten, Scott was taken to and from the Dalton School in a private school bus which picked him up early every weekday morning at 7:45 A.M. from in front of our East Side apartment house and dropped him off at 3:00 P.M.  He had had regular physical checkups from his pediatrician Dr. Alan Samuels for four years since birth without incident and so when we were informed that Scott had become carsick on the bus, one day, in early 1977, we were not unduly alarmed.  Even when it began to occur more frequently, we didn't begin to think of it as a serious symptom.  It brought back memories of my own difficulties in surviving long car trips to the country during my own childhood, often interrupted by bouts of nausea.  After all, Scott told us that the school bus made many stops to pick up children all over the East side and the West side also.

Then, Scott began to have severe headaches from time to time which only went away after a nap or vomiting.  Still, in our ignorance, we didn't associate the headaches or the vomiting with what was soon to be diagnosed as serious life threatening neurological disease.  Scott's pediatrician did not seem overly alarmed and the school psychologist attributed it to the emotional reactions of an only child looking for attention and an excuse to stay home with his mother.  

One day, in early April, 1977, my twin brother Bill, the Chief of Radiology at the Danbury Hospital in Connecticut and his wife Madeline, a pediatric gastroenterologist at Yale's Grace New Haven Hospital were speaking to us on the telephone about Scott's symptoms and Madeline suggested that we bring Scott up to Yale for a complete medical checkup.  She was concerned that the symptoms had continued for some time without a definitive diagnosis.  I can remember her saying that if Scott went through a neurological and gastrointestinal workup with negative results, we could then consider taking Scott to a good child psychologist.  I am specifically indebted to both Bill and Madeline for their support and assistance during Scott's long illness.  If they didn't know the answers, they always guided us to ask the right questions of Scott's attending physicians.  

As this tale unfolds, it will become apparent that Scott's illness regularly presented difficult issues in defiance of all known medical experience and knowledge.