Home | Forward | Contact Info MARCH 29, 1988 - APRIL 16,
1988
SCOTT'S LAST DAYS The
period between March 29 and April 16, 1988, when Scott passed away was a
nightmare and very sad. Although in a coma and presumably without pain, there were
times when Scott would be moved and he would grimace as if in pain and
even make noises sounding like reaction to pain.
He was very weak and all of his systems were rapidly failing.
He would often stop breathing and his heart would stop beating
for several seconds, only to be revived by the trusty old "ambo
bag" and perhaps heart massage. It happened so often [numerous times on a single shift] that
when Scott's electronic monitor would sound, the nurses would often wait
several seconds before stating to revive Scott since his heart and his
breathing would often begin almost spontaneously.
Of course, towards the end, his blood pressure was artificially
supported by powerful drugs referred to as "vasopressors."
In addition, various infectious processes were going on and Scott
was constantly under the watchful eyes of the doctors from Infectious
Diseases, who gallantly tried a variety of medications, some of which
were new and experimental.53
Scott was getting blood transfusions at this time and virtually
all of his systems were breaking down. Towards
the end, Rena and I would leave the hospital at around midnight only to
call in almost every hour from home to see how he was doing.
The nursing staff at the ninth floor Pediatric ICU at Babies
Hospital could not have been nicer and more compassionate.
After we had been treated, rather roughly we thought, on March
28-29, 1988, by the two doctors in charge of the ICU, the charge nurse
came to me and apologized profusely and told me that her nursing staff
unanimously did not agree with the way Rena and I had been approached by
them with respect to the issue of whether or not to withdraw life
support for Scott. I felt so helpless and out of control. I tried to do little things such as clean Scott's eyes often with sterile saline solution and manipulate his arms and legs in "range of motion" exercises. Rena and I were almost constantly by Scott's bedside during the last few weeks although we still maintained some hope [Rena more than I] that Scott would come out of this coma as he had done before, come off the respirator and leave the ICU. My recollection about having hope is refreshed by looking at my office diary during this time period and noticing that I went to Court several times for clients, including Friday, April 15, 1988, the day before Scott's death. Surely, if I had given up hope at that late date and thought that Scott would die the very next day, I would not have been away from his bedside. APRIL 16, 1988
THE DAY SCOTT DIED On
Saturday morning, April 16, 1988, the day of Scott's death, we were
awakened early at about 5:30 A.M. by one of the doctors in the ICU and
he told us that Scott was in bad shape and that we better come up to the
hospital. This was not the
first time that we had raced back to the hospital at an odd hour and it
took us only about twenty five minutes to dress and get up there at this
early hour. At the ICU, we
were told that Scott's heart had stopped several times during the night
and that his blood pressure had gone down.
His condition had taken a turn for the worse.
We sat at Scott's bedside and held his hands.
Rena played tape recorded music for him.
At 9:03 A.M., Scott's heart stopped beating and Rena and I were
quickly ushered out of the ICU to wait outside alone while the doctors
and nurses worked on Scott. It
was so hard for us to leave. We
kept looking back and we were both crying.
This was our child, our flesh and blood and total strangers were
separating us from him when he needed us the most, not that there was
anything we could do. This was the first time that Rena and I discussed the
inevitability of Scott's death. We
both assumed that we had seen him alive for the last time. We wailed to each other as we talked about not touching him
again; and not ever hearing his voice or kissing him again.
The only consoling thing that I could think of was to remind Rena
that at least he was now at peace; no more pain; no more anxiety; no
more operations; no more doctors and nurses bothering him.
Then Dr. Rick Trifiletti, a rather robust pediatric resident came
through the ICU door. He
had been especially kind and compassionate to us throughout Scott's
hospitalizations. He never
lied to us or gave us false hope. What
he did do however was always to talk about the positive things while
keeping his own concerns to himself.
Dr. Trifiletti was smiling, with tears in his eyes, if you can
imagine this incongruous scene. He
hugged Rena warmly and we knew that once again, heroic measures had been
taken to save Scott's life. And
Scott was still fighting to stay alive.
We raced inside the ICU and hugged and kissed Scott as much as we
could without pulling apart all of his lines.
I resumed my ritual of cleaning his eyes and Rena changed the
music tape. We were back at
our vigil. The same thing
happened several times that morning. Scott's heart would stop beating, we would be ushered out of
the ICU and brought back after he was revived.
Each time we thought it was the last only to learn otherwise. Finally,
at approximately 12:41 P.M. on Saturday, April 16, 1988, notwithstanding
the heroic efforts of Dr. Trifiletti and the other doctors and nurses in
the ICU, Scott finally succumbed to his rampant malignant central
nervous system tumor disease after a gallant and courageous fight which
lasted more than eleven years. This
was the moment we had been dreading for more than four thousand days.
Although we had a lot of time to think about it and to prepare
for it, I must say that you never prepare for the death of your only
child. By this I mean in an
emotional sense. Sure he
had started to make preparations. My notes indicate that on April 7, 1988, I jotted down the
names and telephone numbers of some of Scott's friends teachers and
doctors who I wanted to call and request to speak at Scott's funeral.
I asked the nurses if Rena and I could spend some time briefly
with Scott before they took him away.
I had seen this happen before in the ICU when other children
died, virtually right in front of my eyes.
The parents would come in behind closed curtains, spend a couple
of moments in private with their child and leave.
On more than one occasion, Rena and I would be there to console
them, hoping against the worst of odds, that we would not face a similar
fate. Soon,
we were at Scott's bedside. He
looked so much at peace at last. Several
of the nurses and doctors joined us from time to time on their breaks.
We were in no hurry to leave and no one gave us the slightest
indication that we had to leave. Shortly,
the Sedakas and my niece Sarah joined us at Scott's bedside too. I had started to make some telephone notifications from the
charge nurse's office. We
held Scott's hands and kissed him and Rena and Neil sang to him. The hospital administrator came by, rather abruptly with the
man from the funeral home but the nurses chased them away.
I would never believe it if I wasn't there myself with Rena.
We did not leave Scott until 7:05 P.M., more than seven hours
after his last breath. AFTERWARDS
The
mahogany casket, bearing Scott, was placed before the ark at Temple
Emanu-El, on Monday morning, April 18, 1988, just 1,038 days after
Scott, in life, so eloquently performed his bar mitzvah from the same
place. Rena and I rode to the funeral service, accompanied by Neil and
Leba Sedaka, who had been so specially supportive, throughout Scott's
long illness. We found out
later that the driver who drove us from our home to Temple Emanu-El, had
to be replaced for the drive to the Cemetery and back, because he had
become overwhelmed with emotion, during the short drive to the Temple.
Rabbis Sobel, Chapin and Posner officiated with grace, as they
had after Scott's birth and at his bar mitzvah.
Passerby were overheard to exclaim "Some dignitary must have
died." Hundreds of
people crowded into the main sanctuary, which was opened specially for
the funeral service. Scott's
classmates came by chartered school buses. After
a beautiful lament by Cantor Nemerson, Rabbi Chapin, who had tutored
Scott for his Bar Mitzvah, gave a fitting prayer and some personalized
comments about his former student, Scott, the "young
philosopher," who simultaneously charmed, amused and taught his
Rabbis. He said they became
in awe of him as "he asked the unanswerable for which there were no
simple answers". Arthur
Roses, Scott's long time school chum was the first lay speaker and he
set the tone for all of the adults who followed him.
He was eloquent yet his words were simple but carefully chosen.
He made it quite clear that we were gathered to celebrate Scott's
life rather than to mourn his death.
What courage it took for fifteen year old Arthur to be the lead
speaker at the funeral of his best friend Scott, as he spoke of Scott's
"warmth, humor, strength, courage and friendship." David
Arnold, the director of the Dalton high School and one of Scott's
favorite teachers was next. He
talked about how Scott would come by and cheer him up with humor when he
felt overwhelmed by the problems of the moment and how Scott would have
enjoyed watching his teacher squirm under the pressure of giving these
remarks. Quoted below are
his moving remarks spoken at Scott's funeral, entitled: "A
Celebration of My Friend: The
Pupil as Teacher" You
honor me once again by letting me be a part of this special occasion in
celebration of the life you so gloriously led among us, just as you
honored me time and again by giving me the opportunity to get to know
you, if only for a brief time.
Here
we all are - your many friends, your beloved parents and family, and
you, just as you probably envisioned it with that wry, elfin, bemused
but ever so positive outlook of yours on the world.
Somehow, as I committed myself to this writing, I could not get
it out of my head how much fun you'd be having watching your old
principal and history teacher sweat out this assignment, a formal speech
in your honor. My only hope
is that my effort will pass muster under your watchful, scrutinizing
eye, just as you were able to do so often and with such aplomb under the
vigilant eye of life. No,
you honor me once again, young man, for your having the patience and
forbearance to hear me out as you always did.
But in so doing, you have enabled me, through your ever-present
image and spirit, to rejoice not only in the life you graced us with,
but also in that universal experience with which we have all been
blessed. In that respect
you are as much the consummate teacher as any of could every hope to be.
And taught us you did - so many lessons which we will never
forget even as we try to make sense in our limited way of the meaning of
our shared existences and that entity we call life. You
taught us among other things how to care for big and small things alike.
You taught us how to laugh and take joy from the absurd and the
sublime. Would that I could
conjure up just one of your many Saturday Night Live impressions to show
you how well I learned about having fun even under the most trying of
circumstances. Your timing
couldn't have been better. You
also taught us how to dream and have aspirations:
Your ability to hope and look to the future only inspired us to
find more of a purposefulness in our own lives.
You also taught us what it means to be courageous and honest when
confronting the vicissitudes of our lives and the challenges thrown our
way on a daily basis. In fact, your courage was as boundless as your
spirit. You never shied
away from all of these nor did you ask to. Rather, you looked each one of these challenged squarely in
the eye and reveled at your ability to triumph over them. You did it through your spontaneity, your sense of
playfulness, your wisdom, and your willingness to just be you. How you taught us. And
I can still remember how you made a believer out of me in so many things
from professional wrestling - how you would regale me with ringside
stories of all the performers and tell me of their won-lost records and
unique wrestling styles - to the fortunes of our baseball team.
Your wonderfully observant and curious eye never missed a detail,
nor an opportunity to find the lighter side in all that you saw. Above
all, you taught us how to love life and to make it into an art form -
how to take each glorious moment and cherish it for what it was and
would always be. That
perhaps was the most powerful lesson you taught us and one which we
shall never forget. No,
Scottie, I only knew you for a brief, shining moment, but the positive
and sustained impact you made on me will stand the test of time as few
other experiences have done. My only hope is that in some small way I was able to
reciprocate that timeless favor. Would
that I as a teacher could be so skilled and fortunate as to have been
able to make a similar impact on you.
I wish but I doubt it. As
James Boswell observed in his Life of Johnson:
'To my question, whether we might not fortify our minds for the
approach of death, he answered in a passion, "No, sir, let it
alone. It matters not how a
man dies, but how he lives."' You
Scott, in the inimitable way you lived your life, made that axiom a
reality and taught us all not about not the approach of death, but how
to approach the art of life. What
a teacher you have been for all of us. With
Love and Respect, Dr.
Gold, Scott's pediatric neurologist for eleven years, spoke next,
relating a number of memorable anecdotes, illustrating Scott's kindness,
his humor, his love, his optimism and his courage.
He spoke of how Scott defied all medical knowledge and experience
and how the prognosis for Scott was never valid, placing "Scott on
loan to us for an extended period of time."
Dr. Gold spoke of his observations over eleven long years, of our
family relationship, built on trust, love and unwavering hope and how he
watched all three of us give strength to each other when one was weak so
that the Goldstein family unit ["the whole being stronger than the
parts"] was always sturdy and remained intact right up to the very
end. He spoke of how a
Courtroom was transformed into a "downtown Neurological
Institute" when he examined Scott in Court while testifying as a
witness - and how the Pediatric ICU at Babies Hospital was transformed
into a Passover Seder setting at Scott's bedside, replete with home
cooked roast beef, matzo, gefilte fish, horse radish, prayer books and
doctors and nurses [Jew and Gentile alike] wearing yarmulkes, all
chanting the appropriate religious service in the midst of beeping
electronic monitors and respirators. He spoke of an animated and humorous Scott as a very special
person, "long in love even if short in years," who had
significantly changed his personal and professional life.
I will never forget Dr. Gold's concluding remarks.
He said "If love alone could have kept Scott alive, he would
have lived forever." Scott's
political "Boss," State Senator Roy Goodman followed with some
touching remarks about his fallen "Building Captain."54
He referred to his Churchillian personality, quoting Winston
Churchill who said "Never, never, never give up." Finally,
Senior Rabbi Sobel, who had known Scott since birth, made the closing
remarks and you could sense that this was a unique service for him as
well as the other Rabbis. Later,
Rabbi Chapin told me that all three Rabbis, together with Cantor
Nemerson, who sang beautifully at the service, were in tears, as they
reminisced about Scott. Scott
was buried in a Dalton baseball shirt and a Mets jacket, which had been
given to him by his classmates during his illness.
We knew how he hated to wear a tie and jacket and we decided that
now that he was at peace finally, lets not even disturb his spirit with
the formality of dress. At
his burial ceremony amidst the well kept green lawns and granite
mausoleums at Temple Emanu-El's Beth El Cemetery in Queens, after Rabbi
Chapin finished the traditional Jewish prayers, Neil Sedaka sang
"My Friend." It
was a most poignant scene in the serene setting which Rena later
described as Scotty's Jewish Pompeii. After
the funeral, hoards of people came to our home for several days to make
condolence calls and pay their respects.
Their were numerous friends, neighbors, relatives, school
teachers and classmates there to comfort us.
Some of them brought copies of various obituaries which appeared
in the NY Times and in a local newspaper, called Our Town.
It seems that Ed Kayatt, the Editor and Publisher of Our Town,
was especially touched by Scott. He
got to know him during my 1981-82 political campaign and at several
social functions later on. The
Our Town obituary which appeared in the April 24, 1988 weekly edition of
Our Town, is worth quoting and it read as follows:
"In Memoriam Scott A. Goldstein
1972-1988 For
11 of his almost 16 years, Scott Goldstein battled against spinal
cancer. Despite countless
operations and prolonged hospital stays, Scott's courage, intelligence,
kindness and concern for others were an inspiration to his parents and
to all who knew him. Scott
was a philosopher with wisdom beyond his young years.
Somehow he found the energy and strength to serve as manager of
the baseball team at the Dalton School and to be avidly involved in
politics as a building captain for Senator Roy Goodman and Congressman
Bill Green. Some of you may
have seen the banner55 at last September's Third Avenue Festival near his home
on 78th street that recognized Scott for his brave fight. Although
nothing can console my friends David and his wife, Rena Goldstein in the
loss of their only child, may they take comfort in the prayers and
sympathy of their many friends and all who were touched by Scott's life. Ed
Kayatt, Publisher Later,
on May 31, 1988, a very touching Memorial Service for Scott was held at
the Dalton School. Like his funeral, it was very well attended.
It began with a film tribute prepared by his friend and Dalton
schoolmate Jordan Rubin, which combined some trenchant edited videotaped
scenes, showing Scott in real life [i.e., driving his racing car and at
his bar mitzvah] with short filmed interviews of his friends and
teachers. Then tributes
were given by Dalton Headmaster Gardner Dunnan, Dalton teachers LaZalia
Richardson, Wayne Adamson, Susan Etess and John Beetar, Dalton Summer
Camp Counselor Stefanie Grossman, Dalton classmates Daniel Zorn and
Tarja Herz, his cousin, medical student Marc Michalsky, Dr. Peter
Carmel, Scott's neurosurgeon for eleven years and Dr. Tom Starck, who
was in charge of the Pediatric ICU during one of Scott's admissions; and
finally yours truly, Scott's father, gave the closing tribute. Dalton
Headmaster Gardner Dunnan briefly but effectively described the
"extraordinary" young man Scott, who always conveyed the sense
that he was enjoying the ride through life through his intelligence, his
enthusiasm, his optimism, his compassionate friendship for others, his
sense of humor, and his courage. Scott's
ninth grade Dalton high school english teacher LaZalia Richardson read
Scott's essay entitled "My Hero" and Alan Alda's September 18,
1986 reply to Scott, his hero, and remarked how in the short time she
knew him, she was inspired by Scott, encouraged by his courage and made
richer by having heard the sounds of his laughter in her classroom. Scott's
former Dalton homeroom advisor Wayne Adamson spoke about how Scott was
not just a student but would be particularly remembered by him as a very
special friend who effectively comforted and helped him one cold dreary
winter day when he was down in the dumps after returning from a school
trip to discover that the family cat had died.
Mr. Adamson told how Scott sensed his emotional upset and turned
him around and made him feel good during the rest of that day with a
combination of well timed jokes, cartoons and even a hand drawn booklet
of cartoon characters placed in his mailbox. Former
Dalton Middle School Director Susan Etess spoke of her memories of Scott
in his home, in the country and at school; of her adoration and
appreciation of Scott who never lost his sense of humor despite a series
of overwhelming adversities; of his memory and passion for numbers; and
of his insatiable curiosity and questions about everything around him.
She read from an essay he wrote as one of her young students when
he related that he liked hamburgers, pizza, french fries and school and
disliked hospitals, bullies, and diets. Scott's
French teacher and last home room advisor John Beetar, told about how
Scott would come alive with enthusiasm when they spoke in French
together, even when their French communications were in bedside visits
in the hospital. Former
Dalton Summer Camp Counselor Stefanie Grossman, the daughter of Scott's
Dalton science teacher and Director of the Dalton Summer Camp, Richard
Grossman, and now a post graduate child psychology student, told of how
meaningful her relationship as Scott's summer camp counselor had been
when she herself was a Dalton 10th grader and Scott was only eight or
nine years of age. She was
so inspired by Scott in life, she used their relationship as the focal
point of her college admission essay.
She told how Scott taught her what being an individual was all
about from their summer experience together in teaching him how to swim;
and how Scott's spirit of courage and determination would continue to
guide her throughout her life. Scott's
Dalton classmate Daniel Zorn spoke about how Scott learned to cope with
adversity, symbolized by ignoring a class bully looking for a fight; how
he always was laughing and joking with his classmates; and how he never
imposed his illness on other people. Danny Zorn closed his touching remarks by stating that Scott
always tried to be as happy as he could be and that no illness could
take that away from him. Tarja
Herz, also one of Scott's Dalton classmates spoke of her long friendship
with Scott and of many visits to him, both at home and at the hospital,
during his illness. She
told of how her initial fear of what to expect, preceding the first
visit, quickly changed to a warm session of exchanging jokes and school
gossip. Her remarks made it
very obvious that the way Scott handled his illness had made a deep
impression on her that would remain with her for a very long time. Then,
his cousin, medical student Marc Michalsky, spoke: upon a theme of not
what had been lost but what he had gained from Scott's life and their
close relationship together; of Scott, the younger brother he never had;
of how Scott helped him to grow up by constantly challenging him with
difficult questions; of how his relationship with Scott profoundly
influenced him and helped to shape his own life; of how Scott used humor
against fear and how he deflected pain with questions.
Marc told of how Scott's courage, challenging spirit and will to
live transformed his hospital room to a battlefield where acts of
courage are ordinarily described. Soft-spoken
Dr. Tom Starck, who was in charge of the Pediatric ICU during one of
Scott's last admissions and one of the most compassionate human beings
on this earth, after thanking us for permitting him to "nudge"
himself into being a passover seder celebrant in the ICU and a speaker
at the Memorial Service, spoke of the "sparky" character
displayed by Scott, even when he was very ill.
He dispelled all notions that we had, of having been a bother or
annoyance, at times, to the medical and nursing staff at Columbia
Presbyterian Hospital, when he spoke, with obvious esteem and respect,
for Scott's parents, who, he said, "moved heaven and earth to take
care of Scott and bring life to their child". Finally,
although he wasn't the last speaker at Scott's Memorial Service, I write
last, but with great affection about Dr. Peter Carmel, Scott's
neurosurgeon for eleven years, and his moving message at the service.
Dr. Carmel came into the darkened Dalton auditorium, with his
wife, shortly after Jordan Rubin's video tape began and they were
ushered to front row seats immediately in front of us.
While observing the film clips of Scott in real life [i.e., at
his bar mitzvah and driving his racing car], Dr. Carmel began to sob and
he never stopped sobbing during all of the remarks of the speakers ahead
of him. Frankly, I was
surprised. I simply was not
prepared for nor did I expect him to cry.
During the entire eleven years I had known him, although he had
always been especially kind and compassionate to all of us, I had always
perceived him primarily in the roles of a cool neurosurgeon and
Professor of Neurosurgery, who had conditioned himself, out of
professional necessity, to a discipline of avoiding subjective emotional
reactions, wherever possible. I
should have known otherwise. He
was a husband and a father too. After
all, here was a professional man who gave us his personal telephone
numbers, both at his home and even at hotels when he was away and
insisted that we call him at any hour of the day or night when ever we
were concerned. I can
remember my brother Bill one day kidding him and saying "Dr.
Carmel, I'm going to have you cashiered out of the neurosurgery union -
you are too nice." After
introducing himself as the "Pierre Carmel" from one of Scott's
little ditties related to him in the operating room just before surgery
was to begin one day, he told of how typical it was for Scott to relate
a joke or a pun56
to the doctors before surgery, to make them feel better and keep their
enthusiasm up. He said that
it was difficult for the doctors to care for Scott.
Then, with some hesitancy, while he composed himself for what was
to follow, he said very softly:
"It
was difficult for me to do operations At
the end of the Memorial Service, it was announced that a Scholarship
Fund in Scott's name had been established at the Dalton School for
deserving and needy youngsters. We
received numerous condolence notes.
As would be expected, many were short and obviously sent with the
awkward caution of people writing to parents who just lost their only
child. What does one
communicate in such an uncomfortable set of circumstances?
On the other hand, some were quite well thought out and
comforting and deserve to be partially quoted in this writing. State
Supreme Court Justice Burton Roberts, my former colleague in the NY
County DA's Office wrote: "..One
doesn't measure the importance of a person's life by determining how
long he or she lived. The
worth of a person's life is determined by the impact his life had on
others and on the love that was bestowed on him.
If there be any truth to that statement, then the memories
created by Scott's actions, words, deeds and courage, will be forever
green..." Scott's
15-year old classmate Jesse Furman: "I
cannot begin to express in words the deep sorrow I felt upon hearing of
Scott's death. It is hard
to believe that a life so full of love and kindness could be so short in
years. In Scotty's case one
need not exaggerate about anything; his immense courage, kindness and
love speak for themselves. I
just hope that I was able to repay him for all of the kindness and
inspiration he gave to me...
Scotty's devoted friend forever,
Jesse Furman" Dinny
(Dethas) Joffe, Scott's Dalton School helper in kindergarten:
"...My strongest memories of Scott
were as a kindergarten student. He
was so spunky. I loved his
sense of humor, so clever and quirky.
I remember him in his little white sailor hat so determined to be
a "regular" five year old. Now of course he could never have
been "regular" because he was too intelligent and special but
he did manage to re-enter school with aplomb..." Scott's
classmate Jenny Danoff: "...Scott
did not deserve to die. I
do not understand why death has to hit someone as special as Scott.
He always was ready with a kind word and a joke.
His smiling face and friendship meant a lot to me.
If he considered me a friend in the smallest way, I would feel
completely honored..." A
friend from London, England, Brigetta Davidson: "...Scotti
was so brave. I don't know any one who could have borne so much with such
bravery and I am sure that the "front" he put up was mainly
that you should not suffer for him...I got the impression that his main
concern was that he didn't add more than that which was beyond his
control, to your burden..." Pat
Grant, an adversary in a litigated matrimonial case: "...Your
love for him and devastation at his illness were so apparent during our
few conversations. Life is
sometimes so unfair..." Lillian
Gould, a neighbor: "...I
knew Scott very briefly as a sweet, gentle boy who loved his little
dog..." Dr.
Rich Trifiletti, who was with Scott at the end in the Babies Hospital
PICU:
"...I know he is finding peace in
Heaven. He was an inspiration to all of us on Earth..."Jennifer Schaen, a classmate: "...I
feel so sorry that Scott has left us.
When Scott was in school he never seemed to be upset or unhappy,
but always in high spirits. I really admired Scott for his handling of the situation, I
don't think that anyone else could have coped with it as well as he did.
All the students only had nice things to say about Scott because
he always seemed to be around when ever you needed him.
He was great on giving advice, especially in Hebrew School when
things weren't going so well between me and either my friends or
teachers. He always had a
habit of cracking a joke in any situation.
I guess when he thought of one he would just share it with
everyone to make them smile. I
thought that his funeral was beautiful, everyone who attended was really
touched, by what beautiful things the speakers said about Scott. I recall some of the things that I shared with him, like at
my 13th birthday party when he seemed to be having the time of his life.
I will sure miss him..." Our
cousins Ferne, Burt and Andrea Goldstein: "...We
will always remember Scotty - He was the bravest person we ever
knew..." Scott's
classmate Stephanie Snyder: "...I
will miss his great sense of humor and his sweetness.
He always knew how to cheer me up.
I will remember him always..." Kay
LeRoy, the mother of one of Scott's classmates and a friend:
"...All of us privileged to know Scott saw the human spirit
at its bravest and noblest..." Miriam
Berk, a cousin from Florida, sent along some favorite condolence
messages of her late husband Herman Berk, quoted from Ben Franklin and
Abe Lincoln: "A
man is not completely born until he is dead.
Why then should we grieve, that a new child is born among the
immortals, a new member added to their happy society.
We are spirits. That
bodies should be lent us, while they can afford us pleasure, assist us
in acquiring knowledge, or in doing good to our fellow creatures, is a
kind and benevolent act of God. When
they become unfit for these purposes, and afford us pain instead of
pleasure, instead of an aid become an encumbrance, and answer none of
the intentions for which they were given, it is equally kind and
benevolent that a way is provided by which we may get rid of them. Death
is that way...he, who quits the whole body, parts at once with all pain
and possibilities of pains and diseases which it was liable to, or
capable of making him suffer."57 "In
this sad world of ours, sorrow comes to us all, and it often comes with
bitter agony. Perfect
relief is not possible, except with time.
You cannot now believe that you will ever feel better.
But this is not true. You
are sure to be happy again. Knowing
this, truly believing it, will make you less miserable now.
I have enough experience to make this statement."
You never gave up. God bless you..." CONCLUSION Scott
is no longer here in mind and body. But
his spirit lives on, and to those of us who knew him, he still lives with
the same courage, love, caring, humor and wisdom we experienced during
this lifetime. It is
senseless to spend a great deal of time questioning why he was taken from
us so early in life before he had a real chance to put those wonderful
qualities into productive use. What
we do know however is that but for Scott's impenetrable spirit, he would
have been taken even earlier. He
gallantly fought such insufferable deterrents against life, not only with
dignity, but never without sincere and deep concern for fellow sufferers
and those who were caring for them. They
haven't come up yet with a cure for malignant central nervous system
disease, but Scott taught a number of doctors and nurses that its not
wrong or silly to keep fighting and to have hope, even when faced with
overwhelmingly negative statistics. He
never graduated from high school, but he taught his classmates lessons in
courage and meeting and facing adversity that they will never forget.
He never graduated from, no less went to college or medical school,
but he permanently left his mark on some of the world's most renowned
physicians, providing for them, living proof, for an extended period of
time, that the will to live, must never be under-estimated, in the
diagnosis and prognosis of serious and even terminal illness.
He never experienced the role of husband or father, but he gave
such love to Rena and to me that I know he would have been a great one. His many friends can attest to the fact that even in his
tender years, he had learned that giving rather than taking, is the main
ingredient of true friendship. When
I decided to write "Scott's Memoir," I thought that it might be
helpful to others who find themselves in the unfortunate predicament of
facing serious illness of their child, to memorialize in a narrative about
our very courageous Scott's long eleven year battle with malignancy.
I wanted to tell them about many happy moments over eleven years
despite a terrible initial diagnosis in 1977 of incurable disease
when Scott was only four+ years of age, and a prognosis then that he had
only six months to live. By
perpetuating our story in an extended sketch of what happened to Scott and
us during this lengthy battle between life and death of our only child,
perhaps children and their families may gain some strength and sustenance
from the courage, humor and caring for others, Scott displayed during his
lengthy affliction. Equally
important, perhaps some in the medical profession, who might otherwise be
quick to give up on life, and callously, and sometimes prematurely,
recommend "pulling the plug," might learn from our experience
with Scott, that the sustaining of life and "quality of life" is
a very subjective and personal subject, perhaps better addressed by the
patient and his or her family, in conjunction with their doctors and
nurses who know them, than by those strangers in the medical profession,
who would coldly confront them, during times of crisis, with all of their
vast medical knowledge and experience, untempered in the crucible of
having worked together for many years to prolong the very life in
question. Scott's
relatively short but rich life and our experience in watching it sustained
long beyond the expectations of his doctors Scott's
rare spirit, his vigor and zest for life and his ability to pry some cheer
and bliss out of almost every inestimable day of his life, kindled our
faith and helped us to live and enjoy many moments of his remaining years
instead of waiting with sorrow and resignation for his demise.
This is the dominant theme and essence of what I've tried to convey
in this last tribute to our only child Scott.
And so Scott, one "coke classic with ice and a straw"
coming up for you and Snoopy. THE END ***
congenital arteriovenous malformation [an abnormal tangle of
blood vessels twisted and turned in upon themselves so that arteries
flow directly into veins - normally, blood moves from muscular-walled
arteries into capillaries, which supply brain tissue with oxygen, then
into progressively larger but thin-walled veins and back to the lungs
and the heart. In an AVM,
arteries flow directly into veins, which, when subjected to the
constant surges of blood from the heart are prone to spring leaks and
burst] 20 I
am reminded here that there did come a time in early 1985 when
questions were raised by the middle school director at Dalton whether
or not Dalton was the right place for Scott to continue his schooling
- she was concerned that the curriculum was too challenging for him -
when confronted with her concerns, Scott remarked:
"Dad, I stared death in the face and laughed at it, why
should I be afraid of her?" 21
It was a memorable event, including entertainment by "Jiggs,"
a live 20-year old female chimpanzee, who came into the ballroom,
riding on a small motorcycle. 22 the
brain shunt 23
whom he always referred to as the "boss." 24
I am especially
reminded of a very compassionate security guard Dominick Agostini who
regularly inquired about how Scott was doing and who prayed daily with
his wife for Scott's better health. 25
The November 16, 1986 Neuropathology Report diagnosed the
tissue as "ganglioglioma" with unusual features arguably
"primitive neuroectodermal tumor" or "PNET", which
was a later diagnosis and led to chemotherapy treatment, starting in
April, 1987. 26
Oon this trip, Scott
bought a "Paddington bear" at the FAO SCWARZ toy store in
Bal Harbour, Florida, and had it sent to one of his former hospital
roommates who had shown a special fondness for "Paddington." 27
with an old Nikon camera given to him by his parents as a high
school graduation present. 28
the so called ball and valve effect. 29
meaning "emergency" in hospital parlance 30
It was five days from Scott's readmission on Saturday, March
28, 1987 to his brain surgery on Wednesday, April 1, 1988.
A small incision is made in the chest,and the lower end of the
brain shunt catheter is temporarily removed from the body and placed
in a sterile plastic bag, thereby collecting and measuring the
patient's output of brain fluid outside the body instead of shunting
it to the intestine, plural cavity or the heart - this procedure is
only temporary and potentially quite dangerous because of the constant
risk of infection which could easily travel directly to the patient's
brain.
32
The operating room charges for this surgery alone were $10,324. 33
Since Scott was very young and able to understand and
appreciate the "Snoopy" comic strip character in
"Peanuts", he always had a "Snoopy" dog and we
often communicated with our fingers, with "Snoopy signs"
signifying "Yes", "No" or "I don't know"
- at first, we used "Snoopy" signs just for fun - but later,
as in this instance, we used "Snoopy signs" as a matter of
necessity, in order to communicate.
34
He went off the respirator on April 4, 1987. 35
To this day, I still wonder whether the earlier diagnosis of
non-malignant ganglioglioma tumor tissue in Scott's spine was correct
and whether chemotherapy might have been started earlier - I don't say
this critically but rather to illustrate how difficult Scott's illness
presented itself from time to time, causing nightmares over eleven
years when making important medical decisions from time to time. 36
Scott actually had his first chemotherapy treatment on
Thursday, April 9, 1987, approximately one week after his brain
surgery on April 1, 1987. 37
During one of Scott's chemotherapy sessions which lasted some
eighteen hours, Rena sang to him almost without stop, for sixteen
hours. 38
Later, the Sedakas and Rena told me that they had told her that
they wanted to come to the hospital to bring me a sandwich and just
give me some moral support. 39
one of only two female doctors present. 40
Previously, I had been invited to dress in surgical garb
and to enter the operating room itself with Scott, at least until
Scott was under sedation - this kind gesture did much to alleviate his
fears of surgery while simultaneously giving me a feeling of being
involved. 41
for ease of inserting and extracting fluids such as
chemotherapy and blood samples 42
She had a very special
relationship with Scott who she affectionately referred to as
"Buster." 43
Thereafter, Rena borrowed one of our office electronic beepers
and we could always be in touch with each other no matter where we
were. 44 a takeoff on a television commercial for a popular NYC retail
electronics store. 45
including a number of autographed photographs from
President and Mrs. Ronald Regan, Gov. Mario Cuomo, Mayor Ed Koch, US
Sen. Alphonse D'Amato, US Congressman Bill Green, State Sen Roy
Goodman, actor Alan Alda, actor Eddy Murphy, singer Neil Sedaka,
professional wrestler Hulk Hogan, etc. 46
Scott
often would toy with the doctors during their hospital rounds,
probably to retaliate against the annoyance of the repeated
neurological test questions such as "Do you know your name? Who
am I? What day of the week is today? Do you know where you are?"
One day, in response to Dr. Gold's repeated question "Do
you know who I am?", Scott ignored him, did not answer and just
stared at him. Dr. Gold
asked me how long Scott had been this way and I assured Dr. Gold that
Scott had been mentally alert all day.
He said that it was obvious that Scott was not mentally alert;
that I should not try to protect him; and that I should level with him
when Scott was not up to par. After Dr. Gold had left the room, Scott turned to me, started
to laugh and said "What did "APG" want?"
Dr. Arnold P. Gold's middle name is Perlman.
47
since
Scott had recently been very mentally alert and could see most of the
time. 48
The
next day, an incision was made in Scott's femoral artery and during
radiological observation, a snare was inserted and pushed up through
the artery until it reached the broken shunt catheter in the heart,
snared it and removed it. 49
from February 19, 1988 - April 16, 1988. 50
a
hospital code broadcast over the hospital PA system, signifying that a
patient has gone into cardiac arrest and needs immediate life saving
attention. 51
I was in fact summoned from a sick bed at home to attend this
conference.
For example, on April 9, 1987, in the NIICU or as on July 15,
1987 in the "crash room' in the emergency room area of the
hospital or on March 28-29, 1988 in the Pediatric ICU.
53 i.e., an
experimental and investigational drug called ciprofloxacin which at
the time it was administered to Scott, had only been used to treat 125
patients at the Presbyterian Hospital. 54 "The
New York Republican County Committee mourns the untimely death of its
Building Captain Scott Goldstein.
His courage throughout a long illness personified the best in
the human spirit" 55
At the Third Avenue Festival, in Manhattan, on Sunday, September , 1987, attended by more than one million people, among the
many overhead street sign banners, advertising Citibank, Chase
Manhattan, the NY Post, etc., was one notable foot high red print on
white background banner at the corner of 78th Street and Third Avenue,
which read: "THE
THIRD AVENUE FESTIVAL SALUTES SCOTT GOLDSTEIN" It was placed there by Ed
Kayatt, the
sponsor for the Third Avenue Festival. 56
which
Dr. Carmel said ordinarily was the lowest
form of humor but Scott made into an art form. 57
written
by Benjamin Franklin, to his niece, at the time of the death of her
father, his brother John. |