I didn’t know the meaning of the word tenacious until I met the highly recommended; no insurance accepting neurologist who practiced way uptown in Columbia Presbyterian hospital. Neurologist Dr. Arnold Gold came highly recommended by Thomas’ psychiatrist (who also did not accept insurance). Thomas was 12 years old. I was still for the most part a stay at home mom with Tommy working extremely hard to support us.
Dr. Gold’s fee was $800.00 at the time. We made the appointment, discussed with his office what documents, evaluations, test results, etc were necessary for the Doctor to review before the appointment. I was to mail this packet to Columbia well before the appointment. I did what I was told. Tommy took the day off from work. Everything was set, the day arrives and off we go way, way uptown. We arrive and Tommy drops Thomas and I off at Columbia so we won’t be late, while he finds a parking garage. I check in with Dr. Gold’s secretary and she informs me they never received the huge packet of Thomas’ information I compiled as instructed. She was very busy calling other departments hoping it was just misplaced as it had been signed for when it arrived.
I’m hitting the panic button because of all the preparation, Tommy took a day from work, paying for parking and tolls; you get the jist. Dr. Gold made mention of rescheduling. Holding back tears I politely told him I knew Thomas’ history like the back of my hand, please can we keep the appointment. Dr. Gold agreed. Thomas and I sat across from the doctor and I went into this state of remembrance; telling Thomas’ story from birth to 12 years of age. Every doctor and specialist we saw. Who wrote what in a report: Which specialist ordered tests that answered nothing. Which physicians believed me; those that did not. We discussed every medication trialed with which physician. Medications that worked, didn’t work and what effects were very, very wrong. It was very intense.
Thomas began getting restless, who could blame him, this was not interesting for him. Dr. Gold then performed the most thorough neurological exam Thomas had ever had; this was not our first neurologist visit. Dr. Gold watched Thomas like a sharp eyed hawk through the entire exam. Tommy and I were so impressed with Dr. Gold.
After the exam Dr. Gold explained after reviewing Thomas’ MRI scans and multiple reports and the results of his physical assessment of Thomas; and the extensive history provided by his mother that Thomas has “static encephalopathy”. In plain language Thomas has brain damage that will not get worse/will not get better. This damage occurred either in utero or during birth. There was no definitive way of knowing at this time.
We received this information with very mixed feelings. First it was like a punch in the stomach. No one had given us such a definitive diagnosis with explanation. Instead for the past 12 years I faced years of disbelief, blame and traumatic stress trying to get help for this child.
When Dr. Gold wrote out his official report of Thomas’ appointment and his findings, he thanked the referring doctor, said it was a pleasure meeting Thomas and his “tenacious mother.” I had never been mentioned in a written specialist report. Omg, WTH does tenacious mean?
Google definition, “Tenacious describes being highly persistent, determined, and unwilling to give up or let go…”
I was never so complimented by a medical professional in my years of being a mother.
