The third time I visited D. Carleton Gajdusek, an ambulance was blocking the street outside his apartment building in Amsterdam. It had been there some time, and the drivers of the cars behind it lounged about outside. Some shook their heads and muttered to themselves or talked loudly into their mobile phones; some walked up and down; some shrugged their shoulders; others smoked cigarettes and waited patiently.Although itwas summer,amistyDutchrain had started tofall.Iwentinside and quickly up the stairs to his room. A large, thickset man, partly dressed, was arguing with the ambulance officers. It was Carleton, who did not want them to take him to the emergency room at the Amsterdam Medical Center. He shouted and waved his arms in the air and paced theroom.Afriendofhiswhowasvisitinghadcalledthemanhourearlier.Shetoldme it seemed he was havinga stroke, thoughthe incident lasted only a few minutes. As he recovered, his speech slurred and he became angry and aggressive. I spoke with him, trying to calm him and persuade him to go to hospital, if only for a checkup. Eventually, he agreed. I was with him in the ambulance when he suffered another attack. Always immensely talkative, he suddenly stopped speaking, initially unable to move at all, then shaking alittle. Hestared atme as he tried to makeasound. I had never noticed before how blue his eyes were and how penetrating his stare. It dawned on me that he was having another seizure. Gradually he came around again, and when he regained the ability to talk he denounced my stupid performance of compassion and concern. At the medical center, a young doctor insisted that he first talk with the patient alone,despiteourprotests.Hereturnedtenminuteslater,frowning.Hetoldushisnew patient was obviouslypsychotic,claimingtohavewonaNobelPrize andtrainedmost of the world’s leading neuroscientists. Agitated and angry, this crazy old man was demanding to go home so he could prepare for a flight to Siberia, where he was supposed to address an international conference on some mysterious brain disease! The young doctorwantedtostart antipsychoticmedication assoon aspossible,but we
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