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"Yeah, that's my father," David would reply casually.
And no one who saw David in class-with his burning intelligence and remarkable self-possession-would question whether he had the goods to get into Harvard on his own. Soon after Arndt joined the medical school's class of 1992, Steve Goldfinger joined the Harvard faculty. They shared a gracious Victorian in Jamaica Plain that was well appointed with the artwork they had collected together on their travels-Balinese puppets, Burmese wall hangings, Borneo masks. They frequently had Arndt's med school friends over for di
This is not the average med student experience. "Most of us came as unformed characters, having spent all of our time studying to get to Harvard," says Timothy Ferris, a classmate of Arndt's who is now a primary care doctor at Massachusetts General Hospital. "We came as receptors of knowledge, not producers. David immediately stood out as someone who appeared to have a fully formed character. He could do the work. He was confident. Most medical students were still so afraid that they spent all their time studying. David was organizing parties. He had a life. He had a car. He had a nice house. While the rest of us were putting our personal lives on hold for four to eight years, David had balance. He was where we all hoped to be. The fact that he was gay only added to that. The most mysterious part of us- our sexuality-and here is a guy who has it all figured out."
Not that there weren't moments that gave his friends pause.
Grant Colfax appreciated Arndt's tremendous warmth and easy ability to talk intelligently about literature, politics, life. Like most of Arndt's friends, he found something magnetic about him. "But he had some clear character flaws," Colfax says. "To my dearest friend, he was outwardly rude and uninterested. He couldn't even exude the bare social graces. She asked me, 'How can you be friends with such a jerk?' I saw what she was saying, but he had always been really kind to me and fun to be around."
A few years into med school, Arndt accompanied Colfax to a gym near campus. "David was totally dismissive of the whole thing," Colfax recalls. "Then, overnight, he had to be the best." And so David Arndt, who up until this point had stood out only by what he said, also began to stand out by how he looked.
His nondescript physique was soon gone. He became even more toned as his weight training intensified during his general surgery internship at Beth Israel Hospital. On a warm spring day in 1993, Alexandra Page, a med school friend and fellow intern, had brunch with Arndt and Goldfinger. Afterward, Arndt showed her the new gym he had just switched to. "We went inside," she remembers, "and it was just flush with attractive young men."
It's only looking back now that Page can recognize that visit as a sign of trouble ahead. Goldfinger, she says, "was a wonderful guy, incredibly bright and interesting, but he wasn't an Adonis."
The relationship with Goldfinger would last through Arndt's first year of residency. But friends detected a change in Arndt's priorities, starting with his surprising choice of residency. He had always talked about neurosurgery. But when he didn't get into the Harvard neurosurgery residency program, he decided against pursuing the field elsewhere and switched gears. He secured a spot in orthopedic surgery at Harvard. In medical circles, neurosurgery has the reputation-fair or not-of attracting the intellectuals and orthopedics, the jocks. Arndt's interest in fixing other people's bones and muscles dovetailed with his growing concern with developing his own.
The breakup with Goldfinger came in the summer of 1994. They had been together for almost eleven years. Their lives were interwoven. Arndt had found someone new and wanted out. He moved into an apartment in the South End. Goldfinger had an exhaustively detailed legal agreement drawn up providing for the division of their art collection, arrangements for the care of their dogs, and a financial settlement. For more than a decade, Goldfinger would argue, he had paid for nearly all of Arndt's living, travel, and entertainment expenses (but not his tuition). The expectation had been that Arndt would absorb more of their shared costs after he entered private practice. So the most controversial provision in the agreement was this: Begi
Given the punishing schedules that doctors in training are forced to endure, it's not uncommon for personal relationships to become casualties. But what Arndt's friends did find curious-alarming even-was the way he handled the breakup.
"Here David is, a very good friend of mine. I was not as close to Steve. But clearly David was the one responsible for the breakup. And David had absolutely no insight into it," says Grant Colfax. "It was all about his problems. It was shocking to me." He and other friends began to pull back from their relationship with Arndt.
Then there was the whiplash of seeing the guys Arndt dated right after Goldfinger. "He ran around with all these Barbie doll boys," says Colfax, who is also gay and is now the director of HIV prevention studies with the San Francisco Department of Public Health. "Is that any different from a straight man who gets divorced in middle age and runs around with trophy wives? No, but it was something that was disturbing to me."
It was as though his friends were seeing a David Arndt, version 2.0-a better-looking package but one that lacked the charm of the original release. "He once told me, 'I'm like Dorian Gray. I just get better looking as I get older,' " Colfax recalls. "It takes a certain personality to just state that. And I thought it was an interesting literary reference, considering what the novel was about."
The central character in Oscar Wilde's The Picture of Dorian Gray manages to defy age and remain youthfully handsome. But he loses his i
If David Arndt sounds a little too intense, a little too arrogant, ask yourself this: Aren't those exactly the qualities you want in a surgeon? Because this is what his arrogance looked like for most of his time in the operating room: An intolerance for error. An eagerness to take on the toughest cases. A fearlessness about confronting anyone-be it an orderly or a chief of surgery-who he thought was underperforming. Even as an intern, he would routinely challenge the attending physicians. "Interns are supposed to always back down, but not David," recalls Alexandra Page. "The rest of us were like, 'You go, man!'"
As an orthopedic surgical resident, Arndt would finish a grueling shift at Massachusetts General Hospital and then, instead of going out for a beer with his coworkers, would head back to Brigham and Women's to check on a patient he had treated during his last rotation.
Sigurd Berven, one of Arndt's fellow residents, recalls a memorable case: A teenager was rushed to the emergency room with multiple fractures to his spine and pelvis. He had jumped from the roof of a tall building. Arndt operated on him, but that was only the begi
This, says Berven, was typical Arndt care, no matter who the patient was. Sure, he complained a lot. "But the physicians who get angry, who are difficult to get along with, are almost invariably the physicians who really care," Berven says. He compares Arndt to Eriq La Salle's Dr. Benton character on ER and wonders if his friend's intense compassion ultimately became an unmanageable source of stress. In the face of all the defects and demands of medicine, "there's no precedent for somebody surviving in the field who cared as much as David cared."