The training of a Neurosurgeon
Rating:
5 / 5
The author has an edgy, sleep-deprived, wisecrack-a-minute style that makes me glad some states, at least, have reduced the number of hours per week a medical resident must work, from one hundred to eighty. Neurosurgery is a very unforgiving craft, and not all of the stories in this book have a happy ending. Neurosurgeons must tackle some pretty hopeless cases, and the human brain is a very unforgiving operating theatre.Nevertheless, "When the Air Hits Your Brain" is an unputdownable read. I've been through it twice now---once during a night where I couldn't sleep anyway. If you do intend to sleep, don't read it right before going to bed. Here are the author's five rules for neurosurgery interns: 1. "You ain't never the same when the air hits your brain."
2. "The only minor operation is one that someone else is doing."
3. "If the patient isn't dead, you can always make him worse if you try hard enough."
4. "One look at the patient is better than a thousand phone calls from the nurse."
5. "Operating on the wrong patient or doing the wrong side of the body makes for a very bad day--always ask the patient what side their pain is on, which leg hurts, which hand is numb." Emotionally, Dr. Vertosick's worst rotation was to the local Children's Hospital. A child who was born with an inoperable brain tumor is the focus of the chapter entitled "Rebecca." A baby's brain is very hard to operate on: "At six weeks of age, the unmyelinated brain is thick soup which can be inadvertently vacuumed away by operative suctions. Moreover, nerves the thickness of pencil lead in adults are little more than a spider's web in a baby." Dr. Vertosick doesn't spend the whole book wisecracking. He ends the chapter on Rebecca: "I am not particularly religious. In fact, the birth of children bearing cancers I find difficult to reconcile with a merciful God. Nevertheless, there must be someplace where Rebecca now laughs in the bright sunshine, finally free of her ventilator and gastrostomy." Read how the author strays into the 'inferno of overconfidence' as a chief resident, and comes "perilously close to emotional incineration." Follow him into the operating room as a patient's brain oozes through his fingers, where he is squirted in the eye by an AIDS patient's spinal fluid, and where he cures a woman who was misdiagnosed as an Alzheimer's patient when what she really had was a brain tumor. I'm in the process of donating all of my books to the library that I know I won't read again. "When the Air Hits Your Brain" is not one of the donations.
A nuerosurgeon's experiences; very interesting and readable
Rating:
5 / 5
The author says the first rule of neurosurgey is "You're never the same once the air hits your brain."
Full of the type of dark humor you would expect from medical profesisonals, this book chronicles the experiences of a neurosurgeon
from his days as a medical student to his present day practice in Pittsburg. It is very well-written and is intended for the layman (my guess is that fans of the TV show "ER" would love this book).
But be warned, emotionally it is a very hard book to read. Take for example the story of the woman who is diagnosed with a terminal brain tumor while early in a pregancy. The author's story of her fight to live
just long enough to deliver her child cannot help but reduce the reader to tears.
The book also forces the reader to realize how quickly the body can betray and fail to function. It can be a scary realization when the neurosurgeon makes clear
how quickly life can end.
This book is an overlooked treasure. But keep your Kleenex close at hand, especially parents
Harrowing and hilarious
Rating:
5 / 5
Neurosurgeon Frank Vertsoick Jr.'s memoir opens with the five rules enumerated on his first day of a six year residency and never forgotten:
"Rule number one. You ain't never the same when the air hits your brain....It was built for performance, not for easy servicing.
"Rule number two: The only minor operation is one that someone else is doing.
"Rule number three. If the patient isn't dead, you can always make him worse if you try hard enough.
"Rule four: One look at the patient is better than a thousand phone calls from a nurse.
"Rule five: Operating on the wrong patient or doing the wrong side of the body makes for a very bad day."These pretty much sum up the tone and gravity of Vertosick's rivetting, harrowing and touching book. The son of a steel worker, Vertosick came to neurosurgery almost by accident. His memoir focuses primarily on the years of training from medical student through chief resident. Vertosick's first anecdote, from his first operating room observation, will have readers grabbing their throats - literally - in shock. His mentor, Gary (who becomes a familiar chain smoking, fast-talking irreverent character) picks up a drill. Vertosick asks how it knows when to stop before plunging through the skull into the brain and is told it has an automatic clutch mechanism. Only the mechanism fails. Those who continue reading once their heart rates return to normal will be hooked. In an arrogant profession, Vertosick is an appealing narrator. He can also write. His descriptions of hospital routine and crisis, pecking orders and interdisciplinary rivalries are frenetic and often hilarious.
But his portraits of individual patients bring them to poignant life and often death. There are happy endings - the young, virile accident victim whose progressive paralysis indicated spinal damage, but who was saved by a risky diagnosis and fast surgery. But there are many others - the retarded man whose aneurysm became something worse through a slip of the knife,or the pregnant woman with a brain tumor who refused to abort her baby and therefore refused treatment in medicine's litigous atmosphere. But Vertosick's memoir is not just a string of anecdotes. It's a portrait of his profession and its effect on a doctor's psyche. He first tasted "the intoxicant of power" after botching a routine procedure on a veteran and being thanked for it. "On the street, this would not be called a medical procedure but assault and battery - with witnesses, no less!" There's the exhiliration of saving life. One of those was a man pronounced brain dead and delivered as an organ donor. Thanks to Vertosick and an observant junior, the man walked out of the hospital a week later and lived another two years. While Vertosick's subject is inherently fascinating, it's the author's ability to convey his exuberance, fear, anguish and joy that leave the reader hoping he'll trade scalpel for word processor again.
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