Personality and Neurosurgery


Book Description

The human personality is inextricably bound up with the function of the central nervous system. Diseases and malfunctions of the brain, head injuries and neurosurgical operations can all result in permanently altered behaviour patterns. This interrelation between brain and behaviour is most clearly demonstrated in cases involving functional neurosurgery and severe traumatic lesions. Despite the fact that this interrelation represents an everyday challenge to the neurosurgeon, it is a question which receives less attention than it deserves in neurosurgical meetings. At the Third Convention of the Academia Eurasiana Neurochirurgica the following topics were discussed: - Meaning of human personality - Methodology of personality evaluation - Changes of personality as consequence of severe brain injuries - Epilepsy and personality - Aphasia and personality - Psychosurgery and personality




When the Air Hits Your Brain: Tales from Neurosurgery


Book Description

The story of one man's evolution from naive and ambitious young intern to world-class neurosurgeon. With poignant insight and humor, Frank Vertosick Jr., MD, describes some of the greatest challenges of his career, including a six-week-old infant with a tumor in her brain, a young man struck down in his prime by paraplegia, and a minister with a .22-caliber bullet lodged in his skull. Told through intimate portraits of Vertosick’s patients and unsparing yet fascinatingly detailed descriptions of surgical procedures, When the Air Hits Your Brain—the culmination of decades spent struggling to learn an unforgiving craft—illuminates both the mysteries of the mind and the realities of the operating room.




Building Resilience in Neurosurgical Residents: a Primer


Book Description

The stresses of modern medicine place neurosurgeons at substantial risk of emotional and psychological distress. The function in a high-end, high stakes, rapidly changing, multi-tasked environment, fraught with inescapably poor outcomes, human tragedies, risk of litigation, unrelenting demands, and so much more. Now wonder nearly one in every two neurosurgeons experiences burnout, significant work-home conflict, and other maladaptive sequelae(McAbee et al, 2015; Shanafelt et al., 2012).Neurosurgical residents are particularly vulnerable. Neurosurgical residency is a crucible from which few escape unscathed. The interplay of tremendous daily physical, intellectual, and emotional challenges with a resident's personality type and coping style determines (for better or worse) his or her functionality, fulfillment, and emotional tone; and greatly affects his or her growth and development as a physician and neurosurgeon. Coping patterns learned during residency may impact and permeate a surgeon's entire professional life (as well as personal life). Thus, the more resilient a resident is to the daily stressors of neurosurgical training, the more likely he or she will lead a happy, fulfilling and productive career.The purpose of this book is to offer insights and details from our experience, with the hope of encouraging a greater focus on the psychological well being of neurosurgical trainees. We will describe many tactics and strategies that may be employed to enhance the residents' resiliency (with respect to myriad of challenges and stressors of their daily experience). These measures may be initiated independently or, more ideally, as part of a deliberately planned and enacted framework of intervention, fully integrated into the residency program's culture.




Brain Surgeon


Book Description

Dr. Black invites readers to shadow his breathtaking journeys into the brain as he battles some of the deadliest and most feared tumors known to medical science. Welcome to tiger country: the treacherous territory where a single wrong move by a brain surgeon can devastate-or end-a patient's life. This is the terrain world-renowned neurosurgeon Keith Black, MD, enters every day to produce virtual medical miracles. Along the way, he shares his unique insights about the inner workings of the brain, his unwavering optimism for the future of medicine, and the extraordinary stories of his patients-from ministers and rock stars to wealthy entrepreneurs and uninsured students-whom he celebrates as the real heroes. Brain Surgeon offers a window into one man's remarkable mind, revealing the anatomy of the unflinching confidence of this master surgeon, whose personal journey brought him from life as a young African-American boy growing up in the civil rights era South to the elite world of neurosurgery. Through Dr. Black's white-knuckle descriptions of some of the most astonishing medical procedures performed today, he reveals the beauty and marvel of the human brain and the strength and heroism of his patients who refuse to see themselves as victims. Ultimately, Brain Surgeon is an inspiring story of the struggle to overcome odds-whether as a man, a doctor, or a patient. Praise for Brain Surgeon "An inspirational book about true heroes - readers will marvel at Keith Black's achievements both as a doctor and as a man, and will be in awe of his patients' courage and will to survive." -- Denzel Washington "A rare, behind-the-curtain look at the life of one of the most pre-eminent neurosurgeons in the world." -- Sanjay Gupta, MD, Chief Medical Correspondent, CNN




Another Day in the Frontal Lobe


Book Description

Katrina Firlik is a neurosurgeon, one of only two hundred or so women among the alpha males who dominate this high-pressure, high-prestige medical specialty. She is also a superbly gifted writer–witty, insightful, at once deeply humane and refreshingly wry. In Another Day in the Frontal Lobe, Dr. Firlik draws on this rare combination to create a neurosurgeon’s Kitchen Confidential–a unique insider’s memoir of a fascinating profession. Neurosurgeons are renowned for their big egos and aggressive self-confidence, and Dr. Firlik confirms that timidity is indeed rare in the field. “They’re the kids who never lost at musical chairs,” she writes. A brain surgeon is not only a highly trained scientist and clinician but also a mechanic who of necessity develops an intimate, hands-on familiarity with the gray matter inside our skulls. It’s the balance between cutting-edge medical technology and manual dexterity, between instinct and expertise, that Firlik finds so appealing–and so difficult to master. Firlik recounts how her background as a surgeon’s daughter with a strong stomach and a keen interest in the brain led her to this rarefied specialty, and she describes her challenging, atypical trek from medical student to fully qualified surgeon. Among Firlik’s more memorable cases: a young roofer who walked into the hospital with a three-inch-long barbed nail driven into his forehead, the result of an accident with his partner’s nail gun, and a sweet little seven-year-old boy whose untreated earache had become a raging, potentially fatal infection of the brain lining. From OR theatrics to thorny ethical questions, from the surprisingly primitive tools in a neurosurgeon’s kit to glimpses of future techniques like the “brain lift,” Firlik cracks open medicine’s most prestigious and secretive specialty. Candid, smart, clear-eyed, and unfailingly engaging, Another Day in the Frontal Lobe is a mesmerizing behind-the-scenes glimpse into a world of incredible competition and incalculable rewards.




Becoming a Neurosurgeon


Book Description

A fascinating guide to a career in neurosurgery written by award-winning journalist John Colapinto and based on the real-life experiences of an expert in the field—essential reading for someone considering a path to this most challenging profession. Choosing what to do with your life begins with imagining yourself in a career, actually meeting the emotional, physical, and intellectual demands of the job. Often regarded as one of the most technically and emotionally demanding of surgical disciplines, becoming a neurosurgeon requires years of study. This practical guide offers a unique opportunity to see what daily life for a neurosurgeon is like, from someone who has mastered the profession and can explain what the risks and rewards of the job really are. Joshua Bederson is the chief of Neurosurgery at the esteemed Mt. Sinai Hospital in New York City. New Yorker writer John Colapinto brings to vivid life what Dr. Bederson’s professional life is like to show all the varied facets of his work, from extensive study and research to brain operations, one-on-one consultations with patients, and even staff meetings with fellow surgeons and students. Since Mt. Sinai is a teaching hospital, we learn alongside the residents and interns how Bederson trains neurosurgeons, passing along the knowledge and skills he honed over decades. The result is a multidimensional portrait of a man and a department, a practical guide for how to enter and learn the profession, as well as a moving glimpse into the world of patients and doctors who face some of life’s most harrowing challenges.




Learning and Career Development in Neurosurgery


Book Description

The neurosurgical, surgical and medical training and practice models have to keep up with the technological revolution in the 21st Century as our lives changed on a swift base. Making bioethics and metacognition a cornerstone in medical education and practice will flourish our humane societies. Metacognition is thinking about one’s thinking, to plan, monitor and assess one’s understanding and performance. By adherence to medical ethics and Values-Based Medicine (VsBM) as guiding principles, we can develop benevolent medical practice. To enhance knowledge application, skills, and character qualities in realms beyond the immediate context in which they were learned. In this book, we developed a framework on how to evolve medical education and training by utilizing hi-tech. We divided the book into five principal components; Current and traditional root analysis of the learning process, Ethics and metacognition of education, learning and career development, Obstacles, difficulties and setbacks in learning and career development process, Learning in the digital era, and Mentorship. The author believes we are entering a new era of information technology, which will have a significant impact on the education, sciences, strategies and philosophy. Therefore, in preparation for this colossal transformation, the author brings together the best brains in the neurosurgical field from around the globe. Twenty distinguished Professors of Neurosurgery and educators from Canada, the USA, Colombia, the UK, Italy, the Netherland, India, Japan, China, Rwanda, Egypt and Saudi Arabia gathered their experiences and thoughts in this book to shade light on an evolving world that will be the norm in near future.




Handbook of Psychopathy


Book Description

Widely considered the go-to reference--and now extensively revised with over 65% new material--this authoritative handbook surveys the landscape of current knowledge on psychopathy and addresses essential clinical and applied topics. Leading researchers explore major theoretical models; symptomatology and diagnostic subtypes; assessment methods; developmental pathways; and causal influences, from genes and neurobiology to environmental factors. The volume examines manifestations of psychopathy in specific populations as well as connections to antisocial behavior and recidivism. It presents contemporary perspectives on prevention and treatment and discusses special considerations in clinical and forensic practice. New to This Edition *Extensively revised with more than a decade's theoretical, empirical, and clinical advances. *Many new authors and topics. *Expanded coverage of phenotypic facets, with chapters on behavioral disinhibition, callous–unemotional traits, and boldness. *Chapters on DSM-5, clinical interviewing, cognitive and emotional processing, and serial murder. *Significantly updated coverage of etiology, assessment methods, neuroimaging research, and adult and juvenile treatment approaches.




Neurology and Neurosurgery


Book Description

An overview of practice and theory in both neural specialties, encouraging a broader therapeutic approach to problems such as movement disorders and intractable pain. The concept of this book is to merge neurological and neurosurgical principles and practice, for improved patient care. This includes a review of the basic neurosciences, especially neurogenetics. Details of the neurological examination and neurodiagnostic studies are oriented to specific clinical factors. Attention is directed to advances in molecular biology in the current research in metabolic disorders affecting the neurological system. There is a comprehensive approach to demyelinating diseases and dementia, as well as practical aspects in the diagnosis and management of neurological disorders caused by trauma, vascular lesions, neoplasms and infection. The goal is to share the expertise of both neural specialties in therapy of problems such as movement disorders and intractable pain. A general need for the above has become apparent, in an era of an aging population and increased incidence of neurological disorders. Frank P. Smith, MD, is Professor of Neurosurgery Emeritus, University of Rochester Medical Center




Do No Harm


Book Description

A New York Times Bestseller Shortlisted for both the Guardian First Book Prize and the Costa Book Award Longlisted for the Samuel Johnson Prize for Non-Fiction A Finalist for the Pol Roger Duff Cooper Prize A Finalist for the Wellcome Book Prize A Financial Times Best Book of the Year An Economist Best Book of the Year A Washington Post Notable Book of the Year What is it like to be a brain surgeon? How does it feel to hold someone's life in your hands, to cut into the stuff that creates thought, feeling, and reason? How do you live with the consequences of performing a potentially lifesaving operation when it all goes wrong? In neurosurgery, more than in any other branch of medicine, the doctor's oath to "do no harm" holds a bitter irony. Operations on the brain carry grave risks. Every day, leading neurosurgeon Henry Marsh must make agonizing decisions, often in the face of great urgency and uncertainty. If you believe that brain surgery is a precise and exquisite craft, practiced by calm and detached doctors, this gripping, brutally honest account will make you think again. With astonishing compassion and candor, Marsh reveals the fierce joy of operating, the profoundly moving triumphs, the harrowing disasters, the haunting regrets, and the moments of black humor that characterize a brain surgeon's life. Do No Harm provides unforgettable insight into the countless human dramas that take place in a busy modern hospital. Above all, it is a lesson in the need for hope when faced with life's most difficult decisions.