Reviews of what you should be reading next.

Tag: Biography

GRAY MATTERS by Theodore H. Schwartz

We’ve all heard the phrase “it’s not brain surgery.” But what exactly is brain surgery? It’s a profession that is barely a hundred years old and profoundly connects two human beings, but few know how it works, or its history. How did early neurosurgeons come to understand the human brain—an extraordinarily complex organ that controls everything we do, and yet at only three pounds is so fragile? And how did this incredibly challenging and lifesaving specialty emerge?
 
In this warm, rigorous, and deeply insightful book, Dr. Theodore H. Schwartz explores what it’s like to hold the scalpel, wield the drill, extract a tumor, fix a bullet hole, and remove a blood clot—when every second can mean life or death. Drawing from the author’s own cases, plus media, sports, and government archives, this seminal work delves into all the brain-related topics that have long-consumed public curiosity, like what really happened to JFK, President Biden’s brain surgery, and the NFL’s management of CTE. Dr. Schwartz also surveys the field’s latest incredible advances and discusses the philosophical questions of the unity of the self and the existence of free will.  
 
A neurosurgeon as well as a professor of neurosurgery at Weill Cornell Medicine, one of the busiest and most highly ranked neurosurgery centers in the world, Dr. Schwartz tells this story like no one else could. Told through anecdote and clear explanation, this is the ultimate cultural and scientific history of a literally mind-blowing human endeavor, one that cuts to the core of who we are.

Thanks to NetGalley the author, and Dutton for this review copy!

GRAY MATTERS is a fascinating exploration of the brain’s potential, expertly balancing scientific insight with philosophical contemplation. As a practicing neurosurgeon, Schwartz has a unique vantage point into the wonders and mysteries of the human brain, which he translates into an engaging and accessible narrative. The book dives deep into the gray matter—the seat of human cognition, emotion, and identity—and asks profound questions about the nature of consciousness, technology’s impact on the brain, and the future of neuroscience.

One of the strengths of this book is its ability to make complex medical concepts accessible to a general audience. Schwartz explains the anatomy and physiology of the brain in clear and concise terms, making it easy for readers to follow along. He also delves into the history of neurosurgery, tracing the evolution of the field from ancient times to the present day.

Through his writing, the author conveys a deep sense of empathy and compassion for his patients and their families.

Some of the cases he describes are:

  1. The Musician’s Tumor: Schwartz recounts the case of a professional violinist who had a brain tumor. The surgery was particularly challenging because it was crucial to preserve the patient’s fine motor skills and musical abilities. During the operation, the patient was kept awake and played the violin, allowing Schwartz to ensure that the areas of the brain responsible for these skills were not damaged.
  2. The Young Athlete: Another compelling case involves a young athlete who suffered a severe head injury. Schwartz describes the delicate process of removing a blood clot from the brain and the subsequent rehabilitation that allowed the patient to return to sports. This case highlights the resilience of the human brain and the importance of timely medical intervention.
  3. The Phantom Limb: Schwartz also delves into the phenomenon of phantom limb pain through the story of a patient who experienced severe pain in a limb that had been amputated. The case explores the brain’s complex relationship with the body and how neurosurgery can sometimes alleviate such mysterious conditions.
  4. The Epilepsy Patient: One of the most intriguing cases involves a patient with severe epilepsy. Schwartz performed a surgery to remove the part of the brain causing the seizures. The case is notable for the precision required and the dramatic improvement in the patient’s quality of life post-surgery.

 

The personal stories of patients provide a humanizing touch to the hard science, making it clear that the brain is more than just an organ—it’s the core of who we are as individuals. These stories give weight to the philosophical questions Schwartz raises: How far can we push the boundaries of human cognition? What are the risks of tampering with the essence of humanity? The discussion of the challenges of making life-and-death decisions and the impact of brain injuries on individuals and their families is unsettling and thought-provoking.

In addition to its medical and personal insights, GRAY MATTERS offers a valuable perspective on the future of neurosurgery. Schwartz discusses emerging technologies, such as brain-computer interfaces and gene therapy, and their potential to revolutionize the treatment of brain disorders. He also addresses the ethical concerns that may arise as these technologies become more advanced.

While the book is primarily focused on the medical aspects of neurosurgery, Schwartz also touches on the personal toll that this demanding profession can take on practitioners. His reflections on the emotional challenges of dealing with life-and-death situations provide a valuable perspective on the human side of medicine.

This is an intellectually stimulating read that merges science and philosophy seamlessly. The book is a compelling blend of memoir and textbook and is a highly recommended read for anyone interested in the brain, medicine, or the human condition. However, those looking for a purely philosophical or speculative work might feel that the book is too grounded in clinical reality.

Regardless, Schwartz’s expertise and passion for his field shine through on every page, making this book a fascinating and informative exploration of the complexities of the human mind and the incredible advancements that have been made in the field of neurosurgery.

Want your own copy? You can pick it up here.

Guest Post by Suzanne Burdon, author of ALMOST INVINCIBLE

We will be reading and reviewing Suzanne Burdon‘s book at a later date, but in the meanwhile the author was kind enough to write this guest post for us! It’s quite apropos for the holiday.

 

Halloween – ghoulies and ghosties and long-leggedy beasties and things that go bump in the night. Whatever the early pagan or Christian origins of All Hallows’ Eve, the creatures of the netherworld are now thoroughly celebrated or lampooned, depending on your perspective, on October 31st. These are the creatures of the ‘natural’ world, but on a stormy night in 1816, Mary Shelley conceived a man-made monster that was to capture the imagination of generations and spawn many ‘hideous progeny’.

On All Hallows’ Eve in 1831, the Frankenstein novel that most people read today, was reprinted and published in a one volume popular format instead of the three volumes usual for the time, which gave it an even wider audience. The novel had already had considerable success since it was originally released in 1818 and almost immediately captured the popular imagination. Its fame was boosted by stage adaptations, notably Presumption; or, the Fate of Frankenstein, which played at the Royal Opera House in London in 1823. Mary went to see the production and though she admitted that they had not followed the story closely, she thought it was well done. There were thunderstorms and a collapsing glacier and the monster was so suitably scary that women in the audience fainted.

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It is lucky that Mary was not precious about the representation of her work or she would surely be endlessly rotating in her grave. The themes and imagery from the novel have been recast into cartoons, music, plays, comedies, TV series and almost a hundred movies. The most iconic representation was of course Boris Karloff as the monster in the 1931 Hammer Horror movie adaption, with the monobrow and bolts through his neck. Frankenstein’s screen history started in 1910 in the first silent film from Edison studios and continues with new 2015 movie with James McAvoy and Daniel Radcliffe.

The story has been analysed and intellectualised endlessly, but the common, horror aspect of most incarnations has been the creation of an animated monster by human agency, and the failure to control it thereafter. Victor Frankenstein is a mad scientist who plays God and then refuses to take responsibility for his creation. The vulnerabilities of the characters and the moral and social implications of the original story are mostly marginalized. The abiding horror is contemplating human vanity and frailty.

Mary Shelley was only eighteen when she started her story and it was composed on a wild and stormy night in mid summer in Lord Byron’s villa on the lake at Geneva. That year, 1816, was known as The Year Without a Summer. Mount Tambora in Indonesia had erupted spectacularly – it was the largest volcanic eruption in recorded history – and Europe was blanketed in dust. People thought the end of the world had come. It was a suitable backdrop to the creation of a gothic story as Byron, Mary and her lover, Percy Bysshe Shelley, her stepsister Claire and Byron’s doctor, Polidori, huddled around the fire reading ghost stories. Byron then threw out the challenge for each of the company to try their hand at the creation of something frightening.

Mary had felt enormous pressure to validate her genes and produce a literary work of value, but until Frankenstein she had struggled to find the right outlet for her creativity. So Mary’s response to the challenge was inevitably more than a simple scary story. Her parents were both radical authors; her mother wrote A Vindication of the Rights of Woman and is considered an early feminist and her father, William Godwin, wrote a groundbreaking anti-establishment book called Political Justice. So writing something that had social meaning was not surprising.

The scientific context of Frankenstein is more unexpected but was a result of her relationship with Shelley, the poet. When she eloped with him, Mary hadn’t realised the depth of his passion for chemical experiments, nor the potentially lethal impact of his obsession on working papers, tabletops or cushion covers, as smoke rose and glasses full of foul-coloured liquid shattered. Wires and crucibles of liquids would appear on the parlour table alongside the solar microscope and the extremely thumbed and stained copy of The Elements of Chemical Philosophy by Humphrey Davy. It didn’t add to their acceptability to landladies, but it did add to her inspiration for the science in Frankenstein.

franken two

In the 1931 edition, published on October 31st 1831, Mary added a new preface where she explained the circumstances in which the novel had been conceived. By that time, Shelley was dead and she was largely supporting herself with her writing. Her other novels were ‘by the Author of Frankenstein’. Frankenstein and his monster have passed into popular culture and show no signs of diminishing impact. Indeed with current forays into gene modification and limb replacement, it is still, potentially, very much a modern horror story.

 

 Suzanne Burdon: Author of Almost Invincible, A Biographical Novel of Mary Shelley

invincible

 

Look for our review of ALMOST INVINCIBLE, coming soon! Many thanks to Ms Burdon for sharing her story.   

 

Biography Review: Russell Long by Michael Martin.

The Short Version

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Russell Long: A Life in Politics starts off even before he was born to one of the most powerful American politicians outside the Capital, Huey Long. We come to know Russell as a man who seems to have ideals: whichever ones suit his purpose. We meet a chameleon who grows more conspicuous and powerful . He skillfully harnessed his father’s controversial legacy to shape his own. Many biographies are stories of rags-to-riches. This one shows us political royalty begetting political royalty. Like father like son.

Cinderella stories and train wrecks are interesting, sure. But at the heights of national politics, all things ordinary are extraordinary. You just need to be close enough to see what’s actually going on. Michael Martin points his microscope at characters who can raise up or ruin thousands of lives with a phone call. More than just a biography, Russell Long is a life-size portrait of some of the invisible forces that shaped American civil rights and economic intervention policy from the 1920s through the 1980s. I had mixed feelings about how Mr. Martin treated some topics, but overall this book was a joy to read, and particularly transformative for my personal understanding of Congressional politics in the middle of the last century.

You in a hurry? Take your coat off, why don’tcha? Keep reading!

 

My Full Review:

Excellence in the Biographical Craft

I read a lot of really dry books. I like’em that way. I’m all about the information density. Crank it up to 11! Don’t get me wrong. I love good narration and storytelling, but I’ve left mountains of biographies more relatable than Russell Long unfinished. Why did I finish Russell Long, but not the others?

As long as a biography helps me understand the place and importance of the person in the title, I’m happy. There are plenty of ways to do this. Some authors use personal accounts of people who knew the title character to construct a story. These biographies usually have a very personal touch. Their success or failure depends on how easy it is for the reader to get to know the person they’re reading about. Russell Long doesn’t even try to do this, so I won’t judge it on this basis.

This book wants to teach you about Russell, not introduce you to him. Enjoyment doesn’t issue from its style or wit, but from its combination of clarity and insight. Every page is pressurized to the bursting point with information. Russell Long is such a dense piece of pulp that the absence of any one sentence would immediately stand out to most mildly-attentive readers. Even being as dense as it is, however, it’s still easily accessible. Usually, accessibility correlates well with the complexity or depth of the content. I believe Mr. Martin created this outlier by focusing on a narrative structure before thinking in terms of timelines, events, and explanations.

Russell Long’s overall structure is evidence that Mr. Martin took spectacular care to produce an account that covers a wide canvas without becoming obtuse. The lesson other biographers can learn here is that contextual information is not a commodity. What does that mean?

In the Land of the Confusing, Context is King

Some contextual information pairs best with its related content when nestled in with a tangentially related account. We learn of Earl Long’s ultimate fate early, to lose his marbles while in the Senate in 1960. Seemingly a non-sequitur at first, this knowledge casts its foreshadow over Earl’s actions leading up to that year. At no time does Mr. Martin suggest any relationship between Earl’s escalating political aggressiveness and his meltdown. Even so, I would expect any reader to make his or her own judgment about the cause for his behavior, and whether his actions or his meltdown were the chicken or the egg. Regardless of the determination you make, the very fact that I was involved so deeply for so long leading up to the reveal is thanks to a masterful measuring of just the right amount of suggestion early on and an otherwise-innocuous lead-up to the event in question. You could argue that leaving the cause for his meltdown for the reader to intuit is unsatisfying, but remember, this book is interested in the facts. Guessing and wondering is the reader’s half of the contract here. Besides, have you ever called a book that left your brain chewing on its contents long afterward a “bad book”?

Russell Long is loaded with foreshadowing that seems like fact-stating at first blush, but produces satisfying “Aha!” moments throughout the proceeding text. Much of this foreshadowing occurs in the meaty first chapter entirely devoted to the life and career of Huey Long, Russell’s father. Mr. Martin depicts him as a powerful and ruthless Louisiana governor and political boss. Huey was a New Deal-era populist, and early on we come to know Russell as a Truman/Kennedy/LBJ Fair-Deal-era/Great Society-era populist. The account of Russell’s time striving toward and later working within the U.S. Senate during this period stands tall on its own, but it benefits tremendously from the foreshadowing earlier on.

As for sections of the book that trace the cause of a significant even to its effect, Mr. Martin provides context in step with the content. He seldom leaves the reader wondering what motives the actors might have had. Often, when an author does not give particular consideration to the distribution of contextual knowledge, the reader is burdened with wondering if he or she missed something until the author gets around to providing helpful context. The combination of foreshadowing and unconstructive inline explanation makes Russell Long a relatively effortless read.

Small Book, Big Ambition: The Compromise Shows.

In spite of all of the great things that I have to say about this biography, I do have complaints. Mr. Martin’s application of foreshadowing sometimes seems to guide the book’s focus away from very important details in favor of events that mesh well with the scaffold of foreshadowing upon which the biography seems to be built. Mr. Martin glosses over, and sometimes neglects even to account for, very important transitions in Russell Long’s political career. I found the explanation of the machinations by which Russell became Chair of the Senate Finance Committee, for example, to be unsatisfying. In sections describing the use of connections by either Long to usurp the function of government agencies, some more detail regarding how these connections were formed and maintained would have been beneficial.

Am I nitpicking? You may not even think twice about the informational gaps if you give this mainly solid book a read. I’m probably asking too much from a book in the range of 300 pages. If an editor demanded that I tamp down the word count, I might have nixed these details, too. Regardless, fleshing out these details in a longer book would have been well worth the longer read. In the end, every book must stand on it’s own two… covers. Russell Long certainly suffers from several unsatisfactory, unsatisfying, and sometimes missing explanations of what I though should have been key elements of a complete narrative.

The Last Word

To get hung up on any of these qualms would be to miss out on appreciating this book’s most important feature. Before Michael Martin’s Russell Long became available, there had been no quality account of Russell Long’s place in American history accessible to the layperson. The alternative for the average person seeking to learn about the younger Long would be a greatly fruitless Google search. Even Wikipedia, with it hordes of fanatical volunteer editors, hosts relatively little quality, cross-referenced information about this troubled, controversial, and interesting man. The publication of this book fills a conspicuous void, and there’s nothing but good in that.

The information density of Russell Long is actually dumbfounding. That Mr. Martin was able to make such a dense work so easy to read is a testament to his mastery of the biographical form. I swallowed about 300 pages of pure knowledge in hardly more than four hours. (If I’m being honest, the speed was just as much thanks to the “Spritz” reading software I use as to Mr. Martin, but I digress.) If all non-fiction books were like Russell Long, we would all be far more knowledgeable. People would read more books. People would patronize their libraries and coffee shops with equal frequency. Heck. The coffee shops would probably just be in the libraries.

 

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