Tag: neurologist
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The invisible manager
Javishkar ReddyJohannesburg, South Africa When I was twelve, I was hit on the head by a cricket ball. A few days later, I had my first seizure. Over the years, I have had many attacks, which have resulted in three chipped teeth, a cracked skull, a dislocated shoulder, and my tongue bitten several times. A…
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The Last Angry Man: A caged eagle
Howard Fischer Uppsala, Sweden Still from The Last Angry Man. From the Collection of African American film materials at the Southern Methodist University Library. © 1959, renewed 1987 Columbia Pictures Industries, Inc. All Rights Reserved. galoot: an awkward or uncouth fellow. – Oxford English Dictionary galoot: someone who thinks the world owes him a…
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No complaints, only symptoms
Peter Arnold Sydney, Australia “No complaints, only symptoms,” I told my cardiologist this year. How dare I complain? I am eighty-four. Thirty-two years have passed since my quintuple coronary artery bypass; eighteen years since a diagnosis, in one of eleven biopsy samples, of invasive prostate cancer—left untreated, because so few of us die from it; five…
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Beauty in breaking
Lealani AcostaNashville, Tennessee, United States I had a succulent hanging from my office cabinet, suspended in a clear teardrop-shaped terrarium: its spiny green arches floated above a mound of fake snow, which I intermittently illuminated by touching the built-in switch that electrified interwoven fairy lights. It was a Christmas present from James’s sister. She had come…
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In praise of swimming: From Benjamin Franklin to Oliver Sacks
James L. FranklinChicago, Illinois, United States Benjamin Franklin (1706–1790) was not a physician, but many thought he was so-trained and referred to him as “Doctor” Franklin. After accepting an honorary doctorate from the University of St. Andrews in 1759, awarded for his experiments in electricity, people began referring to him as “Doctor,” a title he…
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Walter Russell Brain DM FRCP FRS (1895–1966)
JMS Pearce East Yorks, England Russell Brain (Fig 1) was born at Clovelly, Denmark Road, Reading, on 23 October 1895, the only son of Walter John Brain, solicitor, and his wife, Edith Alice. A quiet, reserved man of enormous intellect and integrity, he was revered as an eminent neurologist, philosopher, and author. At Mill Hill School…
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Origins of the knee jerk
JMS Pearce East Yorks, England Reflex hammers are the icon or hallmark of every neurologist. How important are the reflexes they elicit? What is their mechanism? The advent of modern technology has made it easy to forget how important the skills and means in eliciting physical signs were to clinicians of the nineteenth and early twentieth…
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Tendon reflex hammers
JMS Pearce East York, England The vogue for reflex hammers started with Erb and Westphal’s adjacent papers1,2 in the 1875 issue of the Archiv für Psychiatrie und Nervenkrankheiten, which described the tendon or muscle stretch reflex. Wilhelm Heinrich Erb (1840-1921) read medicine at Heidelberg where he remained for most of his life. The leading neurologist in…
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Good patient, good doctor
Lealani Mae AcostaNashville, Tennessee, United States What makes a “good” patient? What makes a “good” doctor? I am a cognitive behavioral neurologist who specializes in dementia. I relish the longitudinal relationship I have with patients and appreciate hearing them say with pride, “Dr. Acosta is MY doctor.” Being someone’s physician means having a personal relationship,…
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Ahab’s gift: Herman Melville’s Moby Dick and the meaning of pain
Xi ChenRochester, New York, United States In the summer months before my first year of medical school, I unfurled the pages of Moby Dick. Immersed in the novel’s adventurous spirit and Shakespearean prose, I followed the narrator from the piers of Nantucket into the Atlantic and waded through Captain Ahab’s quest for the legendary white…