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Another Day in the Frontal Lobe: A Brain Surgeon Exposes Life on the Inside
 
 
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Another Day in the Frontal Lobe: A Brain Surgeon Exposes Life on the Inside [Paperback]

Katrina Firlik (Author)
3.7 out of 5 stars  See all reviews (86 customer reviews)

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Book Description

0812973402 978-0812973402 June 12, 2007
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.


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Editorial Reviews

From Publishers Weekly

The brain is my business," says Connecticut neurosurgeon Firlik. "Many of the brains I encounter have been pushed around by tumors, blood clots, infections, or strokes that have swollen out of control. Some have been invaded by bullets, nails, or even maggots." In these pages, a carpenter with a nail in his left frontal lobe goes home within a day of surgery; a boy develops a raging bacterial meningitis because his New Age mother gave him herbs instead of antibiotics for a routine ear infection; and an infant with hydranencephaly looks cute despite the absence of brain matter in his skull. Along the way, Firlik muses that a healthy brain has the consistency of soft tofu, and she flies solo in the OR for the first time as she saves an 18-year-old victim of a car accident who didn't buckle up. A woman in a male-dominated specialty, Firlik doesn't get worked up over minor things that can be construed as sexist; she finds that handling a patient's anxiety can be more complicated than the surgery itself, and she expects to be sued someday for malpractice. This witty and lucid first book demythologizes a complex medical specialty for those of us who aren't brain surgeons. (On sale May 2)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. --This text refers to an out of print or unavailable edition of this title.

From Bookmarks Magazine

Katrina Firlik shatters the myth most of us hold of brain surgeons as superheroes: they're merely masters of the trade. Critics agreed that her engaging, witty insight into the profession, her layperson's explanation of complex medical terms and routine surgeries, and her compelling stories more than overshadowed the blood-and-gore factor. A few critics expressed disappointment that Firlik only touched on her challenges as a woman in the field, particularly as the first woman admitted to University of Pittsburgh Medical Center's neurosurgery residency program. Others noted some self-indulgent tangents, though she amply covers her personal inspirations. Overall, Another Day provides a fascinating look into the oh-so-routine practices brain surgeons face daily.

Copyright © 2004 Phillips & Nelson Media, Inc. --This text refers to an out of print or unavailable edition of this title.


Product Details

  • Paperback: 271 pages
  • Publisher: Random House Trade Paperbacks (June 12, 2007)
  • Language: English
  • ISBN-10: 0812973402
  • ISBN-13: 978-0812973402
  • Product Dimensions: 5.2 x 0.6 x 8 inches
  • Shipping Weight: 4.8 ounces (View shipping rates and policies)
  • Average Customer Review: 3.7 out of 5 stars  See all reviews (86 customer reviews)
  • Amazon Best Sellers Rank: #137,612 in Books (See Top 100 in Books)

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Customer Reviews

86 Reviews
5 star:
 (37)
4 star:
 (23)
3 star:
 (5)
2 star:
 (8)
1 star:
 (13)
 
 
 
 
 
Average Customer Review
3.7 out of 5 stars (86 customer reviews)
 
 
 
 
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35 of 37 people found the following review helpful:
4.0 out of 5 stars "The brain is my business.", July 23, 2006
Katrina Firlik is one of approximately 4,500 neurosurgeons in the United States. Although only five percent are women, the number is growing as more bright and ambitious females enter the field. In her book, "Another Day in the Frontal Lobe," Firlik writes about her seven years of post-medical school training which led to her appointment as Chief Resident of Neurosurgery at the age of thirty-three, and later, to a job in an upscale Connecticut hospital.

After briefly touching on the history of neurosurgery, Firlik discusses the nature of this specialty. It is a combination of science and mechanics. Unlike neurologists and psychologists, both of whom deal with the human brain, it is the neurosurgeon's task to physically heal patients who have blood clots, tumors, and other traumas that afflict the brain and spinal cord. Technical proficiency, accuracy, and speed on the part of the surgeon are all essential if the patient is to survive with minimal impairment.

The book is filled with anecdotes about unusual cases, such as the carpenter who sat placidly in the emergency room with a heavy-duty nail sticking out of his skull, and the child whose mother allowed his routine ear infection to develop into meningitis because she refused to give him antibiotics. Firlik talks about the anatomy and function of the brain clearly, using layman's terms. Squeamish readers should beware, however, since the author describes her cases in graphic detail.

Although Firlik's account is engrossing and informative enough, her writing style is a bit scattered; she routinely jumps from one subject to another. In addition, we never get to know the author very well as a person. She comes across as a steady, competent, and confident doctor, but she doesn't allow us to peek beneath her cool and calm demeanor very deeply.

The final chapter, "Brainlifts," is a look at the high-tech future of neurosurgery. The time has come when we can have "cognitive tune-ups," much as an automobile has a tune-up to maximize its performance. A doctor can implant a "neat little metal plug" with an electrode and battery overlying the major nodes in the patient's memory network. Constant low-grade electrical stimulation enhances the person's ability to function intellectually. In addition, doctors are devising less invasive methods to successfully treat brain aneurysms and certain types of tumors. The field of neurosurgery is still a wide-open frontier with no limits on the horizon.
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14 of 15 people found the following review helpful:
2.0 out of 5 stars Where are the people, June 27, 2008
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This review is from: Another Day in the Frontal Lobe: A Brain Surgeon Exposes Life on the Inside (Paperback)
It is true this book is "breezy" and it is an "easy read" to quote some other reviews but it seems to be missing some sort of basic humanity. I think what bothered me most was the lack of follow-up on most of the stories of the patients. A few we find out that they "died" or "seem to be doing well" but for the most part the operation is done and you never find out the end results. The end result for me, a layperson, is the book isn't all that interesting. While I love the science aspect, and read for the science parts of it, I am not a scientist. I need the more human element to keep me involved. This book lacks that.

My other issue is her running commentary on religion, god and belief. While I find it unsurprising that she is not a believer in a higher being I find her comments on it rather foolish, as if it is a given and not a topic that reasonable people can differ on. Einstein and Hawking both left the door open for god. I am not suggesting that she should be anything other than what she is in her belief, only that her lack of tolerance and "affection" for those of us so foolishly afflicted with a different opinion is rather grating.
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26 of 31 people found the following review helpful:
5.0 out of 5 stars Fascinating read, May 10, 2006
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As a mother of a boy who underwent brain surgery (fortunately successful), I was naturally drawn to this title. What I hadn't expected was to find it such a fascinating and fun read. I simply couldn't put the book down. Dr. Firlik is as talented a writer as she obviously is a surgeon (and why not, how many doctors would name Raymond Carver as one of their favorite authors - most I would venture to guess, wouldn't even know his name). I learned a great deal from this book - some of which I was glad I didn't know before my son's surgery. I can't imagine anyone, whether or not they have faced neurosurgery, not enjoying this book.
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Inside This Book (learn more)
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
neurosurgery residency, neurosurgery resident, junior resident, neurosur geons
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Gamma Knife, United States, James Bond, Harvey Cushing
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