基本信息·出版社：Random House Trade Paperbacks ·页码：288 页 ·出版日期：2007年06月 ·ISBN：0812973402 ·条形码：9780812973402 ·装帧：平装 · ...
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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 |
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基本信息·出版社：Random House Trade Paperbacks
·页码：288 页
·出版日期：2007年06月
·ISBN：0812973402
·条形码：9780812973402
·装帧：平装
·正文语种：英语
·外文书名：脑外科医生的一天
内容简介 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.
From the Hardcover edition. 作者简介 Katrina Firlik was the first woman admitted to the neurosurgery residency program at the University of Pittsburgh Medical Center, the largest–and one of the most prestigious–neurosurgery programs in the country. She is now a private practitioner in Greenwich, Connecticut, and a clinical assistant professor at Yale University School of Medicine. She lives in New Canaan, Connecticut, with her husband, a neurosurgeon turned venture capitalist. Visit her online at www.katrinafirlik.com
From the Hardcover edition. 编辑推荐 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 the Hardcover edition. 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 the Hardcover edition.
From Booklist
It doesn't take a brain surgeon to wonder what it's like to poke around beneath somebody's cranium. It does take a brain surgeon, however, to explain what makes a person want to drill into another person's skull. At that Firlik excels in her sometimes grisly, sometimes amusing (in a dark-humorous way), always informative, personal (father was a surgeon), and professional ("part scientist, part mechanic") story of becoming a neurosurgeon. In many ways she is what you might expect, but in others she is the rarest of the rare. There are a mere 4,500 neurosurgeons in the U.S., and a scant 5 percent of them are women. While Firlik has had some of the predictable and standard hassles and worries (what to wear to a job interview?), she has never had to storm out of a room because of male chauvinism. From a day-in-the-life sketch of a neurosurgery residency to an astonishing report on a performance-enhancing procedure to improve brain function, Firlik maintains a highly personal and engaging style. Donna Chavez
Copyright © American Library Association. All rights reserved --This text refers to the Hardcover edition.
文摘 Chapter 1
1
Scientist and Mechanic
The brain is soft. Some of my colleagues compare it to toothpaste, but that’s not quite right. It doesn’t spread like toothpaste. It doesn’t adhere to your fingers the way toothpaste does. Tofu—the soft variety, if you know tofu—may be a more accurate comparison. If you cut out a sizable cube of brain it retains its shape, more or less, although not quite as well as tofu. Damaged or swollen brain, on the other hand, is softer. Under pressure, it will readily express itself out of a hole in the skull made by a high-speed surgical drill. Perhaps the toothpaste analogy is more appropriate under these circumstances.
The issue of brain texture is on my mind all the time. Why? I am a neurosurgeon. The brain is my business. Although I acknowledge that the human brain is a refined, complex, and mysterious system, I often need to regard it as a soft object inhabiting the bony confines of a hard skull. 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. I see brains at their most vulnerable. However, whereas other brain specialists, like neurologists and psychiatrists, examine brain images and pontificate from outside of the cranium, neurosurgeons boast the additional manual relationship with our most complex of organs. We are part scientist, part mechanic.
The scientist in me revels in the ethereal manifestations of the brain: the mind, consciousness, memory, language. The mechanic in me is satisfied by the clear fluid that rushes out of the end of a tube I insert into a patient’s brain to relieve excessive pressure. In everyday surgical practice, the science may take a backseat to the handiwork, and that’s okay. If you have an expanding blood clot in your hea
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