Monthly Archives

October 2018

Book: The Other Side of Silence: A Psychiatrist’s Memoir of Depression

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Depression is a disease that attacks indiscriminately, no one is safe from its claws – regardless of your age, gender, education, position and so on – it will catch you in its grasp and keep you there until you find the strength to get out – and most of the time, in order to be free from it, you need both therapy and medication prescribed by a psychiatrist. It is understandable to think that people that are familiar with the disease on an academical level would see the signs early and be able to manage it, or that they have found a way in which to be immune to it. But this book proves the exact opposite, you read about the struggles of a psychiatrist suffering from depression.

In a mixture of patient stories and her own battle with depression, doctor Linda Gask gives a multilayered account of what it feels like to be surrounded by mental illness and how society, both the public and the specialists, behave around it. With a sort of detachment, she retells her life’s story and, based on it, the people she meets who are traumatized themselves or have given her some comfort, or not, from her own troubles.

There is a gap between how depression is perceived and how she tells it, her account is much more personal and reflects, even in her writing, how the cycle of negative thoughts and dramatization of certain events that are so common with depression take over your rational thinking process and makes you unaware of all the details that make life worth living – being stuck in your own thought process and not being able to get out of it and enjoy the things that are worth living for is the greatest chasm one has to face when suffering from depression. However, there is hope – and although there is no great breakthrough, things do get better with time and with proper attention to your symptoms; some diseases are manageable and curable if we just keep working on getting better – finding a good therapist that you can connect with and working closely with a psychiatrist can lead to finding the medication that will truly make a difference in your life.

By the end of the book we do see a different person, much more calmer and focused – stable in her opinions, decisions and ideas. Although she goes through years of uncertainty and has the trademark highs and lows of her affliction, with proper support she manages to see the light at the end of the tunnel. Her achievement in finding inner peace is a statement that, although the fight with your inner self is crippling, there are ways in which you can cope and eventually be free.

Book: When the Air Hits Your Brain: Tales of Neurosurgery

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When young, the greatest of challenges seem within reach – we are never more than one step behind the goal, always getting closer to where we think we need to be. We are full of hope and energy, and we are ready to take anything life puts in our way.

In the world of medicine, and especially the world of medicine of the 1980s, the greatest of challenges was neurosurgery – the peak of what you can be as a doctor. In a world without medical imaging and where the surgical knife still ruled the operating world, neurosurgery was what all ambitious medical students wanted to become. It was, and is, probably the most difficult specialty one can master, so having a glimpse of what that world is can be truly mesmerising.

Frank Vertosick Jr. brings to life that world – the ambitions of a young medical student, eager to learn and to overcome life’s obstacles by proving himself one of the best. But to become one of the best one has to pass a great series of challenges – to cut a persons head open and start exploring with scalpel in hand is not something anybody can just get up and do. There are rules, and practice always proves itself to be more complicated than the textbook you just read, even reread. Mistakes will be made, and the horror of those mistakes can break a person. The long shifts where the hospital not only becomes your home – or your second home – it becomes everything you know. With each passing day you are wiser, but more numb – there is a breaking point to this story and if you are not careful it may break you to the point you can never pull yourself back together – most doctors will suffer from depression, and others will become sociopaths – not able to distinguish the body from the mind.

Written in a beautiful and simple style, the memoirs of the the young neurosurgery resident brings to life our human nature and how fragile, and yet how strong, we truly are. The moment where saving someones life becomes more than a job, it becomes a mission that one cannot fail; a duty one owes to oneself and to the world.

Stories about colleagues and patients, and of hospitals and residencies, intertwine and give us a lecture on how to tackle life – no one is perfect, becoming the best is a long road where every mistake is a lesson we need to learn from. The story of our bodies and our diseases might not define us, but we carry it with us always, never able to run away from it as it follows us everywhere; and when the story leads to catastrophe we rely on other people for our safety and recovery, and hearing the story of how these people came to become our saviours can be truly fascinating.
The life of a doctor seen from within is astonishing, from the years of medical school to residency and to one’s own practice – years and years of studying and practising with only one goal in mind – helping people.