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Another Day in the Frontal Lobe: A Brain Surgeon Exposes Life on the Inside (2006)

di Katrina Firlik

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5453444,153 (3.6)40
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.… (altro)
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Really interesting…. Some accuse her of being unlikeable or cold… but I think she is just what the job requires her to be and she related her stories with some humor and humanity ( )
  cspiwak | Mar 6, 2024 |
Medical memoirs are my version of brain candy and being weeks away from earning my own M.D. from Dr. Firlik's alma mater, I thought this would be an apropos read. Unfortunately, I don't think I'm part of Dr. Firlik's intended audience. Granted most medical memoirs are written for the layperson, but being some what of a connoisseur of the genre, I can tell you that some are more interesting to those of us who have done are own time in the neurosurgical OR and some of them are less so.

All of this is not to say that I didn't find Dr. Firlik's book entertaining. It certainly was, and in particular Dr. Firlik has inherited a gift of storytelling -- her patient encounters are touching, detailed and never judgmental. This is clearly the strong point of the book.

The weaker parts of the book are that, while she is clearly trying to be, Dr. Firlik herself admits that she is no Dr. Sacks. She alludes to him frequently, but just as frequently apologizes for the lack of deep thought on the brain/mind dichotomy that she is interested in, explaining that as a neurosurgeon, her first commitment is to the operating room. Her honesty is appreciated, and at points it seems that she is doing herself a disservice, for she is a very introspective person. But at the end of the day, she's correct -- she sees interesting questions that arise from her profession, but has not explored them in depth. At no point is this more clear than the very weak closing two chapters, particularly the last chapter regarding the future of neurosurgery.

This chapter is rushed and wandering. It contains too many ideas for one chapter, ranging from neuro-enhancements to minimally invasive surgeries to a discussion of turf-wars that may, in fact, be too entrenched in medical politics to be comprehensible to the lay audience. Dr. Firlik should play to her strengths -- the ability to recount the daily life of a neurosurgeon and leave further exploration of the questions she raises on consciousness, the mind and neurological enhancements to the reader. ( )
  settingshadow | Aug 19, 2023 |
Probably worth reading if you are interested in medicine. It helps to not be a hypochondriac (I now suspect that I have both an AVM AND a brain tumor). On the other hand, it's poorly organized and sometimes the writing seems almost stream-of-consciousness. I kept wondering whether anyone edited it or someone just handed Firlik a legal pad and said, "You have an interesting job--write about it."

Firlik herself comes across as a bit arrogant, although I suppose that is just what happens when you spend your days operating on people's brains. ( )
  GaylaBassham | May 27, 2018 |
Probably worth reading if you are interested in medicine. It helps to not be a hypochondriac (I now suspect that I have both an AVM AND a brain tumor). On the other hand, it's poorly organized and sometimes the writing seems almost stream-of-consciousness. I kept wondering whether anyone edited it or someone just handed Firlik a legal pad and said, "You have an interesting job--write about it."

Firlik herself comes across as a bit arrogant, although I suppose that is just what happens when you spend your days operating on people's brains. ( )
  gayla.bassham | Nov 7, 2016 |
Interesting if you are curious about life as a neurosurgeon. Some of the details made me nausious, especially those about the guy who had maggots in his brain. ( )
  Jen.ODriscoll.Lemon | Jan 23, 2016 |
Frontal Lobe is a quick, light read and a must-read for anyone who's ever heard the words "Hey, it's not brain surgery" and paused to wonder what that meant.
 
Obviously proud of being one of a minority of females in a field dominated by alpha males, Firlik tells a good story. One after another, in fact.
 
Firlik's honest, forthright account of what it means to be a neurosurgeon is as refreshing as it is instructive, and at book's end, readers will feel as though they've come away with something truly valuable, something prime-time TV simply cannot produce: an education.
 
In Another Day in the Frontal Lobe: A Brain Surgeon Exposes Life on the Inside, an uneven, overlong but often thoughtful account of a neurosurgeon's seven-year residency, Katrina Firlik recounts some of her more wrenching cases. In the process, she demonstrates unusual empathy -- sometimes a rarity in her specialty, one of medicine's toughest and most remunerative.
 
It is close to amazing that a surgeon could make her life and her work interesting to a lay readership, but she does, and she does it with wit, with flair — and with sharp writing that never ascends to the out-of-reach level of medicine-speak. She tosses around a lot of medical terms, but she carefully explains all of them, and she uses anecdotes about real people to bring it home.
 
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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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