Brain on Fire is brilliant; a book that I now consider a ‘must-read’. Although Brain on Fire is a memoir, it is so much more than that. This book is also a public service announcement that should become required reading across the US until the disease discussed in the book becomes more widely known. Although technically a memoir, this book could more accurately be considered a case study written in the first person, a case study about a little known disease that needs more public awareness.
Susannah Cahalan is a journalist for a New York publication. She is a young professional woman with a stable job and a promising future. Cahalan, however, for unknown reasons begins to experience symptoms – sensitivity to light, mood swings, slight hallucinations, speech impediments among others that she can’t explain. After seeing a doctor about this initially, she is told it is due to excessive partying; alcohol withdrawals. One of her doctors speculates that what Cahalan is experiencing are caused by her birth control, still another believes these symptoms are the result of too much stress.
Initially, Cahalan is skeptical of all of these possible diagnoses and attempts to diagnose herself with having, what she believes, is bipolar disorder. This self diagnosis, Cahalan reasoned, provided an explanation for a majority of the symptoms that she was experiencing. Initially she was content with this, however her condition worsened. Her mood swings began to get more and more extreme to the point that she was taken to a hospital to be examined. Numerous tests were run on her, and they all came back displaying that Cahalan’s health was normal, despite the severity of her symptoms.
Through a series of events, she is eventually hospitalized. Her initial doctor is so perplexed with her, that he eventually hand’s off her case to a different doctor. This new doctor, Dr. Souhel Najjar was able to discover what really was going on with Cahalan and provide her with a diagnosis, a rare auto-immune disease, then provide a treatment that ultimately saved her life and returned her to a version of normal of her previous self.
This book helped to demonstrate the continued weaknesses of modern medicine – that despite our best abilities, there are still illnesses out there that, despite being prevalent, we know little to nothing about. What appears to be one thing – a mental illness, could very well be something much different. Even Cahalan’s initial doctor was perplexed by her ailments, and since he was unaware of the existence of the disease that effected Cahalan, he had no frame of reference to use in order to diagnose her.
“In the spring of 2009, I was the 217th person ever to be diagnosed with anti-NMDA-receptor autoimmune encephalitis. Just a year later, that figure had doubled. Now the number is in the thousands. Yet Dr. Bailey, considered one of the best neurologists in the country, had never heard of it. When we live in a time when the rate of misdiagnoses has shown no improvement since the 1930s, the lesson here is that it’s important to always get a second opinion.
While he may be an excellent doctor in many respects, Dr. Bailey is also, in some ways, a perfect example of what is wrong with medicine. I was just a number to him (and if he saw thirty-five patients a day, as he told me, that means I was one of a very large number). He is a by-product of a defective system that forces neurologists to spend five minutes with X number of patients a day to maintain their bottom line. It’s a bad system. Dr. Bailey is not the exception to the rule. He is the rule.”
This is why I believe this book should be required reading, because until more are aware of this disease, it will continue to be misdiagnosed until awareness grows.
There was really only one thing that I took from this book and that was, a simple way to begin a journal entry is to use the word “today…” followed by the days events. That was the only commonality that ran through the entries that made up The Folded Clock, and it got horribly repetitive. In fact, if there was a way to accurately describe this book, the words “horribly repetitive” would be it. In retrospect, I wish I had recorded how often Julavits mentions that she shares a birthday with Adolf Hitler.
Macdonald is a falconer – a person who trains or hunts with birds of prey. As the title of the book suggests, the bird of prey that Macdonald goes out to train is a goshawk. Macdonalds particular goshawk is named Mabel. As Macdonald trains Mabel, she also explores the work of another falconer; T. H. White, a writer most well known for his novels that, published together are called The Once and Future King.
Her memories in this memoir revolve around person’s, places and things. This is an aspect of this memoir that I found particularly fascinating. Many memoirs tend to focus on interactions with people, pets or places the author has been, however Smith recognizes that objects often hold with them the memories that we associate with them. In M Train one of those objects is a novel by Haruki Murakami that captures Smith’s imagination to the point that it influences her travels.
Just Kids is a memoir – an excellent memoir – about Patti Smiths relationship with fellow artist Robert Mapplethorpe who she met when she first got to New York – but it is also so much more. Just Kids is a story about life, about ambition, about beauty and about dreams.
I did find this book informative in various ways, when I finished, I realized I had little interest in reading Karr’s other memoirs – The Liars Club, Cherry and Lit. When reading Karr’s writing I felt an artificial distance she was maintaining that I couldn’t breach. I thought perhaps this was only due to the subject matter of this particular book, but when I went to the bookstore to look at her other books, I got the same feeling as I sampled different parts of The Liars Club and Lit.