When the Air Hits Your Brain: Tales from Neurosurgery

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W. W. Norton & Company, Mar 17, 2008 - Medical - 272 pages
5 Reviews

The publication of The Complete Short Stories of James Purdy is a literary event that marks the first time all of James Purdy’s short stories—fifty-six in number, including seven drawn from his unpublished archives—have been collected in a single volume. As prolific as he was unclassifiable, James Purdy was considered one of the greatest—and most underappreciated—writers in America in the latter half of the twentieth century. Championed by writers as diverse as Dame Edith Sitwell, Gore Vidal, Paul Bowles, Tennessee Williams, Carl Van Vechten, John Cowper Powys, and Dorothy Parker, Purdy’s vast body of work has heretofore been relegated to the avant-garde fringes of the American literary mainstream.

His unique form and variety of style made the Ohio-born Purdy impossible to categorize in standard terms, though his unique, mercurial talent garnered him a following of loyal readers and made him—in the words of Susan Sontag—“one of the half dozen or so living American writers worth taking seriously." Purdy’s journey to recognition came with as much outrage and condemnation as it did lavish praise and lasting admiration. Some early assessments even dismissed his work as that of a disturbed mind, while others acclaimed the very same work as healing and transformative. Purdy's fiction was considered so uniquely unsettling that his first book, Don't Call Me by My Right Name, a collection of short stories all reprinted in this edition, had to be printed privately in the United States in 1956, after first being published in England.

Best known for his novels Malcolm, Cabot Wright Begins, Jeremy's Version, and Eustace Chisholm and the Works, Purdy captured an America that was at once highly realistic and deeply symbolic, a landscape filled with social outcasts living in crisis and longing for love, characterized by his dark sense of humor and unflinching eye. Love, disillusionment, the collapse of the family, ecstatic longing, sharp inner pain, and shocking eruptions of violence pervade the lives of his characters in stories that anticipate both "David Lynch and Desperate Housewives" (Guardian). In "Color of Darkness," for example, a lonely child attempts to swallow his father's wedding ring; in "Eventide," the anguish of two sisters over the loss of their sons is deeply felt in the summer heat; and in the gothic horror of "Mr. Evening," a young man is hypnotized and imprisoned by a predatory old woman. These stories and many others, both haunting and hilarious, form a canvas of deep desperation and immanent sympathy, as Purdy narrates "the inexorable progress toward disaster in such a way that it's as satisfying and somehow life-affirming as progress toward a happy ending" (Jonathan Franzen).

It may have taken over fifty years, but American culture is finally in sync with James Purdy. As John Waters writes in his introduction, Purdy, far from the fringe, has "been dead center in the black little hearts of provocateur-hungry readers like myself right from the beginning."

With poignant insight and humor, Frank Vertosick Jr., MD, describes some of the greatest challenges of his career, including a six-week-old infant with a tumor in her brain, a young man struck down in his prime by paraplegia, and a minister with a .22-caliber bullet lodged in his skull. Told through intimate portraits of Vertosick’s patients and unsparing yet fascinatingly detailed descriptions of surgical procedures, When the Air Hits Your Brain—the culmination of decades spent struggling to learn an unforgiving craft—illuminates both the mysteries of the mind and the realities of the operating room.
 

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LibraryThing Review

User Review  - arubabookwoman - LibraryThing

This was an engaging memoir of the medical school and training experiences, from internship to fellowships, of the author on his journey to become a neurosurgeon. It includes some fascinating case ... Read full review

LibraryThing Review

User Review  - awomanonabike - LibraryThing

A short medical memoir, not the kind of book I normally read, but I found it in Foyles when I was browsing in the medical section and dipped into it and enjoyed what I found. I felt the author was ... Read full review

Contents

The Rules of the Game
Thanks for Everything
The Museum of Pain
Ailments Untreatable
Surgical Psychopaths
If It Was Easy Everyone Would Do
A Bit of Hard Cheese
Rebecca
Nightmares Past and Future
The Wheel of Life
Belonging
Postscript
Copyright

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About the author (2008)

Frank Vertosick Jr., MD, is the author of Why We Hurt and The Genius Within. He retired from surgery due to Parkinson’s disease in 2002, but he still treats office patients in Washington, Pennsylvania.

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