Product Description
"Dramatic, moving, and utterly fascinating."—New York Times Book Review

With poignant insight and humor, When the Air Hits Your Brain chronicles one man's evolution from naïve and ambitious young intern to world-class neurosurgeon. In electrifying detail, Frank Vertosick Jr. 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.

CUSTOMER REVIEWS (Average Customer Rating: 5.0 based on 36 reviews)

Best Medical Memoir Book!

I have read many medical memoir books and this tops them all! I also recommend "Another Day in the Frontal Lobe" by Dr. Katrina Firlik.
July 01, 2008

When the air hits your brain

This book is phenomenal. The author's recount of his neurosurgery training is both gripping and funny. Some of the patients he treated and what happened to them will be forever engraved in my mind. Highly recommended.
June 22, 2008

"Neurosurgeons do things that cannot be undone."

Originally published in 1996, "When the Air Hits Your Brain," by Dr. Frank Vertosick, is a mesmerizing insider's look at "an arrogant occupation" whose practitioners operate on the spinal cord and the human brain ("a trillion nerve cells storing electrical patterns more numerous than the water molecules of the world's oceans"). A neurosurgeon must be supremely confident in his ability to get the job done; if he were to dwell on everything that could possibly go wrong during a procedure, he would be too terrified to operate. Because of the high potential for missteps, neurosurgical training is an arduous seven years of hell. Before he starts treating "brain cancers, spinal cord injuries, head trauma, [and] lethal hemorrhages," a trainee must endure a grueling regimen of study which includes repeated humiliation at the hands of verbally abusive mentors. This is not a profession for the faint-hearted, for when neurosurgery is unsuccessful, the results can be catastrophic. Even if the patient survives, his cognition, speech, movement, and vision may be forever compromised. In the words of Gary Stancik, a sardonic chief resident, the brain is like a '66 Cadillac: "It was built for performance, not for easy servicing."

Vertosick fell into neurosurgery by happenstance. He spent some time as a steelworker, majored in theoretical physics, and wound up choosing medicine by default. In the years to come, he would have to adjust to impossibly long hours, inadequate sleep, and hit-or-miss meals. He would become adept at performing quickly and efficiently under pressure. However, none of his earlier experiences would fully prepare him for the emotional roller-coaster that lay ahead. He was destined to endure a trial by fire when faced with such cases as a six-week old infant born with a malignant tumor, a twenty-two year old woman with devastating multiple injuries resulting from an auto accident, a Vietnam veteran with an intracranial aneurysm, and a twenty-eight year old pregnant woman with a lump of cancerous cells in her brain. Fortunately, Dr. Vertosick enjoyed some notable successes; he was instrumental in helping a number of gravely ill patients resume normal lives.

Although it is vital to care about and communicate with each patient, Vertosick argues that it is a mistake to become too personally invested in each outcome. Hardest of all, one must accept the unpleasant fact that even brain surgeons can commit colossal blunders. On one occasion, Vertosick sank into despair when one of his patients died because of what he perceived to be his incompetence. He could have given in to his torment and self-loathing and abandoned his career, but he ultimately decided to "stop moping over one postoperative death." In the words of the aforementioned Gary, "Yeah, it's a nightmare, but that's neurosurgery. Land of nightmares."

"When the Air Hits Your Brain" is impeccably and stylishly written, with fascinating asides about the complexities of medicine and the human body. Vertosick's wry and irreverent black humor serves as a welcome respite from the book's often grim subject matter. In his postscript, which was written in 2007, the author provides updates on the changes that have occurred in the last decade: by law, residents are not allowed to work more than eighty hours a week, aneurysms may now be treated without resorting to invasive surgery, and new technologies such as deep brain stimulation and "frameless stereotaxis (a kind of GPS system for navigating the brain)" are revolutionizing the field. This is an intelligent, moving, and enlightening book and one of the most powerful and intimate accounts that I have ever read on the making of a surgeon.

April 06, 2008

Very well written

I enjoyed reading this book a lot. This is not a type of book I am used to reading but it is very well written. The subject is very intersting and Mr. Vertosick makes it very easy to understand for people like me, who does not know a lot about subject.
October 20, 2007

Gets you inside a surgeon's brain....

I highly recommend this book. I am an R.N. and my husband is an electrical engineer and neither of us could put the book down. I've read it twice already. It's very well-written and shows a side of surgeons you never see in the hospital.
September 24, 2007

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