Thursday, July 4, 2013

Brain on Fire


Brain on Fire: My Month of Madness Paperback – August 6, 2013

Author: Visit Amazon's Susannah Cahalan Page | Language: English | ISBN: 1451621388 | Format: PDF, EPUB

Brain on Fire: My Month of Madness – August 6, 2013
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  • Paperback: 288 pages
  • Publisher: Simon & Schuster; Reprint edition (August 6, 2013)
  • Language: English
  • ISBN-10: 1451621388
  • ISBN-13: 978-1451621389
  • Product Dimensions: 8.3 x 5.5 x 0.8 inches
  • Shipping Weight: 8.8 ounces (View shipping rates and policies)
  • Amazon Best Sellers Rank: #1,387 in Books (See Top 100 in Books)
    • #10 in Books > Biographies & Memoirs > Professionals & Academics > Medical
    • #100 in Books > Biographies & Memoirs > Memoirs
Brain on Fire is Susannah Cahalan's reconstruction of her harrowing year with a brain inflammation. Calahan was a 24 year old reporter with the New York Post in 2008 when she began to exhibit signs of mental illness. She was living on her own in NYC and had recently begun a serious relationship with Stephen. Cahalan's symptoms were a mixture of the physical (weakness on her left side, difficulty speaking) and the mental (paranoia, violence and psychosis). Her condition was undiagnosed for an agonizing period of time. Some of her physicians thought she was suffering from alcohol withdrawal despite the fact that she told them she was only an occasional drinker. She came very close to being diagnosed as a schizophrenic. Both of her parents but especially her father insisted that her illness had a physical cause and only with this advocacy was she admitted to NYU. There she was diagnosed as having an autoimmune inflammation in the one hemisphere of her brain. In a marvelous nod to medicine as an art not a science she is finally diagnosed by a physician who administers a simple straight forward test - she is asked to fill in numbers on a drawing of a clock. Because she writes all of the numbers on one side of the drawing the physicians now have proof that the half of her brain is inflamed. So after over one million dollars worth of laboratory tests, she is diagnosed by a savvy MD with pencil and paper! Once the diagnosis of autoimmune disease is confirmed by researchers at Penn, Cahalan has a slow but steady recovery. There are two back stories going on that deserve a mention. One, her new boyfriend Stephen sticks around even when her strange behavior appears to have a mental origin not a physical one. Surely a guy worth knowing!
"Brain on Fire" is the true story of Susannah Cahalan's "lost month of madness," most of which she remembers imperfectly or not at all. Since she is a reporter, however, she has been able to piece together much of what happened by speaking to doctors, nurses, friends, and family; reading "thousands of pages of medical records"; consulting her dad's journal and her parents' "hospital notebook"; watching video footage of herself; and trying to reconstruct any impressions that she still retains.

In the preface, Susannah is in NYU Medical Center, restrained by "a thick mesh vest" to prevent her from pulling out her EEG wires or trying to escape from her "captors." The precise origin of Cahalan's illness is unknown, but one day in 2009, this pretty, carefree, vivacious, and confident New York Post reporter began to exhibit strange symptoms. She became obsessed with bedbugs, developed migraines as well as tingling and numbness in her left hand, cried uncontrollably, had persistent insomnia, could no longer cope with her professional responsibilities, felt as if she was "slogging through quicksand," and experienced seizures, hallucinations, and paranoia. Fortunately, her parents and boyfriend, Stephen, stood by her, refusing to believe that she was psychotic and needed to be institutionalized.

After a variety of physicians examined her and ran batteries of tests--but failed to pinpoint the exact cause of her physical and mental deterioration--Susannah found her savior in Dr. Souhel Najjar, "the man to go to when nothing made sense." He suspected that she might be suffering from autoimmune encephalitis and a neuro-oncologist named Dr. Josep Dalmau confirmed the diagnosis. Soon, Dr.

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