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The Neuroscientist Who Lost Her Mind: My Tale of Madness and Recovery

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After successful surgery to remove the raisin-sized cancerous growth that was bleeding, Lipska received targeted radiation to the other tumours. Only after this could such treatments as immunotherapy (which empowers the immune system to recognize and destroy cancer cells) and “targeted” therapy (aimed at specific molecules within cancer cells) be tried. In spite of an iron will and a high tolerance for pain and discomfort, Lipska confronted tumours that had minds of their own. They kept popping up “like weeds in a garden”. At one point, she had eighteen simultaneously. Many of us might not be able (or even want) to persist in the face of considerable suffering as Lipska did. However, she attributes at least some of her endurance to her long-time training and competing as a marathoner and tri-athlete. Lipska is still not out of the woods; however, the mostly new treatments she underwent have prolonged a life that she obviously values, even if that life continues to pose challenges. I made short work of this one. Was totally absorbed in her story. I find anything to do with the mind fascinating. It can be our best friend or our worst enemy. Yet, so little is known about this miraculous organ, the control center of what makes us who we are. The author is the head of the NIH, studying the brains of those with mental deficits, among them schitzophrenia. She had besten cancer twice, was an avid marathon and triathlon partcipant, when she found out she had a melanoma that had spread to her brain. Despite the many years studying the brains, she didn't recognize her own symptoms, but she was in for the fight of her life. An advance digital copy was provided by NetGalley and author Barbara K. Lipska for my honest review. When discussing her first husband’s diagnosis and eventual (1985) death from the very same cancer she would later fight, Lipska mentions that in the Poland of the time, cancer was highly stigmatized. A diagnosis of malignancy was viewed as a sign of weakness and a loss of control over one’s life. No cancer patient discussed his condition with friends, or even with family. One has the sense in reading her memoir that this kind of attitude continued to affect (or, maybe, “infect”) Lipska herself. She states that her typical response to emergencies is to throw herself “into a rational, organized plan, and grasp whatever control” she can. She also writes that (earlier in her life) after breast cancer treatment, she was up and about on the fourth day and that she never failed to cook a meal when undergoing chemotherapy. While receiving treatment for her brain tumours, she remained physically active; she even ran a five-kilometer race a few weeks after her first radiation treatment, placing fourth in her age group. I suppose I should be impressed by this, but I honestly found Lipska’s drive bizarre and even alarming at times. Faptul că avem aceleași celule nervoase de la începutul până la sfârșitul vieții noastre poate fi unul dintre motivele pentru care ne considerăm pe sine ca fiind ,,noi". Ceea ce totuși se poate schimba sunt conexiunile dintre celule și dintre regiunile țesutului cerebral. Unele legături sunt mai puternice, altele dispar, altele se strică. Dacă o regiune a creierului nu mai funcționează cum trebuie, între celule pot apărea noi conexiuni care să ne ajute să recuperăm, într-o proporție mai mică sau mai mare, funcția alterată. Dar, în acest fel, se schimbă oare esența noastră?"

Cu toate acestea, am mai învățat câteva lucruri noi despre creier și mi s-a părut foarte interesant să urmăresc declinul și, ulterior, repararea lui pe parcursul bolii. Sunt absolut fascinată de puterea lui, așa că nu regret lectura, chiar dacă a trebuit să o suport pe autoare. Încă sunt iritată de faptul că, după ce a rămas oarbă de un ochi și abia reușea să meargă, a continuat să conducă, pentru că o făcea să se simtă independentă, punând viața tuturor din trafic în pericol. Și cică fostul soț era în negare... There were times during my reading though, when the writing and sequence seemed disjointed. I suspect that it might have something to do with translation. Lipska is a native of Poland, and I feel like Elain McArdle, the journalist who helped write and edit this memoir, could have been a little more handy in that respect. Other than that, I've come away with so much more knowledge about oncology and the different treatments that are now available.Personalitatea fiecărui om este rezultatul unor interacțiuni complexe între factori nenumărați care influențează funcționarea creierului." Lipska immediately thought 'brain tumor' - and an MRI confirmed her worst fears. The brain scan revealed three tumors in the scientist's head, one of which was bleeding. A superb memoir from a highly respected neuroscientist who is uniquely qualified to describe her titanic battle against malignant melanoma of the brain. Barbara Lipska clearly believes in those miracles that can be achieved through medical science, and also has an iron resolve to survive. Both qualities underpin this remarkable account of sanity lost and regained.” I am a neuroscientist. For my entire career, I have studied mental illness. My specialty is schizophrenia. In June 2015, without warning, my own mind took a strange and frightening turn. As a result of metastatic melanoma in my brain, I began a descent into mental illness that lasted about two months."—Barbara K. Lipska What was even more surprising to me was how her family - Polish scientists who had immigrated to the US 25 years earlier (her personal family story is fascinating without surviving two cancers - she also had breast cancer earlier ) - also failed to be alarmed by her increasing anger and frustration, her forgetting how to cook her favorite meals, and eventually even do simple math - until she had progressed significantly. One interesting side to her impaired frontal-temporal function was a loss of emotion - she didn't seem to care one bit about the fact that she was dying. She recalls feeling pretty happy most days, and completely unconcerned. That's encouraging to me actually.

It made for a detached read. Her access to medical facilities that most people in the world would never have access to and the way she expected that access was revolting, and she could not believe she had to wait for things. A whole hour in a waiting room! The author was not mad, she had deficits more in line with loss of function rather than the peculiar function that comes from psychosis where people are operating from a different frame of reference. Her speciality is schizophrenia but I just couldn't see that she became anything like that or at least not like any I have known or whose books I have read.Lipska did recover, both from the cancer and the side effects, though she's aware the 'cure' might not last forever. Still, Barbara's at peace, and very grateful to her family - as well as the doctors and other medical professionals who treated her. She says "I'm feeling great, although I am not as powerful as I used to be — both in terms of my physical strengths and emotions. I went through so much. My brain was assaulted with drugs, with radiation. I lost my vision in the left eye.....I lost some balance. I am a little disoriented spatially, so I have sometimes trouble with maps and finding my places. But, you know what? I'm alive — and that's all that counts. And I'm happy!" In addition to the deficits, her personality changed to being moody, bad-tempered and intolerant but given all she went through, how much of that was a product of the tumours altering her brain and how much the treatment and how much the stress and pressure of living through a second bout of cancer (she had previously had breast cancer and her first husband had died of the same type of cancer, melanoma, she had)? I applaud the author for sharing a story that must have been very hard to relive/write about. However, there were a couple issues that made it hard to enjoy this book. AMANDA RIPLEY, New York Times bestselling author of The Smartest Kids in the World and The Unthinkable First, I think the book would have been much better with more collateral information from others (family, physicians, physical therapists she interacted with) about all these different episodes during which the author was acting bizarre. It was hard to trust the author as the narrator of these stories because she's, well, literally brain-damaged.

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