Showing posts with label trepanation. Show all posts
Showing posts with label trepanation. Show all posts

Wednesday, August 17, 2022

Literary Trepanations, again

It's been a while since my last post about trepanations encountered in my reading. (You can find it here.) Do you need these like a hole in the head? Perhaps, but here they are, anyway. 

The Animals in the Country by Laura Jean McKay


    
"You're registered, all official. Here's a couple of armbands. Not compulsory, just a handy reminder that you've been diagnosed correctly. Okay? Next, thanks."
    "Wait up. I'm sick. I need medical support."

    "The doctors are busy with the psychotic," the nurse says quietly. "Those who are displaying psychotic tendencies, in danger of trepanning, talking to insects et cetera." We glance down the line to where the little girl is pawing at the ground. "Are you talking to insects?" The nurse is up in my face now, filling the world.
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    One of the people outside runs her mouth along the windshield of the flat front of the van, leaving a trail. The dust we've collected on all the roads browns her teeth like she's been chowing down on chocolate cake. She wanders off. Ange is always telling Kimberly not to stare at different people, but I'm staring.
    "What's wrong with her?"
    The man makes a rat-a-tat motion on his noggin. "Bless them. Our do-it-yourselfers can get excited, turn nasty."
    "Do-it-yourself what?"
    "Do-it-yourself trepanning. Hand drill to the skull, relieve the pressure caused by the flu. Stops all the critters talking to you. You must have seen the video. I can do it for you, if you want."

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The Golden Compass: The Graphic Novel by Philip Pullman, adapted by Stephane Melchoir and Clement Oubrerie, translated by Annie Eaton

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Fight Night by Miriam Toews


    
Grandma is trying to find someone who will drill a hole in her head because she's heard that's the most effective way of getting rid of trigeminal neuralgia, which is nicknamed the suicide disease because it's the most painful physical experience a human being can have and you just want to kill yourself. But nobody wants to drill a hole into Grandma's head because of her age. They stop drilling holes into people at around age sixty. Remember that, Swiv! Grandma said.


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Matrix by Lauren Groff


    
But there is a disease in the grain, or perhaps it is cursed by the devil, and after eating it, some dance uncontrollably and sing naked in the streets. Others scream with terrified visions. Others go stiff and barely breathe.
    Nothing can drive out the disease. Not praying, not bathing them in holy water, not tying them to their beds, not leaping out from the night to frighten them, not holding them by the ankle in the cold river, not beating them around the head with a yew branch, not burying them crown to toe in warm manure, not hanging them upside down from a high tree and spinning them until they vomit, not drilling a tiny hole through their skulls to let the bad humours out of the brains.

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The Air Year by Caroline Bird


It's like being a windmill in a vacuum
packed village. Weekends are the worst.
The taste of nothing is like licking dew off plastic.
Floppy soul, they call it. Slack spirit. Neurological
pins and needles. Someone has drilled a hole in the crown
of my head, inserted a funnel, emptied
molten margarine into my plumbing. [...]


-from the poem 'The Deadness'

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Haven by Emma Donoghue


    
Cormac's fingers go up to the little crater above his left ear. "A slingstone stove my head in."
    "In battle?"
    That seems too grand a word for it. "Well, we were disputing with another clan. The blow sent me out of my senses.
    But my brother's wife had heard the Christians had strong medicine" -- he almost said magic -- "so my people brought me to Cluain Mhic Nois. A monk called Fiach, he saved me."
    "How?" Artt asks.
    "Cut the scalp and peeled me like an apple. With a hand drill he bored holes until the smashed piece came right off. Then he sewed the skin back over the hole, and poulticed me with herbs, and prayed till my fever broke."
    "You were quite well again?"
    "Better than before, in fact, Deo gratias." Cormac makes a cross on his forehead. "Wits a bit sharper and memory roomier."

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Mad Honey by Katie Welch


    
He leaned over and kissed her neck. She swung around, hair delicately brushing his face, kissed him full on the lips, and returned her attention to the front of the hall. Beck stared at the back of her head, wishing he could burrow through her soft brown hair, trepan her skull and examine her thoughts.


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Bellevue Square by Michael Redhill


   
Be serious, Jean. You have just looked into the woman's brain. What did you see?
    Just meat. Red and yellow and white meat, like you'd see in a butcher's window.
    We used a medical auger. It's like a drill. We put a three-quarter-inch hollow bit on it. The bone popped right out.

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Black Wine by Candas Jane Dorsey


    "Here's the imaging of your head," says the medsar. "See where the dark patches are? That's scar tissue. Then these places here are the recent surgery."
    "Trepanned," says Essa.
    "That's the old name," says the medsar. "But we don't do it with an auger anymore. Brace and bit. Barbaric." She doesn't look at Essa, only at the image she holds up against the sunny window. "Then, here's the area of healing. Your brain has established these alternate pathways here, see? We didn't disturb that area much."
    Essa is too polite to say she can't see why those yellow areas are any different from the other yellow areas which are, it seems, healthy tissue.

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The Future by Catherine Leroux, translated by Susan Ouriou


   
After Judith's death, Cassandra started getting headaches. And every time her sister tells her to shut up, there's a stab of pain, like a heart beating against bone. Finally understanding why trepanation exists, she dreams of piercing her skull. If only the bone in her forehead could be perforated to free the hurt like air from a balloon, pus from an abscess. 

[updated February 2024]

Friday, October 13, 2017

A Year of Literary Trepanations

In 2016, I read six different books that mentioned trepanation. So far in 2017, I have read none. So, I am looking back on 2016 as my Year of Literary Trepanations.

Venomous by Christie Wilcox

Fascinating information about deadly poisons and how people can benefit from them. Did you know that a handful of botulism toxins is enough to kill everyone on the planet, if divided equally among them? Yet you can safely inject minuscule amounts of it into the forehead of someone who is overly concerned about their wrinkles. I learned about bee sting therapy and the recreational use of snake bites and all kinds of other cool stuff. Wilcox mentions trepanation in a tangental way:

"... dubious antique medical practices like trepanation: drilling a hole into one's skull to let out evil spirits"


Patient H.M.: Memory, Madness, and Family Secrets by Luke Dittrich

The subtitle says it all. Much of what we know about memory is thanks to Henry Molaison, a patient with epilepsy who received a botched lobotomy. It sometimes felt like a thriller, with unexpected twists even towards the end. The audiobook has a great narrator, George Newbern, but I'm too squeamish for play-by-play details of brain surgery, so I had to fast-forward through those parts. Engrossing true subject matter.

"My grandfather, like most lobotomists, performed a disproportionate number of psychosurgeries on women. The known clinical effects of lobotomy, including tractability, passivity and docility, overlapped nicely with what many men at the time considered to be ideal feminine traits."

"Freeman believed he could train any reasonably competent psychiatrist how to perform an ice pick lobotomy in an afternoon."

"August 25, 1953. Henry lies on his back on an operating table in the Hartford Hospital neurosurgery suite. At the head of the table, flanked by scrub nurses and assistants, my grandfather leans over Henry with a trepan in his hand. Henry has been sedated and given a local anesthetic, and the flesh has been peeled down from his forehead, but he is conscious. A trepan is a sort of wide-mouthed serrated drill."

The Portable Veblen by Elizabeth Mckenzie

Warmth, wackiness and squirrels. Lessons about being true to yourself. I loved this satirical feel-good novel. One of the characters is a young guy who has invented the "versatile Pneumatic TURBO Skull Punch," a trepanning device "well suited to a range of hole punching operations," and both the pharmaceutical and defence industries are excited about its possibilities, calling it "the greatest contribution to warfighter injuries in years." Trepanations everywhere!

"I pledge allegiance to the marketplace of the United States of America TM and to the conglomerates, for which we shill, one nation, under Exxon-Mobil/Halliburton/Boeing/Walmart, nonrefundable, with litter and junk mail for all."

"Art is despair with dignity."

The Book of Unknown Americans by Cristina Henriquez

A poignant, insightful novel with an ensemble cast of immigrants from various Latin American countries, who live in the same cinderblock apartment building in Delaware. One of the central characters is a Mexican teen with severe head trauma.

"So now what we need to do - what I need your permission to do - is remove a small piece of her skull to make room for the swelling and to keep the pressure from building too much." He stopped and looked at us again. "If it builds too much, she could die. And the longer we wait to relieve it, the more damage she'll likely experience."

"We're the unknown Americans, the ones no one even wants to know, because they've been told they're supposed to be scared of us and because maybe if they did take the time to get to know us, they might realize that we're not that bad, made even that we're a lot like them. And who would they hate then?"

Saving Montgomery Sole by Mariko Tamaki

Monty is an endearing 16-year-old coping with mean girls and rude boys, making mistakes and finding forgiveness. Her parents are caring and in the forefront (a rarity in YA, where parental absence allows the protagonists more freedom to act) and Monty's parents are also lesbians (a rarity in any novel).

"a link to the craziest thing I have ever seen on the Internet, a site about people who actually drill holes into the tops of their skulls to increase brain blood flow. To improve psychic powers. That's what trepanation is!"

I resisted the temptation to actually search for this sort of thing on YouTube. It makes me shudder just thinking about it.

The Fireman by Joe Hill

Post-apocalyptic thriller with a plague that causes people to burst into flames. Harper Grayson, a conscientious nurse, is one of the central characters in this fast-paced story. Kate Mulgrew performs a fantastic narration for the audiobook, which is over 22 hours long.

"[Harper] told him about trepanning Father Storey's skull with a power drill and disinfecting it with port."

"She had treated John Rookwood's mauled arm with a weak dose of good intentions."

"The hens are clucking. Harper thought it would be a toss-up, which term for women she hated more: bitch or hen. A hen was something you kept in a cage, and her sole worth was in her eggs. A bitch, at least, had teeth."
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The Colony of Unrequited Dreams by Wayne Johnston

The pamphlet described in great detail a medical procedure that you called mental ventilation, that is the drilling of holes in the skulls of the sick to let the evil spirits out.

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New entry, April 2018. I saw a museum replica of a skeleton, from either the Neolithic or the late Stone Age, with a trepanned hole in its skull. Bru na Boinne, Ireland.

Museum exhibit at Bru na Boinne.

New entry, April 1, 2019. (This is not a joke.) I've come across reference to trepanation in:

How to Change Your Mind by Michael Pollan

Amanda Feilding, who was born in 1943, is an eccentric as only the English aristocracy can breed them. (She’s descended from the house of Habsburg and two of Charles II’s illegitimate children.) A student of comparative religion and mysticism, Feilding has had a long-standing interest in altered states of consciousness and, specifically, the role of blood flow to the brain, which in Homo sapiens, she believes, has been compromised ever since our species began standing upright. LSD, Feilding believes, enhances cognitive function and facilitates higher states of consciousness by increasing cerebral circulation. A second way to achieve a similar result is by means of the ancient practice of trepanation. This deserves a brief digression. [...]

Trepanation was for centuries a common medical practice, to judge by the number of ancient skulls that have turned up with neat holes in them. Convinced that trepanation would help facilitate higher states of consciousness, Fielding went looking for someone to perform the operation on her. When it became clear no professional would oblige, she trepanned herself in 1970, boring a small hole in the middle of her forehead with an electric drill. (She documented the procedure in a short but horrifying film called Heartbeat in the Brain.) Pleased with the results, Fielding went on to stand for election to Parliament, twice, on a platform of "Trepanation for National Health.” 
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Notes from a Young Black Chef: A Memoir by Kwame Onwuachi and Joshua David Stein

The first step is to score a circle with a tournĂ© knife, the smallest in a knife roll, a third of the way down the eggshell. Then, score it again to cut the top cleanly off, leaving the shell looking like a trepanned head. Then you carefully empty out the yolk and white, separating them into bowls to be used later. 
[on preparing eggshells to be used as serving vessels for custard]
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The Red Threads of Fortune by J.Y. Yang

Mokoya saw the hole [the dragon-type creature] had trepanned into the domed roof. […] a yawning lobotomy of cracked roof…
[Note: It‘s the roof of the tower containing the library, so this comparison to a brain is apt.]
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