Memoir Review: “Brain on Fire”

Cahalan, Susannah. Brain on Fire: My Month of Madness
Free Press, 2012
ISBN 978–1–4516–2137–2

Highly Recommended

One day in 2009 Susannah Cahalan woke up in a hospital room, strapped to her bed, unable to speak, move, or remember how she got there. As she stared at an orange band around her wrist, the words FLIGHT RISK came into focus.

Cahalan’s journey to that hospital room had begun weeks earlier. Out of nowhere she began having paranoid thoughts; for example, with no evidence she suddenly believed that her boyfriend was cheating on her, and the voice in her head nearly overpowered her: Read his e-mails. The paranoia was rapidly followed by other symptoms: slurred speech, over-reaction to colors and sounds, nausea, insomnia, wild mood swings, uncontrollable crying, lack of focus, inability to write, facial tics, drooling, involuntary muscle movements, and seizures.

Physical examinations and extensive medical tests revealed no discernible cause for her symptoms. Various doctors prescribed anti-anxiety and anti-seizure medications and used phrases ranging from all in her head to psychotic break as Calahan’s family and friends watched her condition continue to worsen. Finally, a new neurologist, Dr. Souhel Najjar, joined the medical team and did one more medical test that saved her life. Dr. Najjar tested Cahalan for a newly discovered, rare autoimmune disease that causes the body to react against the brain. The disease causes inflammation that Dr. Nijjar explained this way: “Her brain is on fire.”

This book differs from most memoirs in that Cahalan has almost no memories of what happened to her during the period she writes about. Her father, who spent most days in her hospital room, kept a personal diary of the ordeal (hers and his own). In addition, her father and mother left a notebook in her room in which both documented what had gone on during their visits; the purpose of this notebook was to keep both parents informed about their daughter’s condition. Cahalan used these two documents, her medical records, and interviews with family, friends, work colleagues, and medical personnel as the basis for the book. Her journalism background enabled her to do the extensive research necessary to supplement those sources.

Despite the absence of her own memories, Cahalan maintains the focus on personal experience that’s necessary in memoir. When she can’t focus on her own experiences, she frames the story with the experiences of the people close to her: her parents, her boyfriend, her friends, and her colleagues at the New York Post.

Cahalan excels at describing complex, arcane medical material for a general reader. Here, for example, is her description of how memory works:

My short-term memory had been obliterated, a problem usually rooted in the hippocampus, which is like a way station for new memories. The hippocampus briefly “stores” the patterns of neurons that make up a memory before passing them along to the parts of the brain responsible for preserving them long term. Memories are maintained by the areas of the brain responsible for the initial perception: a visual memory is saved by the visual cortex in the occipital lobe, an auditory memory by the auditory cortex of the temporal love, and so forth. (p. 101)

After Cahalan was successfully treated for her brain inflammation, there remained questions about how much of her former self, particularly her mental faculties, would return. This book, with its extensive research and clear writing, demonstrates that her brain is now back to functioning quite well.

Brain on Fire has been made into a movie that will come out on February 22, 2017. You can find information about the film, including a link to the official trailer, here.

© 2017 by Mary Daniels Brown

Review: “H Is for Hawk”

Macdonald, Helen. H Is for Hawk
Grove Press, 2014
ISBN: 978–0–8021–2341–1

Highly Recommended

When Helen Macdonald’s father died unexpectedly, she was nearly overcome with grief. She cancelled an upcoming teaching assignment and struggled to find a way to reconnect with the world. An experienced falconer, she decided to fill her days by training a goshawk, the wildest, fiercest, most difficult to train bird of prey.

Macdonald had trained other hawks, but never a goshawk. She knew well the literature of falconry and followed The Goshawk, by T.H. White (well known author of The Once and Future King, a tome of Arthurian legend), as she progressed through her own training program. White’s book is a narrative about his experiences trying—and failing—to train a goshawk during the mid 1930s (although the book was not published until 1951). The comparison between her progress and White’s lack of progress in the difficult task of training a goshawk provides the underlying structure of Macdonald’s book.

Macdonald obtained a female goshawk, whom she soon named Mabel. As Macdonald became acquainted with Mabel, she realized “without knowing why, I’d chosen to be the hawk” (p. 58). Her identification with Mabel became stronger as the training progressed:

I was in ruins. Some deep part of me was trying to rebuild itself, and its model was right there on my fist. The hawk was everything I wanted to be: solitary, self-possessed, free from grief, and numb to the hurts of human life”(p. 85)

The hawk became a symbol “of things that must be mastered and tamed” (p. 113).

As she trained Mabel, Macdonald read about White’s fits and starts with his goshawk. In her book she examines White’s approach to training for clues about the mind of this brilliant yet troubled man, whose unhappy childhood underlay life-long insecurity and difficulty fitting into the world. Implicit in Macdonald’s process of understanding White through his book is the realization that readers will understand Macdonald, just as she comes to understand herself, through hers.

H Is for Hawk contains that necessary ingredient of a good memoir, an epiphany—something missing from many memoirs, such as the much over-hyped Wild. Macdonald’s epiphany begins with this realization: “Hunting with the hawk took me to the very edge of being a human. Then it took me past that place to somewhere I wasn’t human at all” (p. 195). She knew that she had wanted to slip onto the wild world of the forest with the hawk:

part of me had hoped, too, that somewhere in that other world was my father. His death had been so sudden. There had been no time to prepare for it, no sense in it happening at all. He could only be lost. He was out there, still, somewhere out there in that tangled wood with all the rest of the lost and dead. I know now what those dreams in spring had meant, the ones of a hawk slipping through a rent in the air into another world. I’d wanted to fly with the hawk to find my father; find him and bring him home (p. 220)

In the end she realized that she couldn’t overcome her grief by abandoning the human world to become a wild, feral hawk. Rather, she had to bring the lessons of the wild world back into the human sphere:

There is a time in life when you expect the world to be always full of new things. And then comes a day when you realise that is not how it will be at all. You see that life will become a thing made of holes Absences. Losses. Things that were there and are no longer. And you realise, too, that you have to grow around and between the gaps, though you can put your hand out to where things were and feel that tense, shining dullness of the space where the memories are (p. 171)

The key to a memoir-worthy experience is not simply to endure, but to learn, to change, to grow.

Part of that growth is the ability to see new meaning in other aspects of the world. The broadly educated Macdonald fills her book with
details of the natural world: fields, flowers, bushes, trees, animals, rocks. Nature takes on new meaning because of the experience rendered in this moving and enriching memoir.

 

© 2017 by Mary Daniels Brown

Books I Finished in March

Because I had jury duty for the entire month of March, I did not get as much reading done as I would have liked. I usually finish one book before starting another, but I decided to set aside the book I was reading, on which I wanted to take notes, for one that I could more easily pick up and put back down as necessary. As a result, I finished out March with two Big Books each half finished.

Here are the three—all rather short—that I did finish reading in March.

Where Are the Children? by Mary Higgins Clark

where-are-the-childrenLong before Mary Higgins Clark took over as the reigning queen of romantic suspense, she concentrated on the suspense part. From childhood she had loved suspense stories, first books featuring girl detectives like Judy Bolton and Nancy Drew, and later books by authors including Agatha Christie, Josephine Tey, Ngaio Marsh, and Daphne du Maurier. Clark’s first published book was a collection of stories. Her second book, published in 1975, was Where Are the Children?, her first novel.

Years ago Nancy Harmon had suffered through the disappearance and deaths of her two young children in California. Her husband also died of an apparent suicide. Nancy was charged with the murders of her children but was freed on a technicality. She dyed her hair, changed her name, and traveled to Cape Cod, where she remarried and had two children.

On the seventh anniversary of the disappearance of her first two children, the nightmare begins all over again when
Nancy discovers that her two preschoolers have disappeared from the back yard. As the search for the children begins, spearheaded by a retired detective turned writer, Nancy’s past gradually comes to light. She must endure the scrutiny of a small community naturally suspicious of outsiders along with the anguish over the fate of her children. Will the children be found, or will Nancy once again be haunted by, and accused of, a mother’s worst nightmare?

The Bell Jar by Sylvia Plath
Recommended

bell-jarSylvia Plath’s autobiographical novel was first published in England in 1963 under the pseudonym Victoria Lucas. Plath died by suicide a month after that publication. The novel was first published under Plath’s own name in 1967. Through the influence of her husband, poet Ted Hughes, and her mother, the book was not published in the United States until 1971.

Set in 1953, “summer the Rosenbergs were executed,” the novel tells the story of Esther Greenwood as she begins a prestigious summer internship at a woman’s magazine in New York City. Greenwood, from the suburbs around Boston, has attended a nearby woman’s college on a scholarship awarded because of her outstanding writing ability. Unable to find any joy or meaning in the life she encounters in the city and in the gender identity society expects of her, Greenwood becomes increasingly depressed and unable to sleep. At the end of the internship she returns home, but her mental health declines rapidly and she receives treatment from a number of doctors and institutions.

This novel, which provides insight into the gender expectations and the mental health attitudes of the 1950’s, was the March selection of my in-person classics book club.

Of the Farm by John Updike
Recommended

of-the-farmPublished in 1965, this short novel provides an image of American life at that time. Joey Robinson, age 35 and a resident of New York City, brings his second wife, Peggy, and his 11-year-old stepson, Richard, to visit his mother on the rural Pennsylvania farm where Joey spent his adolescence. The farm belongs to Joey’s mother; his father, recently dead, was never happy here. His mother is aging and can no longer care for the farm on her own.

Over the three days of their visit, Joey is haunted by memories not only of his parents and life on the farm, but also of his first wife, Joan, whose large portrait has been moved from the living room to a small upstairs bedroom, and thoughts of his three children, who now live in Canada with their mother and stepfather.

With heavy-handed symbolism, the farm becomes the Garden of Eden: Peggy unexpectedly begins menstruating, to intensify the fertility/Garden of Eden motif, and Joey frequently thinks of her body as a field to plow. On Sunday they all attend the local church, where the minister preaches a sermon expounding on the biblical description of the Garden of Eden:

What do these assertions tell us abut men and women today? First, is not Woman’s problem that she was taken out of Man, and is therefore a subspecies, less than equal to Man, a part of the world? … Second, she was made after Man. Think of God as a workman who learns as he goes. Man is the rougher and stronger artifact; Woman the finer and more efficient. (p. 112)

Over the course of the visit, the child, Richard, becomes a mediator between the three adults as they debate the choices they have made and the ways in which they define their lives.

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Year-to-date total of books read: 10

© 2016 by Mary Daniels Brown

Memoir Review: “Little Heathens”

little-heathensKalish, Mildred Armstrong. Little Heathens: Hard Times and HighSpirits on an Iowa Farm During the Great Depression
Bantam Books, 2007

Some time around 1930, when the author was “little more than five years old” (p. 6), she, her mother, her baby sister, and her two brothers went to live with her mother’s parents in the town of Garrison, Iowa. The children’s father had committed some unnamed infraction against their mother and was consequently banished from the family and never spoken of again.

When Millie and family arrived, their grandparents had retired from farming and were living in a house in town. But they still owned several outlying farms, and Millie’s family was given one to live on and work, across the road from another farm occupied by an aunt and uncle and their children. Millie’s family spent summers on the farm, then attended the rural school through December, when winter shut down the farm. They then moved into the grandparents’ house in town and attended the town school from January until school ended in May.

Grandma and Grandpa Urmy were “two very strict and stern individuals. For us children, building character, developing a sense of responsibility, and above all, improving one’s mind would become the essential focus of our lives” (p 6). In contrast to the regimented and regulated life in their grandparents’ house in town, life on the farm was much more easygoing. Their mother allowed them to roam freely as long as they did their chores—and they had lots of chores—and they spent much time exploring with their cousins.

In chapters about topics such as chores, school, cooking, and holidays, Kalish describes how she learned the lessons of pioneer thrift, proper work ethic, and acceptable behavior that allowed her family to thrive during the difficult times of the Great Depression.

In looking back, I realize that I have had the good fortune to have absorbed the events that transpired during my childhood years into my very being, as if no boundary exists between then and now, as if the past had not really passed… . I tell of a time, a place, and a way of life long gone, nearly forgotten by the world, but still indelible in my memory. It is my hope to resurrect them, to make them live again. (p. 7)

In this book Kalish has successfully resurrected her childhood experiences and made them live again. There are no surprises or revelations in this book, but it contributes much to future generations’ knowledge of what everyday life was like at one particular point in history.

© 2014 by Mary Daniels Brown