Her work as a researcher of brain illnesses enabled her to present a unique perspective on brain illness and dysfunction because she actually experienced it. In layman’s terms, Barbara explains how brain injury, illnesses, and age can affect a person’s personality, memory, behavior, and cognitive ability. Because there is so little known about the brain, Barbara’s experience adds to the knowledge in this area of research. 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...

As the inflammation goes down and the tumors shrink away, she begins to remember all the strange things she went to while her brain was swollen and being pushed on by tumors. She realizes she has lived through a situation very like schizophrenia, proving that mental illness can be created by physical stresses on the brain.Lipska's family arranged for her to go to Brigham's, where the bleeding tumor was excised, and the other tumors were treated with stereotactic radiosurgery - a procedure that focuses high doses of radiation onto individual tumors. Lipska was also given steroids, to reduce the swelling in her brain. 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!" 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. 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?"

Dr Barbara K. Lipska is Director of the Human Brain Collection Core at America's National Institute of Mental Health. She is an internationally recognized leader in human postmortem research and animal modeling of schizophrenia. Her primary research interests are in mental illness and human brain development. She conducts gene expression and epigenetic studies in postmortem human brains to investigate mechanisms of brain maturation, the effects of genetic variation on transcription and DNA methylation, and molecular mechanisms underlying schizophrenia and other serious mental illnesses. And that's not even the worst part. OK, you enter a clinical trial because you believe it will benefit you. Clinical trials are meticulously designed and exclusion criteria exist in part to empower a specific intended analysis. By entering the trial under false circumstances, you are jeopardizing the results and potentially the possibility of this drug getting to market. When you had your brain swelling, that very serious adverse event is thoroughly reported. When reviewed by the FDA, such a serious side effect may cause them to decide not to proceed with further trials of this drug. You are potentially sabotaging the release of this drug, and its potential benefit to many patients, by falsifying your information. Also, just considering local consequences, you could have taken the clinical trial spot for someone who could have actually benefitted from it. I mean, I get it, the author was desperate at this point, eager for anything that would help. But, bottom line, it was a very selfish decision. Lipska's expertise helped her understand her symptoms when she developed metastatic brain cancer in 2015, at the age of 63. Lipska - who had previously been treated for breast cancer and melanoma (skin cancer) - realized something was wrong when she was preparing for 2015's 'Winter Conference on Brain Research' in Montana. Reaching out to turn on her computer, Lipska noticed that her hand 'disappeared' when she moved it to the right and 'reappeared' when she moved it to the left. Thanks to Netgalley, the authors (Barbara Lipska and Elaine McArdle) and the publisher (Houghton Mifflin Harcourt) for a copy of the book. 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.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. Lipska notes that, "Deep inside my brain, a full-scale war had erupted. The tumors that had been radiated were shedding dead cells and creating waste and dead tissue. Throughout my brain, the tissues were inflamed and swollen from the metastasis and the double assault of radiation and immunotherapy. What’s more, I had new tumors—more than a dozen. My blood-brain barrier…..had become disrupted.....and was leaking fluid. The fluids were pooling in my brain, irritating the tissue and causing it to swell." 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)?

The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the sphere of suffering shared, and in this case extended to the death march itself, there is no spiritual or emotional legacy here to offset any reader reluctance. Barbara Lipska, a Polish-born neuroscientist who serves as director of the Human Brain Collection Core at the National Institute of Mental Health in Bethesda, Maryland, is a long-time researcher in the field of schizophrenia. After being diagnosed with breast cancer in 2009 and melanoma in 2011, Lipska had gone on to enjoy good health and a very active lifestyle for several years. Although advised in 2011 that there was a 30% chance of the melanoma recurring, she was confident that she had beaten it. However, in 2015, the then sixty-three-year-old neuroscientist found herself gaining first-hand experience of the kind of cognitive dysfunction and paranoia seen in the people whose disease she'd studied. A number of brain tumours—metastases of the melanoma that had been removed from behind her ear a few years before—were the cause. 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. LipskaThis is one strong lady used to being in charge and when her brain started acting off, her family really didn't know how to react, and she didn't realize it's happening, so it's a real mess for a while because no one wants to take the reins from her or tell her she's not in charge anymore. 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. A spellbinding investigation into the mysteries of the human brain, led by a scientist whose tenacity is as remarkable as her story.” Este o experiență extraordinară să-ți dai seama că tot ce ține de o ființă umană îți poate sta în palme."

AMANDA RIPLEY, New York Times bestselling author of The Smartest Kids in the World and The Unthinkable A vibrant mental health expert’s bout with brain cancer and the revolutionary treatments that saved her life. The initial tumours were in the occipital lobe (responsible for vision) and, as a brain scientist, Lipska knew almost immediately that the loss of sight in the lower right quadrant of her visual field was almost certainly due to the spread of cancer. However, a significant tumour that would later grow in her frontal lobe would greatly affect her cognitive abilities as well as her capacity to regulate her emotions. Other regions of her brain would also be afflicted. Over a period of two months, during the summer of 2015, she “descended into madness”. She also regularly got lost, had trouble orienting her body (and her car) in space, and experienced significant problems with reading and basic arithmetic.

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Barbara Lipska is the director of the Human Brain Bank at the National Institute of Mental Health in Washington, D.C. An internationally recognized researcher in human brain development and mental illness, Dr. Lipska has a doctorate in Medical Sciences from the Medical School of Warsaw. This woman was a Polish immigrant and of the highest intellect. She ran her own brain study clinic, which makes what happened to her all the more ironic. She was a strong athlete and excelled at several activities. She cooked dinner every night for her family. But she lost all of that and more when she developed brain tumors. Her harrowing tale of treatment and recovery is told in this book. I'm very thankful to them, all of them, for this. You could say, this is what family's for, but I never expected to try them in this way. And I hope it will never happen again — that's my biggest worry.