"The solution to the problem of walking is -- walking."

books:


	• A Leg to Stand On Oliver Sacks Touchstone, 1998 - 224 pages average customer review:based on 15 reviews view larger image
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highly recommended

A question of perspective

This book draws on Dr Sack's personal experience of trauma and recovery. It is an interesting perspective for the doctor to view things from the standpoint of the patient, and it drives home the point that apart from professional competency, excellent interpersonal skills are vital. One must never forget that in dealing with a patient, you relate to him/her as a person first, and as a doctor second. This insight is conveyed clearly here, and as obvious as it might seem, it is often relegated as being of a lesser importance by most medical professionals.

The experience recounted though is overtly detailed and can become rather heavy to digest and a challenge to get through at some parts of the book.

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A Doctor Becomes The Patient

I'd not read any of Sacks' books before, so was unprepared for his writing style. The first chapter is perfect, detailing the frightening encounter with a bull in Norway. In his frenzy to elude it, Sacks terribly injures his leg. He describes his ordeal where he transports himself laboriously down the mountain using his two arms and one good leg.
Reappearance of the bull or getting trapped in the cold mountain area overnight would mean death. His rescue at the eleventh hour completes this part, which could stand alone as a short story.
His hospital stay puts the doctor in the role of patient, and not a very patient one. The impersonal setting, discovery of any lack of feeling or movement in his leg and his active mind dominate this section of the book. He vividly recalls his thoughts, actions and every nightmare from this time. It's a frightening experience to find one's leg insensate and alien to one's self.
I've been reading quite a few biographies about paralysis (Best Seat in the House, My Stroke of Luck, etc.) and this one is in a category by itself. It's extremely cerebral, literary and alternately fascinating and off-putting. At moments you feel his horror at the situation while at other times you think, "pull yourself together."
Since each reader brings their own perspective to reading a book, I still recommend it. See what you think.

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Humanistic Neurology

Sacks brilliantly chronicles his experiences as a neurological patient. His experience came from a mountain climbing expedition, where he totally broke a leg and severed or damaged the femoral nerve in his leg. This book is his story of recovery from that intense and serious accident.

What Sacks concentrates on in his story are the feelings of patients, particularly his own, who have serious neurological problems and how those feelings translate to the condition itself, or the condition translates to the feelings. His most significant commentary has to do with the feelings regarding the disassociation with the affected body part. One starts to feel that it is foreign, no longer a natural part of the body. And, that it no longer exists and will never again exist to the patient.

In addition, he carefully points out the non-recognition of these patient feelings by his Neurologist who sees himself more as a fixer of mechanical problems with the body, rather than a Dr. treating a real live human being with feelings of alienation of the limb and alienation from society. Sacks writing style is sophisticate and beautiful, a rare combination for a doctor, but he achieves it like always with exquisite aplomb. The book is highly recommended for all readers interested in physical recovery, especially those who have had a significant neurological problem.

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"The solution to the problem of walking is -- walking."

Neurologist Oliver Sacks was startled by a bull while climbing a mountain in Norway and fell, tearing his quadriceps muscle entirely free from the knee. This horrible injury was life threatening, occurring as it did high on a cold mountain, but he managed to splint his leg and crawl down the mountain to be rescued.

He was airlifted to a London hospital and had surgery to reattach the muscle. After the surgery he was shocked to discover that he had completely lost the "image" of his left leg. He couldn't feel it or move it -- couldn't even think how to move it. He was like a one-legged man with an unknown "chalk column" lying next to him in bed. In vintage Sacks style, "A Leg To Stand On" discusses this phenomenon with reference to music, philosophy, literature, and of course neurology, since this is what he calls a "neurological novel." While learning to use crutches, he suddenly regained the concept of his leg and how to use it; in his words, "...suddenly...I believed in my leg, I knew how to walk."

"A Leg To Stand On" explores from his own point of view what it means to be a patient and to have this devastating though not uncommon loss of body image. His synthesis of the experience delves into the basis of the "old" neurology, focused on neural function, and the "new" neurology which he describes as neuropsychology, studying what people do and how they do it.

I recommend this to anyone who has read and enjoyed other books by Oliver Sacks. If you are new to his work, you may like to start in the shallower end of the pool with Man Who Mistook His Wife for a Hat (Picador) or An Anthropologist on Mars.

Linda Bulger, 2008

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reviews: page 1, 2, 3

Dr. Oliver Sacks's books Awakenings, An Anthropologist on Mars and the bestselling The Man Who Mistook His Wife For a Hat have been acclaimed for their extraordinary compassion in the treatment of patients affected with profound disorders.

In A Leg to Stand On, it is Sacks himself who is the patient: an encounter with a bull on a desolate mountain in Norway has left him with a severely damaged leg. But what should be a routine recuperation is actually the beginning of a strange medical journey when he finds that his leg uncannily no longer feels part of his body. Sacks's brilliant description of his crisis and eventual recovery is not only an illuminating examination of the experience of patienthood and the inner nature of illness and health but also a fascinating exploration of the physical basis of identity.

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