Oliver Sacks on Medicine and Humanism
Oliver Sacks is a psychiatrist and neurologist best known for his collections of case histories from the far borderlands of neurological experience, The Man Who Mistook His Wife for a Hat and An Anthropologist on Mars, in which he describes patients struggling to live with conditions ranging from Tourette's syndrome to autism, parkinsonism, musical hallucination, epilepsy, phantom limb syndrome, schizophrenia, retardation, and Alzheimer's disease.
In 1966, Dr. Sacks began working as a consulting neurologist for Beth Abraham Hospital in the Bronx, a chronic care hospital where he encountered an extraordinary group of patients, many of whom had spent decades in strange, frozen states, like human statues, unable to initiate movement. He recognized these patients as survivors of the great pandemic of sleepy sickness that had swept the world from 1916 to 1927, and treated them with a then-experimental drug, L-dopa, which enabled them to come back to life. They became the subjects of his book Awakenings, which later inspired a play by Harold Pinter and the Oscar-nominated feature film called Awakenings.
In July of 2007, Sacks was appointed Professor of Neurology and Psychiatry at Columbia University Medical Center, and he was also designated the university's first Columbia University Artist. Sacks Latest book Musicophilia: Tales of Music and the Brain (2007), was has been Revised and Expanded in a new edition that was released in September of 2008.
Question: What is the relationship between medicine and humanism?Oliver Sacks: When I was a medical student, 50 years ago, one of my professors once said to me, “Sacks, we’ve had a patient in who’s delirious. Go see the delirium in Room 6.”
He didn’t tell me anything about the human being who was delirious. It was “the delirium” in Room 6. This is partly how doctors speak. Or they say, the appendix in Room 8.
And this turned out to be a very intelligent and delightful old tea planter who spent much of his time in the Far East, and in his delirium, I listened to him for hours in his delirium. And basically an entire life, the events of a life, his journeys, his loves, his passions, his ambitions. Everything was somehow mixed up in his delirium.
And I realized that, in a way, he was presenting an entire life in this sort of strange, confused, incoherent terms. And I started to listen, and after a while, I started to join in and make some comments. It was actually almost like someone being privy to a dream.
But this made me feel very strongly that this wasn’t just a delirium, this was a particular human being who was delirious, and one had to address him.
And so, the particular human being has always, always been central for me. It’s not enough to say that’s a migraine, that’s Parkinsonism. You have to say what is life like for this particular person with migraine or Parkinsonism or whatever. How do they experience it? How do they respond?
The human element and talking about life with something, it certainly needs to be in the central part of medicine. I think it used to be in, and then sometimes, this sort of mass medicine and quick diagnosis, and even with things like brain imaging, I think there’s a tendency sometimes just to give a diagnosis and forget it. But certainly that people have to live with things.
Recorded on: Sep 4, 2008
Looking at the individual behind the disorder with Oliver Sacks.
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