Something Awesome

William A. Friedman, MD has spent his 45-year neurosurgical career at the University of Florida. For twenty of those years, he was the Chairman of this renowned department. He has served as President of the Congress of Neurological Surgeons and the International Stereotactic Radiosurgery Society. His clinical interests include brain tumor surgery, radiosurgery, trigeminal neuralgia surgery, and quality improvement in neurosurgery. He established the Preston Wells Center for Brain Tumor Therapy at the University of Florida which has become an international leader in immunotherapy for brain tumors. Dr. Friedman has published more than 300 scholarly papers and chapters. He maintains a very busy surgical practice today.

Bill Friedman bares his soul and gives five decades worth of insight into the thoughts, emotions, compassion, and vulnerabilities of a leading neurosurgeon and accomplished department chair. His reflections ring true for us physicians who devote our lives to taking care of our patients through high points and tragedies and failures. Something Awesome is a must-read—not only a memoir about neurosurgery, but an insightful commentary on life and humanity. - Brian Hoh, MD, MBA, President of the Congress of Neurological Surgeons Through fascinating storytelling, Dr. Friedman takes us inside the world of medicine and neurosurgery, inside the operating room, inside the brain, inside the grueling training process, and inside the minds of those who choose this challenging and often heart-wrenching field. Medicine at its best is a fine balance of art and science. Likewise, Dr. Friedman's narration strikes an illuminating balance between the science of neurological disease and its impact on human lives.- David Guzick, MD, PhD, Past President of University of Florida Health A doctor reflects on medicine and the human drama underlying it in this heartfelt memoir. Friedman recaps his 44-year career as a neurosurgeon, including a long tenure as the chairman of the department of neurosurgery at the University of Florida, in loose, episodic chapters full of reminiscences, medical lore, case studies, policy briefs, and philosophical musings. Among the grab bag are his recollections of confusion, anxiety, and sleep deprivation as a resident; detailed descriptions of surgical procedures; a poignant elegy on his mother's decline and death from a brain tumor; explanations of his groundbreaking research into using electrical monitoring of neural activity to guide neurosurgeons; a sharp critique of American health care, which he calls a disgrace for its high cost, poor quality, and lack of universal coverage; a look at his own efforts to improve quality in his neurosurgery department with checklists and meticulous teamwork; a lengthy account of the assassination of Abraham Lincoln, complete with the autopsy report; and a plangent chapter authored by his colleague Jobyna Whiting recounting an incident in which she treated a doomed victim of an auto accident and the shame-ridden man who killed her. Friedman's narrative is a bit of a ramble, but his workmanlike prose and lucid discussions of complex medical issues make the many digressions a pleasure to follow. Personal relationships are central to his portrait of doctoring: He's warmly appreciative of supportive teachers and mentors—and critical of the impatience and cruelty of others—and conveys both the camaraderie of medical practice and the occasional eruptions of poisonous office politics, including bogus allegations of financial misconduct leveled at him by an underperforming surgeon he tried to fire. He's at his best in describing the emotional turmoil that besets every doctor amid the vagaries of life and death. (A woman with everything to live for had come to me for help and, instead, had died...And thus began the process that occurs every time I have a bad result: relentless self-doubt and self-loathing. You veer into imposter syndrome where, for a time, you believe that you're not really a good neurosurgeon, that you are entirely unworthy.) The result is a frank, revealing view of a doctor's experience. An intimate, insightful meditation on the science, art, and business of healing. - Kirkus Review