Pria Anand sees “a vast marginal space” between health and illness
David Degner
Electric of the Heart
Pria Anand (Virago) (UK); Washington Square Press (US)
As articulated in Gray’s Anatomy, it’s no surprise that healthcare professionals have inspired numerous popular narratives. The journey of a patient through the healthcare system mirrors the structure of classic storytelling, featuring beginnings, conflicts, and resolutions, often accompanied by various tensions.
Although medicine is often perceived as grounded in hard science (blood tests, medical imaging, treatment protocols), it fundamentally involves storytelling, a theme that Pria Anand explores in her debut book, Electric of the Mind: A Tale of the Strangeness and Wonders of Our Brains.
During her time at medical school in California, Anand was concerned that her aversion to storytelling might hinder her. Yet, she found that how individuals narrate their experiences could convey as much insight as any clinical test.
Anand pays homage to her predecessor, neurologist Oliver Sacks, drawing from his personal anecdotes while diagnosing and empathizing with patients. In Electric of the Heart, she acknowledges the influence of Sacks’s iconic work, The Man Who Mistook His Wife for a Hat.
While it’s unrealistic to expect anyone to reach Sacks’s level of ingenuity, Anand embodies his empathy, curiosity, and intellectual breadth. Her writing is both polished and insightful as she navigates complex neurological concepts, addressing the narratives of individual patients with similar finesse.
However, Electric of the Heart transcends mere “clinical anecdotes.” Anand’s core message emphasizes the vital role of storytelling in medical practice. The human craving for narratives is ancient, universal, and remarkably resilient, often thriving even in the aftermath of severe brain injuries, as she notes.
Regardless of health status, how individuals articulate their condition may diverge significantly from a physician’s evaluation or observable metrics. Anand recounts the story of a patient who entered a coma following a cerebral hemorrhage but appeared to recover fully, often mistaking Anand and her colleagues for her former medical team as she made her rounds among fellow patients.
No one can match the brilliance of Sacks, but Anand embodies the writer’s humanity and broad intellect.
Anand delves into the way our brains can mislead us, highlighting both the hurdles and the character of medical practice. However, it’s not just the patients’ misconceptions that warrant attention; doctors can exhibit similar biases and errors.
The evolution of her own health conditions has profoundly informed Anand’s work ethic—from sleep deprivation during her training to the “phantom noises” she began experiencing that prompted her concern. It was later discovered that these sounds stemmed from a vascular malformation connecting her brain to her heart.
The inherent “imbalance of power” in medicine signifies an ongoing struggle between empirical evidence and narrative, as well as between objective truths and subjective experiences—this dynamic exists not only in the realm of physicians but also among the false dichotomies pervasive in healthcare. Historically, many confidently given diagnoses have been based solely on “scientific” definitions. One can reflect on the notion of a “wandering uterus.”
Although comparisons between Anand and early reviewers might not be misleading, Electric of the Heart invites parallels with Glass Body, a personal narrative by Caroline Crampton that also explores hypochondria. Like Crampton’s insightful account, Anand elucidates “a vast liminal spread between health and illness” from her perspective as a physician.
Both works suggest a growing openness in mainstream media to not only drama but the complexities of medical intricacies, challenging the traditional notion that the divides between “healthy brains and failing brains” or illnesses and wellness are as clear-cut as they seem.
In Electric of the Heart, Anand exhibits empathy, humility, and a profound interest in humanity—qualities that define outstanding doctors and ideally should be prevalent throughout the medical profession.
Elle Hunt is an author based in Norwich, UK
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