My dad was not a brain surgeon but he was a very brainy history buff. He collected surgical implements of the medieval kind.
In his library, there was a tattered black suitcase on the shelf. Its mysterious contents under lock and key. I remember sneaking the key out of his desk — super curious to find out what was inside. And what I found scared the bejesus out of me.
The suitcase was a Civil War version of my dad’s little black bag. There were saws for sawing off legs. There were pliers for extracting bullets and yanking out teeth. And there was a hammer and a chisel for cracking open skulls.
A hammer and a chisel to tap into the brain.
Brain surgery is not just medieval, it is ancient. Archaeologically speaking, it is the oldest documentable surgical specialty — dating back nearly 10,000 years. 10,000 years – that’s Neolithic. Carefully cracked skulls have been found in Stone Age caves in France. 4000 year old bronze surgical tools have been dug up in Incan Peru. 5000 years ago the word “brain” was first recorded on Egyptian papyrus. Hippocrates, the father of modern medicine, penned several textbooks on the subject — 500 years before Christ was born.
We may think that such a primitive practice was purely for magical purposes. Not so. It was a medical practice wielded with remarkable success – on patients with epilepsy, head injuries, and even headaches. Some of those carefully cracked skulls, found in those caves, show clear evidence of recovery and healing.
And brain surgery was the cure of choice for those possessed by demons and deemed insane; for those who heard voices and raved like lunatics.
The clerical cure of surgical exorcism.

In fact, Christian clerics – learned in Greek and Islamic literature – were the brain surgeons of the middle ages. Even though the study of anatomy was prohibited, no king would be without such a doctor in his court. No pope would be without such a physician in his conclave.
So where was the surgical exorcist when my mother needed one? There was no crucifix — there was no holy water in my father’s little black bag.
Growing up, my mom was in and out of psych wards. Her manic-depressive mind was a mystery apparently no doctor could solve. Her darkness was deep and unrelenting. Her mania zany and out of control. Her behavior sometimes beyond belief. Her thoughts no longer her own.
Once she streaked in the woods behind our house. Free as a forest nymph, she ran wild until my dad wrapped her in a raincoat and brought her back inside. And once, during a hospital stay, my mom had a three way conversation with herself, invisible celebrities (specifically Regis and Cathy Lee) and me.
And during that same visit, she told me that God had opened up holes in her head — so that the evil spirits in her skull could pass through.
I did not know whether to laugh or to cry.
Her every circuit firing, her every neuron engaged, her every synapse snapping — my mom, like her mother before her, flew over the cuckoo’s nest.
And I was next.
Sometimes my thoughts also have not been my thoughts.
In my most manic of days, I too have been so lit up inside – as if by a million fireflies – that I thought I could fly. Driving down the highway – ever so much faster than the legal speed – I truly believed that my car would lift up off the road — like a plane taking its leave of the runway. Down Interstate 95, I would fly over — not under — every overpass. Euphorically grinning from ear to ear. Oblivious to the risk.
I know what it’s like to have my brain so bedazzled with delight that fairies whispered in my ears. I believed I could actually glimpse their gossamer wings outside my window. Better to not tell anyone though. Not the psychiatrist. Not the therapist. They might shoo the fairies away.
I felt as if I had found a portal to another world – a world of things unseen. A magical place, a mystical place where the veil between the worlds was torn. And something godly was calling me to the other side.
Sugar plum fairies dancing in my head — I never actually thought I was Joan of Arc. But like her, why could I not also hear voices?
Yahweh says, “My thoughts are not your thoughts.”
In my manic brilliance, I began to believe that maybe my thoughts were the thoughts of God. Swept up by angels — mania tastes delectably delicious. So exquisite. Surely this must be what heaven feels like. Right?
Who would want to medicate such mania away?
Now this happened to me once — once upon a time a very long time ago — fifteen years ago to be exact. And it has not happened to me again. Not since I began to get my head examined. Once a quarter by my psychiatrist. And weekly – yes, weekly —by my LCSW. Thanks to them (and me, of course!) my bipolar brain buzzes at optimal speed.
My diagnosis is Bipolar Disorder with a cherry on top. With psychotic features. Seems pretty damned scary when you see it in black and white! But it isn’t really.
When our brains go awry, it manifests itself in our thoughts, our words and our deeds. Thoughts can be distracting or delightful. Creative or destructive. Inspiring or terrifying. Thoughts spinning out of control.
The outward and visible signs of such thinking can be alarming to those who do not understand. And when your own mind shatters into a million little shards — you become disturbing — even to yourself.
You lose your bearings. You have no longitude or latitude. You are lost and adrift at sea. Your head goes dark — and you have need of something like a brain surgeon.
So, I take one little pill a day to keep the crazy at bay. It’s called Seroquel, an antipsychotic. It’s not the only thing that keeps me thinking straight but like a spoon full of sugar — it smooths the way. It makes my head less cloudy and my thinking more clear. Seroquel, my little surgical, chemical exorcist.
So friends, consider this. Sometimes your thoughts may not be your thoughts. Sometimes your thoughts may be intrusive or obsessive. Maybe your head races. Maybe you hear voices that are not your own.
Know this. You are not alone.
One out of a hundred — of just about everyone — walks around with a bipolar brain similar to mine. 20% of just about everyone, at any one time, walks around with a mental health issue. (Though sadly only 40% get professional help.) There is help out there.
There are doctors of the mind — of all kinds. Maybe you don’t need a brain surgeon. Much more likely, a board certified psychiatrist and a fully credentialed therapist will do. Maybe a little medication. A little blessing – to keep you from flying — like this Peacock who flew over the cuckoo’s nest — once upon a time.
Get a referral from your pastor or your doctor. Check out community mental health resources like CSB of Alexandria. The National Alliance on Mental Illness is a also a treasure trove of resources.
It might just be time to get your head examined. It might just be time to exorcise your soul.

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