David Chao’s Hollywood Upstairs Medical College Info Pamphlet 19: Tried and True Trepanation

Good morning. Headaches again, huh? Let me just go get the Black and Decker. All my other instruments are still in the autoclave. Oh, don’t grimace like that. You want budget? You’re getting budget. Hell, if you make it, this one will be totally free – I promise.

What Is Trepanation? | Live Science
[source]

TREPANATION: NOTHING LIKE A LITERAL HOLE IN THE HEAD!

What are the positives of this treatment?

Trepanning, the medical art of drilling a literal hole in a person’s skull, might be one of the oldest medical treatments in the world. We have archaeological evidence from the late Neolithic age – over seven thousand years ago – that features skulls with various sizes of holes in them, from locations all over the world, including Europe, Siberia, China, Africa, and the Americas. The word comes from the ancient Greek trypanon, for “auger” or “borer”.

Unlike some of the other pamphlets in this series, it’s not like trepanning is an unknown treatment – indeed, its gruesome nature has given it some star power amongst fringe medical practitioners for centuries. While it’s best known for the belief in surgeons trepanning skulls in order to release various evil demons or spirits that might be found in a person’s body, there is also significant evidence to support it being used as a legitimate, though very primitive, surgical technique. For patients with head wounds or possible loose bone fragments suffered from various forms of blunt force trauma, a trepanation might have been the difference between life and death.

While skulls with round holes from drill bits are likely the best known examples of trepanation, there’s significant evidence that indicates a number of different trepanation techniques were used around the world. One such notable one, found in late Neolithic England, sees some skulls with signs of having layers of bone gently scraped away in order to penetrate the skull, rather than using sharp objects to quickly pierce the bone.

Because we have been able to find many cases of preserved human skulls that show not only evidence of trepanning, but also evidence of healing and bone growth around the rim of the hole, it is thus apparent that the procedure does, in some circumstances, actually offer some medical benefit.

trepanning.jpg
German medical textbook explaining trepanation, c. 1600s?? [source]
What are the negatives of this treatment?

Well, they’re incredibly risky to perform – particularly when you lack the specialized equipment to properly carry out the procedure. Death – or, arguably worse, debilitating cognitive impairment or mental illness – was unfortunately a common feature of those subjected to the treatment, especially in its most primitive forms. We haven’t even mentioned the added issue of performing a trepanation without the use of any anesthetic – as was standard practise for millennia, despite the near-certainty of excruciating pain for the patient.

That said, the risk and pain didn’t do all that much to quell the practise for thousands of years – trepanning wouldn’t reach its zenith as a medical treatment until the seventeenth century. Eventually, with the advent of the far more precise and accurate craniotomy, trepanation mostly died out by the nineteenth century, though it was still apparently being performed in some field hospitals during the First World War.

What are some real-life examples of this treatment? 

Even those its use has mostly vanished over the last four hundred years or so, trepanation has undergone a minor renaissance over the last few decades – much to many people’s surprise. One notable case is that of Amanda Feilding, Countess of Wemyss and March, who in 1970 elected to perform a self-trepanation, using a local anesthetic and an electric drill, in order to enhance blood flow to the brain. (As a known British person, this put her in contention for that year’s Upper-Class Twit Of The Year grand prize.) After running for Parliament twice on the platform of free trepanation surgeries being made available to all British subjects, she now serves as the director of the Beckley Foundation, an alternative medicine organization and NGO dedicated to the study of altered consciousness and drug reform. She also had a second trepanation performed later, and even had her husband, a former Oxford professor, get a hole in his own head as well.

Amanda Feilding: 'LSD can get deep down and reset the brain – like shaking  up a snow globe' | Drugs policy | The Guardian
Does this look like the kind of person who’d want to drill a hole in their own head to provide medical benefit? (Yes.) [source]
Back in 2000, the UK’s National Health Service had to put out a media campaign advising people against DIY trepanation surgeries after proponents of the concept, mostly based out of the US, began to gain traction in some alternative medicine communities, particularly through their use of the early Internet to help spread their message.

How can we improve this treatment for the future?

Why do we need to improve it? It works – and unlike a Barrett .50-cal, a headshot doesn’t mean instant death. Trepanation has the potential to unite patients of all beliefs, be they political, religious, economic, social, medical, or otherwise – and I strongly advocate that we push our health insurance companies to cover this procedure.

***

I have to run – I hear sirens. If you don’t hear from me, I’m probably in Tijuana – but don’t tell anybody. Especially my family. Not sure when I’ll be back, but do make sure you lock the clinic door on your way out. Help yourself to anything you like out of the medicine cabinets – but just make sure you don’t mix things into the same bottle. Gotta go! Remember – you’ve never heard of me!

***

Information for this article taken from herehereherehereherehere, and here. 

***

Thanks to everyone who’s enjoyed this series over the last few months – it has been a real treat for me to get to tag along with Dr. David Chao to learn all about the finest points on how not to be a physician. The [DFO] CFL Beat returns next week in this same timeslot – I look forward to once again bringing you news about the best football that Canada has to offer!  – The Maestro

5 5 votes
Article Rating
The Maestro
The Maestro is a mystical Canadian internet user and New England Patriots fan; when the weather is cooperative and the TV signal at his igloo is strong enough, he enjoys watching the NFL, the Ottawa Senators & REDBLACKS, and yelling into the abyss on Twitter. He is somehow allowed to teach music to high school students when he isn't in a blind rage about sports, and is also a known connoisseur of cheap beers across the Great White North.
https://www.doorfliesopen.com/index.php/author/the-maestro/
Subscribe
Notify of
36 Comments
Inline Feedbacks
View all comments

[…] during his first training camp. At least he got a $600K+ signing bonus out of it, and presumably some cut rate medical care. Regardless, a pick that results in a guy never playing for you, or anyone else, and so far not […]

Dunstan

My initial reaction was “oh no, why,” but there’s no reason it couldn’t be good. You could get a lot of mileage out of a satire of old rock bands.

WCS

comment image

SonOfSpam

Jerry Jeudy in locked up (because of) abroad!

SonOfSpam

Really enjoyed all the medical advice Maestro – thanks!

King Hippo

Pistoleros del Agua!! Stand up and be counted. Win and you guarantee TOP FOUR. And then REST YOUR GODDAMNED STARTERS against Slightly-Less-But-Still-Disappointing Everton on the final day.

Horatio Cornblower

I’m stuck in depositions. They’re remote, so we’re all on video. My client is from Ghana, and I am almost positive that he has the Arsenal game on at his house.

King Hippo

you would…not have enjoyed that Charmin-soft penalty

King Hippo

/and now down to ten FFS

Horatio Cornblower

And down by 2

Horatio Cornblower

Twitter is enraged.

I will say that I fully expect Arsenal to blow this. It’s what they do.

King Hippo

this looks a complete shambles, aside from Arteta’s persistent handsomeness

Horatio Cornblower

As frustrating as this is, (not as frustrating as dropping 3 straight to Brighton, Saints, and CP), fans should look at where this team is now compared to where they were last year. 3 weeks to go and fighting for Shempions. They’d have traded their mothers for that a year ago.

Also Arsenal would get annihilated in UCL

SonOfSpam

Hope your client’s not too accravating.

litre_cola

Imma ghana have to see you out with that one.

Black star for effort though.

Game Time Decision

Gonna miss this series.

BeefReeferLives

Great series, Maestro. Really interesting and fun stuff! Anyone else see the “Hamilton’s Pharmacopeia” episode on ergot that featured Amanda? Also quite interesting stuff (I appreciate her enthusiasm for psycadelic compounds, but feel that dilettantes like her have set research on them back a decade or two. Goddamn hippies…)

https://psychedelicreview.com/pharmacopeia-season-finale-features-cutting-edge-psychedelic-research/

Senor Weaselo

I regret that a DIY trepanation doesn’t lead to winning UCTOTY. You do have to finish the job.

Great series Maestro, Dr. Riviera would be proud of his legacy.

Last edited 2 years ago by Senor Weaselo
blaxabbath

How did these hole in the head things not get infected?

Horatio Cornblower

Oh man, I actually have a bog across the street.

Now to get my hands on a DeWalt power drill!

Horatio Cornblower

Oh, they did.

Horatio Cornblower

I am fully supportive of DIY trepanations. Anyone who believes in that probably doesn’t belong in the gene pool anyway, and Darwin can always use a hand.

blaxabbath

Do you think Cleveland getting so much Covid that they had to cancel their game is karma for changing their name from the honorable Indians?

image-placeholder-title.jpg
Horatio Cornblower

Not for the name change itself, but for not going with ‘Spiders’ when it was right fucking there.

ballsofsteelandfury

Awesome series Maestro!!

WCS

comment image

Senor Weaselo

I walked up to Canal St after a concert last night and casually stumbled upon the Ghostbusters firehouse. Complete with logo!

Sharkbait

Isnt that still an FDNY firehouse?

TheRevanchist

Oh, man, we gotta get those Q people this treatment. Even if they fuck it up, it will still be an improvement in brain function.

King Hippo

This ONE WEIRD TRICK that totally pwns the libtards! And the beta-cuck, globalist medical establishment!!!

blaxabbath

“Big titty blonde on Newsmax says it prevents COVID but big drug companies want you getting their shots every 3 months! Anyways, I’m here for my Oxy refill please.”

Horatio Cornblower

Hippo will do anything to get that line to move faster.

King Hippo

pills >>> tits