{"id":37480,"date":"2016-09-28T14:57:46","date_gmt":"2016-09-28T13:57:46","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=37480"},"modified":"2016-09-29T09:42:32","modified_gmt":"2016-09-29T08:42:32","slug":"tom-solomon-the-untold-story-of-roald-dahls-marvellous-medicine","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2016\/09\/28\/tom-solomon-the-untold-story-of-roald-dahls-marvellous-medicine\/","title":{"rendered":"Tom Solomon: The untold story of Roald Dahl\u2019s Marvellous Medicine"},"content":{"rendered":"

\"tom_solomon2\"<\/p>\n

Most doctors encounter interesting or unusual patients whose amazing stories stay with them forever. I was fortunate to look after the world\u2019s number one story teller, Roald Dahl, as his life was ending in 1990. During my nights on call, he and I would chat into the small hours, and became friends. For decades afterwards I said little of our conversations on account of patient confidentiality. But on the 100th<\/sup> anniversary of his birth, his family have allowed me to describe his life long fascination with medicine and his extraordinary medical inventions which were in response to some terrible family events.<\/p>\n

One evening, soon after we met, Dahl and I were chatting about a research paper I was writing for the Lancet<\/em>.<\/p>\n

\u201cAh yes\u2026\u201d he commented casually. \u201cIt\u2019s a good journal.\u00a0 We published there many years ago . . . We invented a valve for hydrocephalus\u2026\u201d From the sparkle in his eye, I suspected he was teasing me. Had he really invented a neurosurgical device for this condition?<\/em> In 1960, he explained, his son suffered a head injury, but the basic shunt and valve to treat the resultant hydrocephalus kept blocking.<\/p>\n

\u201cI couldn\u2019t believe that with everything science had come up with,\u201d Dahl complained, \u201cthey couldn\u2019t produce one little clog-proof tube.” So he made his own. With paediatric neurosurgeon Kenneth Till, and Stanley Wade, a engineering friend who made model aeroplanes, he invented the Wade-Dahl-Till valve. The paper was published in The Lancet<\/em>, and thousands were used around the world.<\/p>\n

“I didn\u2019t really do much,” Dahl told me. “I was just the go-between, finding out what Till wanted and letting Stanley know.” But years later, in researching for my book, I discovered Dahl had modestly under-stated his role. He was intimately involved in the project, devising a system of differential pressure tanks to test the valve\u2019s operation, and even writing the first draft of the Lancet<\/em> paper.<\/p>\n

A few years later, there was family illness again. His wife Patricia Neal, the Hollywood actress, suffered a devastating haemorrhagic stroke which left her unable to talk or walk. Back then stroke rehabilitation was almost non-existent, and fearing she would become an \u201cenormous pink cabbage,\u201d Dahl devised an intensive rehabilitation programme, six hours daily, with the help of friends and neighbours. Her many neologisms as she relearnt to talk later inspired Gobblefunk\u2014the mysterious mixed up language of his character, The BFG<\/em>.<\/p>\n

Pat made a remarkable recovery and thousands wanted to know the secret. So with the help of a neighbour, Dahl produced a guide outlining their approach, later developed into a book. The methods were widely adopted and led ultimately to the formation of The Stroke Association.<\/p>\n

For some tragedies, however, even Dahl could not magic a solution. His daughter died of measles encephalitis, aged seven; this was before the vaccine was available, and he subsequently became a strong advocate for vaccination. Decades later his step-daughter died of a brain tumour. In both cases he wondered guiltily, could he have done more?<\/p>\n

Dahl’s medical interests influenced his literature; not just his best-selling children\u2019s book, George\u2019s Marvellous Medicine<\/em>, but also his adult short stories: in one a man\u2019s brain is preserved alive, after his body has died; in another the \u201cultimate perfume\u201d stimulates men\u2019s olfactory nerves to drive them wild with desire. The physiology of hearing, vision, and digestion are all explored. Dahl\u2019s research for these stories was meticulous, bringing him into contact with the profession he so admired. For me, sharing Dahl\u2019s last few weeks and days was humbling, and the chance to now tell the untold tale of his marvellous medicine has been a privileged.<\/p>\n

Tom Solomon<\/strong> is Professor of Neurological Science at the Walton Centre NHS Foundation Trust and the Director of the Institute of Infection and Global Health at the University of Liverpool.\u00a0 He is a passionate science communicator and tweets @RunningMadProf<\/a>.<\/em><\/p>\n

Roald Dahl\u2019s Marvellous Medicine<\/em> by Tom Solomon<\/a> is published by Liverpool University press. All author\u2019s proceeds are going to medical charities working in areas of interest to Dahl.<\/p>\n","protected":false},"excerpt":{"rendered":"

Most doctors encounter interesting or unusual patients whose amazing stories stay with them forever. I was fortunate to look after the world\u2019s number one story teller, Roald Dahl, as his […]<\/p>\n

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