Tag Archives: pediatric neurosurgery

Jay Wellon’s All That Moves Us: The Trials and Triumphs of a Pediatric Neurosurgeon

Moves Us

A new year, and an opportunity to begin a new batch of books! I was given several titles for Christmas, and the first one I dove into was All That Moves Us.

Dr. Jay Wellons is a pediatric neurosurgeon at Vanderbilt’s Monroe Carrell Jr. Children’s Hospital here in Nashville, TN. His memoir, All That Moves Us, is one of the most moving books I’ve ever read. It consists of 23 short chapters, each one chronicling an important episode in Wellons’ life. He doesn’t pull any punches, either. In the prologue, he explains his efforts to separate two conjoined twins that resulted in both of their deaths.

Other chapters deal with triumphs such as two-year-old Allie:

Her brain MRI showed a large bleed in her brainstem, the pons specifically. The normal brain was compressed from the inside out, the pontine brain tissue now only a thin rim displaced by the blood clot, most likely from a hemorrhagic cavernous malformation. It was gigantic considering the small space. At that point in my career, I had never seen a hemorrhage quite that large in that part of the brain with the patient still alive. (page 103)

Miraculously, Wellons is able to save Allie, and seven years later, she continues to recover. He admires her indomitable will to survive and thrive.

Throughout the book, Wellons provides interesting autobiographical details: why he went into medicine, the enormous influence his father had on him, his own battle with a tumor in his leg, the joy he receives from his own children. It doesn’t hurt that he is an extraordinarily fine writer. As a matter of fact he was an English major as an undergraduate in college. I found that I couldn’t read more than two or three chapters at a time, they are that emotionally powerful.

I also got a glimpse into the life of a surgeon, and the various trials they face. While the gratitude from parents whose children he has saved is nice, Wellons tells of the time when he couldn’t save a middle-aged woman, and her family came at him in the hallway ready to physically attack him. A surgeon has to be sensitive to the feelings of the families of his patients, while always being truthful and informative.

Doctors are always on call, even when they aren’t anywhere near a hospital. In the chapter, Last Place, Wellons is on the interstate driving to a triathlon when he comes upon a terrible car accident. He immediately stops and does triage on the family in the car that was hit. If he hadn’t been there, the mother and father would have died. This experience gives him new respect for the incredibly difficult job first responders have.

Another chapter, Shock Wave, is particularly hard-hitting. It is about a teenaged girl who shot herself in the head, driven to such despair by social media bullying that death seemed preferable to the pain she was suffering. She survived the gunshot, but the bullet destroyed her optic nerves, permanently blinding her. However, she has chosen to use her condition to try to prevent others from making the same choice she did.

Alyssa will forever live with the profound effects of that day. Both she and her parents wanted her story told so that people might understand that social bullying is real. Her mom aske me to make sure that Alyssa has worked hard since that day to be a good young woman living out her faith. For all that she has endured, Alyssa loves the idea of being able to help others, and that is how she understands her purpose now. She does not remember much of her life before her injury. But she makes a point to say that sometimes we can inflict pain on one another without much thought. It can be awful. And then she says she knows we can do better. (page 189)

All That Moves Us is an incredibly powerful read. In every chapter, Wellons’ sincere care and compassion for his patients and their families is apparent. He also weaves his love and admiration for his Mississippi Air National Guard father throughout the book. His father passed away from ALS, and Wellons was able to spend time with him and properly express his gratitude for all he did for him. As for me, I am thankful that our medical system is able to produce amazing caregivers like Jay Wellons.