eplicated

huan brn,
object It has
ih the oftenuniverSe.
knoWn been observed, is thesizemost
1he sheer and com-
scale byalarn
H. that
Richard Winn.It
there can fill
is o mucn you you withkhow
do hot bothDutamze
tee
S e r ,now in its seventh should.No neurosurgeon can hope or should tryto
is, however, a salutary thought that despite immense ri
tns ge ot increasing specializa-
neuroscience in the last few decades, we seill understand remark- find all that we need to know to remain fully grounde-
any lnttie bout noW Our Delins realy woTL.
We are
ike NewtOn, to-date in the science and
craft of neurological sum
who
described himself as a boy, standing on the seashore, playing practiceot
which tor most ot
us is morethan just ac
e b o t e s , while the great ocean ot truth lay all undiscovered instead something that fills us with the deepest awe an

Despite all the science, technology, and cinical knowledge

witn
wniCn, s
neuOsrgeonts we ust rema coesa
Stages ot our careers, and Wnicn this great teADOOK Cnooes 0
well, the fundamental purposeot
everything
we do to
1s help our
urogeras tne ustiabie reputation ot being

to be the acme of survery, Yer once we have mauere a l h

ntricacies of operating and acquired an understanding of the
Drain, boen in health and dsease, m0st neur0Surgeons come to

understand that he greatest ditncuy ot tmeir work

not s0
for most of us is
ucn m the tecnnealities ot operating (Which
making-when to operate and esecial when no
Neurosurgical procedures, despite all the recent technological
ances,
delicate,
are sti veryangerous tbecause the brain is so complex,
and vital to all that makes ite worth iving. Our patients
are vey ulneribie. lo make the right decisions and to give our

thousands of surgeans and scientises who have gone before us or

w e he specniy toard wtn new HenrySt.T.George

Marsh
researchIt can be a daunting experience to opentora textbook as
massive as Jomnr and wmn, edited 0
expertuy many yeas

Henry T Marsh was the senior neurosurgeon at Arkinson Morley Hospital/St. Georges,
University ofLondon until he retired in 2015. He was made Commander of the British
Empire (CHE inby2010.
neurosurgery OueenDr.Elizabeth
Marsh hasII worked
for his contributions to British
as a neurosurgeon and international
in many coutres as
noted in the documentary film, Tbe Englisb Surgeon (2009). He is the author of two
t
neurosurgery ana neurosurgeons: Do No Harm (2014)
Parilineetotemporal