ALA Booklist (Fri Mar 01 00:00:00 CST 2002)

Railroad foreman and blasting expert Phineas Gage was hard at work in 1848 when an improperly prepared charge of gunpowder rocketed a three-foot-long iron rod through his brain. Bloodied and blackened, Gage remained coherent and surprisingly relaxed as he rode an oxcart back to town to get help. He survived the accident for nearly a dozen years, though his personality changed drastically: the once amiable man became crude and argumentative. The author combines this believe-it-or-not story with a history of brain research, including everything from phrenology to high-tech tools. The text is vivid, though curiosity seekers drawn in by the promise of a gruesome story will get bogged down in heavier sections on brain physiology and chemistry. The illustrations are well captioned but don't have enough visual interest to attract browsers for more than a moment. Report writers and science buffs will be the book's best audience. A glossary and an annotated bibliography help make this a terrific resource.

Horn Book (Thu Aug 01 00:00:00 CDT 2002)

After a tamping iron passed through his skull in 1848, Phineas Gage became the central figure in a medical debate that lasted long after his death in 1860. The grisly cover photo, classy design, and large illustrations will captivate readers who will likely be hooked by the story before the text delves into brain anatomy. At the heart of the book is the revelation that "facts" change in science, forcing the field to evolve and reinvent itself. Bib., glos., ind.

Kirkus Reviews

Gruesome indeed: in 1848, an explosion blew a 13-pound iron rod through railroad worker Gage's head. Not only did he survive, he never even lost consciousness, going on to become a medical marvel and to live almost another dozen years. Was Gage lucky, or just the opposite? Carefully separating fact from legend, Fleischman traces Gage's subsequent travels and subtle but profound personality changes, then lets readers decide. Writing in present tense, which sometimes adds immediacy, other times just comes across as artificial, Fleischman fleshes out the tale with looks at mid-19th-century medicine, the history of brain science, and how modern researchers have reconstructed Gage's accident with high-tech tools. He also adds eye-widening photos of Gage's actual skull (now at Harvard), his life mask, and dramatic rod-through-bone computer images that, as the author writes, will make you wince "whether you're a brain surgeon or a sixth grader." Readers compelled to know more—and that should be just about everyone—will find a helpful, annotated list of print and electronic sources at the end of this riveting (so to speak) study. (index, glossary) (Nonfiction. 11-13)

Publishers Weekly (Fri Oct 06 00:00:00 CDT 2023)

Science writer John Fleischman uses a clipped, engaging expository style to tell the incredible story of the railroad worker who, in 1848, survived the piercing blast of a 13-pound iron rod as it entered below his cheekbone and exited the front of his skull in Phineas Gage: A Gruesome but True Story about Brain Science. Photographs, glossary, a resource listing and index lend this textbook case the same sense of immediacy as do the words. (Mar.)

School Library Journal (Fri Mar 01 00:00:00 CST 2002)

Gr 5 Up-The fascinating story of the construction foreman who survived for 10 years after a 13-pound iron rod shot through his brain. Fleischman relates Gage's "horrible accident" and the subsequent events in the present tense, giving immediacy to the text. He avoids sensationalizing by letting the events themselves carry the impact. The straightforward description of Gage calmly chatting on a porch 30 minutes after the accident, for example, comes across as horrifying and amazing. The author presents scientific background in a conversational style and jumps enthusiastically into such related topics as phrenology, 19th-century medical practices, and the history of microbiology. He shows how Gage's misfortune actually played an intriguing and important role in the development of our knowledge of the brain. The present-tense narrative may cause occasional confusion, since it spans several time periods and dates are not always immediately apparent from the text. Illustrations include historical photographs; one showing the iron bar posed dramatically next to Gage's skull is particularly impressive. Other photos and diagrams help explain the workings of the brain. The work of Gage expert Malcolm Macmillan, cited in the list of resources, seems the likely main source for the quotes and details of Gage's life, but this is not clearly spelled out in the text or appendixes. Like Penny Colman's Corpses, Coffins, and Crypts (Holt, 1997) and James M. Deem's Bodies from the Bog (Houghton, 1998), Phineas Gage brings a scientific viewpoint to a topic that will be delightfully gruesome to many readers. Steven Engelfried, Beaverton City Library, OR