Here's an odd little story recounted by Robert S. Bobrow, M.D., in his fascinating new book The Witch in the Waiting Room: A Physician Investigates Paranormal Phenomena in Medicine.
The story was originally reported in the British Medical Journal by Dr. I.O. Azuonye in 1997.* It involves a British housewife known in the case history only as A.B., who was about 40 years old and had no history of serious illness or psychiatric disorders.
While reading quietly one evening, A.B. heard a distinctive voice inside her head. The voice politely said: "Please don't be afraid. I know it must be shocking for you to hear me speaking to you like this, but this is the easiest way I could think of. My friend and I used to work at the Children's Hospital, Great Ormond Street, and we would like to help you." While A.B. knew of this hospital, she had never been there and didn't know where it was.
The voices assured her of their sincerity, even supplying some factual tidbits for A.B. to confirm (she did).
Despite this confirmation, A.B. understandably feared that she had developed some form of mental illness. She promptly saw a psychiatrist, the aforementioned Dr. Azuonye, who diagnosed the episode as "hallucinatory psychosis." When A.B. started taking a prescription antipsychotic medicine, the voices went away for a while. But when she was on vacation abroad, they came back.
This time, they told her that she needed immediate medical care, and should return to England right away. She returned, and the voices gave her an address to go to; her husband was good enough to humor her, and actually took her to the address just for reassurance. It may not have been that reassuring when it turned out to be the CAT-scanning department of a large London hospital, and that as she arrived, the voices told her to go in and have a brain CAT scan.... [The voices] informed A.B. that she had a brain tumor.
Again consulting with Dr. Azuonye, she was advised to get the brain scan simply in order to set her fears to rest. Since she had no symptoms of a brain tumor, both she and the doctor expected nothing to be found. After some squabbling with the government-run health-care system, the CAT scan was eventually carried out.
The result? A brain tumor, which doctors thought to be a meningioma.
Meningiomas are neither the rarest nor the most common of cranial growths. Their cells, which arise from the brain's coverings, generally grow slowly without eating through the brain and only rarely float off to start new colonies elsewhere in the body (called metastasizing). But the space they take up squashes good brain. Removal, as soon as possible, is usually recommended. So while there were no headaches or specific neurological abnormalities, A.B.'s neurosurgeons opted for immediate surgery. The voices told her they agreed.
Surgeons found and removed a meningioma that measured two and half by one and a half inches -- about the size of an egg. When A.B. awoke from the anesthesia, the voices spoke once more: "We are pleased to have helped you. Goodbye." They never returned. [Pp. 43-45]
In his discussion of the case in the British Medical Journal, Azuonye notes:
It is well known that intracranial lesions can be associated with psychiatric symptomatology. But this is the first and only instance I have come across in which hallucinatory voices sought to reassure the patient of their genuine interest in her welfare, offered her a specific diagnosis (there were no clinical signs that would have alerted anyone to the tumour), directed her to the type of hospital best equipped to deal with her problem, expressed pleasure that she had at last received the treatment they desired for her, bid her farewell, and thereafter disappeared.
Azuonye reports that while some doctors accept the case as genuinely paranormal, others have suggested either fraud or a subconscious motive. Those who allege fraud speculate that the patient
had been given the diagnosis of a brain tumour in her original country and wanted to be treated free under the NHS. Hence, they surmised, she had made up the convoluted tale about voices telling her this and that.
Azuonye objects:
But AB had lived in Britain for 15 years and was entitled to NHS treatment. Besides, she had been so relieved when the voices first disappeared on thioridazine that she had gone on holiday to celebrate the recovery of her sanity.
As for those who think something was going on in A.B.'s subconscious:
Their view was that, the total lack of physical signs notwithstanding, it was unlikely that a tumour of that size had had absolutely no effect on the patient. "She must have felt something," they argued. They suggested that a funny feeling in her head had led her to fear that she had a brain tumour. That fear had led to her experience of hallucinatory voices. She may have unconsciously taken in more information about various hospitals than she realised, and this information was reproduced by her mind as part of the auditory hallucinatory experience.
I think it's more likely that A.B. tapped into some channel of higher consciousness - whether that of "spirit guides" or deceased well-wishers or God - and obtained the information that way. Conceivably the tumor itself brought about changes in the brain that made her nervous system more receptive to such extracerebral influences.
One other interesting aspect of Azuonye's write-up is that apparently quite a large number of the doctors who heard his presentation were entirely comfortable with the paranormal interpretation. I doubt this would have been true a generation ago. Despite skeptical resistance, minds are changing - slowly but surely.
Or as the old Arabian proverb has it: The dogs bark, but the caravan moves on.
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*Azuonye, I.O. "Diagnosis Made by Hallucinatory Voices." British Medical Journal. 1997; 315:1685-86.
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