
How to Use a Fork
Stories of Mending the Broken Brain
17 November 2026
Territory Rights — Worldwide including Canada, Singapore and Malaysia, but excluding the British Commonwealth and the European Union.
Description
A neurologist illuminates the brain’s capacity to heal after injury in extraordinary tales of human recovery.
Twenty years ago, a stroke or other brain injury was considered a life sentence; doctors in training were taught that a damaged brain never mends. Neuroscience has since revealed how, far from falling silent, the injured brain actively forges new networks to regain lost capabilities. Neurologist and neuroscientist Orlando Swayne has spent decades immersed in this field and has witnessed brain-injured patients achieve recoveries that the old dogma would have deemed impossible. But clinical practice has still been slow to catch up. In How to Use a Fork, Swayne shines a light on the brain’s natural capacity for reorganization—or neuroplasticity—and shows how he and his colleagues harness it to transform the lives of patients. As he passionately argues, the brain continues to adapt after injury; now, so must we. Uniting fascinating science with remarkable stories of survival, his book is a hopeful testament to the extraordinary capacities of the brain and the human spirit.
Reviews
"[A] book full of hope and optimism . . . Swayne deserves to join Oliver Sacks and Henry Marsh on the list of top popular neuroscience writers. . . . packed with tenderness and told by a modest, wryly funny man. For those who struggle in the dark aftermath of brain injury, it will bring serious hope and encouragement." — Melanie Reid, The Times (UK)
"[F]ull of detailed reality Swayne’s understanding of physiology and anatomy allows him to provide clear, jargon-free and at times poetic descriptions of what has gone wrong in the brains of his patients. . . . a tribute to the spirit of people faced with calamity." — A. J. Lees, Literary Review


