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The Curious Case of Phineas Gage and His Brain

February 20, 2025 by Mike Vitale in Music, New Music

Phineas Gage was a demolition foreman for the Rutland and Burlington Railroad in the year 1847.

His job was to blow things up—specifically, that which was in the way of building a pair of railroad tracks. This could be all sorts of things. Mountainside, Felsenmeer, Stone, Boulders, and so forth.

But in those days, when you wanted to blow things up, you didn't have dynamite, because it hadn't been invented yet.

Nitroglycerine, which led to dynamite, was still about 25 years away.

So, when you needed to get rid of what was in front of you, one would drill enormously deep holes in the above mentioned, fill it with gunpowder, run a fuse, pack the remainder of the hole with sand to buffer the charge, light the fuse, and then run like hell.

This was Phineas' job... that is, until one day, he forgot to do one of these ingredients—and that's where this song comes in.

This is called The Curious Case of Phineas Gage and His Brain. Most medical students are familiar with this story. However, since I never studied medicine or psychology in college, I have Conan O'Brien and Bill Hader to thank for this story. Thank you both. I had a great time writing this.

The Curious Case of Phineas Gage and his Brain

words and music by Michael Patrick Vitale

Phineas Gage cleared the felsenmeer and stone to level the ground

He was a detonation foreman for the

Rutland and Burlington Railway, westbound

He drilled holes deep into mounds of boulders and stone and rocky terrain

Before he filled them up with gun powder, fuse, and sand to buffer the charge and keep it contained

And in all those years of such a dangerous profession

I wonder if it ever crossed his mind to exercise discretion

he’d just tamp down the goods with a rod, ingredients primed

But he forgot to buffer the charge with sand this time

Phineas

Oh Phineas

Oh what have you done?

That one meter iron rod

Shot out like a gun

And Lord knows you ducked your head

To get out of its way

But almost only counts

In horseshoes and hand grenades

Phineas

Oh Phineas

How are you still standing?

You’re a miracle of science

You defy understanding

Because Phineas my friend

You’ve got a great big hole in your head

Phineas looks around with a “what’s a matter” wrinkled brow

As his eyes dart around in his head

And his growing audience responds that the brain matter from your head

Is strewn about and I don’t know: you’re not dead

Workers and foreman shout for a physician

And while it seems unique for Phineas to be in such a position

It’s recommended that he take the rest of the day off on account

That his insides are outside and that alone seems like a lot to surmount

Phineas

Oh Phineas

Oh what have you done?

That one meter iron rod

Shot out like a gun

And Lord knows you ducked your head

To get out of its way

But almost only counts

In horseshoes and hand grenades

Oh Phineas

Oh Phineas

How are you still standing?

You’re a miracle of science

You defy understanding

Because Phineas my friend

You’ve got a great big hole in your head

WHO IS MIKE VITALE?

I am a storyteller, songwriter, singer, music producer, traveling musician, Jungian dream analyst, all-around curious fellow (Spiritual, Mathematical Historical, Scientific), Taoist, and much much more, based out of Los Angeles, California. I’m constantly releasing new music, in all sorts of different genres. You can listen to me below, on Spotify:

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February 20, 2025 /Mike Vitale
songwriter, songwriting, singer songwriter, singer-songwriter, singer, song, americana, folk, story, storytelling, acoustic, acoustic songs, acoustic guitar, humor, historical humor, Comedy, Conan O'Brien, Conan O'Brien Needs a Friend, Bill Hader, Phineas Gage, Phineas, Gage, History, Dynamite, nitroglycerine, tnt, American history, Harvard, Harvard Medical School, Medicine, Brain, Brain INjury, Tramatic brain injury, brain injury survivor, case study, medical case study, curiosity, curiosities
Music, New Music
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