Charles Limb
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Dr. Charles Limb is a surgeon,
neuroscientist A neuroscientist (or neurobiologist) is a scientist who has specialised knowledge in neuroscience, a branch of biology that deals with the physiology, biochemistry, psychology, anatomy and molecular biology of neurons, neural circuits, and glial ...
, and musician at the
University of California, San Francisco The University of California, San Francisco (UCSF) is a public land-grant research university in San Francisco, California. It is part of the University of California system and is dedicated entirely to health science and life science. It con ...
(UCSF) who has carried out research on the neural basis of musical creativity and the impact of
cochlear implants A cochlear implant (CI) is a surgically implanted neuroprosthesis that provides a person who has moderate-to-profound sensorineural hearing loss with sound perception. With the help of therapy, cochlear implants may allow for improved speech unde ...
on
music perception ''Music Perception: An Interdisciplinary Journal'' is a peer-reviewed academic journal published by University of California Press five times a year. It was founded by Diana Deutsch. According to the ''Journal Citation Reports'', the journal has ...
in hearing impaired individuals. As an otologic surgeon and
otolaryngologist Otorhinolaryngology ( , abbreviated ORL and also known as otolaryngology, otolaryngology–head and neck surgery (ORL–H&N or OHNS), or ear, nose, and throat (ENT)) is a surgical subspeciality within medicine that deals with the surgical a ...
, he specializes in treatment of ear disorders. In his research, he has focused on imaging the brains of jazz artists as they improvise in the
fMRI Functional magnetic resonance imaging or functional MRI (fMRI) measures brain activity by detecting changes associated with blood flow. This technique relies on the fact that cerebral blood flow and neuronal activation are coupled. When an area ...
. He has worked under the assumption that improvisation is important to creativity more generally, and creativity is vital to basic problem-solving, evolution, and survival.


Academic background

Limb teaches at UCSF, where he is the Francis A. Sooy Professor of Otolaryngology–Head and Neck Surgery, and the Chief of the Division of Otology, Neurotology and Skull Base Surgery at UCSF. In addition, he holds a joint faculty appointment in the Department of Neurological Surgery and is the Director of the Douglas Grant Cochlear Implant Center. He earned his bachelor's degree at
Harvard University Harvard University is a private Ivy League research university in Cambridge, Massachusetts. Founded in 1636 as Harvard College and named for its first benefactor, the Puritan clergyman John Harvard, it is the oldest institution of high ...
, where he directed a jazz band. Later he attended the
Yale University School of Medicine The Yale School of Medicine is the graduate medical school at Yale University, a private research university in New Haven, Connecticut. It was founded in 1810 as the Medical Institution of Yale College and formally opened in 1813. The primary te ...
, where he played jazz in New Haven restaurants. After graduating from medical school in 1996, he completed a surgical internship in General Surgery, a residency in Otolaryngology–Head and Neck Surgery, and a subspecialty fellowship in Neurotology at
Johns Hopkins Hospital The Johns Hopkins Hospital (JHH) is the teaching hospital and biomedical research facility of the Johns Hopkins School of Medicine, located in Baltimore, Maryland, U.S. It was founded in 1889 using money from a bequest of over $7 million (1873 m ...
in Baltimore. He also completed one postdoctoral research fellowship at the Center for Hearing Sciences at Johns Hopkins with Dr. David Ryugo, where he investigated the development of the auditory brainstem, and a second at the
National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late ...
, where he used
fMRI Functional magnetic resonance imaging or functional MRI (fMRI) measures brain activity by detecting changes associated with blood flow. This technique relies on the fact that cerebral blood flow and neuronal activation are coupled. When an area ...
devices to image brain activity when jazz musicians improvise music. He joined the faculty of Johns Hopkins Hospital in 2003, where he remained until 2015, as Associate Professor of Otolaryngology–Head and Neck Surgery. During this time, he was also a Faculty Member at the
Peabody Conservatory of Music The Peabody Institute of The Johns Hopkins University is a private conservatory and preparatory school in Baltimore, Maryland. It was founded in 1857 and opened in 1866 by merchant/financier and philanthropist George Peabody (1795–1869) ...
and the
Johns Hopkins University School of Education The Johns Hopkins School of Education is one of nine academic divisions of the Johns Hopkins University. Established as a separate school in 2007, its origins can be traced back to the 1909 founding of Johns Hopkins’ College Courses for Teacher ...
, as well as Scientific Advisor to the
Baltimore Symphony Orchestra The Baltimore Symphony Orchestra is an American symphony orchestra based in Baltimore, Maryland. The Baltimore SO has its principal residence at the Joseph Meyerhoff Symphony Hall, where it performs more than 130 concerts a year. In 2005, it bega ...
.


Research

Limb has stated that he wants to know what went on in
John Coltrane John William Coltrane (September 23, 1926 – July 17, 1967) was an American jazz saxophonist, bandleader and composer. He is among the most influential and acclaimed figures in the history of jazz and 20th-century music. Born and raise ...
’s head when he improvised masterpieces on the saxophone. He has researched creativity with jazz musicians because they can improvise on cue, even in the laboratory conditions of an fMRI. In several experiments, he has captured moving pictures of their brain activity as they create. In one, he found that improvising musicians showed: 1) deactivation of the
dorsolateral prefrontal cortex The dorsolateral prefrontal cortex (DLPFC or DL-PFC) is an area in the prefrontal cortex of the primate brain. It is one of the most recently derived parts of the human brain. It undergoes a prolonged period of maturation which lasts until adultho ...
, which among other functions acts as a kind of self-censor, and 2) greater activation of the
medial prefrontal cortex In mammalian brain anatomy, the prefrontal cortex (PFC) covers the front part of the frontal lobe of the cerebral cortex. The PFC contains the Brodmann areas BA8, BA9, BA10, BA11, BA12, BA13, BA14, BA24, BA25, BA32, BA44, BA45, BA4 ...
, which connects to a brain system called the “
default network In neuroscience, the default mode network (DMN), also known as the default network, default state network, or anatomically the medial frontoparietal network (M-FPN), is a large-scale brain network primarily composed of the dorsal medial prefr ...
.” The default network is associated with introspective tasks such as retrieving personal memories and
daydreaming Daydreaming is the stream of consciousness that detaches from current, external tasks when attention drifts to a more personal and internal direction. This phenomenon is common in people's daily life shown by a large-scale study in which partici ...
. It has to do with one’s sense of self. In another experiment, he and his team demonstrated that when two jazz musicians are “trading fours,” that is, having an interactive musical conversation, they utilize brain areas important in linguistic grammar and syntax. The finding suggests that these regions process auditory communication generally, rather than just for spoken language. Limb also investigated the relation of emotion to creativity. He asked jazz musicians in the
fMRI Functional magnetic resonance imaging or functional MRI (fMRI) measures brain activity by detecting changes associated with blood flow. This technique relies on the fact that cerebral blood flow and neuronal activation are coupled. When an area ...
to improvise music they felt corresponded to the emotions in photos of a sad, neutral, and happy woman. He found that when musicians responded to happy photos, the dorsolateral prefrontal cortex deactivated much more than in the other conditions. The study also asked why we feel pleasure in sad music, and found that while musicians showed more frontal deactivation and deeper flow states when responding to the happy photos, the creation of sad music elicited a stronger visceral experience and greater activity in the brain's reward centers. In addition, he has researched music perception in deaf individuals with
cochlear implants A cochlear implant (CI) is a surgically implanted neuroprosthesis that provides a person who has moderate-to-profound sensorineural hearing loss with sound perception. With the help of therapy, cochlear implants may allow for improved speech unde ...
. As a temporal bone surgeon, he places these devices in patients, and the implants let them hear speech well, but they have trouble perceiving elements of music such as harmony and
timbre In music, timbre ( ), also known as tone color or tone quality (from psychoacoustics), is the perceived sound quality of a musical note, sound or tone. Timbre distinguishes different types of sound production, such as choir voices and musica ...
, as well as performing higher integration. He has recommended training programs and technological innovation to overcome this deficit. Limb has also examined the creativity of composers such as
Beethoven Ludwig van Beethoven (baptised 17 December 177026 March 1827) was a German composer and pianist. Beethoven remains one of the most admired composers in the history of Western music; his works rank amongst the most performed of the classic ...
and Smetana, who became deaf as adults yet continued to write great music, and he has written about the fact that
Thomas Edison Thomas Alva Edison (February 11, 1847October 18, 1931) was an American inventor and businessman. He developed many devices in fields such as electric power generation, mass communication, sound recording, and motion pictures. These inventi ...
invented the phonograph despite his loss of hearing.


Publications and editorships

Limb is the former Editor-in-Chief of ''Trends in Hearing'' (then called ''Trends in Amplification''), the only journal focused on hearing aids and other auditory amplification devices, and an Editorial Board Member of the journals ''Otology & Neurotology'' and '' Music and Medicine''. He has authored over 75 manuscripts, including magazine articles.


Speeches

He has given two
TED talks TED Conferences, LLC (Technology, Entertainment, Design) is an American-Canadian non-profit media organization that posts international talks online for free distribution under the slogan "ideas worth spreading". TED was founded by Richard Sau ...
. In the first, “Your Brain on Improv,” he showed how during jazz improvisation the brain deactivates the dorsolateral prefrontal cortex and activates the medial prefrontal cortex. In the second, “Building the Musical Muscle,” he described restoring music perception in the deaf and focused on the challenges faced by cochlear implant users when trying to process music. He has also been a featured panelist at the Sundance Film Festival, and he has spoken about his work internationally in Europe, Asia, Australia, and Canada.


Other media appearances

Among the media outlets and organizations that have featured his work are the ''New York Times'', CNN, PBS, ''National Geographic'', ''Scientific American'', the BBC, the Smithsonian Institution, National Public Radio, the Library of Congress, the American Museum of Natural History, the Kennedy Center, the Baltimore Symphony Orchestra, and the Canadian Broadcasting Company.“Charles Limb, MD“ Otolyrangology , Head and Neck Surgery, UCSF.


Awards and honors

Limb won the 2004 Resident Teaching Award at Johns Hopkins Hospital, has been named one of the "Top Doctors in Baltimore" in 2007 in ''Baltimore'' magazine, and has had the American flag flown over the U.S. Embassy in Baghdad in 2011 in his honor, in recognition of his war efforts. Most recently, in 2016, he won the UCSF Department of Otolaryngology–Head and Neck Surgery Resident Teaching Award.


References


External links


Charles Limb, MD
* * * * * {{DEFAULTSORT:Limb, Charles American neuroscientists Living people Year of birth missing (living people) Harvard University alumni University of California, San Francisco faculty Yale School of Medicine alumni