Being the Expert for #NonficNov / Three on a Theme: “Care”

The Being/Becoming/Asking the Expert week of the month-long Nonfiction November challenge is hosted by Rennie of What’s Nonfiction. This is my second entry for the week after Monday’s post on postpartum depression, as well as the second installment in my new “Three on a Theme” series, where I review three books that have something significant in common and tell you which one to pick up if you want to read into the topic for yourself.

It will be no surprise to regular readers that both of my ‘expert’ posts have been on a health theme: I have an amateur’s love of medical memoirs and works of medical history, and I’ve followed the Wellcome Book Prize closely for a number of years – participating in official blog tours, creating a shadow panel, and running this past year’s Not the Wellcome Prize.

The three books below are linked by the word “Care” in the title or subtitle; all reflect, in the wake of COVID-19, on the ongoing crisis in UK healthcare and the vital role of nurses.

 

Labours of Love: The Crisis of Care by Madeleine Bunting

Bunting’s previous nonfiction work could hardly be more different: Love of Country was a travel memoir about the Scottish Hebrides. It was the first book I finished reading in 2017, and there could have been no better start to a year’s reading. With a background in history, journalism and politics, the author is well placed to comment on current events. Labours of Love arose from five years of travel to healthcare settings across the UK: care homes for the elderly and disabled, hospitals, local doctors’ surgeries, and palliative care units. Forget the Thursday-night clapping and rainbows in the windows: the NHS is perennially underfunded and its staff undervalued, by conservative governments as well as by people who rely on it.

We first experience bodily care as infants, Bunting notes, and many of the questions that run through her book originated in her early days of motherhood. Despite all the advances of feminism, parental duties follow the female-dominated pattern evident in the caring careers:

By the age of fifty-nine, women will have a fifty-fifty chance of being, or having been, a carer for a sick or elderly person. At the same time, many are still raising their teenage children and almost half of those over fifty-five are providing regular care for grandchildren.

Women dominate caring professions such as nursing (89 per cent), social work (75 per cent) and childcare (98 per cent). They now form the majority of GPs (54 per cent) and three out of four teachers are female. And they provide the vast bulk of the army of healthcare workers in the NHS (80 per cent) and social-care workers (82 per cent) for the long-term sick, disabled and frail elderly.

These are things we know intuitively, but seeing the numbers laid out so plainly is shocking. I most valued the general information in Bunting’s introduction and in between her interviews, while I found that the bulk of the book alternated between dry statistics and page after page of interview transcripts. However, I did love hearing more from Marion Coutts, the author of the 2015 Wellcome Book Prize winner, The Iceberg, about her husband’s death from brain cancer. (Labours of Love was longlisted for the Baillie Gifford Prize for Non-Fiction 2020.)

My thanks to Granta for the free copy for review.

 

Duty of Care: One NHS Doctor’s Story of Courage and Compassion on the COVID-19 Frontline by Dr Dominic Pimenta

We’re going to see a flood of such books; I’m most looking forward to Dr Rachel Clarke’s Breathtaking (coming in January). Given how long it takes to get a book from manuscript to published product, I was impressed to find this on my library’s Bestsellers shelf in October. Pimenta’s was an early voice warning of the scale of the crisis and the government’s lack of preparation. He focuses on a narrow window of time, from February – when he encountered his first apparent case of coronavirus – to May, when, in protest at a government official flouting lockdown (readers outside the UK might not be familiar with the Cummings affair), he resigned his cardiology job at a London hospital to focus on his new charity, HEROES, which supports healthcare workers via PPE, childcare grants, mental health help and so on.

It felt uncanny to be watching events from earlier in the year unfold again: so clearly on a trajectory to disaster, but still gripping in the telling. Pimenta’s recreated dialogue and scenes are excellent. He gives a real sense of the challenges in his personal and professional lives. But I think I’d like a little more distance before I read this in entirety. Just from my skim, I know that it’s a very fluid book that reads almost like a thriller, and it ends with a sober but sensible statement of the situation we face. (All royalties from the book go to HEROES.)

 

The Courage to Care: A Call for Compassion by Christie Watson

I worried this would be a dull work of polemic; perhaps the title, though stirring, is inapt, as the book is actually a straightforward sequel to Watson’s 2018 memoir about being a nurse, The Language of Kindness. Although, like Bunting, Watson traveled widely to research the state of care in the country, she mostly relies on her own experience of various nursing settings over two decades: a pediatric intensive care unit, home healthcare for the elderly, a children’s oncology day center, a residential home for those with severe physical and learning disabilities, a community mental-health visiting team, and the emergency room. She also shadows military nurses and prison doctors.

With a novelist’s talent for scene-setting and characterization, Watson weaves each patient and incident into a vibrant story. Another strand is about parenthood: giving birth to her daughter and the process of adopting her son – both are now teenagers she raises as a single mother. She affirms the value of everyday care delivered by parents and nurses alike. I was especially struck by the account of a teenage girl who contracted measles (then pneumonia, meningitis and encephalitis) and was left blind and profoundly disabled, all because her parents were antivaxxers. In general, I’ve wearied of doctors’ memoirs composed of obviously anonymized case studies, but I’ll always make an exception for Clarke and Watson because of their gorgeous writing.

Note: Watson had left nursing to write full-time, but explains in an afterword that she returned to critical care in a London hospital during COVID-19.

 

What I learned:

Empathy is a key term for all three authors. They emphasize that the skills of compassion and listening are just as important as the ability to perform the required medical procedures.

A chilling specific fact I learned: 43,000 people died in the Blitz* in the UK. Pimenta cited that figure and warned that COVID-19 could be worse. And indeed, as of now, over 63,000 people have died of COVID-19 in the UK. The American death toll is even more alarming.

Here are some passages that stood out for me from each book:

Bunting: “Good care is as much an art as a skill, as much competence as tact. … Care is where we make profound collective decisions about the worth of an individual life. … There is no tradition of ageing wisely in the West, unlike in many Asian and African cultures where age has prestige, status and is associated with wisdom … We need to speak about care in a different language, instead of the relentless macho repetition of words such as ‘efficiency’, ‘quality’, ‘driving’, ‘choice’, ‘delivery’ and productivity.’”

Pimenta: “this will be akin to the Blitz*, and … we need to start thinking of it like that. A marathon, not a sprint. … The challenges to come – a second or even third wave, a global recession, climate change, mass misinformation … and political and societal upheaval … – will all require more from all of us if we hope to meet them. The challenge of our generation is not behind us, it is only just beginning. I plan to continue doing something about it, and perhaps now you do as well. So stay informed, stay safe and be kind.”

Watson: “So much of nursing, I think to myself, seems obvious, and yet seeing that need in the first place is difficult and takes experience, training and something extra. … The mundanity of human existence is where I find the most beauty … It takes my breath away: how fragile, extraordinary and vulnerable, how full of hatred and love and obsession and complexity we all are – every single one of us.”

*I highly recommend all of folk artist Kris Drever’s latest album, Where the World Is Thin, but especially the song “Hunker Down / That Old Blitz Spirit,” which has become my lockdown anthem.

If you read just one, though… Make it The Courage to Care by Christie Watson.

 

Can you see yourself reading any of these books?

17 responses

  1. I’m reading Love of Country at the moment and also very much enjoyed Bunting’s previous family memoir The Plot. I admire her writing because, despite her journalist background, she seem to come at her subjects with a deep, scholarly understanding while still writing accessibly. I’d be keen to read Labours of Love (page after page of interview transcripts sounds great to me! 🙂 )

    I didn’t realise Rachel Clarke had a new book coming out, I’m also excited to read it.

    Liked by 1 person

    1. I’d be keen to read The Plot as well. I think I prefer it when an author mixes fragments of an interview in with exposition and their own observations. The exception was the four pages from Coutts, because I loved hearing more from her.

      Liked by 1 person

      1. I prefer having the whole transcript, but I work with interviews as historical sources a lot, so that’s probably why!

        Liked by 2 people

    2. Do you enjoy oral history as a genre, e.g. Svetlana Alexievich, Studs Terkel?

      Like

  2. Books I won’t be reading, but I’m glad they exist and you’re sharing them, and the not-reading is a lack in me, not in the books!

    Like

    1. People who don’t care for medical books just have to ignore a significant portion of my reading 😉

      Liked by 1 person

  3. Love your idea of three books on a theme – will look forward to your recommendations (especially all those in the nonfiction category as you are my greatest source for recs!).

    Liked by 1 person

    1. Thanks! Feel free to join in. (I’m sure it’s not an original idea.)

      Like

  4. I love this theme post. And such an interesting topic – especially right now!

    Liked by 1 person

    1. All three felt so timely! (Your post about walking inspired me to look at some themes represented on my shelves or in my library stacks.)

      Liked by 1 person

  5. As you know, I also have a particular interest in medical topics, so these all sound like books I’d like to get to. Like you, though, I think some more distance might be necessary before I could pick up Pimenta’s. The quote you shared is far too prescient as we’re living through what he saw coming.

    Liked by 1 person

    1. A couple more memoirs by doctors working in the NHS during the pandemic are coming out in January, but they are by trusted authors I’ve enjoyed work by before.

      Like

  6. I’m intrigued by the idea that she left nursing to write FT but then returned to nursing. There have been similar calls here too, in health care, but also in teaching (because the shift to online learning meant a need to hire so many more teachers, at least in this province). When I was in my twenties, I exhausted my public library’s offerings on medical memoirs like these, and I read another a couple of years ago when it was up for the Toronto Book Award, but overall it’s not that I don’t want to read them, only that there are other books I more want to read, y’know?

    Liked by 1 person

    1. I knew you’d shifted away from memoir in general, and medical stuff in particular. Who knows if I’ll keep up my interest in this topic! I saw another nurse’s COVID memoir in the Bestseller section yesterday but decided to pass; I’ll wait for the pair of doctors’ memoirs coming in January, as they’re trusted authors for me.

      Liked by 1 person

      1. Who knows indeed! And I don’t mean to suggest that I think these topics only appeal at younger ages (I can see where the sentence might read that way), only that I have binged some topics and then I discovered other topics and time passes and there are always more books, other binging opportunities.

        Like

    2. Understood. Interests come and go! And I think my tolerance for COVID material will quickly hit a limit.

      Liked by 1 person

  7. […] eyes but a hopeful heart. While this is not the first COVID-19 book I’ve encountered (that was Duty of Care by Dominic Pimenta) and will be far from the last – next up for me will be Rachel Clarke’s […]

    Like

Leave a Comment

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.

%d bloggers like this: