“This is all, ultimately, a litany of madness—the colors of it, the sounds it makes in heavy nights, the chirping of it across the shoulder of the morning.”
Magic realism and mental illness fuel a swirl of disorienting but lyrical prose in this debut novel by a Nigerian–Tamil writer. Much of the story is told by the ọgbanje (an Igbo term for evil spirits) inhabiting Ada’s head: initially we have the first person plural voice of “Smoke” and “Shadow,” who deem “the Ada” a daughter of the python goddess Ala and narrate her growing-up years in Nigeria; later we get a first-person account from Asụghara, who calls herself “a child of trauma” and leads Ada into promiscuity and drinking when she is attending college in Virginia.
The unusual choice of narrators links Freshwater to other notable works of Nigerian literature: a spirit child relates Ben Okri’s Booker Prize-winning 1991 novel, The Famished Road, while Chigozie Obioma’s brand-new novel, An Orchestra of Minorities, is from the perspective of the main character’s chi, or life force. Emezi also contrasts indigenous belief with Christianity through Ada’s troubled relationship with “Yshwa” or “the christ.”
These spirits are parasitic and have their own agenda, yet express fondness for their hostess. “The Ada should have been nothing more than a pawn, a construct of bone and blood and muscle … But we had a loyalty to her, our little container.” So it’s with genuine pity that they document Ada’s many troubles, starting with her mother’s departure for a mental hospital and then for a job in Saudi Arabia, and continuing on through Ada’s cutting, anorexia and sexual abuse by a boyfriend. Late on in the book, Emezi also introduces gender dysphoria that causes Ada to get breast reduction surgery; to me, this felt like one complication too many.
From what I can glean from the Acknowledgments, it seems Ada’s life story might mirror Emezi’s own – at the very least, a feeling of being occupied by multiple personalities. It’s a striking book with vivid scenes and imagery, but I wanted more of Ada’s own voice, which only appears in a few brief sections totalling about six pages. The conflation of the abstract and the concrete didn’t quite work for me, and the whole is pretty melodramatic. Although I didn’t enjoy this as much as some other inside-madness tales I’ve read (such as Die, My Love and Everything Here Is Beautiful), I can admire the attempt to convey the reality of mental illness in a creative way.
My rating: 
My gut feeling: I’ve only gotten to two of the five novels longlisted for the Prize, so it’s difficult to say what from the fiction is strong enough to make it through to the shortlist. Of the two, though, I think Sight would be more likely to advance than Freshwater.
Do you think this is a novel that you’d like to read?
Longlist strategy:
- I’m about one-fifth of the way through Mind on Fire by Arnold Thomas Fanning, which I plan to review in early March.
- I’ve also been sent review copies of The Trauma Cleaner by Sarah Krasnostein and My Year of Rest and Relaxation by Ottessa Moshfegh and look forward to reading them, though I might not manage to before the shortlist announcement.
- I’ve placed a library hold on Murmur by Will Eaves; if it arrives in time, I’ll try to read it before the shortlist announcement, since it’s fairly short.
- Barring these, there are only two remaining books that I haven’t read and don’t have access to: Astroturf and Polio. I’ll only read these if they make the shortlist.
The Wellcome Book Prize shortlist will be announced on Tuesday, March 19th, and the winner will be revealed on Wednesday, May 1st.
We plan to choose our own shortlist to announce on Friday, March 15th. Follow along here and on Halfman, Halfbook, Annabookbel, A Little Blog of Books, and Dr. Laura Tisdall for reviews and predictions.
In Shock by Rana Awdish: The doctor became the patient when Awdish, seven months pregnant, was rushed into emergency surgery with excruciating pain due to severe hemorrhaging into the space around her liver, later explained by a ruptured tumor. Having experienced brusque, cursory treatment, even from colleagues at her Detroit-area hospital, she was convinced that doctors needed to do better. This memoir is a gripping story of her own medical journey and a fervent plea for compassion from medical professionals. 
Doctor by Andrew Bomback: Part of the Bloomsbury Object Lessons series, this is a wide-ranging look at what it’s like to be a doctor. Bomback is a kidney specialist; his wife is also a doctor, and his father, fast approaching retirement, is the kind of old-fashioned, reassuring pediatrician who knows everything. Even the author’s young daughter likes playing with a stethoscope and deciding what’s wrong with her dolls. In a sense, then, Bomback uses fragments of family memoir to compare the past, present and likely future of medicine. 
A Moment of Grace by Patrick Dillon [skimmed]: A touching short memoir of the last year of his wife Nicola Thorold’s life, in which she battled acute myeloid leukemia. Dillon doesn’t shy away from the pain and difficulties, but is also able to summon up some gratitude. 
Get Well Soon: Adventures in Alternative Healthcare by Nick Duerden: British journalist Nick Duerden had severe post-viral fatigue after a run-in with possible avian flu in 2009 and was falsely diagnosed with ME / CFS. He spent a year wholeheartedly investigating alternative therapies, including yoga, massage, mindfulness and meditation, visualization, talk therapy and more. He never comes across as bitter or sorry for himself. Instead, he considered fatigue a fact of his new life and asked what he could do about it. So this ends up being quite a pleasant amble through the options, some of them more bizarre than others. 
*Sight by Jessie Greengrass [skimmed]: I wanted to enjoy this, but ended up frustrated. As a set of themes (losing a parent, choosing motherhood, the ways in which medical science has learned to look into human bodies and minds), it’s appealing; as a novel, it’s off-putting. Had this been presented as a set of autobiographical essays, perhaps I would have loved it. But instead it’s in the coy autofiction mold where you know the author has pulled some observations straight from life, gussied up others, and then, in this case, thrown in a bunch of irrelevant medical material dredged up during research at the Wellcome Library. 
*Brainstorm: Detective Stories From the World of Neurology by Suzanne O’Sullivan: Epilepsy affects 600,000 people in the UK and 50 million worldwide, so it’s an important condition to know about. It is fascinating to see the range of behaviors seizures can be associated with. The guesswork is in determining precisely what is going wrong in the brain, and where, as well as how medicines or surgery could address the fault. “There are still far more unknowns than knowns where the brain is concerned,” O’Sullivan writes; “The brain has a mind of its own,” she wryly adds later on. (O’Sullivan won the Prize in 2016 for It’s All in Your Head.) 
I’m also currently reading and enjoying two witty medical books, The Mystery of the Exploding Teeth and Other Curiosities from the History of Medicine by Thomas Morris, and Chicken Unga Fever by Phil Whitaker, his collected New Statesman columns on being a GP.
The Beautiful Cure: Harnessing Your Body’s Natural Defences by Daniel M. Davis
#1: I fully expect Richard Powers to win for The Overstory. This is the one I’m partway through; I started reading a library copy on Friday. I’m so impressed by the novel’s expansive nature. It seems to have everything: love, war, history, nature, politics, technology, small-town life, family drama, illness, accidents, death. And all of human life is overshadowed and put into perspective by the ancientness of trees, whose power we disregard at a cost. I’m reminded of the work of Jonathan Franzen (Freedom + Purity), as well as Barbara Kingsolver’s latest, Unsheltered – though Powers is prophetic where she’s polemic.
#2: Washington Black by Esi Edugyan is a good old-fashioned adventure story about a slave who gets the chance to leave his Barbados sugar plantation behind when he becomes an assistant to an abolitionist inventor, Christopher “Titch” Wilde. Wash discovers a talent for drawing and a love for marine life and pursues these joint interests in the disparate places where life takes him. Part One was much my favorite; none of what followed quite matched it in depth or pace. Still, I enjoyed following along on Wash’s escapades, and I wouldn’t mind seeing this take the prize – it would be great to see a woman of color win. 
#3: The Mars Room by Rachel Kushner: Kushner is well respected, though I’ve failed to get on with her fiction before. An inside look at the prison system, this could be sufficiently weighty and well-timed to win.
#4: Everything Under by Daisy Johnson: A myth-infused debut novel about a mother and daughter. On my library stack to read next, and the remaining title from the shortlist I’m most keen to read.
#5: The Long Take by Robin Robertson: A novel, largely in verse, about the aftermath of war service. Also on my library stack. Somewhat experimental forms like this grab Booker attention, but this might be too under-the-radar to win.
#6: Milkman by Anna Burns: Set in Belfast during the Troubles or a dystopian future? From my Goodreads friends’ reviews this sounds wooden and overwritten. Like the Kushner, I’d consider reading it if it wins but probably not otherwise.
The first word of The Water Cure may be “Once,” but what follows is no fairy tale. Here’s the rest of that sentence: “Once we have a father, but our father dies without us noticing.” The tense seems all wrong; surely it should be “had” and “died”? From the very first line, then, Sophie Mackintosh’s debut novel has the reader wrong-footed, and there are many more moments of confusion to come. The other thing to notice in the opening sentence is the use of the first person plural. That “we” refers to three sisters: Grace, Lia and Sky. After the death of their father, King, it’s just them and their mother in a grand house on a remote island.
Normal People is very similar to Tender – which for some will be high praise indeed, though I never managed to finish Belinda McKeon’s novel – in that both realistically address the intimacy between a young woman and a young man during their university days and draw class and town-and-country distinctions (the latter of which might not mean much to those who are unfamiliar with Ireland).
*I’ve only ever read the memoir Running in the Family plus a poetry collection by Ondaatje. I have a copy of The English Patient on the shelf and have felt guilty for years about not reading it, especially after it won the “Golden Booker” this past summer (see Annabel’s 
Hey, we got it right! Mark O’Connell’s To Be a Machine, our shadow panel’s pick, won the Wellcome Book Prize 2018 last night. Of the three shadow panels I’ve participated in and the many others I’ve observed, this is the only time I remember the shadow winner matching the official one. Clare, Paul and I were there in person for the announcement at the Wellcome Collection in London. When we briefly spoke to the judges’ chair, Edmund de Waal, later in the evening, he said he was “relieved” that their decision matched ours – but I think it was definitely the other way around!
Ayobami Adebayo says sickle cell anemia is a massive public health problem in Nigeria, as brought home to her when some friends died of complications of sickle cell. She herself was tested for the gene and learned that she is a carrier, so her children would have a 25% chance of having the disease if her partner was also a carrier. Although life expectancy with the disease has improved to 45–50, a cure is still out of reach for most Nigerians because bone marrow/stem cell transplantation and anti-rejection drugs are so expensive. Compared to the 1980s, when her book opens, she believes polygamy is becoming less fashionable in Nigeria and people are becoming more open to other means of becoming parents, whether IVF or adoption. It’s a way of acknowledging, she says, that parenthood is “not just about biology.”
