Three new books with medical themes (no surprise there), including the first Covid wave in the UK; fertility and body issues in a new queer family; and pain management strategies.
Breathtaking: Inside the NHS in a Time of Pandemic by Rachel Clarke
Clarke is a palliative care doctor based in Oxfordshire. She runs the Katharine House hospice but during the coronavirus pandemic has also been on active duty in the Oxford University Hospitals system. If you’re on social media you have likely come across some of her postings as she has been equally vocal in her praise of the NHS and her criticism of Boris Johnson’s faltering policies, which are often of the too little, too late variety. So I was eager to read her insider’s account of hospital treatment of the first wave of Covid in the UK, especially because her previous book, Dear Life, was one of my top two nonfiction releases of last year.
The focus is on the first four full months of 2020, and the book originated in Clarke’s insomniac diaries and notes made when, even after manically busy shifts, she couldn’t rest her thoughts. Her pilot husband was flying to China even as increasingly alarming reports started coming in from Wuhan. She weaves in the latest news from China and Italy as well as what she hears from colleagues and disease experts in London. But the priority is given to stories: of the first doctor to die in China; of a Yorkshire ICU nurse’s father, who comes down with Covid and is on a ventilator in an Oxford hospital; and of her patients there and in the hospice. She is touched that so many are making great sacrifices, such as by deciding not to visit loved ones at the end of their lives so as not to risk spreading infection.
A shortage of PPE remained a major issue, though Dominic Pimenta (whose Duty of Care was my first COVID-19 book) pulled through for her with an emergency shipment for the hospice – without which it would have had to close. Clarke marvels at the NHS’s ability to create an extra 33,000 beds within a month, but knows that this comes at a cost of other services, including cancer care, being stripped back or cancelled, meaning that many are not receiving the necessary treatment or are pushing inescapable problems further down the road.
A comparison with Gavin Francis’s Intensive Care, published earlier in the month, is inevitable. Both doctors bounce between headlines and everyday stories, government advice and the situation on the ground. Both had their own Covid scare – Clarke didn’t meet the criteria to be tested so simply went back to work two weeks later, when she felt well enough – and had connections to regions that foreshadowed what would soon happen in the UK. Both give a sense of the scope of the crisis and both lament that, just when patients need compassion most, full PPE leads to their doctors feeling more detached from them than ever.
However, within the same page count, Francis manages to convey more of the science behind the virus and its transmission, and helpfully explores the range of effects Covid is having for different groups. He also brings the story more up to the minute with a look back from November, whereas Clarke ends in April and follows up with an epilogue set in August. A book has to end somewhere, yes, but with this crisis ongoing, the later and more relevant its contents can be, the better. And in any book that involves a lot of death, mawkishness is a risk; Clarke so carefully avoided this in Dear Life, but sometimes succumbs here, with an insistence on how the pandemic has brought out the best in people (clapping and rainbows and all that). Her writing is as strong as ever, but I would have appreciated a sharper, more sombre look at the situation a few months later. Perhaps there will be a sequel.
With thanks to Little, Brown UK for the free copy for review.
Some Body to Love: A Family Story by Alexandra Heminsley
From Heminsley’s previous book, Leap In, I knew about her getting married and undergoing IVF. It was also a book about outdoor swimming; I appreciated her words on acquiring a new skill as an adult and overcoming body issues. This memoir continues the story: in 2017, after a gruelling journey through infertility treatment, Heminsley finally got the baby she wanted. But not before a couple more heart-wrenching moments: the lab made an error and notified her that she shared no DNA with this last embryo, and while heavily pregnant she was assaulted by a drunk man on a train. Both incidents left her feeling a loss of agency. “Why was I consistently being deemed the least reliable witness of my own reality?” she asks.
As they adjusted to new life with a baby, Heminsley started to notice that she wasn’t connecting with her husband, D, like she used to. She felt emotionally unsupported and, in fact, jealous of D’s relationship with their son, L. And while they’d never been the most conventional couple, D’s changes of appearance and wardrobe seemed like a sign of something bigger. Indeed, when L was six months old, D told Heminsley, “this body doesn’t represent who I am” and announced a decision to begin transitioning.
As D moved towards having a body that fit their identity, Heminsley, too, needed to get back in touch with her body. After books like Running Like a Girl, she was considered an exercise guru, but she didn’t see herself in the new obsession with Instagram-ready images of fitness perfection. This is not, then, primarily a memoir of queer family-making, because D’s transitioning was not Heminsley’s story to tell and mostly occurs in the background. Instead she focuses on what she does know and can control: her relationship to her own body.
However, this entails what can feel like irrelevant flashbacks to her teenage years of undergoing rehab at a military clinic in Germany for hypermobility, trips to Trinidad and Italy, and the genesis of her two sporting memoirs. Much as I applaud the sensitivity to trans and body issues, the book ends up feeling scattered. Still, the writing is so candid and the narrative so eventful that you’ll race through this even if you don’t normally pick up nonfiction. (For a bit more information, see my short write-up of the virtual book launch.)
With thanks to Chatto & Windus for the free copy for review.
Pain: The Science of the Feeling Brain by Abdul-Ghaaliq Lalkhen
Originally from South Africa, Dr Lalkhen is an anaesthesiology and pain specialist based in Manchester. In a nutshell, his approach is “biopsychosocial,” meaning that he seeks to understand pain not just as a physical phenomenon resulting from acute injury or damage but as an ongoing process that is affected by emotional and psychological factors. Particularly in the context of chronic syndromes, he acknowledges that pain can continue even when its immediate cause has been repaired. Mental preparation can come into the equation: if a patient assumes they’ll wake up from surgery healed, they may be alarmed if pain persists. Lalkhen talks about managing patient expectations, perhaps with something as simple as the promise, “we’ll aim to get your pain down to a 4 after surgery.” In part, he blames Western society’s Cartesian philosophy for treating mind and body as separate rather than a system.
There are genetic and psychological reasons people might be predisposed to chronic pain. Pain itself can then change the brain chemistry, making the body more alert to pain signals. People can choose one of three paths, Lalkhen observes: “You can spend your time agitating about the alarm going off, you can try to ignore it (but the ignoring of it actually takes up more energy), or the final alternative is to learn to live with this deeply unpleasant situation.” Those who opt for pharmacological solutions can become addicted to opiates, which are less effective over time. Non-drug-related therapies involve the desensitization of nerves, the injection of anaesthetics or steroids, or the implanting of spinal cord stimulators. But all of these strategies have their limitations, and can diminish in efficacy. The patients he sees in his pain clinics may be disappointed that, rather than offering a panacea, he wants to wean them off their current pain relief and help them develop a new way of thinking about pain.
I felt I learned a lot from reading this. Lalkhen is careful to state that he is only referring to non-cancer pain (cancer pain in terminal patients will take all the morphine you can throw at it). Like many physicians, he worries about the modern epidemic of overtreatment and our obsession with wellness. I especially enjoyed the discussion of the understanding of pain and its treatment from the ancient world onward, and in particular the history of opiates. The prose is not literary, but this is an accessible and informational read if the subject matter draws you.
With thanks to Atlantic Books for the free copy for review.
What recent nonfiction releases can you recommend?
Last week was one of the biggest weeks in the UK’s publishing year. Even though I’ve cut down drastically on the number of review books I’m receiving in 2020, I still had six on my shelf with release dates last week. Of course, THE biggest title out on the 5th was The Mirror and the Light, the final volume in Hilary Mantel’s Thomas Cromwell trilogy, which I’m eagerly awaiting from the library – I’m #3 in a holds queue of 34 people, but there are three copies, all showing as “Received at HQ,” so mine should come in any day now.
But for those who are immune to Mantel fever, or just seeking other material, there’s plenty to keep you busy. I give short reviews of five books today: a couple of dysfunctional family stories, two very different graphic novels and some feminist nonfiction.
All This Could Be Yours by Jami Attenberg
(Published by Serpent’s Tail on the 5th; came out in the USA from Houghton Mifflin in October)
Most of the action in Attenberg’s seventh book takes place on one day, as 73-year-old Victor Tuchman, struck down by a heart attack, lies on his deathbed in a New Orleans hospital. There’s more than a whiff of Trump about Victor, who has a shadowy mobster past and was recently hit with 11 sexual harassment charges. Forced to face the music for the first time, he fled Connecticut with his wife Barbra, citing the excuse of wanting to live closer to their son Gary in Louisiana. Victor had been abusive to Barbra throughout their marriage, and was just as violent in his speech: he could crush their daughter Alex with one remark on her weight.
So no one is particularly sad to see Victor dying. Alex goes through the motions of saying goodbye and telling her father she forgives him, knowing she doesn’t mean a word. Meanwhile, Gary is AWOL on a work trip to California, leaving his wife Twyla to take his place at Victor’s bedside. Twyla’s newfound piety is her penance for a dark secret that puts her at the heart of the family’s breakdown.
Attenberg spends time with each family member on this long day supplemented by flashbacks, following Alex from bar to bar in downtown New Orleans as she tries to drown her sorrows and exploring other forms of addiction through Barbra (redecorating; not eating or ageing) and Twyla – in a particularly memorable scene, she heaps a shopping cart full of makeup at CVS and makes it all the way to the checkout before she snaps out of it. There’s also an interesting pattern of giving brief glimpses into the lives of the incidental characters whose paths cross with the family’s, including the EMT who took Victor to the hospital.
This is a timely tragicomedy, realistic and compassionate but also marked by a sardonic tone. Although readers only ever see Victor through other characters’ eyes, any smug sense of triumph they may feel about seeing the misbehaving, entitled male brought low is tempered by the extreme sadness of what happens to him after his death. I didn’t love this quite as much as The Middlesteins, but for me it’s a close second out of the four Attenberg novels I’ve read. She’s a real master of the dysfunctional family novel.
My thanks to the publisher for the free copy for review.
Silver Sparrow by Tayari Jones (2011)
(Published for the first time in the UK by Oneworld on the 5th)
Speaking of messed-up families … Growing up in 1980s Atlanta, Dana and Chaurisse both call James Witherspoon their father – but Chaurisse’s mother doesn’t even know that Dana exists. Dana’s mother, however, has always been aware of her husband’s other family. That didn’t stop her from agreeing to a quick marriage over the state line. Jones establishes James’s bigamy in the first line; the rest of the novel is mostly in two long sections, the first narrated by Dana and the second by Chaurisse. Both girls recount how their parents met, as well as giving a tour through their everyday life of high school and boyfriends.
I was eager to read this after enjoying Jones’s Women’s Prize winner, An American Marriage, so much. Initially I liked Dana’s narration as she elaborates on her hurt at being in a secret family. The scene where she unexpectedly runs into Chaurisse at a science fair and discovers their father bought them matching fur coats is a highlight. But by the midpoint the book starts to drag, and Chaurisse’s voice isn’t distinct enough for her narration to add much to the picture. A subtle, character-driven novel about jealousy and class differences, this failed to hold my interest. Alternating chapters from the two girls might have worked better?
My thanks to the publisher for the proof copy for review.
New graphic novels from SelfMadeHero:
The Mystic Lamb: Admired and Stolen by Harry De Paepe and Jan Van Der Veken
[Translated by Albert Gomperts]
I’ve been to Ghent, Belgium twice. Any visitor will know that one of the city’s not-to-be-missed sights is the 15th-century altarpiece in St Bavo’s Cathedral, Jan van Eyck’s Adoration of the Mystic Lamb. On our first trip we bought timed tickets to see this imposing and vibrantly colored multi-paneled artwork, which depicts various figures and events from the Bible as transplanted into a typically Dutch landscape. De Paepe gives a comprehensive account of the work’s nearly six-century history.
It’s been hidden during times of conflict or taken away as military spoils; it’s been split into parts and sold or stolen; it narrowly escaped a devastating fire. Overall, there was much more detail here than I needed, and far fewer illustrations than I expected. If you have a special interest in art history, you may well enjoy this. Just bear in mind that, although marketed as a graphic novel, it is mostly text.
Thoreau and Me by Cédric Taling
[Translated by Edward Gauvin]
I can’t seem to get away from Henry David Thoreau in my recent reading. Last year I reviewed for the TLS two memoirs that consciously appropriated the 19th-century environmentalist’s philosophy and language; the other night I found mentions of Thoreau in a Wallace Stegner novel, a new nature book by Lucy Jones, and travel books by Nancy Campbell and Charlie English. So I knew I had to read this debut graphic novel (but is it a memoir or autofiction?) about a Paris painter who is plagued by eco-anxiety and plans to build his own off-grid home in the woods.
Cédric and his middle-class friends are assailed by “white hipster guilt.” A brilliant sequence has a dinner party discussion descend into a cacophony of voices as they list the ethical minefields they face. Though Cédric wishes he were a prepared alpha male with advanced survival skills that could save his family, his main strategy seems to be panic buying cold-weather gear. Thoreau, depicted sometimes as a wolf or faun and always with a thin, tubular mosquito’s nose (like a Socratic gadfly?), comes to him as an invisible friend and guru, with quotes from Walden and his journal appearing in jagged speech bubbles. This was a good follow-up to Jenny Offill’s Weather with its themes of climate-related angst and perceived helplessness. I enjoyed the story even though I found the drawing style slightly grotesque.
My thanks to the publisher for the free copies for review.
And one extra:
The Home Stretch: Why It’s Time to Come Clean about Who Does the Dishes by Sally Howard
(Published by Atlantic Books on the 5th)
I only gave this feminist book about the domestic labor gap a quick skim as, unfortunately, it repeats a lot of the examples and statistics that were familiar to me from works like Invisible Women by Caroline Criado-Pérez (e.g. the Iceland women’s strike in the 1970s) and Fair Play by Eve Rodsky. The only chapter that stood out for me somewhat was about the “yummy mummy” stereotype perpetuated by the likes of Jools Oliver and Gwyneth Paltrow.
My thanks to the publisher for the proof copy for review.
What recent releases can you recommend?
These three books – two novels and a memoir – pay loving tribute to a particular nineteenth- or twentieth-century writer. In each case, the author incorporates passages of pastiche, moving beyond thematic similarity to make their language an additional homage.
Although I enjoyed the three books very much, they differ in terms of how familiar you should be with the source material before embarkation. So while they were all reads for me, I have added a note below each review to indicate the level of prior knowledge needed.
The River Capture by Mary Costello
Luke O’Brien has taken a long sabbatical from his teaching job in Dublin and is back living at the family farm beside the river in Waterford. Though only in his mid-thirties, he seems like a man of sorrows, often dwelling on the loss of parents, aunts and romantic relationships with both men and women. He takes quiet pleasure in food, the company of pets, and books, including his extensive collection on James Joyce, about whom he’d like to write a tome of his own. The novel’s very gentle crisis comes when Luke falls for Ruth and it emerges that her late father ruined his beloved Aunt Ellen’s reputation.
At this point a troubled Luke is driven into 100+ pages of sinuous contemplation, a bravura section of short fragments headed by questions. Rather like a catechism, it’s a playful way of organizing his thoughts and likely more than a little Joycean in approach – I’ve read Portrait of the Artist and Dubliners but not Ulysses or Finnegans Wake, so I feel less than able to comment on the literary ventriloquism, but I found this a pleasingly over-the-top stream-of-consciousness that ranges from the profound (“What fear suddenly assails him? The arrival of the noonday demon”) to the scatological (“At what point does he urinate? At approximately three-quarters of the way up the avenue”).
While this doesn’t quite match Costello’s near-perfect novella, Academy Street, it’s an impressive experiment in voice and style, and the treatment of Luke’s bisexuality struck me as sensitive – an apt metaphorical manifestation of the novel’s focus on fluidity. (See also Susan’s excellent review.)
Why Joyce? “integrity … commitment to the quotidian … refusal to take conventions for granted”
Familiarity required: Moderate
Also recommended: The Sixteenth of June by Maya Lang
With thanks to Canongate for the free copy for review.
In Love with George Eliot by Kathy O’Shaughnessy
Many characters, fictional and historical, are in love with George Eliot over the course of this debut novel by a literary editor. The whole thing is a book within a book – fiction being written by Kate, an academic at London’s Queen Elizabeth College who’s preparing for two conferences on Eliot and a new co-taught course on life writing at the same time as she completes her novel, which blends biographical information and imagined scenes.
1857: Eliot is living with George Henry Lewes, her common-law husband, and working on Adam Bede, which becomes a runaway success, not least because of speculation about its anonymous author. 1880: The great author’s death leaves behind a mentally unstable widower 20 years her junior, John Walter Cross, once such a close family friend that she and Lewes called him “Nephew.”
Between these points are intriguing vignettes from Eliot’s life with her two great loves, and insight into her scandalous position in Victorian society. Her estrangement from her dear brother (the model for Tom in The Mill on the Floss) is a plangent refrain, while interactions with female friends who have accepted the norms of marriage and motherhood reveal just how transgressive her life is perceived to be.
In the historical sections O’Shaughnessy mimics Victorian prose ably, yet avoids the convoluted syntax that can make Eliot challenging. I might have liked a bit more of the contemporary story line, in which Kate and an alluring colleague make their way to Venice (the site of Eliot’s legendarily disastrous honeymoon trip with Cross), but by making this a minor thread O’Shaughnessy ensures that the spotlight remains on Eliot throughout.
Highlights: A cameo appearance by Henry James; a surprisingly sexy passage in which Cross and Eliot read Dante aloud to each other and share their first kiss.
Why Eliot? “As an artist, this was her task, to move the reader to see people in the round.”
Familiarity required: Low
Also recommended: 142 Strand by Rosemary Ashton, Sophie and the Sibyl by Patricia Duncker, and My Life in Middlemarch by Rebecca Mead
With thanks to Scribe UK for the free copy for review.
All the Lives We Ever Lived: Seeking Solace in Virginia Woolf by Katharine Smyth
Smyth first read To the Lighthouse in Christmas 2001, during her junior year abroad at Oxford. Shortly thereafter her father had surgery in Boston to remove his bladder, one of many operations he’d had during a decade battling cancer. But even this new health scare wasn’t enough to keep him from returning to his habitual three bottles of wine a day. Woolf was there for Smyth during this crisis and all the time leading up to her father’s death, with Lighthouse and Woolf’s own life reflecting Smyth’s experience in unanticipated ways. The Smyths’ Rhode Island beach house, for instance, was reminiscent of the Stephens’ home in Cornwall. Woolf’s mother’s death was an end to the summer visits, and to her childhood; Lighthouse would become her elegy to those bygone days.
Often a short passage by or about Woolf is enough to launch Smyth back into her memories. As an only child, she envied the busy family life of the Ramsays in Lighthouse. She delves into the mystery of her parents’ marriage and her father’s faltering architecture career. She also undertakes Woolf tourism, including the Cornwall cottage, Knole, Charleston and Monk’s House (where Woolf wrote most of Lighthouse). Her writing is dreamy, mingling past and present as she muses on time and grief. The passages of Woolf pastiche are obvious but short enough not to overstay their welcome; as in the Costello, they tend to feature water imagery. It’s a most unusual book in the conception, but for Woolf fans especially, it works. However, I wished I had read Lighthouse more recently than 16.5 years ago – it’s one to reread.
Why Woolf? “I think it’s Woolf’s mastery of moments like these—moments that hold up a mirror to our private tumult while also revealing how much we as humans share—that most draws me to her.”
Undergraduate wisdom: “Woolf’s technique: taking a very complex (usually female) character and using her mind as an emblem of all minds” [copied from notes I took during a lecture on To the Lighthouse in a “Modern Wasteland” course during my sophomore year of college]
Familiarity required: High
Also recommended: Virginia Woolf in Manhattan by Maggie Gee, Vanessa and Her Sister by Priya Parmar, and Adeline by Norah Vincent
With thanks to Atlantic Books for the free copy for review.