Just over a year ago, I reviewed Dr Gavin Francis’s Intensive Care, his record of the first 10 months of Covid-19, especially as it affected his work as a GP in Scotland. It ended up on my Best of 2021 list and is still the book I point people to for reflections on the pandemic. Recovery serves as a natural sequel: for those contracting Covid, as well as those who have had it before and may be suffering the effects of the long form, the focus will now be on healing as much as it is on preventing the spread of the virus. This lovely little book spins personal and general histories of convalescence, and expresses the hope that our collective brush with death will make us all more determined to treasure our life and wellbeing.
Francis remembers times of recovery in his own life: after meningitis at age 10, falling off his bike at 12, and a sinus surgery during his first year of medical practice. Refuting received wisdom about scammers taking advantage of sickness benefits (government data show only 1.7% of claims are fraudulent), he affirms the importance of a social safety net that allows necessary recovery time. Convalescence is subjective, he notes; it takes as long as it takes, and patients should listen to their bodies and not push too hard out of frustration or boredom.
Traditionally, travel, rest and time in nature have been non-medical recommendations for convalescents, and Francis believes they still hold great value – not least for the positive mental state they promote. He might also employ “social prescribing,” directing his patients to join a club, see a counsellor, get good nutrition or adopt a pet. A recovery period can be as difficult for carers as for patients, he acknowledges, and most of us will spend time as both.
I read this in December while staying with my convalescent mother, and could see how much of its practical advice applied to her – “Plan rests regularly throughout the day,” “Use aids to avoid bending and reaching,” “Set achievable goals.” If only everyone being discharged from hospital could be issued with a copy – pocket-sized and only just over 100 pages, it would be a perfect companion through any recovery period. I’d especially recommend this to readers of Maggie O’Farrell’s I Am, I Am, I Am and Christie Watson’s The Language of Kindness.
At one level, convalescence has something in common with dying in that it forces us to engage with our limitations, the fragile nature of our existence. Why not, then, live fully while we can?
If we can take any gifts or wisdom from the experience of illness, surely it’s this: to deepen our appreciation of health … in the knowledge that it can so easily be taken away.
Published by Profile Books/Wellcome Collection today, 13 January. My thanks to the publisher for the free copy for review.