Stephen Fabes is an emergency room doctor at St Thomas’s Hospital, London. Not exciting enough for you? Well, he also spent six years of the past decade cycling six continents (so, all bar Antarctica). His statistics are beyond impressive: 53,568 miles, 102 international borders, 1000+ nights of free camping, 26 bicycle tires, and 23 journals filled with his experiences. A warm-up was cycling the length of Chile with his brother at age 19. After medical school in Liverpool and starting his career in London, he found himself restless and again longing for adventure. The round-the-world cycle he planned fell into four sections: London to Cape Town, the West Coast of the Americas, Melbourne to Mumbai, and Hong Kong to home.
Signs of Life is a warm-hearted and laugh-out-loud funny account of Fabes’ travels, achieving a spot-on balance between major world events, the everyday discomforts of long-distance cycling and rough camping, and his humanitarian volunteering. He is a witness to the Occupy movement in Hong Kong, the aftermath of drought and tribal conflict in Africa, and the refugee crisis via the “Jungle” migrant camp in Calais. The desperate situations he saw while putting his medical expertise to good use in short bursts – e.g., at a floating clinic on a Cambodian lake, a malaria research center in Thailand, a leper hospital in Nepal, and a mental health rehabilitation clinic in Mumbai – put into perspective more minor annoyances like fire ants in El Salvador, Indonesian traffic, extreme cold in Mongolia, and camel spiders.
Wherever he went, Fabes met with kindness from strangers, even those who started off seeming hostile – having pitched his tent by a derelict cabin in Peru, he was alarmed to awake to a man pointing a gun at him, but the illicit gold miner soon determined he was harmless and offered him some soup. (Police officers and border guards were perhaps a bit less hospitable.) He also had occasional companions along the route, including a former housemate and a one-time girlfriend. Even limited shared language was enough to form common ground with a stranger-turned-fellow cyclist for a week or so. We get surprising glimpses of how Anglo-American culture permeates the developing world: For some reason, in the ‒Stans everyone’s point of reference when he introduced himself was Steven Seagal.
At nearly 400 pages, the memoir is on the long side, though I can see that it must have felt impossible to condense six years of adventures any further. I was less interested in the potted histories of other famous cyclists’ travels and would have appreciated a clearer sense to the passing of time, perhaps in the form of a date stamp at the head of each chapter. One of my favorite aspects of the book, though, was the use of medical metaphors to link geography to his experiences. Most chapters are titled after health vocabulary; for instance, in “Membranes” he ponders whether country borders are more like scars or cell membranes.
Fabes emphasizes, in a final chapter on the state of the West upon his return in early 2016, that, in all the most important ways, people are the same the world over. Whether in the UK or Southeast Asia, he sees poverty as the major factor in illness, perpetuating the inequality of access to adequate healthcare. Curiosity and empathy are his guides as he approaches each patient’s health as a story. Reflecting on the pandemic, which hit just as he was finalizing the manuscript, he prescribes global cooperation and innovation for this time of uncertainty.
We’re all armchair travelers this year, but this book is especially for you if you enjoy Bill Bryson’s sense of humor, think Dervla Murphy was a badass in Full Tilt, and enjoyed War Doctor by David Nott and/or The Crossway by Guy Stagg. It’s one of my top few predictions for next year’s Wellcome Book Prize – fingers crossed it will go ahead after the 2020 hiatus.
With thanks to Dr Fabes and Profile Books for the free copy for review.
After deliberation and two rounds of voting, we as a shadow panel (Annabel of Annabookbel, Clare of A Little Blog of Books, Laura of Dr. Laura Tisdall, Paul of Halfman, Halfbook and I) have reduced the 19 longlisted titles to a shortlist of six books. A few of these were clear standouts on which we all agreed, while the others required more difficult decisions.
Exhalation by Ted Chiang
Invisible Women by Caroline Criado Perez
Constellations by Sinéad Gleeson
The Nocturnal Brain by Guy Leschziner
The Remarkable Life of the Skin by Monty Lyman
War Doctor by David Nott
We’re pleased with the quality and variety we’ve come up with here. While nonfiction dominates, we have included science fiction stories that raise questions about artificial intelligence and human development. The other books address gender inequality; cancer, chronic pain, and disability; circadian rhythms and sleep; anatomy; and surgery in war zones.
The shadow panel members will vote this coming weekend to choose a winner. In the meantime, I have set up a Twitter poll to run through Saturday, the results of which will serve as one additional weighted vote. Our winner will be announced one week from today, on the morning of Monday the 11th. Go forth and vote!
Which book(s) are you rooting for?
It’s hard to believe the Not the Wellcome Prize blog tour is over already! It has been a good two weeks of showcasing some of the best medicine- and health-themed books published in 2019. We had some kind messages of thanks from the authors, and good engagement on Twitter, including from publishers and employees of the Wellcome Trust. Thanks to the bloggers involved in the tour, and others who have helped us with comments and retweets.
This weekend we as the shadow panel (Annabel of Annabookbel, Clare of A Little Blog of Books, Laura of Dr. Laura Tisdall, Paul of Halfman, Halfbook and I) have the tough job of choosing a shortlist of six books, which we will announce on Monday morning. I plan to set up a Twitter poll to run all through next week. The shadow panel members will vote to choose a winner, with the results of the Twitter poll serving as one additional vote. The winner will be announced a week later, on Monday the 11th.
First, here’s a recap of the 19 terrific books we’ve featured, in chronological blog tour order. In fiction we’ve got: novels about child development, memory loss, and disturbed mental states; science fiction about AI and human identity; and a graphic novel set at a small-town medical practice. In nonfiction the topics included: anatomy, cancer, chronic pain, circadian rhythms, consciousness, disability, gender inequality, genetic engineering, premature birth, sleep, and surgery in war zones. I’ve also appended positive review coverage I’ve come across elsewhere, and noted any other awards these books have won or been nominated for. (And see this post for a reminder of the other 56 books we considered this year through our mega-longlist.)
Notes Made While Falling by Jenn Ashworth & The Remarkable Life of the Skin by Monty Lyman: Simon’s reviews
*Monty Lyman was shortlisted for the 2019 Royal Society Science Book Prize.
[Bookish Beck review of the Ashworth]
[Halfman, Halfbook review of the Lyman]
Exhalation by Ted Chiang & A Good Enough Mother by Bev Thomas: Laura’s reviews
Constellations by Sinéad Gleeson & War Doctor by David Nott: Jackie’s reviews
*Sinéad Gleeson was shortlisted for the 2020 Rathbones Folio Prize.
[Rebecca’s Goodreads review of the Gleeson]
[Kate Vane’s review of the Gleeson]
[Lonesome Reader review of the Gleeson]
[Rebecca’s Shiny New Books review of the Nott]
Vagina: A Re-education by Lynn Enright: Hayley’s Shiny New Books review
Galileo’s Error by Philip Goff: Peter’s Shiny New Books review
Mother Ship by Francesca Segal & The Lady Doctor by Ian Williams: Rebecca’s reviews
[A Little Blog of Books review of the Segal]
[Annabookbel review of the Williams]
Chasing the Sun by Linda Geddes & The Nocturnal Brain by Guy Leschziner: Paul’s reviews
[Bookish Beck review of the Geddes]
Invisible Women by Caroline Criado-Pérez: Katie’s review
*Caroline Criado-Pérez won the 2019 Royal Society Science Book Prize.
The Faculty of Dreams by Sara Stridsberg: Kate’s review
Machines Like Me by Ian McEwan: Kate’s review
Hacking Darwin by Jamie Metzl & The Memory Police by Yoko Ogawa: Annabel’s reviews
*Yoko Ogawa is shortlisted for this year’s International Booker Prize.
[Lonesome Reader review of the Ogawa]
The Body by Bill Bryson & The World I Fell Out Of by Melanie Reid: Clare’s reviews
[Bookish Beck review of the Bryson]
[Rebecca’s Goodreads review of the Reid]
And there we have it: the Not the Wellcome Prize longlist. I hope you’ve enjoyed following along with the reviews. Look out for the shortlist, and your chance to vote for the winner, here and via Twitter on Monday.