Heart: A History, by Sandeep Jauhar
There could hardly be an author better qualified to deliver this thorough history of the heart and the treatment of its problems. Sandeep Jauhar is the director of the Heart Failure Program at Long Island Medical Center. His family history – both grandfathers died of sudden cardiac events in India, one after being bitten by a snake – prompted an obsession with the heart, and he and his brother both became cardiologists. As the book opens, Jauhar was shocked to learn he had up to a 50% blockage of his own coronary vessels. Things had really gotten personal.
Cardiovascular disease has been the #1 killer in the West since 1910 and, thanks to steady smoking rates and a continuing rise in obesity and sedentary lifestyles, will still affect 60% of Americans. However, the key is that fewer people will now die of heart disease thanks to the developments of the last six decades in particular. These include the heart–lung machine, cardiac catheterization, heart transplantation, and artificial hearts.
Along the timeline, Jauhar peppers in bits of his own professional and academic experience, like experimenting on frogs during high school in California and meeting his first cadaver at medical school. My favorite chapter was the twelfth, “Vulnerable Heart,” which is about how trauma can cause heart arrhythmias; it opens with an account of the author’s days cataloguing body parts in a makeshift morgue as a 9/11 first responder. I also particularly liked his account of being called out of bed to perform an echocardiogram, which required catching a taxi at 3 a.m. and avoiding New York City’s rats.
Maybe I’ve read too much surgical history this year (The Butchering Art by Lindsey Fitzharris and Face to Face by Jim McCaul), though, because I found myself growing fairly impatient with the medical details in the long Part II, which centers on the heart as a machine, and was drawn more to the autobiographical material in the first and final sections. Perhaps I would prefer Jauhar’s first book, Intern: A Doctor’s Initiation.
In terms of readalikes, I’d mention Siddhartha Mukherjee’s The Gene, in which the personal story also takes something of a backseat to the science, and Gavin Francis’s Shapeshifters, which exhibits a similar interest in the metaphors applied to the body. While I didn’t enjoy this quite as much as two other heart-themed memoirs I’ve read, The Sanctuary of Illness by Thomas Larson and Echoes of Heartsounds by Martha Weinman Lear, I still think it’s a strong contender for next year’s Wellcome Book Prize (the judging panel is announced tomorrow!).
Some favorite lines:
“it is increasingly clear that the biological heart is extraordinarily sensitive to our emotional system—to the metaphorical heart, if you will.”
“Who but the owner can say what lies inside a human heart?”
“As a heart-failure specialist, I’d experienced enough death to fill up a lifetime. At one time, it was difficult to witness the grief of loved ones. But my heart had been hardened, and this was no longer that time.”
Heart is published in the UK today, September 27th, by Oneworld. My thanks to the publisher for the proof copy for review.
In My Mind’s Eye: A Thought Diary, by Jan Morris
I’ve been an admirer of Jan Morris’s autobiographical and travel writing for 15 years or more. In this diary covering 2017 into early 2018, parts of which were originally published in the Financial Times and the Welsh-language literary newspaper O’r Pedwar Gwynt, we get a glimpse into her life in her early nineties. It was a momentous time in the world at large but a fairly quiet and reflective span for her personally. Though each day’s headlines seem to herald chaos and despair, she’s a blithe spirit – good-natured about the ravages of old age and taking delight in the routines of daily one-mile walks down the lane and errands in local Welsh towns with her beloved partner Elizabeth, who’s in the early stages of dementia.
There are thrilling little moments, though, when a placid domestic life (a different kind of marmalade with breakfast each day of the week!) collides with exotic past experiences, and suddenly we’re plunged into memories of travels in Swaziland and India. Back when she was still James, Morris served in World War II, was the Times journalist reporting from the first ascent of Everest, and wrote a monolithic three-volume history of the British Empire. She took her first airplane flight 70 years ago, and is nostalgic for the small-town America she first encountered in the 1950s. Hold all that up against her current languid existence among the books and treasures of Trefan Morys and it seems she’s lived enough for many lifetimes.
There’s a good variety of topics here, ranging from current events to Morris’s love of cats; I particularly liked the fragments of doggerel. However, as is often the case with diaries, read too many entries in one go and you may start to find the sequence of (non-)events tedious. Each piece is only a page or two, so I tried never to read many more than 10 pages at a time. Even so, I noticed that the plight of zoo animals, clearly a hobby-horse, gets mentioned several times. It seemed to me a strange issue to get worked up about, especially as enthusiastic meat-eating and killing mice with traps suggest that she’s not applying a compassionate outlook consistently.
In the end, though, kindness is Morris’s cardinal virtue, and despite minor illness, telephone scams and a country that looks to be headed to the dogs, she’s encouraged by the small acts of kindness she meets with from friends and strangers alike. Like Diana Athill (whose Alive, Alive Oh! this resembles), I think of Morris as a national treasure, and I was pleased to spend some time seeing things from her perspective.
Some favorite lines:
“If I set out in the morning for my statutory thousand daily paces up the lane, … I enjoy the fun of me, the harmless conceit, the guileless complexity and the merriment. When I go walking in the evening, on the other hand, … I shall recognize what I don’t like about myself – selfishness, self-satisfaction, foolish self-deceit and irritability. Morning pride, then, and evening shame.” (from Day 99)
“Good or bad, virile or senile, there’s no life like the writer’s life.” (from Day 153)
In My Mind’s Eye was published by Faber & Faber on September 6th. My thanks to the publisher for the free copy for review.
Novels narrated by an octogenarian and an unborn child; memoirs about connection with nature and escaping an abusive relationship; and a strong poetry collection that includes some everyday epics: these five wildly different books are all 4-star reads I can highly recommend.
The Secret Diary of Hendrik Groen, 83¼ Years Old
In this anonymous Dutch novel in diary form, Hendrik Groen provides a full reckoning of how 2013 went down in his Amsterdam old folks’ care home. He and five friends form the “Old But Not Dead” club and take turns planning exciting weekly outings. Much comic relief is provided by his incorrigibly tippling friend, Evert, and the arrival of Eefje makes late-life romance seem like a possibility for Hendrik. However, there’s no getting around physical decay: between them these friends suffer from incontinence, dementia, diabetic amputations and a stroke. By the time 2014 rolls around, their number will be reduced by one. Yet this is a tremendously witty and warm-hearted book, despite Hendrik’s sad family history. It’s definitely one for fans of A Man Called Ove – but I liked this more. A sequel from 85-year-old Hendrik came out this year in Dutch; I’ll be looking forward to the English translation.
The Moth Snowstorm: Nature and Joy
By Michael McCarthy
An environmental journalist for the UK’s Independent, McCarthy offers a personal view of how the erstwhile abundance of the natural world has experienced a dramatic thinning, even just in England in his lifetime. He gives both statistical and anecdotal evidence for that decline; as a case study he discusses the construction of a sea wall at Saemangeum in South Korea, responsible for decimating a precious estuary habitat for shorebirds. As if to balance his pessimism about the state of the world, McCarthy remembers singular natural encounters that filled him with joy and wonder – first discovering birdwatching as a lad near Liverpool, seeing a morpho butterfly in South America – but also annual displays that rekindle his love of life: the winter solstice, the arrival of cuckoos, and bluebells. This memoir is more sentimental than I expected from an English author, but I admire his passion and openness.
By Ian McEwan
My seventh McEwan novel and one of his strongest. Within the first few pages, I was utterly captivated and convinced by the voice of this contemporary, in utero Hamlet. Provided you suspend disbelief a bit to accept he can see/hear/surmise everything that happens – the most tedious passages are those where McEwan tries to give more precise justification for his narrator’s observations – the plot really works. Not even born and already a snob with an advanced vocabulary and a taste for fine wine, this fetus is a delight to spend time with. His captive state pairs perfectly with Hamlet’s existential despair, but also makes him (and us as readers) part of the conspiracy: even as he wants justice for his father, he has to hope his mother and uncle will get away with their crime; his whole future depends on it.
Favorite line: “I have lungs but not air to shout a warning or weep with shame at my impotence.”
How Snow Falls
By Craig Raine
One of the few best poetry collections I’ve read this year. It contains nary a dud and is a good one to sink your teeth into – it’s composed of just 20 poems, but several are in-depth epics drawn from everyday life and death. Two elegies, to a dead mother and a former lover, are particularly strong. I loved the mixture of clinical and whimsical vocabulary in “I Remember My Mother” as the poet charts the transformation from person to corpse. “Rashomon” is another stand-out, commissioned as an opera and inspired by the short story “In a Grove” by Ryūnosuke Akutagawa. In couplets with a flexible rhyme scheme, the poem alternates the perspectives of a bandit, a captive husband, his raped wife, and the woodcutter who becomes an unwilling observer. Alliteration is noteworthy throughout the collection, but here produces one of my favorite lines: “Sweet cedar chips were spurting in the gloom like sparks.”
Land of Enchantment
By Leigh Stein
Stein tells of her abusive relationship with Jason, a reckless younger man with whom she moved to New Mexico. The memoir mostly toggles between their shaky attempt at a functional relationship in 2007 and learning about his death in a motorcycle accident in 2011. Even though they’d drifted apart, Jason’s memory still had power over her. Breaking free from him meant growing up at last and taking responsibility for her future. You might call this a feminist coming-of-age narrative, though that makes it sound more strident and formulaic than it actually is. I admired the skipping around in time, and especially a late chapter in the second person. I also enjoyed how New Mexico provides a metaphorical as well as a literal setting; Stein weaves in references to Georgia O’Keeffe’s art and letters to put into context her own search to become a self-sufficient artist.