Tag Archives: euthanasia

The Inevitable: Dispatches on the Right to Die by Katie Engelhart

Why, she wanted to know, was I so interested in the subject?

“Why isn’t everyone?” I asked.

The fact that I read a lot more books about death than the average person is something I attribute not to some morbid curiosity, but to pragmatism. As the title of Canadian reporter and documentary filmmaker Katie Engelhart’s book makes clear, this is the one subject none of us can avoid indefinitely, so why not learn about and understand it as much as possible? The Inevitable focuses on the controversial matter of assisted dying, also known as assisted suicide, euthanasia, or physician-assisted death. It’s a topic that’s already come up in my reading a couple of times this year: in the Dutch context of That One Patient by Ellen de Visser, and as a key part of the narrative in Darke Matter by Rick Gekoski.

Engelhart spends time with doctors and patients who are caught up in the assisted dying argument, chiefly in Western Europe and the United States. Ten states plus Washington, D.C. have assisted dying laws, sparked by Oregon’s Death with Dignity Act in 1994. In California, the author follows Dr. Lonny Shavelson for a month, observing all the meticulous regulations surrounded a physician-assisted death: patients with a terminal diagnosis and less than six months to live have to complete multiple forms, give many signatures, deliver oral testimony, and be able to drink the fatal concoction by themselves (whereas in other countries doctors can administer lethal injections). And if, when the time comes, a patient is too far gone to give spoken consent, the procedure is cancelled.

Other chapters consider specific cases that are not generally covered by current legislation but can drive people to seek assisted suicide: the ravages of old age, chronic degenerative illnesses, dementia, and severe mental illness. Each of these is given its own long chapter, like an extended magazine profile.

  • Meet Avril Henry, a former Exeter University professor in her eighties, now living alone with a failing body but no specific diagnosis that would qualify her for AD. Pain has long since outweighed pleasure in her life, so she illegally imports Nembutal from a veterinary supplier in Mexico and makes a careful plan for what will happen with her body, home, and possessions after she takes the drug in the bathtub.
  • Meet Maia Calloway, a 39-year-old former filmmaker confined to a wheelchair by multiple sclerosis. Her medicines cost $65,000 a year, not all covered by Medicare, and she can no longer rely on the patience of her boyfriend, who acts as her carer. She decides to raise the money to travel from Taos to a Swiss assisted dying clinic.
  • Meet Debra, a 65-year-old widow so rapidly declining with dementia that she knows she has to make her arrangements at once. She contacts the Final Exit Network, which gives advice and equipment (e.g. a nitrogen tank) that can make a death look unexplained or like a standard suicide.
  • Meet Adam, a 27-year-old in daily distress from OCD, anxiety, and depersonalization disorder. Though he’s lobbied for the inclusion of mental illness, he doesn’t qualify for AD under Canada’s laws. In 2017 he starts a Facebook livestream from a hotel room, intending to take poison off-screen. He loses his nerve this time, but is determined to try again.

These stories are so wrenching, but so compassionately told. Engelhart explores the nuances of each situation, crafting expert portraits of suffering people and the medical professionals who seek to help them, and adding much in the way of valuable context. Hers is a voice of reason and empathy. She mostly stays in the background, as befits a journalist, but occasionally emotional responses or skepticism come through – Exit International’s Philip Nitschke, vilified as a “Dr. Death” like Jack Kevorkian, is too much of a maverick for her.

And while her sympathy for the AD cause is evident, she also presents opposing arguments: from hospice doctors, from those afraid that the disabled will be pushed into assisted suicide to free up resources, from the family members of her subjects, and from those who have witnessed abuses of the system. There are those who frame this as a question of rights, and others who recognize a rare privilege; some who scorn the notion of escape, and others who speak of dignity and the kindness one would show a dying pet. The book is a vital contribution to an ongoing debate, with human stories at its heart.


With thanks to Atlantic Books for the free copy for review. The Inevitable was published in the UK on March 11th and is available from St. Martin’s Press in the USA.

Darke Matter by Rick Gekoski (Blog Tour Review)

Back in 2017, I enjoyed Rick Gekoski’s debut novel, Darke, in which curmudgeonly Dr. James Darke, a retired English teacher, literally seals himself off from the world after his wife Suzy’s death from cancer. I was pleasantly surprised to learn that a sequel was released last year – how appropriate to revisit themes of grief and isolation in 2020! – and right away was reminded of the delights of his grumpy, pompous first-person narration. As the second book opens, Darke is preparing to host his daughter Lucy with her partner Sam and son Rudy for Christmas and is in a Scrooge-like mood: “In my own home, I am blessedly safe from the canvassers, beggars and importuners spreading bubonically from house to house at Yuletide.”

Soon two things happen to shatter his peace: one is an invitation to join a poetry reading club hosted by a literary associate of his late wife – but he soon realizes it’s more of a support group for bereaved spouses. The second and much more serious interruption is a knock on the door from the police, who require more information about Suzy’s death. You see, early on in this book, Darke tells us himself that he gave Suzy a “soothing drink to carry her away,” and even in the face of others’ horror he maintains two seemingly contradictory facts: that he did not want for her to die, but that he did give her a fatal concoction to ease her terrible pain.

By coincidence, I was reading a nonfiction study of assisted dying, The Inevitable by Katie Engelhart, at the same time, and I’d also read That One Patient, a collection of interviews with Dutch medical professionals, some of whom have helped terminally ill patients to commit suicide, earlier this year. It was amusing, but also touching, to see Darke becoming an unwitting spokesman for this movement. He writes a manifesto headed “Easeful Death – Do you love your dog more than your wife?” and gets help disseminating it from a journalist acquaintance. Media attention follows and a scandal erupts.

One of the joys of this pair of novels is Darke’s fondness for literary allusions. In the previous book, these were mostly to Dante and Dickens. Here, the greatest debt is to Jonathan Swift: Darke has been reading Gulliver’s Travels to his grandson at bedtime, and decides to write a pastiche sequel to entertain the boy. Gradually, this turns into a coded story by which he can explain to Rudy what might happen to his grandfather. Will Captain Gulliver be found guilty of heresy? Will he have to flee to avoid jail?

Because we only ever experience Darke’s point of view, he is something of an unreliable narrator, and because he delivers the novel’s finale via his italicized Swiftian narrative, there is some uncertainty about what actually happens to our antihero. I didn’t enjoy this quite as much as the first book, but together they form a striking and witty character study. I especially appreciated how the sequel adds in a gentle note of controversy without allowing it to overtake the pleasures of the voice.

 

Darke Matter was first published in the UK by Constable in May 2020. The paperback edition came out on April 1st. My thanks to the publisher for the free copy for review.

I was happy to take part in the blog tour for Darke Matter. See below for details of where other reviews and features have appeared or will be appearing.

February Releases by de Visser, George, Lawson, and Smiley

Nonfiction about doctors’ memorable patients and a life of chronic pain and disability; novels set in 1970s Canada and contemporary (but magically outside-of-time) Paris.

 

That One Patient: Doctors’ and nurses’ stories of the patients who changed their lives forever by Ellen de Visser

[Translated from the Dutch by Brent Annable]

Ellen de Visser is a science writer for the most popular newspaper in the Netherlands, De Volkskrant. Her “That One Patient” column, which began in the summer of 2017, turns interviews with medical professionals into punchy first-person narratives. A collection of them was published in Dutch in 2019. This English translation tacks on 10 additional pieces based on conversations with English and American practitioners (including Dr. Anthony Fauci, immunologist and presidential medical advisor), four of them explicitly reflecting on COVID-19.

Many of the cases are decades old yet stuck with the doctor or nurse in question because of a vital lesson learned. Overtreatment is regretted just as much as an omission of care. Again and again, these medical professionals conclude that it’s impossible to judge someone else’s decisions or quality of life. For instance, a surgeon admits he had a hard time empathizing with his obese patients undergoing stomach reduction until he followed up with a young woman who told him about how invisible she’d felt before her surgery. Premature and disabled children bring grief or joy, not always in the expected doses. A doctor resents the work his team puts into repairing a woman who jumped from an eighth-floor window – why the heroic measures for someone who wanted to die? – until he learns she was pushed. A cancer surgeon develops breast cancer and now knows exactly what her patients go through.

Some of these stories are disturbing: being stalked by a patient with a personality disorder, a man poisoning his girlfriend, a farmer predicting the very day and time of his death. A gynaecologist changes his mind about abortion after he meets a 15-year-old who gave birth at home and left her baby outside in a plastic bag to die of exposure. Other pieces are heart-warming: A paramedic delivers a premature, breech baby right in the ambulance. Staff throw a wedding at the hospital for a dying teen (as in Dear Life by Rachel Clarke). A woman diagnosed with cancer while pregnant has chemotherapy and a healthy baby – now a teenager. There’s even a tale from a vet who crowdfunded prostheses for a lively terrier.

One unique thing about the Netherlands is that euthanasia is legal and provided by doctors upon the express request of a patient suffering from a terminal illness. It is taken for granted in these essays, yet some interviewees express their discomfort with it as an option for young patients. De Visser is careful to note that, even with the situation as it is, only 4% of deaths in the Netherlands are by euthanasia, and the majority of these are end-stage cancer cases.

As with any collection of this nature, some stories are more enticing than others, but overall I found it a surprising and moving set of reflections that is alive to ethical complexities and grapples with tough issues like disability, doctor error, loneliness, pain, and sense of purpose.

Two quotes, in particular, stood out to me, one from a nurse – “We are only ever guests in other people’s lives, and that’s how we ought to behave” – and the other from Dr. Fauci’s piece. In 2014 he treated a doctor who had been volunteering in Sierra Leone after an Ebola outbreak but became ill with the virus and had to be evacuated. “He cited Hippocrates: ‘It is far more important to know what sort of person has the disease, rather than what sort of disease the person has.’ You treated me like a person, not a disease, he said. And that’s what medicine is all about.”

With thanks to 4th Estate for the proof copy for review.

 

A Still Life: A Memoir by Josie George

Over a year of lockdowns, many of us have become accustomed to spending most of the time at home. But for Josie George, social isolation is nothing new. Chronic illness long ago reduced her territory to her home and garden. The magic of A Still Life is in how she finds joy and purpose despite extreme limitations. Opening on New Year’s Day and travelling from one winter to the next, the book is a window onto George’s quiet existence as well as the turning of the seasons. (My full review will appear in a forthcoming issue of the Times Literary Supplement. See also Eleanor’s thorough review.) This is top of my wish list for next year’s Barbellion Prize shortlist.

With thanks to Bloomsbury for the proof copy for review.

 

A Town Called Solace by Mary Lawson

I discovered Mary Lawson in 2015 with Road Ends and caught up with Crow Lake in the summer of 2019. All four of her books are set in fictional locations inspired by the villages and rural areas of Northern Ontario, where the author grew up before moving to England in 1968. So Solace, while not a real town, is true to her memory and, despite the sometimes gruff or know-it-all locals, an emotional landmark for the three central characters, all of whom are processing trauma and looking for places of comfort where they can start over.

1972. First we meet Clara, a plucky seven-year-old sitting vigil. She’s waiting for the return of two people: her sixteen-year-old sister, Rose, who ran away from home; and their next-door neighbour, Mrs. Orchard, whose cat, Moses, she’s feeding until the old lady gets back from the hospital. As days turn into weeks, though, it seems less likely that either will come home, and one day Clara sees a strange man moving boxes around in Mrs. Orchard’s house. This is Liam Kane, who’s inherited the house from a family friend. In his thirties and recently divorced, he’s taking a break in this tiny town, never imagining that he might find a new life. The third protagonist, and only first-person narrator, is Elizabeth, who lies in a hospital bed with heart trouble and voices her memories as a monologue to her late husband.

As we cycle through these three characters’ perspectives in alternating chapters, we gradually come to understand the connections between them. There are satisfying parallels in that, on multiple occasions but in slightly different ways, a child attaches to an older person or an adult stands in as a guardian for a neglected child. All of Lawson’s creations, even the secondary figures, are dealing with distressing memories or a loss of some kind, the details of which might only emerge much later on. Solace offers myriad opportunities for recovery, whether kitty playtime at Mrs. Orchard’s or diner food and homemade ice cream.

Like Lawson’s other works, this is a slow burner featuring troubled families. Her characters, often full of regret and sorrow, take a shadowy past as a prompt to reset their lives. They’re charming in spite of their flaws. I recalled that Crow Lake also looks back to the climactic happenings experienced by a seven-year-old girl. And like Road Ends, A Town Called Solace makes a convincing case for present decisions being influenced by historical trauma. It’s a tender and inviting story I’d recommend to readers of Wendy McGrath and Anne Tyler, with Clever Girl by Tessa Hadley and Olive, Again by Elizabeth Strout as specific readalikes. (My dilemma now is whether to read my only remaining Lawson novel, The Other Side of the Bridge, right away or save it: she’s not the most prolific author, with four books in 19 years.)

A favorite passage:

[Liam’s] life prior to coming north seemed to be taking on the quality of an old movie, one in which he’d been deeply engrossed while watching it but which now seemed trivial, unconvincing and profoundly lacking in either colour or plot. Solace had colour and plot in spades, maybe too much. In every way it was coming to seem more real than Toronto, with its endless malls and traffic jams and high-powered jobs. Though maybe, if he went back to Toronto, the same would be true in reverse. Maybe when he’d been back for a couple of months he’d find that it was Solace that seemed unreal, its unremarkable streets and stores like something from a dream, its dramatic landscape fading to nothing, like a holiday photo left in the sun.

With thanks to Chatto & Windus for the free copy for review.

 

The Strays of Paris by Jane Smiley

(Published in the USA in December 2020 under the title Perestroika in Paris. It’s been given a The Boy, the Mole, the Fox and the Horse treatment for its UK release.)

My summary for Bookmarks magazine: “A racehorse, Perestroika—nicknamed Paras—strays from her unlocked suburban stable one day, carrying her groom’s purse in her mouth, and ends up in Paris’s Place du Trocadéro. Here she meets Frida the dog, Sid and Nancy the mallards, and Raoul the raven. Frida, whose homeless owner died, knows about money. She takes euros from the purse to buy food from a local market, while Paras gets treats from a baker on predawn walks. Etienne, an eight-year-old orphan who lives with his ancient great-grandmother, visits the snowy park to feed the wary animals (who can talk to each other), and offers Paras a home. A sweet fable for animal lovers.”

Yes, this is a talking animal book, but the animals only talk to each other; they communicate with humans through their gestures and soulful eyes. Kindly shopkeepers work out what Frida wants to buy based on what she stares at or points to with a paw; the baker whose window Paras passes on her early morning walks intuits that the horse is hungry; Etienne, who gives a couple of the stray animals a home during a chill winter, learns to understand when Paras needs to go out to relieve herself, after piles of dung build up in the sitting room.

I liked how patiently and convincingly Smiley builds the portrait of each character – human or animal – and the overall situation of kindness and good fortune. Raoul is particularly amusing for his birdsplaining: “It is a feature of age. I have learned so many things in my life that they just force their way out of my beak,” he says. However, a crow would be much more realistic for Paris (or any city) than a raven, and, overall, this was a little twee and farfetched for my tastes. It was nice to read something a bit different from Smiley, who I haven’t tried since her Last Hundred Years Trilogy. She has a sideline in YA horse novels; this should probably have been lumped with those. (Annabel liked it a bit more.)

I was sent an unsolicited review copy by Picador/Mantle.

 

What recent releases can you recommend?

Young Writer of the Year Award 2020: Shortlist Reviews and Predictions

Being on the shadow panel for the Sunday Times Young Writer of the Year Award was a bookish highlight of 2017 for me. I’m pleased for this year’s panelists, especially blogging friend Marina Sofia, to have had the same opportunity, and I look forward to hearing who they choose as their shadow panel winner on December 3rd and then attending the virtual prize ceremony on December 10th.

At the time of the shortlisting, I happened to have already read Exciting Times by Naoise Dolan and was halfway through Catherine Cho’s memoir Inferno. I got the poetry collection Surge by Jay Bernard out from the library to have another go (after DNFing it last year), and the kind folk of FMcM Associates sent me the other two shortlisted books, a poetry collection and a novel, so that I could follow along with the shadow panel’s deliberations. Here are my brief thoughts on all five nominees.

 

Surge by Jay Bernard (2019)

As a writer-in-residence at the George Padmore Institute, a research centre for radical Black history, in 2016, Bernard investigated the New Cross Massacre, a fire that killed 13 young people in 1981. In 2017, the tragedy found a horrific echo in the Grenfell Tower fire, which left 72 dead. This debut poetry collection bridges that quarter-century through protest poems from various perspectives, giving voice to victims and their family members and exploring the interplay between race, sexuality and violence. Patois comes in at several points, most notably in “Songbook.” I especially liked “Peg” and “Pride,” and the indictment of government indifference in “Blank”: “It-has-nothing-to-do-with-us today issued this statement: / those involved have defended their actions and been … acquitted / retired with full pay”. On the whole, I found it difficult to fully engage with this collection, but I am reliably informed that Bernard’s protest poems have more impact when performed aloud.

Readalikes: In Nearby Bushes by Kei Miller, A Portable Paradise by Roger Robinson and Don’t Call Us Dead by Danez Smith

My rating:

 

Inferno by Catherine Cho (2020)

Cho, a Korean American literary agent based in London, experienced stress-induced postpartum psychosis after the birth of her son. She and her husband had returned to the USA when Cato was two months old to introduce him to friends and family, ending with a big Korean 100-day celebration at her in-laws’ home. Almost as soon as they got to her in-laws’, though, she started acting strangely: she was convinced cameras were watching their every move, and Cato’s eyes were replaced with “devil’s eyes.” She insisted they leave for a hotel, but soon she would be in a hospital emergency room, followed by a mental health ward. Cho alternates between her time in the mental hospital and a rundown of the rest of her life before the breakdown, weaving in her family history and Korean sayings and legends. Twelve days: That was the length of her hospitalization in early 2018, but Cho so painstakingly depicts her mindset that readers are fully immersed in an open-ended purgatory. She captures extremes of suffering and joy in this vivid account. (Reviewed in full here.)

Readalikes: An Angel at My Table by Janet Frame and Dear Scarlet by Teresa Wong

My rating:

 

Exciting Times by Naoise Dolan (2020)

At 22, Ava leaves Dublin to teach English as a foreign language to wealthy preteens in Hong Kong and soon comes to a convenient arrangement with her aloof banker friend, Julian, who lets her live with him without paying rent and buys her whatever she wants. They have sex, yes, but he’s not her boyfriend per se, so when he’s transferred to London for six months, there’s no worry about hard feelings when her new friendship with Edith Zhang turns romantic. It gets a little more complicated, though, when Julian returns and she has to explain these relationships to her two partners and to herself. On the face of it, this doesn’t sound like it would be an interesting plot, and the hook-up culture couldn’t be more foreign to me. But with Ava Dolan has created a funny, deadpan voice that carries the entire novel. I loved the psychological insight, the playfulness with language, and the zingy one-liners (“I wondered if Victoria was a real person or three Mitford sisters in a long coat”). (Reviewed in full here.)

Readalikes: Besotted by Melissa Duclos and Conversations with Friends by Sally Rooney

My rating:

 

Tongues of Fire by Seán Hewitt (2020)

In the title poem, the arboreal fungus from the cover serves as “a bright, ancestral messenger // bursting through from one realm to another” like “the cones of God, the Pentecostal flame”. This debut collection is alive with striking imagery that draws links between the natural and the supernatural. Sex and grief, two major themes, are silhouetted against the backdrop of nature. Fields and forests are loci of meditation and epiphany, but also of clandestine encounters between men: “I came back often, // year on year, kneeling and being knelt for / in acts of secret worship, and now / each woodland smells quietly of sex”. Hewitt recalls travels to Berlin and Sweden, and charts his father’s rapid decline and death from an advanced cancer. A central section of translations of the middle-Irish legend “Buile Suibhne” is less memorable than the gorgeous portraits of flora and fauna and the moving words dedicated to the poet’s father: “You are not leaving, I know, // but shifting into image – my head / already is haunted with you” and “In this world, I believe, / there is nothing lost, only translated”.

Readalikes: Physical by Andrew McMillan and If All the World and Love Were Young by Stephen Sexton

My rating:

 

Nightingale by Marina Kemp (2020)

Marguerite Demers, a 24-year-old nurse, has escaped Paris to be a live-in carer for elderly Jérôme Lanvier in southern France. From the start, she senses she’s out of place here – “She felt, as always in this village, that she was being observed”. She strikes up a friendship with a fellow outsider, an Iranian émigrée named Suki, who, in this story set in 2002, stands out for wearing a hijab. Everyone knows everyone here, and everyone has history with everyone else – flirtations, feuds, affairs, and more. Brigitte Brochon, unhappily married to a local farmer, predicts Marguerite will be just like the previous nurses who failed to hack it in service to the curmudgeonly Monsieur Lanvier. But Marguerite sticks up for herself and, though plagued by traumatic memories, makes her own bid for happiness. The novel deals sensitively with topics like bisexuality, euthanasia, and family estrangement, but the French provincial setting and fairly melodramatic plot struck me as old-fashioned. Still, the writing is strong enough to keep an eye out for what Kemp writes next. (U.S. title: Marguerite.)

Readalikes: French-set novels by Joanne Harris and Rose Tremain; The Hoarder by Jess Kidd

My rating:

 

General thoughts:

After last year’s unexpected winner – Raymond Antrobus for his poetry collection The Perseverance – I would have said that it’s time for a novel by a woman to win. However, I feel like a Dolan win would be too much of a repeat of 2017’s win (for Sally Rooney), and Kemp’s debut novel isn’t quite up to scratch. Much as I enjoyed Inferno, I can’t see it winning over these judges (three of whom are novelists: Kit de Waal, Sebastian Faulks and Tessa Hadley), though it would be suited to the Wellcome Book Prize if that comes back in 2021. So, to my surprise, I think it’s going to be another year for poetry.

I’ve been following the shadow panel’s thoughts via Marina’s blog and the others’ Instagram accounts and it looks like they are united in their admiration for the poetry collections, particularly the Hewitt. That would be my preference, too: I respond better to theme and style in poetry (Hewitt) than to voice and message (Bernard). However, I think that in 2020 the Times may try to trade its rather fusty image for something more woke, bearing in mind the Black Lives Matter significance and the unprecedented presence of a nonbinary author.

 

My predictions:

Shadow panel winner: Tongues of Fire by Seán Hewitt

Official winner: Surge by Jay Bernard

 

Have you read anything from this year’s shortlist?

October Releases by Rachel Mann, Sigrid Nunez and Ruth Janette Ruck

A calmer month for new releases after September’s bumper crop. I read a sophisticated mystery set at a theological college, a subtle novel about empathy and being a good friend, and a memoir of raising one of Britain’s first llamas.

 

The Gospel of Eve by Rachel Mann

Last year I dipped into Mann’s poetry (A Kingdom of Love) and literary criticism/devotional writing (In the Bleak Midwinter); this year I was delighted to be offered an early copy of her debut novel. The press materials are full of comparisons to Donna Tartt’s The Secret History; it’s certainly an apt point of reference for this mystery focusing on clever, Medieval-obsessed students training for the priesthood at a theological college outside Oxford.

It’s 1997 and Catherine Bolton is part of the first female intake at Littlemore College. She has striven to rid herself of a working-class accent and recently completed her PhD on Chaucer, but feels daunted by her new friends’ intelligence and old-money backgrounds: Ivo went to Eton, Charlie is an heiress, and so on. But Kitty’s most fascinated with Evie, who is bright, privileged and quick with a comeback – everything Kitty wishes she could be.

If you think of ordinands as pious and prudish, you’ll be scandalized by these six. They drink, smoke, curse and make crude jokes. In seminars with Professor Albertus Loewe, they make provocative mention of feminist theory and are tempted by his collection of rare books. Soon sex, death and literature get all mixed up as Kitty realizes that her friends’ devotion to the Medieval period goes as far as replicating dangerous rituals. We know from the first line that one of them ends up dead. But what might it have to do with the apocryphal text of the title?

I didn’t always feel the psychological groundwork was there to understand characters’ motivations, but I still found this to be a beguiling story, well plotted and drenched in elitism and lust. Mann explores a theology that is more about practice, about the body, than belief. Kitty’s retrospective blends regret and nostalgia: “We were the special ones, the shining ones,” and despite how wrong everything went, part of her wouldn’t change it for the world.

My thanks to publicist Hannah Hargrave for the proof copy for review. Published today by Darton, Longman & Todd Ltd.

 

What Are You Going Through by Sigrid Nunez

A perfect follow-up to The Friend and very similar in some ways: again we have the disparate first-person musings of an unnamed narrator compelled to help a friend. In Nunez’s previous novel, the protagonist has to care for the dog of a man who recently killed himself; here she is called upon to help a terminally ill friend commit suicide. The novel opens in September 2017 in the unfamiliar town she’s come to for her friend’s cancer treatments. While there she goes to a talk by an older male author who believes human civilization is finished and people shouldn’t have children anymore. This prophet of doom is her ex.

His pessimism is echoed by the dying friend when she relapses. The narrator agrees to accompany her to a rental house where she will take a drug to die at a time of her choosing. “Lucy and Ethel Do Euthanasia,” the ex jokes. And there is a sort of slapstick joy early in this morbid adventure, with mishaps like forgetting the pills and flooding the bathroom.

As in Rachel Cusk’s Outline trilogy, the voice is not solely or even primarily the narrator’s but Other: her friend speaking about her happy childhood and her estrangement from her daughter; a woman met at the gym; a paranoid neighbor; a recent short story; a documentary film. I felt there was too much recounting of a thriller plot, but in general this approach, paired with the absence of speech marks, reflects how the art we consume and the people we encounter become part of our own story. Curiosity about other lives fuels empathy.

With the wry energy of Jenny Offill’s Weather, this is a quiet novel that sneaks up to seize you by the heartstrings. “Women’s stories are often sad stories,” Nunez writes, but “no matter how sad, a beautifully told story lifts you up.” Like The Friend, which also ends just before The End, this presents love and literature as ways to bear “witness to the human condition.”

With thanks to Virago for the proof copy for review.

 

Along Came a Llama: Tales from a Welsh Hill Farm by Ruth Janette Ruck

Originally published in 1978 (now reissued with a foreword by John Lewis-Stempel), this is an enjoyably animal-stuffed memoir reminiscent of Gerald Durrell and especially Doreen Tovey. Ruck (d. 2006) and her family – which at times included her ill sister, her elderly mother and/or her sister-in-law – lived on a remote farm in the hills of North Wales. On a visit to Knaresborough Zoo, Ruck was taken with the llamas and fancied buying one to add to their menagerie of farm animals. It was as simple as asking the zoo director and then taking the young female back to Wales in a pony box. At that time, hardly anyone in the UK knew anything about llamas or the other camelids. No insurance company would cover their llama in transit; no one had specialist knowledge on feeding or breeding. Ruck had to do things the old-fashioned way, finding books and specialist scientific papers.

But they mostly learned about Ñusta (the Quechua word for princess) by spending time with her. At holidays they discovered her love of chocolate Easter eggs and cherry brandy. The cud-chewing creature sometimes gave clues to what else she’d been eating, as when she regurgitated plum stones. She didn’t particularly like being touched or trailed by an orphaned lamb, but followed Ruck around dutifully and would sit sociably in the living room. Life with animals often involves mild disasters: Ñusta jumps in a pool and locks Ruck’s husband in the loo, and the truck breaks down on the way to mate her with the male at Chester Zoo.

A vintage cover I found on Goodreads.

From spitting to shearing, there was a lot to get used to, but this account of the first three years of llama ownership emphasizes the delights of animal companionship. There were hardships in Ruck’s life, including multiple sclerosis and her sister’s death, but into the “austere but soul-rewarding life of a hill firm … like a catalyst or a touch of magic, the llama came along.” I was into llamas and alpacas well before the rest of the world – in high school I often visited a local llama farm, and I led a llama in a parade and an alpaca in a nativity play – so that was my primary reason for requesting this, but it’s just right for any animal lover.

With thanks to Faber & Faber for the free copy for review.

 

What recent releases can you recommend?

Wellcome Book Prize Shortlist Event

Five of the six shortlisted authors (barring Dublin-based Mark O’Connell) were at the Wellcome Collection in London yesterday to share more about their books in mini-interviews with Lisa O’Kelly, the associate editor of the Observer. She called each author up onto the stage in turn for a five-minute chat about her work, and then brought them all up for a general conversation and audience questions. Clare and I found it a very interesting afternoon. Here’s some context that I gleaned about the five books and their writers.

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.”

Sigrid Rausing started writing her book soon after her sister-in-law Eva’s body was found: just random paragraphs to make sense of what had happened. From there it became an investigation, a quest to find the nature of addiction. She thinks that as a society we still don’t quite understand what addiction is, and the medical research and public perception are very separate. In addition to nature and nurture, she thinks we should consider the influence of culture – as an anthropologist by training, she’s very interested in drug culture and how that drew in her brother, Hans. Although there have been many memoirs by ex-addicts, she can’t think of another one by a family member. Perhaps, she suggested, this is because the addict is seen as the ultimate victim. She referred to her book as a “collage,” a very apt description.

Kathryn Mannix spoke of how her grandmother, born in 1900, saw so much more death than we do nowadays: siblings, a child, and so on. Today, though, Mannix has encountered people in their sixties who are facing, with their parents, their very first deaths. Death is fairly “gentle” and “dull” if you’re not directly involved, she insists; she blames Hollywood and Eastenders for showing unusually dramatic deaths. She said once you understand what exactly people are afraid of about dying (e.g. hell, oblivion, pain, leaving their families behind) you can address their specific concerns and thereby “beat out the demon of terror and fear.” Mannix never intended to write a book, but someone heard her on the radio and invited her to do so. Luckily, from her medical school days onward, she’d been writing an A4 page about each of her most mind-boggling cases to get them out of her head and move on. That’s why, as O’Kelly put it, the characters in her 30 stories “leap off the page.”

Mannix, Adebayo, O’Kelly, Rausing, Wadman & Fitzharris

Lindsey Fitzharris called The Butchering Art “a love story between science and medicine” – it was the first time that the former (antisepsis) was applied to the latter. She initially thought Robert Liston was her man – he was so colorful, larger than life – but eventually found that the real story was with Joseph Lister, the quiet, persistent Quaker. (However, the book does open with Liston performing the first surgery under ether.) Fitzharris is also involved in the Order of the Good Death, author Caitlin Doughty’s initiative, and affirmed Mannix’s efforts to remove the taboo from talking about death. I think I heard correctly that she said there is a film of The Butchering Art in the works?! I’ll need to look into that some more.

Meredith Wadman started with a brief explanation of how immunization works and why the 1960s were ripe for vaccine research. This segment went really science-y, which I thought was a little unfortunate as it may have made listeners tune out and be less interested in her work than the others’. It was perhaps inevitable given her subject matter, but also a matter of the questions O’Kelly asked – with the others she focused more on stories and themes than on scientific facts. It was interesting to hear what Wadman has been working on recently: for the past 6–8 months, she’s been reporting for Science on sexual harassment in science. For her next book, though, she’s pondering the conflict between a congressman and a Centers for Disease Control scientist over funding into research that might lead to gun control.

 


The question time brought up the issues of medical misinformation online, the distrust people with chronic illnesses have of medical professionals, and euthanasia – Mannix rather dodged that one, stating that her book is about the natural dying process so that’s not really her area. (Though it does come up in a chapter of her book.) We also heard a bit about the projects up next for each author. Rausing’s next book will be a travel memoir about the Capetown drought, taking in apartheid and her husband’s family’s immigration. Adebayo is at work on a very nebulous novel “about people,” and possibly how privilege affects access to healthcare.