The Not the Wellcome Prize Blog Tour: Francesca Segal and Ian Williams
It’s my stop on the “Not the Wellcome Prize” blog tour. With two dozen reviews of health-themed 2019 books to choose from, I decided to nominate these two for the longlist because they’re under the radar compared to some other medical releases, plus they showcase the breadth of the books that the Prize recognizes: from a heartfelt memoir of a mother welcoming premature babies to a laugh-out-loud graphic novel about a doctor practicing in a small town in Wales. (The Prize website says “picture-led books are not eligible,” so in fact it is likely that graphic novels have never been considered, but we’ve been flexible with the rules for this unofficial blog tour.)
Mother Ship by Francesca Segal
This first work of nonfiction from the author of the exquisite The Innocents is a visceral diary of the first eight weeks in the lives of her twin daughters, who were born by Caesarean section at 29 weeks in October 2015 and spent the next two months in the NICU, “an extremely well-funded prison or perhaps more accurately a high-tech zoo.” In Mother Ship, she strives to come to terms with this unnatural start to motherhood. “Taking my unready daughters from within me felt not like a birth but an evisceration,” she writes. “My children do not appear to require mothering. Instead they need sophisticated medical intervention.”
Segal describes with tender precision the feeling of being torn: between the second novel she’d been in the middle of writing and the all-consuming nature of early parenthood; and between her two girls (known for much of the book as “A-lette” and “B-lette”), who are at one point separated in different hospitals. Her attitude towards the NHS is pure gratitude.
As well as portraying her own state of mind, she crafts twinkly pen portraits of the others she encountered in the NICU, including the staff but especially her fellow preemie mums, who met in a “milking shed” where they pumped breast milk for the babies they were so afraid of losing that they resisted naming. (Though it was touch and go for a while, A-lette and B-lette finally earned the names Raffaella and Celeste and came home safely.) Female friendship is thus a subsidiary theme in this exploration of desperate love and helplessness.
The Lady Doctor by Ian Williams
This sequel to 2014’s The Bad Doctor returns to a medical practice in small-town Wales. This time, though, the focus is on Iwan James’s colleague, Dr. Lois Pritchard, who also puts in two days a week treating embarrassing ailments at the local hospital’s genitourinary medicine clinic. At nearly 40, Lois is a divorcee with no children; just a dog. She enjoys her nights out drinking with her best friend, Geeta, but her carefree life is soon beset by various complications: she has to decide whether she wants to join the health centre as a full partner, a tryst with her new fella goes horribly wrong, and her estranged mother suddenly reappears in her life, hoping that Lois will give her a liver transplant. And that’s not to mention all the drug addicts and VD-ridden lotharios hanging about.
Williams was a GP in North Wales for 20 years, and no doubt his experiences have inspired his comics. His tone is wonderfully balanced: there are plenty of hilarious, somewhat raunchy scenes, but also touching moments where Lois learns that a doctor is never completely off duty and has no idea what medical or personal challenge will crop up next. The drawing style reminded me most of Alison Bechdel’s or Posy Simmonds’, with single shades from rose to olive alternating as the background. I especially loved the pages where each panel depicts a different patient to show the range of people and complaints a doctor might see in a day. Myriad Editions have a whole “Graphic Medicine” series that I’m keen to explore.
See below for details of the blogs where other reviews have appeared or will be appearing soon.
The shadow panel will choose a shortlist of six titles to be announced on 4 May. We will then vote to choose a winner, with the results of a Twitter poll serving as one additional vote. The Not the Wellcome Prize winner will be announced on 11 May.
The Best Books from the First Half of 2019
My top 10 releases of 2019 thus far, in no particular order, are:
Not pictured: one more book read from the library; the Kindle represents two NetGalley reads.
General / Historical Fiction
Stubborn Archivist by Yara Rodrigues Fowler: What a hip, fresh approach to fiction. Broadly speaking, this is autofiction: like the author, the protagonist was born in London to a Brazilian mother and an English father. The book opens with fragmentary, titled pieces that look almost like poems in stanzas. The text feel artless, like a pure stream of memory and experience. Navigating two cultures (and languages), being young and adrift, and sometimes seeing her mother in herself: there’s a lot to sympathize with in the main character.
The Flight Portfolio by Julie Orringer: Every day the Emergency Rescue Committee in Marseille interviews 60 refugees and chooses 10 to recommend to the command center in New York City. Varian and his staff arrange bribes, fake passports, and exit visas to get celebrated Jewish artists and writers out of the country via the Pyrenees or various sea routes. The story of an accidental hero torn between impossible choices is utterly compelling. This is richly detailed historical fiction at its best. My top book of 2019 so far.
Daisy Jones and The Six by Taylor Jenkins Reid: This story of the rise and fall of a Fleetwood Mac-esque band is full of verve and heart, and it’s so clever how Reid delivers it all as an oral history of pieced-together interview fragments, creating authentic voices and requiring almost no footnotes or authorial interventions. It’s pure California sex, drugs, and rock ’n roll, but there’s nothing clichéd about it. Instead, you get timeless rivalry, resentment, and unrequited or forbidden love; the clash of personalities and the fleeting nature of fame.
Victorian Pastiche
Things in Jars by Jess Kidd: In the autumn of 1863 Bridie Devine, female detective extraordinaire, is tasked with finding the six-year-old daughter of a baronet. Kidd paints a convincingly stark picture of Dickensian London, focusing on an underworld of criminals and circus freaks. Surgery before and after anesthesia and mythology (mermaids and selkies) are intriguing subplots woven through. Kidd’s prose is spry and amusing, particularly in her compact descriptions of people but also in more expansive musings on the dirty, bustling city.
The Doll Factory by Elizabeth Macneal: Iris Whittle dreams of escaping Mrs Salter’s Doll Emporium and becoming a real painter. Set in the early 1850s and focusing on the Great Exhibition and Pre-Raphaelite Brotherhood, this also reveals the everyday world of poor Londoners. It’s a sumptuous and believable fictional world, with touches of gritty realism. If some characters seem to fit neatly into stereotypes (fallen woman, rake, etc.), be assured that Macneal is interested in nuances. A terrific debut full of panache and promise.
Graphic Novel
The Lady Doctor by Ian Williams: Dr. Lois Pritchard works at a medical practice in small-town Wales and puts in two days a week treating embarrassing ailments at the local hospital’s genitourinary medicine clinic. The tone is wonderfully balanced: there are plenty of hilarious, somewhat raunchy scenes, but also a lot of heartfelt moments as Lois learns that a doctor is never completely off duty and you have no idea what medical or personal challenge will crop up next. The drawing style reminds me of Alison Bechdel’s.
Medical Nonfiction
Constellations by Sinéad Gleeson: Perfect for fans of I Am, I Am, I Am by Maggie O’Farrell, this is a set of trenchant autobiographical essays about being in a female body, especially one wracked by pain. Gleeson ranges from the seemingly trivial to life-and-death matters as she writes about hairstyles, blood types, pregnancy, the abortion debate in Ireland and having a rare type of leukemia. The book feels timely and is inventive in how it brings together disparate topics to explore the possibilities and limitations of women’s bodies.
Hard Pushed: A Midwife’s Story by Leah Hazard: An empathetic picture of patients’ plights and medical professionals’ burnout. Visceral details of sights, smells and feelings put you right there in the delivery room. Excerpts from a midwife’s official notes – in italics and full of shorthand and jargon – are a neat window into the science and reality of the work. This is a heartfelt read as well as a vivid and pacey one, and it’s alternately funny and sobering. If you like books that follow doctors and nurses down hospital hallways, you’ll love it.
Mother Ship by Francesca Segal: A visceral diary of the first eight weeks in the lives of her daughters, who were born by Caesarean section at 29 weeks in October 2015 and spent the next two months in the NICU. As well as portraying her own state of mind, Segal crafts twinkly pen portraits of the others she encountered in the NICU, including the staff but especially her fellow preemie mums. Female friendship is thus a subsidiary theme in this exploration of desperate love and helplessness.
Poetry
Thousandfold by Nina Bogin: This is a lovely collection whose poems devote equal time to interactions with nature and encounters with friends and family. Birds – along with their eggs and feathers – are a frequent presence. Often a particular object will serve as a totem as the poet remembers the most important people in her life. Elsewhere Bogin greets a new granddaughter and gives thanks for the comforting presence of her cat. Gentle rhymes and half-rhymes lend a playful or incantatory nature. I recommend it to fans of Linda Pastan.
The three 4.5- or 5-star books that I read this year (and haven’t yet written about on here) that were not published in 2019 are:
Girls Are Coming Out of the Woods by Tishani Doshi [poetry]
Faces in the Water by Janet Frame
Priestdaddy: A Memoir by Patricia Lockwood
What are some of the best books you’ve read so far this year?
What 2019 releases do I need to catch up on right away?
Kinds of Love: Three Books for Valentine’s Day
At about this time of year I try to read a handful of books with “love” in the title. I’m currently reading Iris Murdoch’s The Sacred and Profane Love Machine for the #IMReadalong, and I have one more “love” title towards the end of this post, but it turns out that my focus this year has been more on the kinds of love that tend to get ignored around Valentine’s Day – familial love for one’s ageing parents and grandparents.
Be With: Letters to a Carer by Mike Barnes (2018)
Mike Barnes, a Toronto poet and novelist, has been a primary caregiver for his mother, Mary, in the nine years since her Alzheimer’s diagnosis disease. She grew up on a Saskatchewan farm and is now in her nineties; he’s in his sixties. A bipolar sufferer, Barnes has spent his own fair share of time in hospitals and on disability. He’s moved Mary between care homes four times as her condition has deteriorated. Though he laments her gradual loss of words and awareness of her family, he can still discern instances of her bravery and the beauty of life.
This book of fragments – memories and advice delivered via short letters – was written in between demanding caregiving tasks and is meant to be read in those same gaps. Dementia is one situation in which you should definitely throw money at a problem, Barnes counsels, to secure the best care you can, even round-the-clock nursing help. However, as the title suggests, nothing outweighs simply being there. Your presence, not chiefly to make decisions, but just to sit, listen and place a soothing hand on a forehead, is the greatest gift.
There are many excellent, pithy quotations in this book. Here are a few of my favorites:
Dementia is…
“a retreat under fire”
“a passage of exquisite vulnerability”
By your loved one’s side is “Not where things are easy, or satisfactorily achieved, or achievable, or even necessarily pleasant. But where you ought to be, have to be, and are. It brings a peace.”
The goal is “Erring humanely”.
I can imagine this being an invaluable companion for caregivers, to be tucked into a pocket or purse and pulled out for a few moments of relief. On the theme of a parent’s dementia, I’d also recommend Paulette Bates Alden’s book of linked short stories, Unforgettable.
My rating: 
Out now from Myriad Editions. My thanks for the free copy for review.
The Smallest Things: On the enduring power of family: A memoir of tiny dramas by Nick Duerden (2019)
Journalist Nick Duerden always appreciated how his maternal grandparents, Nonna and Nonno, seemed so ordinary and unchanging. Every trip to see them in the Milan suburbs was, comfortingly, the same. He’d muddle along with his meager Italian, and they’d look after him in their usual clucking way. It was only as he reached middle age and realized that his grandparents were undeniably very old – his grandmother is 99 and in a care home at the time of writing – that he realized how lucky he was to still have them in his life and how unlikely it was that they’d be around for much longer.
Duerden compares his small immediate family with his Spanish wife’s large extended one, and his uptight paternal grandparents with the more effusive set. There are also some family secrets still to uncover. I made the mistake of reading a previous nonfiction book of Duerden’s just the week before this one: Get Well Soon (2018), which has a long chapter about his grandparents that told me all I needed to know about them. That’s probably the main reason why this short book struck me as lightweight, though I did ultimately find it a touching tribute, especially to his grandmother. It could make a good Mother’s Day present.
My rating: 
Out today from Elliott & Thompson. My thanks for a proof copy for review.
Love Story by Erich Segal (1970)
This offbeat novella was a bestseller and a successful film. You surely know its most famous line: “Love means not ever having to say you’re sorry.” Oliver Barrett IV is a golden boy: his banker father and previous generations of the eminent Barrett family funded various buildings at Harvard, where Oliver is a hockey player in the late 1960s. Jenny Cavilleri, on the other hand, comes from a single-parent Italian-American family in New Jersey. She’s made it to Radcliffe as a harpsichordist, but her father is just a baker; she’d never be considered good enough for the likes of Oliver. But they meet at the Radcliffe library and, sure enough, fall for each other. She calls him “Preppie”; he calls her a bitch. They’re only partially joking. It may be true love against the odds, but it has an expiration date, as we know from the first line: “What can you say about a twenty-five-year old girl who died?”
I wanted to like this more. There’s a pleasing lightness to the style, but because the whole book is from Oliver’s perspective, I felt like Jenny got short shrift: she’s the wise-cracking gal from the block, and then she’s the innocent victim in the hospital bed. Because this is only about 120 pages, there’s not much space in between for her character to be developed. I was somewhat appalled to learn about a 1977 sequel in which Oliver finds a new love.
(Segal’s daughter Francesca is also a novelist (The Innocents).)
My rating: 
Have you read any “love” books, or books about love of any kind, lately?
Four Recommended May Releases
Here are four enjoyable books due out next month that I was lucky enough to read early. The first two are memoirs, the third is an audacious poetry book by an author new to me, and the last is the sophomore novel from an author I’ve loved before. I’ve pulled 250-word extracts from my full reviews and hope you’ll be tempted by one or more of these.
Last Things: A Graphic Memoir of Loss and Love by Marissa Moss
(Coming from Conari Press on May 1st [USA]; June 8th in UK)
“You’re not aware of last things,” Moss, a children’s book author/illustrator, writes in this wrenching memoir of losing her husband to ALS. We look forward to and celebrate all of life’s firsts, but we never know until afterwards when we’ve experienced a last. The author’s husband, Harvey Stahl, was a medieval art historian working on a book about Louis IX’s prayer book. ALS is always a devastating diagnosis, but Harvey had the particularly severe bulbar variety, and his lungs were quick to succumb. His battery-powered ventilator led to many scares – one time Moss had to plug him into the wall at a gas station and rush home for a spare battery – and he also underwent an emergency tracheotomy surgery.
This is an emotionally draining read. It’s distressing to see how, instead of drawing closer and relying on each other, Marisa and Harvey drifted apart. Harvey pushed everyone away and focused on finishing his book and returning to his academic duties. He refused to accept his limitations and resisted necessary medical interventions. Meanwhile, Moss struggled with the unwanted role of caregiver while trying not to neglect her children and her own career.
I’ve read several nonfiction books about ALS now. Compared to the other two, Moss gets the tone just right. She’s a reliable witness to a medical and bureaucratic nightmare. At the distance of years, though, she writes about the experience without bitterness. I can see this graphic novel being especially helpful to older teens with a terminally ill parent.
My rating: 
My Life with Bob: Flawed Heroine Keeps Book of Books, Plot Ensues by Pamela Paul
(Coming from Henry Holt on May 2nd [USA]; June 13th in UK)
I hold books about books to high standards and won’t stand for the slightest hint of plot summary, filler or spoilers. It’s all too easy for an author to concentrate on certain, often obscure books that mean a lot to him/her, dissecting the plots without conveying a sense of the wider appeal. The trick is to find the universal in the particular, and vice versa.
Pamela Paul, editor of the New York Times Book Review, does this absolutely perfectly. In 1988, as a high school junior, she started keeping track of her reading in a simple notebook she dubbed “Bob,” her Book of Books. In this memoir she delves into Bob to explain how her reading both reflected and shaped her character. The focus is unfailingly on books’ interplay with her life, such that each one mentioned more than earns its place.
A page from my 2007 reading diary. Lots of mid-faith-crisis religion titles there. Starting in 2009, I think, I’ve kept this information in an annual computer file instead.
So whether she was hoarding castoffs from her bookstore job, obsessing about ticking off everything in the Norton Anthology, despairing that she’d run out of reading material in a remote yurt in China, or fretting that her husband took a fundamentally different approach to the works of Thomas Mann, Paul always looks beyond the books themselves to interrogate what they say about herself.
This is the sort of book I wish I had written. If you have even the slightest fondness for books about books, you won’t want to miss this one. I’ve found a new favorite bibliomemoir, and an early entry on the Best of 2017 list.
My rating: 
Nature Poem by Tommy Pico
(Coming on May 9th from Tin House Books)
Tommy “Teebs” Pico is a Native American from the Kumeyaay nation and grew up on the Viejas Indian reservation. This funny, sexy, politically aware multi-part poem was written as a collective rebuttal to the kind of line he often gets in gay bars, something along the lines of ‘oh, you’re an Indian poet, so you must write about nature?’ Au contraire: Pico’s comfort zone is the urban, the pop cultural, and the technologically up-to-date – his poems are full of textspeak (“yr,” “bc” for because, “rn” for right now, “NDN” for Indian), an affectation that would ordinarily bother me but that I tolerated here because of Pico’s irrepressible sass: “I wd give a wedgie to a sacred mountain and gladly piss on the grass of / the park of poetic form / while no one’s lookin.”
Some more favorite lines:
“How do statues become more galvanizing than refugees / is not something I wd include in a nature poem.”
“Knowing the moon is inescapable tonight / and the tuft of yr chest against my shoulder blades— / This is a kind of nature I would write a poem about.”
“I can’t write a nature poem bc English is some Stockholm shit, makes me complicit in my tribe’s erasure”
“It’s hard to unhook the heavy marble Nature from the chain around yr neck / when history is stolen like water. // Reclamation suggests social / capital”
My rating:
The Awkward Age by Francesca Segal
(Coming on May 4th from Chatto & Windus [UK] and May 16th from Riverhead Books [USA])
I adored Segal’s first novel, The Innocents, a sophisticated remake of Edith Wharton’s The Age of Innocence set in a contemporary Jewish community in London. I wasn’t as fond of this second book, but in her study of an unusual blended family the characterization is nearly as strong as in her debut. Julia Alden lost her husband to cancer five years ago. A second chance at happiness came when James Fuller, a divorced American obstetrician, came to her for piano lessons. He soon moved into Julia and sixteen-year-old Gwen’s northwest London home, and his seventeen-year-old son, Nathan, away at boarding school, came on weekends.
Julia is as ill at ease with Nathan as James is with Gwen, and the kids seem to hate each other. That is until, on a trip to Boston for Thanksgiving with James’s ex, Gwen and Nathan fall for each other. Awkward is one way of putting it. They’re not technically step-siblings as James and Julia aren’t married, but it doesn’t sit right with the adults, and it will have unexpected consequences.
The first third or so of the book was my favorite, comparable to Jonathan Safran Foer or Jonathan Franzen. Before long the romantic comedy atmosphere tips into YA melodrama, but for me the book was saved by a few things: a balance of generations, with Gwen’s grandparents a delightful background presence; the eye to the past, whether it be Gwen’s late father or the occasional Jewish ritual; the Anglo-American element; and a realistic ending.
My rating:
Bookish Beck = Rebecca Foster. American transplant to England. Freelance proofreader and book reviewer.
Bookish Beck 