Tag: hospital

Three Review Books: Brian Kimberling, Jessica Pan & Francesca Segal

Three May–June releases: A fish-out-of-water comic novel about teaching English in Prague; and memoirs about acting like an extrovert and giving birth to premature twins.

 

Goulash by Brian Kimberling

“Look where we are. East meets West. Communism meets capitalism.” In 1998 Elliott Black leaves Indiana behind for a couple of years to teach English in Prague. The opening sequence, in which he discovers that his stolen shoes have been incorporated into an art installation, is an appropriate introduction to a country where bizarre things happen. Elliott doesn’t work for a traditional language school; his students are more likely to be people he meets in the pub or tobacco company executives. Their quirky, deadpan conversations are the highlight of the book.

Elliott starts dating a fellow teacher from England, Amanda (she “looked like azaleas in May and she spoke like the BBC World Service”), who also works as a translator. They live together in an apartment they call Graceland. Much of this short novel is about their low-key, slightly odd adventures, together and separately, while the epilogue sees Elliott looking back at their relationship from many years later.

I was tickled by a number of the turns of phrase, but didn’t feel particularly engaged with the plot, which was inspired by Kimberling’s own experiences living in Prague.

With thanks to Tinder Press for a proof copy to review.

 

Favorite passages:

“Sorrowful stories like airborne diseases made their way through the windows and under the doorframe, bubbled up like the bathtub drain. It was possible to fill Graceland with light and color and music and the smell of good food, and yet the flat was like a patient with some untreatable condition, and we got tired of palliative care.”

“‘It’s good to be out of Prague,’ he said. ‘Every inch drenched in blood and steeped in alchemy, with a whiff of Soviet body odor.’ ‘You should write for Lonely Planet,’ I said.”

 

Sorry I’m Late, I Didn’t Want to Come: An Introvert’s Year of Living Dangerously by Jessica Pan

Like Jessica Pan, I’m a shy introvert (a “shintrovert”) as well as an American in the UK, so I was intrigued to see the strategies she employed and the experiences she sought out during a year of behaving like an extrovert. She forced herself to talk to strangers on the tube, give a talk at London’s Union Chapel as part of the Moth, use friendship apps to make new girlfriends, do stand-up comedy and improv, go to networking events, take a holiday to an unknown destination, eat magic mushrooms, and host a big Thanksgiving shindig.

Like Help Me!, which is a fairly similar year challenge book, it’s funny, conversational and compulsive reading that was perfect for me to be picking up and reading in chunks while I was traveling. Although I don’t think I’d copy any of Pan’s experiments – there’s definitely a cathartic element to reading this; if you’re also an introvert, you’ll feel nothing but relief that she’s done these things so you don’t have to – I can at least emulate her in initiating deeper conversations with friends and pushing myself to attend literary and networking events instead of just staying at home.

With thanks to Doubleday UK for a proof copy to review.

 

Mother Ship by Francesca Segal

I’m a big fan of Segal’s novels, especially The Innocents, one of the loveliest debut novels of the last decade, so I was delighted to hear she was coming out with a health-themed memoir about giving birth to premature twins. Mother Ship is 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, “an extremely well-funded prison or perhaps more accurately a high-tech zoo.”

Segal 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.” She 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.

Spotted at Philadelphia airport.

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, 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 a subsidiary theme in this exploration of desperate love and helplessness. The layman’s look at the inside workings of medicine would have made this one of my current few favorites for next year’s Wellcome Book Prize (which, alas, is on hiatus). After encountering some unpleasant negativity about the NHS in a recent read, I was relieved to find that Segal’s outlook is pure gratitude.

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

 

 Would you be interested in reading one or more of these?

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Hard Pushed: A Midwife’s Story by Leah Hazard

“For fans of Adam Kay’s This Is Going to Hurt and Christie Watson’s The Language of Kindness,” the blurb on my press release for Leah Hazard’s memoir opens. The publisher’s comparisons couldn’t be more perfect: Hard Pushed has the gynecological detail and edgy sense of humor of Kay’s book (“Another night, another vagina” is its first line, and the author has been known to introduce herself with “Midwife Hazard, at your cervix!”), and matches Watson’s with its empathetic picture of patients’ plights and medical professionals’ burnout.

Hazard alternates between anonymized case studies of patients she has treated and general thoughts on her chosen career (e.g. “Notes on Triage” and “Notes on Being from Somewhere Else”). Although all of the patients in her book are fictional composites, their circumstances are rendered so vividly that you quickly forget these particular characters never existed. Visceral details of sights, smells and feelings put you right there in the delivery room with Eleanor, one-half of a lesbian couple welcoming a child thanks to the now-everyday wonder of IVF; Hawa, a Somali woman whose pregnancy is complicated by the genital mutilation she underwent as a child; and Pei Hsuan, a Chinese teenager who was trafficked into sex work in Britain.

Sometimes we don’t learn the endings to these stories. Will 15-year-old Crystal have a healthy baby after she starts leaking fluid at 23 weeks? What will happen next for Pei Hsuan after her case is passed on to refugee services? Hazard deliberately leaves things uncertain to reflect the partial knowledge a hospital midwife often has of her patients: they’re taken off to surgery or discharged, and when they eventually come back to deliver someone else may be on duty. All she can do is to help each woman the best she can in the moment.

A number of these cases allow the author to comment on the range of modern opinions about pregnancy and childrearing, including some controversies. A pushy new grandmother tries to pressure her daughter into breastfeeding; a woman struggles with her mental health while on maternity leave; a rape victim is too far along to have a termination. At the other end of the spectrum, we meet a hippie couple in a birthing pool who prefer to speak of “surges” rather than contractions. Hazard rightly contends that it’s not her place to cast judgment on any of her patients’ decisions; her job is simply to deal with the situation at hand.

I especially liked reading about the habits that keep the author going through long overnight shifts, such as breaking the time up into 15-minute increments, each with its own assigned task. The excerpts from her official notes – in italics and full of shorthand and jargon – are a neat window into the science and reality of a midwife’s work, with a glossary at the end of the book ensuring that nothing is too technical for laypeople.

Hazard, an American, lives in Scotland and has a Glaswegian husband and two daughters. Her experience of being an NHS midwife has not always been ideal; there were even moments when she was ready to quit. Like Kay and Watson, she has found that the medical field can be unforgiving what with low pay, little recognition and hardly any time to wolf down your dinner during a break, let alone reflect on the life-and-death situations you’ve been a part of. Yet its rewards outweigh the downsides.

Hard Pushed has none of the sentimentality of Call the Midwife – a relief since I’m not one to gush over babies. Still, it’s 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. This was one of my most anticipated books of the first half of the year, and it lived up to my expectations. It’s also one of my top contenders for the 2020 Wellcome Book Prize so far.

 

A few favorite passages:

“So many things in midwifery are ‘wee’ [in Scotland, at least!] – a wee cut, a wee tear, a wee bleed, the latter used to describe anything from a trickle to a torrent. Euphemisms are one of our many small mercies: we learn early on to downplay and dissemble. The brutality of birth is often self-evident; there is little need to elaborate.”

“Whenever I dress a wound in this way, I remember that this is an act of loving validation; every wound tells a story, and every dressing is an acknowledgement of that story – the midwife’s way of saying, I hear you, and I believe you.”

“midwives do so much more than catch babies. We devise and implement plans of care; we connect, console, empathise and cheerlead; we prescribe; we do minor surgery. … We may never have met you until the day we ride into battle for you and your baby; … you may not even recognise the cavalry that’s been at your back until the drapes are down and the blood has dried beneath your feet.”

My rating:

 


Hard Pushed was published in the UK on May 2nd (just a few days before International Midwives’ Day) by Hutchinson. My thanks to the publisher for the free proof copy for review.