These three terrific graphic novels all have one-word titles and were published on the 13th of May. Outwardly, they are very different: a biography of a famous English writer, the story of an artist looking for authentic connections, and a memoir of a medical crisis that had permanent consequences. The drawing styles are varied as well. But if the books share one thing, it’s an engagement with loneliness: It’s tempting to see the self as being pitted against the world, with illness an additional isolating force, but family, friends and compatriots are there to help us feel less alone and like we are a part of something constructive.
Orwell by Pierre Christin; illustrated by Sébastien Verdier
[Translated from the French by Edward Gauvin]
George Orwell was born Eric Blair in Bengal, where his father worked for the colonial government. As a boy, he loved science fiction and knew that he would become a writer. He had an unhappy time at prep school, where he was on reduced fees, and proceeded to Eton and then police training in Burma. Already he felt that “imperialism was an evil thing.” Among this book’s black-and-white panes, the splashes of colour – blood, a British flag – stand out, and guest artists contribute a two-page colour spread each, illustrating scenes from Orwell’s major works. His pen name commemorates a local river and England’s patron saint, marking his preoccupation with the essence of Englishness: something deeper than his hated militarism and capitalism. Even when he tried to ‘go native’ for embedded journalism (Down and Out in Paris and London and The Road to Wigan Pier), his accent marked him out as posh. He was opinionated and set out “rules” for clear writing and the proper making of tea.
The book’s settings range from Spain, where Orwell went to fight in the Civil War, via a bomb shelter in London’s Underground, to the island of Jura, where he retired after the war. I particularly loved the Scottish scenery. I also appreciated the notes on where his life story entered into his fiction (especially in A Clergyman’s Daughter and Keep the Aspidistra Flying). During World War II he joined the Home Guard and contributed to BBC broadcasting alongside T.S. Eliot. He had married Eileen, adopted a baby boy, and set up a smallholding. Even when hospitalized for tuberculosis, he wouldn’t stop typing (or smoking).
Christin creates just enough scenes to give a sense of the sweep of Orwell’s life, and incorporates plenty of the author’s own words in a typewriter font. He recognizes all the many aspects, sometimes contradictory, of his subject’s life. And in an afterword, he makes a strong case for Orwell’s ideas being more important now than ever before. My knowledge of Orwell’s oeuvre, apart from the ones everyone has read – Animal Farm and 1984 – is limited; luckily this is suited not just to Orwell fans but to devotees of life stories of any kind.
With thanks to SelfMadeHero for the free copy for review.
In by Will McPhail
Nick never knows the right thing to say. The bachelor artist’s well-intentioned thoughts remain unvoiced, such that all he can manage is small talk. Whether he’s on a subway train, interacting with his mom and sister, or sitting in a bar with a tongue-in-cheek name (like “Your Friends Have Kids” or “Gentrificchiato”), he’s conscious of being the clichéd guy who’s too clueless or pathetic to make a real connection with another human being. That starts to change when he meets Wren, a Black doctor who instantly sees past all his pretence.
Like Orwell, In makes strategic use of colour spreads. “Say something that matters,” Nick scolds himself, and on the rare occasions when he does figure out what to say or ask – the magic words that elicit an honest response – it’s as if a new world opens up. These full-colour breakthrough scenes are like dream sequences, filled with symbols such as a waterfall, icy cliff, or half-submerged building with classical façade. Each is heralded by a close-up image on the other person’s eyes: being literally close enough to see their eye colour means being metaphorically close enough to be let in. Nick achieves these moments with everyone from the plumber to his four-year-old nephew.
Alternately laugh-out-loud funny and tender, McPhail’s debut novel is as hip as it is genuine. It’s a spot-on picture of modern life in a generic city. I especially loved the few pages when Nick is on a Zoom call with carefully ironed shirt but no trousers and the potential employers on the other end get so lost in their own jargon that they forget he’s there. His banter with Wren or with his sister reveals a lot about these characters, but there’s also an amazing 12-page wordless sequence late on that conveys so much. While I’d recommend this to readers of Alison Bechdel, Craig Thompson, and Chris Ware (and expect it to have a lot in common with Kristen Radtke’s forthcoming Seek You: A Journey through American Loneliness), it’s perfect for those brand new to graphic novels, too – a good old-fashioned story, with all the emotional range of Writers & Lovers. I hope it’ll be a wildcard entry on the Sunday Times Young Writer of the Year Award shortlist.
With thanks to Sceptre for the free copy for review.
Coma by Zara Slattery
In May 2013, Zara Slattery’s life changed forever. What started as a nagging sore throat developed into a potentially deadly infection called necrotising fascitis. She spent 15 days in a medically induced coma and woke up to find that one of her legs had been amputated. As in Orwell and In, colour is used to differentiate different realms. Monochrome sketches in thick crayon illustrate her husband Dan’s diary of the everyday life that kept going while she was in hospital, yet it’s the coma/fantasy pages in vibrant blues, reds and gold that feel more real.
Slattery remembers, or perhaps imagines, being surrounded by nightmarish skulls and menacing animals. She feels accused and guilty, like she has to justify her continued existence. In one moment she’s a puppet; in another she’s in ancient China, her fate being decided for her. Some of the watery landscapes and specific images here happen to echo those in McPhail’s novel: a splash park, a sunken theatre; a statue on a plinth. There’s also a giant that reminded me a lot of one of the monsters in Spirited Away.
Meanwhile, Dan was holding down the fort, completing domestic tasks and reassuring their three children. Relatives came to stay; neighbours brought food, ran errands, and gave him lifts to the hospital. He addresses the diary directly to Zara as a record of the time she spent away from home and acknowledges that he doesn’t know if she’ll come back to them. A final letter from Zara’s nurse reveals how bad off she was, maybe more so than Dan was aware.
This must have been such a distressing time to revisit. In this interview, Slattery talks about the courage it took to read Dan’s diary even years after the fact. I admired how the book’s contrasting drawing styles recreate her locked-in mental state and her family’s weeks of waiting – both parties in limbo, wondering what will come next.
Brighton, where Slattery is based, is a hotspot of the Graphic Medicine movement spearheaded by Ian Williams (author of The Lady Doctor). Regular readers know how much I love health narratives, and with my keenness for graphic novels this series couldn’t be better suited to my interests.
With thanks to Myriad Editions for the free copy for review.
Read any graphic novels recently?
Novellas in November is one of my favorite blogging challenges of the year. Earlier in the month I reviewed a first batch of five novellas. For this second and final installment I have 11 small books to feed back on: fiction, graphic novels, and miscellaneous nonfiction.
Classic of the Month
Giovanni’s Room by James Baldwin (1956)
This was my first taste of Baldwin’s fiction, and it was very good indeed. David, a penniless American, came to Paris to find himself. His second year there he meets Giovanni, an Italian barman. They fall in love and move in together. There’s a problem, though: David has a fiancée – Hella, who’s traveling in Spain. It seems that David had bisexual tendencies but went off women after Giovanni. “Much has been written of love turning to hatred, of the heart growing cold with the death of love.” We know from the first pages that David has fled to the south of France and Giovanni faces the guillotine in the morning, but all through Baldwin maintains the tension as we wait to hear why he is sentenced to death. Deeply sad, but also powerful and brave. I’ll make Go Tell It on the Mountain my next one by Baldwin.
Garfield, Why Do You Hate Mondays? by Jim Davis (1982)
This was like a trip back to childhood, as “Garfield” was always the first thing I would turn to in the Sunday comics section of the Washington Post. The story of the tubby, lasagna-stealing, dog-outsmarting ginger cat even managed to feel relevant to my life now, since our furball is on a perpetual diet – and it’s working, he’s actually lost most of a kilo this year! Most of the three-pane pages are stand-alones in which Garfield gets into scrapes or plays pranks. Fat jokes abound. There is actually a narrative in the latter half, though: Garfield stows away in Jon’s suitcase on a vacation to Hawaii and gets locked up in the local pound. He and a couple of other cats have to team up to escape. [To my amusement, two photos of a bust-up Nissan were being used as bookmarks in the copy that came into the free bookshop where I volunteer.]
Reading Quirks: Weird Things that Bookish Nerds Do! by The Wild Detectives (2019)
This is a collected comic strip that appeared on Instagram between 2016 and 2018 (you can view it in full here). The brainchild of bookstore/bar owners in Dallas, Texas, it highlights behaviors that many might find strange but that make total sense to a bibliophile: buying multiple copies of a book so that your less-careful partner doesn’t ruin yours or you don’t lose a friend when they fail to return a borrowed copy; being so glued to a book that you take it everywhere; buying a coat with an eye to whether the pockets accommodate a paperback; exulting at a broken leg for the extra reading time a temporary handicap could buy you; reading with a headtorch after a bedmate has gone to sleep; and so on. The simple four-pane comics usually contain just one or two colors. The captions add as much as the dialogue. Read this next if you enjoyed Book Love by Debbie Tung.
Jonathan Livingston Seagull by Richard Bach (1972)
I was curious about this bestselling fable, but wish I’d left it to its 1970s oblivion. The title seagull stands out from the flock for his desire to fly higher and faster than seen before. He’s not content to be like all the rest; once he arrives in birdie heaven he starts teaching other gulls how to live out their perfect freedom. “We can lift ourselves out of ignorance, we can find ourselves as creatures of excellence and intelligence and skill.” Gradually comes the sinking realization that JLS is a Messiah figure. I repeat, the seagull is Jesus. (“They are saying in the Flock that if you are not the Son of the Great Gull Himself … then you are a thousand years ahead of your time.”) An obvious allegory, unlikely dialogue, dated metaphors (“like a streamlined feathered computer”), cringe-worthy New Age sentiments and loads of poor-quality soft-focus photographs: This was utterly atrocious.
Agatha by Anne Cathrine Bomann (2019)
[Trans. from the Danish by Caroline Waight; 147 pages]
In late-1940s Paris, a psychiatrist counts down the days and appointments until his retirement. He’s so jaded that he barely listens to his patients anymore. “Was I just lazy, or was I genuinely so arrogant that I’d become bored by other people’s misery?” he asks himself. A few experiences awaken him from his apathy: learning that his longtime secretary’s husband has terminal cancer and visiting the man for some straight talk about death; discovering that the neighbor he’s never met, but only known via piano playing through the wall, is deaf, and striking up a friendship with him; and meeting Agatha, a new German patient with a history of self-harm, and vowing to get to the bottom of her trauma. This debut novel by a psychologist (and table tennis champion) is a touching, subtle and gently funny story of rediscovering one’s purpose late in life.
Agatha will be released on 12th December. With thanks to Sceptre for the proof copy for review.
The Dig by Cynan Jones (2014)
Daniel is a recently widowed farmer in rural Wales. On his own for the challenges of lambing, he hates who he’s become. “She would not have liked this anger in me. I was not an angry man.” In the meantime, a badger-baiter worries the police are getting wise to his nocturnal misdemeanors and looks for a new, remote locale to dig for badgers. I kept waiting for these two story lines to meet explosively, but instead they just fizzle out. I should have been prepared for the animal cruelty I’d encounter here, but it still bothered me. Even the descriptions of lambing, and of Daniel’s wife’s death, are brutal. Jones’s writing reminded me of Andrew Michael Hurley’s; while I did appreciate the observation that violence begets more violence in groups of men (“It was the gangness of it”), this was a tough read for me.
Shelf Respect: A Book Lover’s Defence by Annie Austen (2019)
[183 pages, but with large type and not many words on a page]
This seems destined to be in many a bibliophile’s Christmas stocking this year. It’s a collection of mini-essays, quotations and listicles on topics such as DNFing, merging your book collection with a new partner’s, famous bibliophiles and bookshelves from history, and how you choose to organize your library. It’s full of fun trivia. Two of my favorite factoids: Bill Clinton keeps track of his books via a computerized database, and the original title of Hemingway’s A Farewell to Arms was “I Have Committed Fornication but that Was in Another Country” (really?!). It’s scattered and shallow, but fun in the same way that Book Riot articles generally are. (I almost always click through to 2–5 articles in my Book Riot e-newsletters, so that’s no problem in my book.) I couldn’t find a single piece of information on ‘Annie Austen’, not even a photo – I sincerely doubt she’s that Kansas City lifestyle blogger, for instance – so I suspect she’s actually a collective of interns.
With thanks to Sphere for the free copy for review.
Intoxicated by My Illness: And Other Writings on Life and Death by Anatole Broyard (1992)
This posthumous collection brings together essays Broyard wrote for the New York Times after being diagnosed with metastatic prostate cancer in 1989, journal entries, a piece he’d written after his father’s death from bladder cancer in 1954, and essays from the early 1980s about “the literature of death.” He writes to impose a narrative on his illness, expatiating on what he expects of his doctor and how he plans to live with style even as he’s dying. “If you have to die, and I hope you don’t, I think you should try to die the most beautiful death you can,” he charmingly suggests. It’s ironic that he laments a dearth of literature (apart from Susan Sontag) about illness and dying – if only he could have seen the flourishing of cancer memoirs in the last two decades! [An interesting footnote: in 2007 Broyard’s daughter Bliss published a memoir, One Drop: My Father’s Hidden Life—A Story of Race and Family Secrets, about finding out that her father was in fact black but had passed as white his whole life. I’ll be keen to read that.]
Sold for a Farthing by Clare Kipps (1953)
This was a random 50p find at the Hay-on-Wye market on our last trip. In July 1940 Kipps adopted a house sparrow that had fallen out of the nest – or, perhaps, been thrown out for having a deformed wing and foot. Clarence became her beloved pet, living for just over 12 years until dying of old age. A former professional musician, Kipps served as an air-raid warden during the war; she and Clarence had a couple of close shaves and had to evacuate London at one point. Clarence sang more beautifully than the average sparrow and could do a card trick and play dead. He loved to nestle inside Kipps’s blouse and join her for naps under the duvet. At age 11 he had a stroke, but vet attention (and champagne) kept him going for another year, though with less vitality. This is sweet but not saccharine, and holds interest for its window onto domesticated birds’ behavior. With photos, and a foreword by Julian Huxley.
A Year Lost and Found by Michael Mayne (1987)
Mayne was vicar at the university church in Cambridge when he came down with a mysterious, debilitating illness, only later diagnosed as myalgic encephalomyelitis or post-viral fatigue syndrome. During his illness he was offered the job of Dean of Westminster, and accepted the post even though he worried about his ability to carry out his duties. He writes of his frustration at not getting better and receiving no answers from doctors, but much of this short memoir is – unsurprisingly, I suppose – given over to theological musings on the nature of suffering, with lots of quotations (too many) from theologians and poets. Curiously, he also uses Broyard’s word, speaking of the “intoxication of convalescence.”
Ordinary Sacred: The Simple Beauty of Everyday Life by Kent Nerburn (2006)
The author has a PhD in religion and art and produced sculptures for a Benedictine abbey in British Columbia and the Peace Museum in Hiroshima. I worried this would be too New Agey for me, but at 20p from a closing-down charity shop, it was worth taking a chance on. Nerburn feels we are often too “busy with our daily obligations … to surround our hearts with the quiet that is necessary to hear life’s softer songs.” He tells pleasant stories of moments when he stopped to appreciate meaning and connection, like watching a man in a wheelchair fly a kite, setting aside his to-do list to have coffee with an ailing friend, and attending the funeral of a Native American man he once taught.
Total number of novellas read this month: 16 (compared to last year’s 26)
My overall favorite: Agatha by Anne Cathrine Bomann
Runners-up: Giovanni’s Room by James Baldwin, Intoxicated by My Illness by Anatole Broyard, and Hope in the Dark by Rebecca Solnit
What’s the best novella you’ve read recently? Do you like the sound of any of the ones I read?
A diagnosis of motor neurone disease; a father’s dispiriting experience of censorship trials. An illustrated history of fonts; an essay on grief; a cold weather-appropriate record of geese-watching. I gear up for Nonfiction November by catching up on five nonfiction review books I’ve been sent over the last couple of months. You can’t say that I don’t read a variety, even within nonfiction! See if one or more of these tempts you.
A Short History of Falling: Everything I Observed about Love whilst Dying by Joe Hammond
Hammond, a playwright, takes a wry, clear-eyed approach to his diagnosis of motor neurone disease (ALS) and the knowledge that his physical capacities will only deteriorate from here on out. “New items arrive almost daily and I am unexpectedly becoming the curator of the Museum of my own Decline.” Yet he also freezes funnier moments, like blowing his nose on a slice of bread because he couldn’t reach a tissue box, or spending “six hours of my fiftieth birthday sat on this hospice toilet, with a bottle of good Scotch wedged between my knees.”
Still, Hammond regrets that he’s become like a third small child for his wife Gill to look after, joining his sons Tom and Jimmy, and that he won’t see his boys grow up. (This book arose from an article he wrote for the Guardian in 2018 about making 33 birthday cards for his sons to open in the years after his death.) Although I wasn’t as interested in the details of Hammond’s earlier life, or his relationship with his narcissistic father, I appreciated his quiet acceptance of disability, help and impending death.
“I’ve waited all my life to know this peace. To know that I am nothing more than this body.”
“my place in all of this is becoming smaller, historic and just the right size of important.”
With thanks to 4th Estate for the free copy for review.
An Author on Trial: The Story of a Forgotten Writer by Luciano Iorio
The author’s father, Giuseppe Jorio, was a journalist and schoolteacher who wrote an infamous novel based on an affair he had in the 1930s. Using italicized passages from his father’s diary and letters to Tina, who was 19 when their affair started, Iorio reconstructs the sordid events and unexpected aftermath in fairly vivid detail. Tina fell pregnant and decided to abort the baby. Meanwhile, Giuseppe’s wife, Bruna, got the truth out of him and responded with more grace than might be expected. Giuseppe was devastated at the loss of his potential offspring, and realized he wanted to have a child with Bruna. He bid Tina farewell and the family moved to Rome, where the author was born in 1937.
Giuseppe’s novel inspired by the affair, Il Fuoco del Mondo (The Fire of the World) was rejected by all major publishers and accused of obscenity in a series of five trials that threatened his reputation and morale. It’s a less familiar echo of the Lady Chatterley’s Lover trial, and a poignant portrait of a man who felt he never lived up to his potential because of bad luck and societal disapproval. I enjoyed learning a bit about Italian literature. However, inconsistent use of tenses and shaky colloquial English (preposition issues, etc.) suggest that a co-writer or translator was needed to bring this self-published work up to scratch.
With thanks to the publicist for the free copy to review as part of a blog tour.
ABC of Typography by David Rault
[Translated from the French by Edward Gauvin]
From cuneiform to Gutenberg to Comic Sans, this history of typography is delightful. Graphic designer David Rault wrote the whole thing, but each chapter has a different illustrator, so the resulting book is like a taster course in comics styles. As such, I would highly recommend it to those who are fairly new to graphic novels and want to see whose work appeals to them, as well as to anyone who enjoyed Simon Garfield’s book about fonts, Just My Type.
I found it fascinating to explore the technical characteristics (serif vs. sans serif, etc.) and aesthetic associations of various fonts. For instance, I didn’t realize that my mainstay – Times New Roman – is now seen as a staid choice: “Highly readable, but overexposed in the early days of the Internet, it took on a reputation for drabness that it hasn’t shed since the ’90s.” Nowadays, some newspapers and brands pay typeface creators to make a font for their exclusive use. Can you name the typeface that is used on German road signs, or in Barack Obama’s campaign materials? (You’ll be able to after you read this.)
With thanks to SelfMadeHero for the free copy for review.
Time Lived, Without Its Flow by Denise Riley
What Virginia Woolf’s essay “On Being Ill” does for sickness, this does for bereavement. Specifically, Riley, whose son Jake died suddenly of a heart condition, examines how the experience of time changes during grief. “I’ll not be writing about death, but about an altered condition of life,” she opens. In short vignettes written from two weeks to three years after her son’s death, she reflects on how her thinking and feelings have morphed over time. She never rests with an easy answer when a mystery will do instead. “What if” questions and “as if” imaginings proliferate. Poetry – she has also written an exquisite book of poems, Say Something Back, responding to the loss of Jake – has a role to play in the acceptance of this new reality: “rhyme may do its minute work of holding time together.”
Max Porter provides a fulsome introduction to this expanded version of Riley’s essay, which first appeared in 2012. This small volume meant a lot more to him than it did to me; I preferred Riley’s poetic take on the same events. Still, this is sure to be a comfort for the bereaved.
“I’ll try to incorporate J’s best qualities of easy friendliness, warmth, and stoicism, and I shall carry him on in that way. Which is the only kind of resurrection of the dead that I know about.”
“I don’t experience him as in the least dead, but simply as ‘away’. Even if he’ll be away for my remaining lifetime. My best hope’s to have a hallucination of his presence when I’m dying myself.”
With thanks to Picador for the free copy for review.
Wintering: A Season with Geese by Stephen Rutt
Rutt’s The Seafarers: A Journey among Birds, one of my favorite recent nature/travel books, came out in May. What have we done to deserve another publication from this talented young author just four months later?! I didn’t enjoy this as much as The Seafarers, yet it does a lot of the same things well: it provides stunning word portraits of individual bird species, explores the interaction between nature and one’s mental state, and gathers evidence of the cultural importance of birds through legends and classical writings.
Here the focus is on geese, which the author had mostly overlooked until the year he moved to southern Scotland. Suddenly they were impossible to ignore, and as he became accustomed to his new home these geese sightings were a way of marking the seasons’ turn. Ethical issues like hunting, foie gras and down production come into play, and, perhaps ironically, the author eats goose for Christmas dinner!
Rutt’s points of reference include Paul Gallico (beware plot spoilers!), Aldo Leopold, Mary Oliver and Peter Scott. The writing in this short book reminded me most of Horatio Clare (especially The Light in the Dark) and Jim Crumley (who’s written many short seasonal and single-species nature books) this time around.
A favorite passage (I sympathize with the feelings of nomadism and dislocation):
“I envy the geese their certainty, their habits of home. I am forever torn between multiple places that feel like home. Scotland where I live or Suffolk, Essex, Norfolk: the flatlands of golden evenings and reeds, mud and water and sand. The distant horizon and all the space in between I grew up with, which seems to lurk somewhere, subconsciously calling me back.”
[Neat aside: My husband and I both got quotes (about The Seafarers) on the press release for this book!]
With thanks to Elliott & Thompson for the free copy.
Would you be interested in reading one or more of these?
I’m delighted to announce the other book bloggers on my Wellcome Book Prize 2018 shadow panel: Paul Cheney of Halfman, Halfbook, Annabel Gaskell of Annabookbel, Clare Rowland of A Little Blog of Books, and Dr. Laura Tisdall. Once the shortlist is announced on Tuesday the 20th, we’ll be reading through the six nominees and sharing our thoughts. Before the official winner is announced at the end of April we will choose our own shadow winner.
I’ve been working my way through some of the longlisted titles I was able to access via the public library and NetGalley. Here’s my latest two (both ):
Plot 29: A Memoir by Allan Jenkins
This is an unusual hybrid memoir: it’s a meditative tour through the gardening year, on a plot in London and at his second home in his wife’s native Denmark. But it’s also the story of how Jenkins, editor of the Observer Food Monthly, investigated his early life. Handed over to a Barnardo’s home at a few months of age, he was passed between various family members and a stepfather (with some degree of neglect: his notes show scabies, rickets and TB) and then raised by strict foster parents in Devon with his beloved older half-brother, Christopher. It’s interesting to read that initially Jenkins intended to write a simple gardening diary, with a bit of personal stuff thrown in. But as he got further into the project, it started to morph.
The book has a complicated chronology: though arranged by month, within chapters its fragments jump around in time, a year or a date at the start helping the reader to orient herself between flashbacks and the contemporary story line. Sections are often just a paragraph long; sometimes up to a page or two. I suspect some will find the structure difficult and distancing. It certainly made me read the book slowly, which I think was the right way. You take your time adjusting to the gradual personal unveiling just as you do to the slow turn of the seasons. When major things do happen – meeting his mother in his 30s; learning who his father was in his 60s – they’re almost anticlimactic, perhaps because of the rather flat style. It’s the process that has mattered, and gardening has granted solace along the way.
I’m grateful to the longlist for making me aware of a book I otherwise might never have heard about. I don’t think the book’s mental health theme is strong enough for it to make the shortlist, but I enjoyed reading it and I’ll also take a look at Jenkins’s upcoming book, Morning, about the joys of being an early riser. (Ironic after my recent revelations about my own sleep patterns!)
“Solitude plus community, the constant I search for, the same as the allotment”
“The last element to be released from Pandora’s box, they say, was hope. So I will mourn the children we once were and I will sow chicory for bitterness. I will plant spring beans and alliums. I’ll look after them.”
“As a journalist, I have learned the five Ws – who, what, where, when, why. They are all needed to tell a story, we are taught, but too many are missing in my tale.”
With the End in Mind: Dying, Death and Wisdom in an Age of Denial by Kathryn Mannix
This is an excellent all-round guide to preparation for death. It’s based around relatable stories of the patients Mannix met in her decades working in the fields of cancer treatment and hospice care. She has a particular interest in combining CBT with palliative care to help the dying approach their remaining time with realism rather than pessimism. In many cases this involves talking patients and their loved ones through the steps of dying and explaining the patterns – decreased energy, increased time spent asleep, a change in breathing just before the end – as well as being clear about how suffering can be eased.
I read the first 20% on my Kindle and then skimmed the rest in a library copy. This was not because I wasn’t enjoying it, but because it was a two-week loan and I was conscious of needing to move on to other longlist books. It may also be because I have read quite a number of books with similar themes and scope – including Caitlin Doughty’s two books on death, Caring for the Dying by Henry Fersko-Weiss, Being Mortal by Atul Gawande, and Waiting for the Last Bus by Richard Holloway. Really this is the kind of book I would like to own a copy of and read steadily, just a chapter a week. Mannix’s introductions to each section and chapter, and the Pause for Thought pages at the end of each chapter, mean the book lends itself to being read as a handbook, perhaps in tandem with an ill relative.
The book is unique in giving a doctor’s perspective but telling the stories of patients and their families, so we see a whole range of emotions and attitudes: denial, anger, regret, fear and so on. Tears were never far from my eyes as I read about a head teacher with motor neurone disease; a pair of women with metastatic breast cancer who broke their hips and ended up as hospice roommates; a beautiful young woman who didn’t want to stop wearing her skinny jeans even though they were exacerbating her nerve pain, as then she’d feel like she’d given up; and a husband and wife who each thought the other didn’t know she was dying of cancer.
Mannix believes there’s something special about people who are approaching the end of their life. There’s wisdom, dignity, even holiness surrounding them. It’s clear she feels she’s been honored to work with the dying, and she’s helped to propagate a healthy approach to death. As her children told her when they visited her dying godmother, “you and Dad [a pathologist] have spent a lifetime preparing us for this. No one else at school ever talked about death. It was just a Thing in our house. And now look – it’s OK. We know what to expect. We don’t feel frightened. We can do it. This is what you wanted for us, not to be afraid.”
I would be happy to see this advance to the shortlist.
“‘So, how long has she got?’ I hate this question. It’s almost impossible to answer, yet people ask as though it’s a calculation of change from a pound. It’s not a number – it’s a direction of travel, a movement over time, a tiptoe journey towards a tipping point. I give my most honest, most direct answer: I don’t know exactly. But I can tell you how I estimate, and then we can guesstimate together.”
“we are privileged to accompany people through moments of enormous meaning and power; moments to be remembered and retold as family legends and, if we get the care right, to reassure and encourage future generations as they face these great events themselves.”
Currently reading: The Butchering Art by Lindsey Fitzharris: a history of early surgery and the fight against hospital infection, with a focus on the life and work of Joseph Lister.
Up next: I’ve requested review copies of The White Book by Han Kang and Mayhem by Sigrid Rausing, but if they don’t make it to the shortlist they’ll slip down the list of priorities.