On Tuesday the longlist for the 2019 Wellcome Book Prize will be announced. For the third year in a row I’m running a shadow panel, and it’s composed of the same four wonderful book bloggers who joined me last year: Paul Cheney of Halfman, Halfbook, Annabel Gaskell of Annabookbel, Clare Rowland of A Little Blog of Books, and Dr. Laura Tisdall.
This year we’re going to do things slightly differently: we plan to split up the longlist, taking two to three titles each, so that between us we will have read them all and can announce our own preferred shortlist before the official shortlist is announced in March. At that point we’ll catch up by (re)reading the six shortlisted books, each reviewing the ones we haven’t already. Essentially, I’m adding an extra stage of shadow panel judging, simply because I can. I hope it will be fun – and also less onerous, in that we should get a leg-up on the shortlist and not have to read all six books in March‒April, which has proved to be a challenge in the past.
My Wellcome Prize hopefuls are all the fiction or nonfiction titles I’ve read on a medical theme that were published in the UK in calendar year 2018. I have put asterisks beside the 12 books in this post that I predict for the longlist. (The combination of wishful thinking and likelihood means that these are not exclusively my personal favorites.)
Below is a list of the books I’ve already featured on the blog in some way, with links to my coverage and a few-word summary of their relevance.
Gross Anatomy by Mara Altman: Female body woes
*Beneath the Skin: Great Writers on the Body: Essays on organs
*All that Remains by Sue Black: Forensic anthropology
Everything Happens for a Reason by Kate Bowler: Living with advanced cancer
Heal Me by Julia Buckley: Tackling chronic pain
*The Unmapped Mind by Christian Donlan: Adjusting to life with MS
From Here to Eternity by Caitlin Doughty: Funerary rites around the world
This Really Isn’t About You by Jean Hannah Edelstein: A genetic disease in the family
Natural Causes by Barbara Ehrenreich: Questioning the wellness culture
On Smaller Dogs and Larger Life Questions by Kate Figes: Pondering breast cancer
Shapeshifters by Gavin Francis: Instances of bodily change
The Reading Cure by Laura Freeman: Healing from an eating disorder
Nine Pints by Rose George: The story of blood
Waiting for the Last Bus by Richard Holloway: Ageing and death
*Heart: A History by Sandeep Jauhar: Heart disease and treatments
Sick by Porochista Khakpour: Chronic Lyme disease
Human Errors by Nathan Lents: Flawed bodies; evolutionary adaptations
Skybound by Rebecca Loncraine: Breast cancer; flying lessons
Amateur by Thomas Page McBee: Memoir of F2M transformation
*Face to Face by Jim McCaul: Tales of facial surgery
*Somebody I Used to Know by Wendy Mitchell: A firsthand account of early Alzheimer’s
*That Was When People Started to Worry by Nancy Tucker: Mental illness from the inside
*The Language of Kindness by Christie Watson: Nursing as a vocation
Little by Edward Carey: Anatomical models in wax (thanks to Clare for the reminder!)
Orchid & the Wasp by Caoilinn Hughes: Non-epileptic seizures
*The Winter Soldier by Daniel Mason: Neurology, surgery during WWI
The Way of All Flesh by Ambrose Parry: Medicine in 1840s Edinburgh
Other eligible books that I have read but not happened to mention on the blog:
In Shock by Rana Awdish: The doctor became the patient when Awdish, seven months pregnant, was rushed into emergency surgery with excruciating pain due to severe hemorrhaging into the space around her liver, later explained by a ruptured tumor. Having experienced brusque, cursory treatment, even from colleagues at her Detroit-area hospital, she was convinced that doctors needed to do better. This memoir is a gripping story of her own medical journey and a fervent plea for compassion from medical professionals.
Doctor by Andrew Bomback: Part of the Bloomsbury Object Lessons series, this is a wide-ranging look at what it’s like to be a doctor. Bomback is a kidney specialist; his wife is also a doctor, and his father, fast approaching retirement, is the kind of old-fashioned, reassuring pediatrician who knows everything. Even the author’s young daughter likes playing with a stethoscope and deciding what’s wrong with her dolls. In a sense, then, Bomback uses fragments of family memoir to compare the past, present and likely future of medicine.
A Moment of Grace by Patrick Dillon [skimmed]: A touching short memoir of the last year of his wife Nicola Thorold’s life, in which she battled acute myeloid leukemia. Dillon doesn’t shy away from the pain and difficulties, but is also able to summon up some gratitude.
Get Well Soon: Adventures in Alternative Healthcare by Nick Duerden: British journalist Nick Duerden had severe post-viral fatigue after a run-in with possible avian flu in 2009 and was falsely diagnosed with ME / CFS. He spent a year wholeheartedly investigating alternative therapies, including yoga, massage, mindfulness and meditation, visualization, talk therapy and more. He never comes across as bitter or sorry for himself. Instead, he considered fatigue a fact of his new life and asked what he could do about it. So this ends up being quite a pleasant amble through the options, some of them more bizarre than others.
*Sight by Jessie Greengrass [skimmed]: I wanted to enjoy this, but ended up frustrated. As a set of themes (losing a parent, choosing motherhood, the ways in which medical science has learned to look into human bodies and minds), it’s appealing; as a novel, it’s off-putting. Had this been presented as a set of autobiographical essays, perhaps I would have loved it. But instead it’s in the coy autofiction mold where you know the author has pulled some observations straight from life, gussied up others, and then, in this case, thrown in a bunch of irrelevant medical material dredged up during research at the Wellcome Library.
*Brainstorm: Detective Stories From the World of Neurology by Suzanne O’Sullivan: Epilepsy affects 600,000 people in the UK and 50 million worldwide, so it’s an important condition to know about. It is fascinating to see the range of behaviors seizures can be associated with. The guesswork is in determining precisely what is going wrong in the brain, and where, as well as how medicines or surgery could address the fault. “There are still far more unknowns than knowns where the brain is concerned,” O’Sullivan writes; “The brain has a mind of its own,” she wryly adds later on. (O’Sullivan won the Prize in 2016 for It’s All in Your Head.)
I’m also currently reading and enjoying two witty medical books, The Mystery of the Exploding Teeth and Other Curiosities from the History of Medicine by Thomas Morris, and Chicken Unga Fever by Phil Whitaker, his collected New Statesman columns on being a GP.
Four additional books I have not read but think might have a chance of making the longlist:
Primate Change: How the World We Made Is Remaking Us by Vybarr Cregan-Reid
The Beautiful Cure: Harnessing Your Body’s Natural Defences by Daniel M. Davis
Because I Come from a Crazy Family: The Making of a Psychiatrist by Edward M. Hallowell
*She Has Her Mother’s Laugh: The Powers, Perversions, and Potential of Heredity by Carl Zimmer
Look out for the announcement of the longlist on Tuesday afternoon! I’ll report back, perhaps on Wednesday, with some reactions and the shadow panel’s reviewing strategy.
Have you read, or are you interested in, any of these books?
Can you think of other 2018 releases that might be eligible for the Wellcome Book Prize?
Here are excerpts from (and links to, where available) some of my recent reviews for other places. A few of these books will undoubtedly be showing up on my end-of-year best lists in a couple weeks’ time.
I was pleased to have three of the books I reviewed show up on BookBrowse’s list of the top 20 books of the year, as voted for by the site’s readers. What’s more, Educated was voted their top nonfiction book of the year and Where the Crawdads Sing (below) their #1 debut novel. (The third on the list was Unsheltered.)
Beauty in the Broken Places by Allison Pataki: Ernest Hemingway wrote that we are strong at the broken places, and Allison Pataki found that to be true when her husband, David Levy, a third-year orthopedic surgery resident in Chicago, had a near-fatal stroke at age 30. On June 9, 2015, Dave and five-months-pregnant Allison were on a flight from Chicago to Hawaii for their babymoon, planning to stop in Seattle to visit Dave’s brothers. But they never made it there. On the plane Dave told her he couldn’t see out of his right eye.The plane made an emergency landing in Fargo, North Dakota and Dave was rushed to a hospital for testing. Doctors found he had suffered a bithalamic midbrain ischemic stroke, even though he’d had no risk factors and this stroke type was virtually unknown in patients of his age. Pataki goes back and forth between the details of this health crisis and her past with Dave. Hers is a relatable story of surviving the worst life can throw at you and finding the beauty in it.
Sick by Porochista Khakpour: Khakpour can’t remember a time when she didn’t feel unwell and like she wanted to escape. “I had no idea what normal was. I never felt good,” she writes in her bracing memoir. Related to this sense of not being at home in her body was the feeling of not having a place where she fit in. Throughout Sick, she gives excellent descriptions of physical and mental symptoms. Her story is a powerful one of being mired in sickness and not getting the necessary help from medical professionals. Lyme disease has cost her $140,000 so far, and a lack of money and health insurance likely delayed her diagnosis by years. There is, unfortunately, some inherent repetition in a book of this nature. At times it feels like an endless cycle of doctors, appointments, and treatment strategies. However, the overall arc of struggling with one’s body and coming to terms with limitations will resonate widely.
Southernmost by Silas House: In Silas House’s sixth novel, a Tennessee preacher’s family life falls apart when he accepts a gay couple into his church. We go on a long journey in Southernmost: not just a literal road trip from Tennessee to Florida, but also a spiritual passage from judgment to grace. Reconciliation is a major theme, but so is facing up to the consequences of poor decisions. I found the plotting decisions rewarding but also realistic. The pattern of a narrow religious worldview ebbing away to no faith at all and eventually surging back as a broader and more universal spirituality truly resonates. I loved House’s characters and setups, as well as his gentle evocation of the South. His striking metaphors draw on the natural world, like “She had the coloring of a whip-poor-will” and “The sky is the pink of grapefruit meat.” It’s a beautiful, quietly moving novel of redemption and openness to what life might teach us.
Unsheltered by Barbara Kingsolver: Kingsolver’s bold eighth novel has a dual timeline that compares the America of the 1870s and the recent past, revealing how they are linked by distrust and displacement. The book’s themes and structure emphasize similarities between two time periods that might initially appear very different. Chapters alternate between the story lines, and the last words of one chapter form the title of the next. It’s a clever and elegant connecting strategy, as is the habit of using variations on the title word as frequently as possible – something Jonathan Franzen also does in his novels. (I counted 22 instances of “shelter” and its variants in the text; how many can you spot?) Kingsolver can be heavy-handed with her messages about science, American politics and healthcare, etc. All the same, Unsheltered is a rich, rewarding novel and an important one for our time, with many issues worth pondering and discussing.
Where the Crawdads Sing by Delia Owens: It’s easy to see why so many have taken this debut novel into their hearts: it’s a gripping mystery but also a tender coming-of-age story about one woman’s desperately lonely upbringing and her rocky route to finding love and a vocation. Not only that, but its North Carolina marsh setting is described in lyrical language that evinces Delia Owens’s background in nature writing, tempered with folksy Southern dialect. The title refers to places where wild creatures do what comes naturally, and throughout the book we are invited to ponder how instinct and altruism interact and what impact human actions can have in the grand scheme of things. In Kya, Owens has created a truly outstanding character. The extremity of her situation makes her a sympathetic figure in spite of her oddities. Crawdads is a real treat.
Shiny New Books
Under the Rock by Benjamin Myers: When Myers moved to the Calder Valley of West Yorkshire from London over a decade ago, he approached his new patch with admirable curiosity, and supplemented the observations he made from his study window with frequent long walks with his dog (“Walking is writing with your feet”) and research into the history of the area. The result is a divagating, lyrical book that ranges from literature and geology to true crime but has an underlying autobiographical vein. This isn’t old-style nature writing in search of unspoiled places. Instead, it’s part of a growing interest in the ‘edgelands’ where human impact is undeniable but nature is creeping back in. Interludes transcribe his field notes, which are stunning impromptu poems. I came away from this feeling that Myers could write anything – a thank-you note, a shopping list – and make it profound literature. Every sentence is well-crafted and memorable. “Writing is a form of alchemy,” he declares. “It’s a spell, and the writer is the magician.” I certainly fell under his spell here.
Nine Pints by Rose George: Nine Pints dives deep into the science and cultural history of blood. George’s journalistic tenacity keeps her pushing through the statistics to find the human stories that animate the book. In the first chapter we track the journey of a pint of blood that she donates in her hometown of Leeds. I was particularly interested, if morbidly so, in the chapter on leeches and bloodletting. Other sections journey further afield, chiefly to South Africa and India, to explore AIDS and menstruation taboos. The style can be choppy and repetitive, given to short sentences and identical paragraph openers, and there are a couple of places where the nine-chapter structure shows its weaknesses. While Nine Pints is quite uneven, it does convey a lot of important information about the past, present and future of our relationship to blood.
Times Literary Supplement
Face to Face: True stories of life, death and transformation from my career as a facial surgeon by Jim McCaul: Eighty percent of a facial surgeon’s work is the removal of face, mouth and neck tumors in surgeries lasting eight hours or more. McCaul also restores patients’ appearance as much as possible after disfiguring accidents. Here he pulls back the curtain on the everyday details of his work life: everything from his footwear (white Crocs that soon become stained with blood and other fluids) to his musical choices (pop for the early phases; classical for the more challenging microsurgery stage). Like neurosurgeon Henry Marsh, he describes the awe of the first incision – “an almost overwhelming sense of entering into a sanctuary.” There’s a vicarious thrill to being let into this insider zone, and the book’s prose is perfectly clear and conversational, with unexpectedly apt metaphors such as “Sometimes the blood vessels can be of such poor quality that it is like trying to sew together two damp cornflakes.” This is a book that inspires wonder at all that modern medicine can achieve.
On Sheep: Diary of a Swedish Shepherd by Axel Lindén: Lindén left city life behind to take on his parents’ rural collective in southeast Sweden. This documents two years in his life as a shepherd aspiring to self-sufficiency and a small-scale model of food production. Published diaries can devolve into tedium, but the brevity and selectiveness of this one prevent its accounts of everyday tasks from becoming tiresome. Instead, the rural routines are comforting, even humbling, as the shepherd practices being present with these “quiet and unpretentious and stoical” creatures. The attention paid to slaughtering and sustainability issues – especially as the business starts scaling up and streamlining activities – lends the book a wider significance. It is thus more realistic and less twee than its stocking-stuffer dimensions and jolly title font seem to suggest.
Since May I’ve been posting my occasional reading coincidences on Twitter and/or Instagram. This is when two or more books that I’m reading at the same time or in quick succession have something pretty bizarre in common. Because I have so many books on the go at once – usually between 10 and 20 – I guess I’m more prone to such serendipitous incidents. What’s the weirdest one you’ve had lately? (The following are in rough chronological order.)
- Two historical novels set (partially) among the slaves of Martinique and featuring snippets of Creole (Patrick Chamoiseau’s Slave Old Man and Jane Harris’s Sugar Money)
- A book about epilepsy and a conductor’s memoir, followed by a novel with a conductor character and another who has seizures (Suzanne O’Sullivan’s Brainstorm and Lev Parikian’s Why Do Birds Suddenly Disappear? to Caoilinn Hughes’s Orchid & the Wasp)
- Two characters mistake pregnancy for cholera (in Alexandra Fuller’s Leaving Before the Rains Come and W. Somerset Maugham’s The Painted Veil)
- Two characters are reading Ursula K. Le Guin’s The Left Hand of Darkness (in Lily Brooks-Dalton’s Good Morning, Midnight and Julie Buntin’s Marlena) … I’ve since tried again with Le Guin’s book myself, but it’s so dry I can only bear to skim it.
- Two memoirs by Iranian-American novelists with mental health and drug use issues (Porochista Khakpour’s Sick and Afarin Majidi’s Writing and Madness in a Time of Terror)
- References to the blasé response to Martin Luther King’s assassination in North Carolina (in Paulette Bates Alden’s Crossing the Moon and David Sedaris’s Calypso)
- The Police lyrics (in Less by Andrew Sean Greer and Summer by Karl Ove Knausgaard [a whole essay called “Sting”])
- Salmon croquettes mentioned in Less by Andrew Sean Greer and An American Marriage by Tayari Jones
- I’m reading Beryl Markham’s West with the Night … and then Glynnis MacNicol picks that very book up to read on a plane in No One Tells You This
- Starting two books with the word “Ladder” in the title, one right after the other: Ladders to Heaven by Mike Shanahan and Ladder of Years by Anne Tyler (followed just a couple of weeks later by A Ladder to the Sky by John Boyne!)
- Two books set in Dunedin, New Zealand, one right after the other – I planned it that way, BUT both have a character called Myrtle (To the Is-Land by Janet Frame and Dunedin by Shena Mackay). Then I encountered Harold Gillies, the father of plastic surgery, in Jim McCaul’s Face to Face, and guess what? He was from Dunedin!
- Then I was skimming Louisa Young’s You Left Early and she mentioned that her grandmother was a sculptor who worked with Gillies on prostheses, which was the inspiration for her WWI novel, My Dear I Wanted to Tell You.
- Two novels featuring drug addicts (Pretend I’m Dead by Jen Beagin and Bad News by Edward St. Aubyn)
- The same Wallace Stevens lines that appear as an epigraph to Barbara Kingsolver’s Unsheltered are mentioned in Elaine Pagels’s Why Religion? – “After the final no there comes a yes / And on that yes the future world depends.”
- “Twinkle, Twinkle, Little Star” is mentioned in Little by Edward Carey and Marilla of Green Gables by Sarah McCoy
- Reading Nine Pints, Rose George’s book about blood, at the same time as Deborah Harkness’s Time’s Convert, which is partially about vampires; in this it takes 90 days for a human to become fully vampirized – the same time it takes to be cured of an addiction according to the memoir Ninety Days by Bill Clegg.
Following up on my post from June, here are excerpts from and links to some of my recent online writing for places that aren’t my blog.
Review essay of Gross Anatomy by Mara Altman for Glamour UK
The female body has been a source of deep embarrassment for Altman, but here she swaps shame for self-deprecating silliness and cringing for chuckling. Through a snappy blend of personal anecdotes and intensive research, she exposes the cultural expectations that make us dislike our bodies, suggesting that a better knowledge of anatomy might help us feel normal. While 11 of her 15 topics aren’t exclusive to women’s anatomy—birthmarks, hemorrhoids, warts and more apply to men, too—she always presents an honest account of the female experience. This is one of my favorite books of the year and one I’d recommend to women of any age. It’s funny, it’s feminist, and it’s a cracking good read. (My full review is complete with embarrassing personal revelations!)
Essay on two books about “wasting time” for the Los Angeles Review of Books
In Praise of Wasting Time by Alan Lightman &
The Art of the Wasted Day by Patricia Hampl: A poet’s delight in lyricism and free association is in evidence here. The book blends memoir with travel and biographical information about some of Hampl’s exemplars of solitary, introspective living, and it begins, quite literally, with daydreaming.
Hampl and Lightman start from the same point of frazzled frustration and arrive at many of the same conclusions about the necessity of “wasted” time but go about it in entirely different ways. Lightman makes a carefully constructed argument and amasses a sufficient weight of scientific and anecdotal evidence; Hampl drifts and dreams through seemingly irrelevant back alleys of memory and experience. The latter is a case of form following function: her book wanders along with her mind, in keeping with her definition of memoir as “lyrical quest literature,” where meaning always hovers above the basics of plot.
Book list for OZY on the refugee crisis & another coming up on compassion in medicine.
Pittsburgh Post-Gazette reviews
(Their website is not available outside the USA, so the links may not work for you).
Slave Old Man by Patrick Chamoiseau
Chamoiseau is a social worker and author from the Caribbean island of Martinique. Translator Linda Coverdale has chosen to leave snippets of Martinican Creole in this text, creating a symphony of languages. The novel has an opening that might suit a gloomy fairytale: “In slavery times in the sugar isles, once there was an old black man.” The novel’s language is full of delightfully unexpected verbs and metaphors. At not much more than 100 pages, it is a nightmarish novella that alternates between feeling like a nebulous allegory and a realistic escaped slave narrative. It can be a disorienting experience: like the slave, readers are trapped in a menacing forest and prone to hallucinations. The lyricism of the writing and the brief glimpse back from the present day, in which an anthropologist discovers the slave’s remains and imagines the runaway back into life, give this book enduring power.
Lake Success by Gary Shteyngart
Barry Cohen, a conceited hedge fund manager under SEC investigation for insider trading, sets out on a several-month picaresque road trip in the second half of 2016. The ostensible aim is to find his college girlfriend, but he forms fleeting connections with lots of ordinary folks along the way. Barry may be a figure of fun, but it’s unpleasant to spend so much time with his chauvinism (“he never remembered women’s names” but gets plenty of them to sleep with him), which isn’t fully tempered by alternating chapters from his wife’s perspective. Pitched somewhere between the low point of “Make America Great Again” and the loftiness of the Great American novel, Lake Success may not achieve the profundity it’s aiming for, but it’s still a biting portrait of an all-too-recognizable America where money is God and villains gets off easy.
Shiny New Books reviews
(Upcoming: Nine Pints by Rose George and Under the Rock by Benjamin Myers.) Latest:
The Immeasurable World: Journeys in Desert Places by William Atkins
Atkins has produced an appealing blend of vivid travel anecdotes, historical background and philosophical musings. He is always conscious that he is treading in the footsteps of earlier adventurers. He has no illusions about being a pioneer here; rather, he eagerly picks up the thematic threads others have spun out of desert experience and runs with them – things like solitude, asceticism, punishment for wrongdoing and environmental degradation. The book is composed of seven long chapters, each set in a different desert. In my favorite segment, the author rents a cabin in the Sonoran Desert of Arizona for $100 a week. My interest waxed and waned from chapter to chapter, but readers of travelogues should find plenty to enjoy. Few of us would have the physical or emotional fortitude to repeat Atkins’s journeys, but we get the joy of being armchair travelers instead.
Mrs Gaskell & Me: Two Women, Two Love Stories, Two Centuries Apart by Nell Stevens
I was ambivalent about the author’s first book (Bleaker House), but for a student of the Victorian period this was unmissable, and the meta aspect was fun and not off-putting this time. Stevens has a light touch, and flits between Gaskell’s story and her own in alternating chapters. One strand covers the last decade of Gaskell’s life, but what makes it so lively and unusual is that Stevens almost always speaks of Gaskell as “you.” The intimacy of that address ensures her life story is anything but dry. The other chapters are set between 2013 and 2017 and narrated in the present tense, which makes Stevens’s dilemmas feel pressing. For much of the first two years her PhD takes a backseat to her love life. She’s obsessed with Max, a friend and unrequited crush from her Boston University days who is now living in Paris. This is a whimsical, sentimental, wry book that will ring true for anyone who’s ever been fixated on an idea or put too much stock in a relationship that failed to thrive.
Times Literary Supplement reviews
I’ve recently submitted my sixth and seventh for publication. All of them have been behind a paywall so far, alas. (Upcoming: Face to Face: True stories of life, death and transformation from my career as a facial surgeon by Jim McCaul; On Sheep: Diary of a Swedish Shepherd by Axel Lindén.) Latest:
How To Build A Boat: A Father, his Daughter, and the Unsailed Sea by Jonathan Gornall
Gornall’s genial memoir is the story of a transformation and an adventure, as a fifty-something freelance journalist gets an unexpected second chance at fatherhood and decides to build his daughter, Phoebe, a boat. It was an uncharacteristic resolution for “a man who [had] never knowingly wielded a plane or a chisel,” yet in a more metaphorical way it made sense: the sea was in his family’s blood. Gornall nimbly conveys the precarious financial situation of the freelancer, as well as the challenges of adjusting to new parenthood late in life. This is a refreshingly down-to-earth account. The nitty-gritty details of the construction will appeal to some readers more than to others, but one can’t help admiring the combination of craftsmanship and ambition. (Full review in September 7th issue.)
Heart: A History, by Sandeep Jauhar
There could hardly be an author better qualified to deliver this thorough history of the heart and the treatment of its problems. Sandeep Jauhar is the director of the Heart Failure Program at Long Island Medical Center. His family history – both grandfathers died of sudden cardiac events in India, one after being bitten by a snake – prompted an obsession with the heart, and he and his brother both became cardiologists. As the book opens, Jauhar was shocked to learn he had up to a 50% blockage of his own coronary vessels. Things had really gotten personal.
Cardiovascular disease has been the #1 killer in the West since 1910 and, thanks to steady smoking rates and a continuing rise in obesity and sedentary lifestyles, will still affect 60% of Americans. However, the key is that fewer people will now die of heart disease thanks to the developments of the last six decades in particular. These include the heart–lung machine, cardiac catheterization, heart transplantation, and artificial hearts.
Along the timeline, Jauhar peppers in bits of his own professional and academic experience, like experimenting on frogs during high school in California and meeting his first cadaver at medical school. My favorite chapter was the twelfth, “Vulnerable Heart,” which is about how trauma can cause heart arrhythmias; it opens with an account of the author’s days cataloguing body parts in a makeshift morgue as a 9/11 first responder. I also particularly liked his account of being called out of bed to perform an echocardiogram, which required catching a taxi at 3 a.m. and avoiding New York City’s rats.
Maybe I’ve read too much surgical history this year (The Butchering Art by Lindsey Fitzharris and Face to Face by Jim McCaul), though, because I found myself growing fairly impatient with the medical details in the long Part II, which centers on the heart as a machine, and was drawn more to the autobiographical material in the first and final sections. Perhaps I would prefer Jauhar’s first book, Intern: A Doctor’s Initiation.
In terms of readalikes, I’d mention Siddhartha Mukherjee’s The Gene, in which the personal story also takes something of a backseat to the science, and Gavin Francis’s Shapeshifters, which exhibits a similar interest in the metaphors applied to the body. While I didn’t enjoy this quite as much as two other heart-themed memoirs I’ve read, The Sanctuary of Illness by Thomas Larson and Echoes of Heartsounds by Martha Weinman Lear, I still think it’s a strong contender for next year’s Wellcome Book Prize (the judging panel is announced tomorrow!).
Some favorite lines:
“it is increasingly clear that the biological heart is extraordinarily sensitive to our emotional system—to the metaphorical heart, if you will.”
“Who but the owner can say what lies inside a human heart?”
“As a heart-failure specialist, I’d experienced enough death to fill up a lifetime. At one time, it was difficult to witness the grief of loved ones. But my heart had been hardened, and this was no longer that time.”
Heart is published in the UK today, September 27th, by Oneworld. My thanks to the publisher for the proof copy for review.
In My Mind’s Eye: A Thought Diary, by Jan Morris
I’ve been an admirer of Jan Morris’s autobiographical and travel writing for 15 years or more. In this diary covering 2017 into early 2018, parts of which were originally published in the Financial Times and the Welsh-language literary newspaper O’r Pedwar Gwynt, we get a glimpse into her life in her early nineties. It was a momentous time in the world at large but a fairly quiet and reflective span for her personally. Though each day’s headlines seem to herald chaos and despair, she’s a blithe spirit – good-natured about the ravages of old age and taking delight in the routines of daily one-mile walks down the lane and errands in local Welsh towns with her beloved partner Elizabeth, who’s in the early stages of dementia.
There are thrilling little moments, though, when a placid domestic life (a different kind of marmalade with breakfast each day of the week!) collides with exotic past experiences, and suddenly we’re plunged into memories of travels in Swaziland and India. Back when she was still James, Morris served in World War II, was the Times journalist reporting from the first ascent of Everest, and wrote a monolithic three-volume history of the British Empire. She took her first airplane flight 70 years ago, and is nostalgic for the small-town America she first encountered in the 1950s. Hold all that up against her current languid existence among the books and treasures of Trefan Morys and it seems she’s lived enough for many lifetimes.
There’s a good variety of topics here, ranging from current events to Morris’s love of cats; I particularly liked the fragments of doggerel. However, as is often the case with diaries, read too many entries in one go and you may start to find the sequence of (non-)events tedious. Each piece is only a page or two, so I tried never to read many more than 10 pages at a time. Even so, I noticed that the plight of zoo animals, clearly a hobby-horse, gets mentioned several times. It seemed to me a strange issue to get worked up about, especially as enthusiastic meat-eating and killing mice with traps suggest that she’s not applying a compassionate outlook consistently.
In the end, though, kindness is Morris’s cardinal virtue, and despite minor illness, telephone scams and a country that looks to be headed to the dogs, she’s encouraged by the small acts of kindness she meets with from friends and strangers alike. Like Diana Athill (whose Alive, Alive Oh! this resembles), I think of Morris as a national treasure, and I was pleased to spend some time seeing things from her perspective.
Some favorite lines:
“If I set out in the morning for my statutory thousand daily paces up the lane, … I enjoy the fun of me, the harmless conceit, the guileless complexity and the merriment. When I go walking in the evening, on the other hand, … I shall recognize what I don’t like about myself – selfishness, self-satisfaction, foolish self-deceit and irritability. Morning pride, then, and evening shame.” (from Day 99)
“Good or bad, virile or senile, there’s no life like the writer’s life.” (from Day 153)
In My Mind’s Eye was published by Faber & Faber on September 6th. My thanks to the publisher for the free copy for review.