Today I have a book of medico-philosophical musings, a triptych of novels about the resonant moments of a Canadian childhood, and a varied collection of ekphrastic poems.
Scattered Limbs: A Medical Dreambook by Iain Bamforth (2020)
A doctor based in Strasbourg, Iain Bamforth offers a commonplace book full of philosophical musings on medicine and wellness from the ancient world to today. All through December I would read just a few pages at a time as a palate cleanser between larger chunks of other books. Most of the entries are under three pages in length, with some one-sentence dictums interspersed. The point of reference is broadly European, with frequent allusions to English, French, and German literature (Charles Dickens, Marcel Proust, and Thomas Mann) and to Greek thinkers like Aristotle and Plato. The themes include memory, overtreatment, technology, and our modern wellness culture. If you’re equally interested in medicine and philosophy, this is a perfect bedside book for you; if you only gravitate towards one or the other, it’s possible that you could run low on patience for the high-brow rumination. My favourite piece was on “panicology,” and two stand-out lines are below.
“Prognostication is where writers and doctors resemble each other most.”
“A proper attitude to death can be a source of life. That is medicine’s only profundity.”
With thanks to Galileo Publishers for the free copy for review.
The Santa Rosa Trilogy by Wendy McGrath (2011–19)
I’m indulging in one last listen to our holiday music compilations as I write, before putting everything away until a hoped-for ‘Christmas in July’ with family and friends. Yesterday I devoured Broke City, the third novella in Wendy McGrath’s Santa Rosa Trilogy, in one sitting and treasured all the Christmas and pine tree references: they bind the book together but also connect it satisfyingly back to Book 1, Santa Rosa, which opened with Christine’s neighbour preparing a Christmas cake one summer. That annual ritual and its built-in waiting period take on new significance when the adult Christine’s life changes suddenly.
In this trio of linked narratives about Christine’s 1960s Edmonton childhood, totem objects and smells evoke memories that persist for decades: Pine-Sol, her parents’ cigarettes, the local meat-packing plant. Even at age seven, Christine is making synaesthetic links between colours and scents as she ponders language and imagines other lives. That her recollections – of a carnival, the neighbourhood grocery store, queasy road trips to her grandmother’s in Saskatchewan, a drive-in movie, and Christmas Eve with her father’s side of the family – so overlap with my late-1980s mental flipbook proves not that suburban Maryland and upstate New York (where I grew up and my mother’s home turf, respectively) are so similar to Alberta, but that this is the universal stuff of a later 20th-century North American childhood.
The other night, discussing The Light Years by Elizabeth Jane Howard, my book club noted how difficult it is to capture childhood in all its joy and distress. McGrath does so superbly, exploiting the dramatic irony between what Christine overhears and what she understands. Readers know her parents’ marriage is in trouble because she never sees them laughing or happy, and she hears her mother complain to her father about his drinking. We know the family is struggling because a man from the City delivers a box of Spam, standard issue to all those who are out of work over the winter. A simple mishearing (“clatteral,” “brain tuber”; thinking that an abattoir sounds “like a fancy ballroom”) can be a perfect example of the child perspective, too. Meanwhile, the pop culture references situate the story in the time period.
Towards the end of Broke City, young Christine declares, “I shall be unusual.” As we root for the girl to outrun her sadder memories and forge a good life, we hope that – like all of us – she’ll find a balance between the ordinary and the exceptional through self-knowledge. While Broke City was my favourite and could probably stand alone, it’s special to chart how moments turn into memories across the three books. I’d recommend the trilogy to readers of Tove Ditlevsen, Tessa Hadley, and Elizabeth Hay. I particularly loved the hybrid-poetry style of the Prologue to Santa Rosa (similar to what Bernardine Evaristo employs), so I would also be interested to try one of McGrath’s two poetry collections.
Some favourite passages:
“he walks at the same time everyday summer and winter
early morning when the day still makes promises” (Santa Rosa)
“Christine thought of herself as a child, with no idea of the world but all the ideas in the world. … Christine is the girl that used to live here, but the girl has disappeared. Her ghost is here, existing parallel to the person she is now. How did this happen? There must have been something she wasn’t paying attention to, something she didn’t see coming.” (Broke City)
With thanks to Wendy McGrath and Edmonton’s NeWest Press for the e-copies for review. I learned about the books from Marcie; see her appreciation of McGrath’s work at Buried in Print.
Color and Line by Carole Mertz (2021)
“Ekphrastic” was a new vocabulary word for me – or, if I’d heard it before, I needed a reminder. It refers to poetry written to describe or respond to artworks. Many of Carole Mertz’s poems, especially in the first section, attest to her love of the visual arts. This is the Ohio church organist’s first full-length collection after the 2019 chapbook Toward a Peeping Sunrise and extensive publication in literary magazines. She was inspired by art ranging in date from 1555 to 2019. “Come Share a Glass with Me,” for instance, is a prose poem that imagines the story behind a Van Gogh. I loved the line “The ewer sits expectant” in a short poem capturing The Staircase by Xavier Mellery.
One could look up all of the artworks discussed, but the descriptions here are so richly detailed that I often didn’t feel I needed to. Two paintings in a row depict sisters. A poem about Salome and the beheading of John the Baptist draws on the Bible story, but also on its many portrayals through art history. Other topics include concern for the Earth and beloved works of literature. I particularly enjoyed “The Word in Joseph’s Hand,” a Christmas hymn that can be sung to the tune of “Lo, How a Rose E’er Blooming,” and a haiku about a cardinal, “a flash of bright red / … in the garden”. Below is my favourite of the poems; it incorporates the titles of 14 books, nine of them by Anne Tyler. See if you can spot them all!
Color and Line was released by Kelsay Books on the 2nd. My thanks to Carole Mertz for the e-copy for review.
Would you be interested in reading one or more of these?
And, just for fun, put a description of or link to your favourite Bernie-in-mittens meme in the comments.
I finally finished a book in 2021! And it’s one with undeniable ongoing relevance. The subtitle is “A GP, a Community & COVID-19.” Francis, a physician who is based at an Edinburgh practice and frequently travels to the Orkney Islands for healthcare work, reflects on what he calls “the most intense months I have known in my twenty-year career.” He draws all of his chapter epigraphs from Daniel Defoe’s A Journal of the Plague Year and journeys back through most of 2020, from the day in January when he and his colleagues received a bulletin about a “novel Wuhan coronavirus” to November, when he was finalizing the book and learned of promising vaccine trials but also a rumored third wave and winter lockdown.
In February, no one knew whether precautions would end up being an overreaction, so Francis continued normal life: attending a conference, traveling to New York City, and going to a concert, pub, and restaurant. By March he was seeing more and more suspected cases, but symptoms were variable and the criteria for getting tested and quarantining changed all the time. The UK at least seemed better off than Italy, where his in-laws were isolating. Initially it was like flu outbreaks he’d dealt with before, with the main differences being a shift to telephone consultations and the “Great Faff” of donning full PPE for home visits and trips to care homes. The new “digital first” model left him feeling detached from his patients. He had his own Covid scare in May, but a test was negative and the 48-hour bug passed.
Through his involvement in the community, Francis saw the many ways in which coronavirus was affecting different groups of people. He laments the return of mental health crises that had been under control until lockdown. Edinburgh’s homeless, many in a perilous immigration situation thanks to Brexit, were housed in vacant luxury hotels. He visited several makeshift hostels, where some residents were going through drug withdrawal, and also met longtime patients whose self-harm and suicidal ideation were worsening.
Children and the elderly were also suffering. In June, he co-authored a letter begging the Scottish education secretary to allow children to return to school. Perhaps the image that will stick with me most, though, is of the confused dementia patients he met at care homes: “there was a crushing atmosphere of sadness among the residents … [they were] not able to understand why their families no longer came to visit. How do you explain social distancing to someone who doesn’t remember where they are, sometimes even who they are?”
Francis incorporates brief histories of vaccination and the discovery of herd immunity, and visits a hospital where a vaccine trial is underway. I learned some things about COVID-19 specifically: it can be called a “viral pneumonia”; it has two phases, virological (the virus makes you unwell) and immunological (the immune system misdirects messages and the lungs get worse); and it affects the blood vessels as well as the lungs, with one in five presenting with a rash and some developing chilblains in the summer. Amazingly, as the year waned, Francis only knew three patients who had died of Covid, with many more recovered. But in August, a city that should have been bustling with festival tourists was nearly empty.
Necessarily, the book ends in the middle of things; Francis has clear eyes but a hopeful heart. While this is not the first COVID-19 book I’ve encountered (that was Duty of Care by Dominic Pimenta) and will be far from the last – next up for me will be Rachel Clarke’s Breathtaking, out at the end of this month – it is an absorbing first-hand account of a medical crisis as well as a valuable memorial of a time like no other in recent history. A favorite line was “One of the few consolations of this pandemic is its grim camaraderie, a new fellowship among the fear.” Another consolation for me is reading books by medical professionals who can compassionately bridge the gap between expert opinion and everyday experience.
Intensive Care was published by the Wellcome Collection/Profile Books on January 7th. My thanks to the publisher for the free copy for review.
Gavin Francis’s other work includes:
Previously reviewed: Shapeshifters
Also owned: Adventures in Human Being
I’m keen to read: Empire Antarctica, about being the medical officer at the British research centre in Antarctica – ironically, this was during the first SARS pandemic. (In July 2020, conducting medical examinations on the next batch of scientists to ship out there, he envied them the chance to escape: “By the time they came home it would be 2022. Surely we’d have the virus under control by then?”)
Next month will be all about the short books (#NovNov!), but first it was time to get this excessively long one out of the way. My husband’s and my reading tastes don’t overlap in many areas, but John Irving is our mutual favorite author. I first started The Cider House Rules (1985) on our second honeymoon – being from two different countries, we had two nuptial ceremonies and two honeymoons, one per continent – which was a road trip through New England. We drove from Maryland to Maine and back; I have a specific memory of reading the chunky Irving hardback at our B&B in Stowe, Vermont. I was a much less prolific reader in those days, so I had to return my American library copy partially read and then pay to reserve one from the Hampshire Libraries system once we were back in the UK.
Thirteen years on, I remembered the orphanage and cider farm settings, the dynamic between Doctor Wilbur Larch and his protégé, Homer Wells, and Homer’s love for his best friend’s girl, Candy. I also remembered that this is a Trojan horse of a novel: it advocates, not very subtly, for abortion rights through pictures of women in desperate situations. Luckily, by the time I first read it I was no longer slavishly devoted to the American Religious Right. But this time I felt that even readers who consider themselves pro-choice might agree Irving over-eggs his argument. My memory of the 1999 film version is clearer. It severely condenses the book’s 40 years or so of action, cutting subplots and allowing Tobey Maguire and Charlize Theron to play the leads all the way through. A shorter timeframe also more neatly draws a line between Rose Rose’s experience and Homer’s change of heart about offering abortions.
I had a strong preference for the scenes set at St. Cloud’s orphanage in Maine. Dr. Larch is celibate and addicted to ether – all a result of his first sexual encounter with a prostitute. He has an ironclad conviction that he is doing the Lord’s work for the pregnant women who get off the train at St. Cloud’s, whether they come for an abortion or to leave a live baby behind. Homer Wells is the one orphan who never finds an adoptive home; he stays on and becomes Larch’s trainee in obstetrics, but vows that he won’t perform abortions. As a young adult, Homer is pulled away from the orphanage by his puppy love for Wally and Candy, a couple-in-trouble who come up from his family’s apple farm. Homer thinks he’ll go back with his new friends for a month or two, but instead he stays at Ocean View orchard for decades, his relationship with Candy changing when Wally goes off to war and comes back disabled.
I had forgotten the bizarre scenario Larch has to set up for the orphanage’s board of trustees to accept his chosen successor, and the far-fetched family situation Homer, Candy and Wally end up in. The orchard sections could feel endless, so I always thrilled to mentions of what was happening for Dr. Larch and the nurses back at St. Cloud’s.
The Dickensian influence – lots of minor characters and threads tying up nicely by the end; quirks of speech and behavior – has generally been the aspect I like the most about Irving’s work, and while I loved the explicit references to David Copperfield here (a few kids get their names from it, it’s read aloud to the boy orphans every night, and its opening question about whether the protagonist will be the hero of his own life or not applies to Homer, too), I did find the novel awfully baggy this time. I even put in a slip of paper where I felt that things started to drift: page 450.
One further note to make about the film: it, rather unforgivably, eliminates Melony, a larger-than-life character and necessary counterpart to the book’s multiple passive females. She’s the de facto head of the girl orphans, as Homer is for the boys, and initiates Homer into sex. But her feelings for him are more of hero worship than of romantic love, and when he breaks his promise and leaves St. Cloud’s without her, she sets off to hunt him down. Her odyssey, delivered in parallel, is nearly as important as Homer’s (see what I/Irving did there?).
While I loved the medical history material and Dr. Larch’s moral fiber, this time I found Homer a little insipid and annoying (he answers nearly every question with “Right”), and the plot somewhat slack and obvious. In my memory this is probably #3 out of the Irving novels I’ve read, below A Prayer for Owen Meany and The World According to Garp – both of which I’d also like to reread to see if they’ve retained their power.
Page count: 731
My original rating (July–September 2007):
My rating now:
Done any rereading, or picked up any very long books, lately?
My five new releases for July include historical pandemic fiction, a fun contemporary story about a father-and-daughter burglar team, a new poetry collection from Carcanet Press, a lighthearted nature/travel book, and a poetic bereavement memoir about a violent death.
The Pull of the Stars by Emma Donoghue
Donoghue’s last two novels, The Wonder and Akin, were big hits with me. Less than a year after the contemporary-set Akin, she’s back to a historical setting – and an uncannily pertinent pandemic theme – with her latest. In 1918, Julia Power is a nurse on a Dublin maternity ward. It’s Halloween and she is about to turn 30, making her a spinster for her day; she lives with her mute, shell-shocked veteran brother, Tim, and his pet magpie.
Because she’s already had “the grip” (influenza), she is considered immune and is one of a few staff members dealing with the flu-ridden expectant mothers in quarantine in her overcrowded hospital. Each patient serves as a type, and Donoghue whirls through all the possible complications of historical childbirth: stillbirth, obstructed labor, catheterization, forceps, blood loss, transfusion, maternal death, and so on.
It’s not for the squeamish, and despite my usual love of medical reads, I felt it was something of a box-ticking exercise, with too much telling about medical procedures and recent Irish history. Because of the limited time frame – just three days – the book is far too rushed. We simply don’t have enough time to get to know Julia through and through, despite her first-person narration; the final 20 pages, in particular, are so far-fetched and melodramatic it’s hard to believe in a romance you’d miss if you blinked. And the omission of speech marks just doesn’t work – it’s downright confusing with so many dialogue-driven scenes.
Donoghue must have been writing this well before Covid-19, but I wouldn’t be surprised if the publication was hurried forward to take advantage of the story’s newfound relevance. It shows: what I read in May and June felt like an unpolished draft, with threads prematurely tied up to meet a deadline. This was an extremely promising project that, for me, was let down by the execution, but it’s still a gripping read that I wouldn’t steer you away from if you find the synopsis appealing. (Some more spoiler-y thoughts here.)
Prescient words about pandemics:
“All over the globe … some flu patients are dropping like flies while others recover, and we can’t solve the puzzle, nor do a blasted thing about it. … There’s no rhyme or reason to who’s struck down.”
“Doctor Lynn went on, As for the authorities, I believe the epidemic will have run its course before they’ve agreed to any but the most feeble action. Recommending onions and eucalyptus oil! Like sending beetles to stop a steamroller.”
Why the title?
Flu comes from the phrase “influenza delle stelle” – medieval Italians thought that illness was fated by the stars. There’s also one baby born a “stargazer” (facing up) and some literal looking up at the stars in the book.
My thanks to Picador for the proof copy for review.
Other People’s Pets by R.L. Maizes
This is Maizes’ debut novel, after her 2019 short story collection We Love Anderson Cooper. Louise “La La” Fine and her father, Zev, share an unusual profession: While outwardly they are a veterinary student and a locksmith, respectively, for many years they broke into homes and sold the stolen goods. Despite close shaves, they’ve always gotten away with it – until now. When Zev is arrested, La La decides to return to her criminal ways just long enough to raise the money to post bail for him. But she doesn’t reckon on a few complications, like her father getting fed up with house arrest, her fiancé finding out about her side hustle, and her animal empathy becoming so strong that when she goes into a house she not only pilfers valuables but also cares for the needs of ailing pets inside.
Flashbacks to La La’s growing-up years, especially her hurt over her mother leaving, take this deeper than your average humorous crime caper. The way the plot branches means that for quite a while Zev and La La are separated, and I grew a bit weary of extended time in Zev’s company, but this was a great summer read – especially for animal lovers – that never lost my attention. The magic realism of the human‒pet connection is believable and mild enough not to turn off readers who avoid fantasy. Think The Twelve Lives of Samuel Hawley meets Hollow Kingdom.
My thanks to the author and Celadon Books for the free e-copy for review.
The Long Beds by Kate Miller
Here and there; now and then: the poems in Miller’s second collection enlarge such dichotomies by showcasing the interplay of the familiar and the foreign. A scientist struggles to transcribe birdsong, and a poppy opens in slow motion. “Flag” evokes the electric blue air and water of a Greek island, while “The Quarters” is set in the middle of the night in a French village. A few commissions, including “Waterloo Sunrise,” stick close to home in London or other southern England locales.
Various poems, including the multi-part “Album Without Photographs,” are about ancestor Muriel Miller’s experiences in India and Britain in the 1910s-20s. “Keepers of the States of Sleep and Wakefulness, fragment from A Masque,” patterned after “The Second Masque” by Ben Jonson, is an up-to-the-minute one written in April that names eight nurses from the night staff at King’s College Hospital (and the short YouTube film based on it is dedicated to all NHS nurses).
My two favorites were “Outside the Mind Shop,” in which urban foxes tear into bags of donations outside a charity shop one night while the speaker lies awake, and “Knapsack of Parting Gifts” a lovely elegy to a lost loved one. I spotted a lot of alliteration and assonance in the former, especially. Thematically, the collection is a bit scattered, but there are a lot of individual high points.
My thanks to Carcanet Press for the free e-copy for review.
Into the Tangled Bank: In Which Our Author Ventures Outdoors to Consider the British in Nature by Lev Parikian
In the same way that kids sometimes write their address by going from the specific to the cosmic (street, city, country, continent, hemisphere, planet, galaxy), this book, a delightfully Bryson-esque tour, moves ever outwards, starting with the author’s own home and garden and proceeding to take in his South London patch and his journeys around the British Isles before closing with the wonders of the night sky. By slowing down to appreciate what is all around us, he proposes, we might enthuse others to engage with nature.
With the zeal of a recent convert, he guides readers through momentous sightings and everyday moments of connection. As they were his gateway, many of these memories involve birds: looking for the year’s first swifts, trying to sketch a heron and realizing he’s never looked at one properly before, avoiding angry terns on the Farne Islands, ringing a storm petrel on Skokholm, and seeing white-tailed eagles on the Isle of Skye. He brings unique places to life, and pays tribute to British naturalists who paved the way for today’s nature-lovers by visiting the homes of Charles Darwin, Gilbert White, Peter Scott, and more.
I was on the blog tour for Parikian’s previous book, Why Do Birds Suddenly Disappear?, in 2018. While the books are alike in levity (pun intended!), being full of self-deprecation and witty asides along with the astute observations, I think I enjoyed this one that little bit more for its all-encompassing approach to the experience of nature. I fully expect to see it on next year’s Wainwright Prize longlist (speaking of the Wainwright Prize, in yesterday’s post I correctly predicted four on the UK nature shortlist and two on the global conservation list!).
My thanks to Elliott & Thompson for the free copy for review.
Memorial Drive: A Daughter’s Memoir by Natasha Trethewey
Trethewey grew up in 1960s Mississippi with a Black mother and a white Canadian father, at a time when interracial marriage remained illegal in parts of the South. After her parents’ divorce, she and her mother, Gwen, moved to Georgia to start a new life, but her stepfather Joel was physically and psychologically abusive. Gwen’s murder opens and closes the book. Trethewey only returned to that Atlanta apartment on Memorial Drive after 30 years had passed. The blend of the objective (official testimonies and transcripts) and the subjective (interpreting photographs, and rendering dream sequences in poetic language) makes this a striking memoir, as delicate as it is painful. I recommend it highly to readers of Elizabeth Alexander and Dani Shapiro. (Full review forthcoming at Shiny New Books.)
My thanks to Bloomsbury for the proof copy for review.
I’m reading two more July releases, Mostly Dead Things by Kristen Arnett (Corsair, 2 July; for Shiny New Books review), about a family taxidermy business in Florida, and The Liar’s Dictionary by Eley Williams (William Heinemann, 2 July), about an unusual dictionary being compiled in the Victorian period and digitized in the present day.
What July releases can you recommend?
I’m averaging four new releases a month: a nicely manageable number. In April I read a memoir about a mother’s dementia, a bizarre little novel about a stuffed aardvark linking two centuries, a history of medicine in graphic novel form, and a sommelier’s memoir.
My top recommendation for the month is:
What We Carry by Maya Shanbhag Lang
Maya Lang’s novel The Sixteenth of June* was one of my top three novels of 2014, so I was eager to read her next book, a forthright memoir of finding herself in the uncomfortable middle (the “sandwich generation”) of three generations of a female family line. Her parents had traveled from India to the USA for her mother’s medical training and ended up staying on permanently after she became a psychiatrist. Lang had always thought of her mother as a superwoman who managed a career alongside parenthood, never asked for help, and reinvented herself through a divorce and a career change.
When Lang gave birth to her own daughter, Zoe, this model of self-sufficiency mocked her when she had postpartum depression and needed to hire a baby nurse. It was in her daughter’s early days, just when she needed her mother’s support the most, that her mother started being unreliable: fearful and forgetful. Gradually it became clear that she had early-onset Alzheimer’s. Lang cared for her mother at home for a year before making the difficult decision to see her settled into a nearby nursing home.
Like Elizabeth Hay’s All Things Consoled, this is an engaging, bittersweet account of obligation, choices and the secrets that sometimes come out when a parent enters a mental decline. I especially liked how Lang frames her experiences around an Indian folktale of a woman who enters a rising river, her child in her arms. She must decide between saving her child or herself. Her mother first told this story soon after Zoe’s birth to acknowledge life’s ambiguity: “Until we are in the river, up to our shoulders—until we are in that position ourselves, we cannot say what the woman will do. We must not judge. That is the lesson of the story. Whatever a woman decides, it is not easy.” The book is a journey of learning not to judge her mother (or herself), of learning to love despite mistakes and personality changes.
*One for me to reread in mid-June!
Published by Dial Press on the 28th. I read an e-copy via NetGalley.
Full disclosure: Maya and I are Facebook friends.
Other April releases to look out for:
Enter the Aardvark by Jessica Anthony
On a scoreboard of the most off-the-wall, zany and fun novels I’ve read, this one would be right up there with Ned Beauman’s Boxer, Beetle and Alex Christofi’s Glass. The two story lines, one contemporary and one set in the 1870s, are linked by a taxidermied aardvark that makes its way from Namibia to the Washington, D.C. suburbs by way of Victorian England.
The aardvark was collected by naturalist Sir Richard Ostlet and stuffed by Titus Downing, his secret lover. Ostlet committed suicide in Africa, but his wife could still sense him walking up and down outside her London home. In the present day, Republican congressman Alexander Paine Wilson, who emulates Ronald Reagan in all things, gets a FedEx delivery of a taxidermied aardvark – an apparent parting gift from Greg Tampico before the latter committed suicide. To keep his gay affair from becoming public knowledge, Wilson decides it’s high time he found himself a trophy wife. But the damned aardvark keeps complicating things in unexpected ways.
A scene where a police officer stops Wilson for texting and driving and finds the stuffed aardvark in the back of his SUV had me laughing out loud (“Enter the aardvark, alight on its mount. Enter the aardvark, claw raised, head covered with a goddamned gourmet $22 dish towel that suddenly looks incredibly suspicious hanging over the head of an aardvark, like it’s an infidel”). History repeats itself amusingly and the aardvark is an entertaining prop, but Wilson is too obviously odious, and having his narrative in the second person doesn’t add anything. This is not a debut novel but reads like one: full of bright ideas, but falling a bit short in the execution.
Published by Doubleday on the 23rd. I won a proof copy in a Twitter giveaway.
Medicine: A Graphic History by Jean-Noël Fabiani
[Illustrated by Philippe Bercovici; translated from the French by Edward Gauvin]
From prehistory to nanotechnology, this is a thorough yet breezy survey of what people have learned about the body and how to treat it. (In approach it reminded me most of another SelfMadeHero graphic novel I reviewed last year, ABC of Typography.) Some specific topics are the discovery of blood circulation, the development of anesthesia, and the history of mental health treatment.
Fabiani, a professor as well as the head of cardiac surgery at Georges Pompidou European Hospital in Paris, focuses on the key moments when ideas became testable theories and when experiments gave groundbreaking results. While he provided the one-page introduction to each chapter and the expository writing at the head of each comic pane, I suspect it was illustrator Philippe Bercovici who added most of the content in the speech bubbles, including plenty of jokes (especially since Fabiani thanks Bercovici for bringing his talent and humor to the project).
This makes for a lighthearted book that contains enough detail so that you feel like you are still getting the full story. Unsurprisingly, I took the most interest in chapters entitled The Great Epidemics and A Few Modern Plagues. I would especially recommend this to teenagers with an interest in medicine.
Published by SelfMadeHero on the 9th. My thanks to the publisher for the free copy for review.
Wine Girl by Victoria James
In 2012, at age 21, Victoria James became America’s youngest certified sommelier. Still in her twenties, she has since worked in multiple Michelin-starred restaurants in New York City and became the only American female to win the Sud de France Sommelier Challenge. But behind all the competition wins, celebrity sightings, and international travel for wine festivals and conferences is a darker story.
This is a tell-all about a toxic restaurant culture of overworked employees and casual sexism. James regularly worked 80-hour weeks in addition to her wine school studies, and suffered multiple sexual assaults. In addition, sexual harassment was common – even something as seemingly harmless as the title epithet a dismissive diner launched at her when he ordered a $650 bottle of wine for his all-male table and then told her it was corked and had to be replaced. “Wine girl” was a slur against her for her age, her gender and her presumed lack of experience, even though by that point she had an encyclopedic knowledge of wine varieties and service.
That incident from the prologue was my favorite part of the book; unfortunately, nothing that came afterwards really lived up to it. The memoir goes deep into James’s dysfunctional upbringing (her parents’ bitter divorce, her mother’s depression, her father’s alcoholism and gambling, her own battle with addictions), which I found I had little interest in. It’s like Educated lite, but with a whiney tone: “I grew up in a household of manipulation and neglect, left to fend for myself.”
For those interested in reading about wine and restaurant culture, I’d recommend Cork Dork by Bianca Bosker and Sweetbitter by Stephanie Danler (one of my pairings here) instead.
A favorite line: “Like music, the wonders of art, food, and beverage can transcend all boundaries. … I wanted to capture that feeling, the exhilaration of familiarity, and bring people together through wine.”
Published by Fleet on the 16th. My thanks to the publisher for the free copy for review.
What recent releases can you recommend?
Back in January I had the idea to catch up as much as I can on previous Wellcome Book Prize long- and shortlists while the Prize is on hiatus. I decided to start with a pair of novels about polio from my public library system: The Golden Age by Joan London and Nemesis by Philip Roth. The latter, especially, has taken on new significance due to its evocation of a time of panic over a public health crisis (see this article, but beware spoilers). On a fellow book reviewer’s recommendation, I also took Year of Wonders by Geraldine Brooks off the shelf and read it at the same time as the Roth.
The Golden Age by Joan London (2014)
[First published in the UK in 2016; on the Wellcome Book Prize 2017 longlist]
The Golden Age was a real children’s polio hospital in Western Australia, but London has peopled it with her own fictional cast. In 1953–4, Frank Gold and Elsa Briggs, polio patients aged 12 going on 13, fall in love in the most improbable of circumstances: “The backs of their hands brushed as they walked side by side on their crutches. Their bloodstreams recharged by exercise and fresh air, they experienced a fiery burst of pleasure.”
Frank is much the more vibrant character thanks to his family’s wartime past in Hungary and his budding vocation as a poet, which was spurred on by his friendship with Sullivan, a fellow inmate at his previous rehabilitation center. The narrative spends time with the nurses, parents and other patients but keeps coming back to Frank and Elsa. However, Chapter 7, with Frank and his mother Ida still back in Budapest, was my favorite.
I was reminded of Tracy Farr’s work (The Life and Loves of Lena Gaunt), especially the look back from decades later. This has a strong premise and some great lines, but for me there was something slightly lacking in the execution.
There was beauty everywhere, strange beauty, even—especially?—in a children’s polio hospital.
Polio is like love, Frank says … Years later, when you think you have recovered, it comes back.
Nemesis by Philip Roth (2010)
[On the Wellcome Book Prize 2011 shortlist]
In the summer of 1944 Newark, New Jersey is hit hard by polio. As a local playground director, 23-year-old Bucky Cantor is distressed when several of his charges become ill; a couple of them even die within a matter of days.
At first Bucky, whose poor eyesight kept him out of the War, sees his job as his own field of duty, but gradually fear and helplessness drive him away. He escapes to the Pocono Mountains to join his fiancée, Marcia, as a summer camp counselor, but soon realizes the futility of trying to outrun a virus. Unable to accept the randomness of bad luck, he blames God – and himself – for the epidemic’s spread.
Despite our better general understanding of epidemiology today, there were still many passages in this novel that rang true for me as they picture life proceeding as normal until paranoia starts to take hold:
Despite polio’s striking in the neighborhood, the store-lined main street was full of people out doing their Saturday grocery shopping…
(Bucky) Look, you mustn’t be eaten up with worry … What’s important is not to infect the children with the germ of fear. We’ll come through this, believe me. We’ll all do our bit and stay calm and do everything we can to protect the children, and we’ll all come through this together.
The important thing, he said, was always to wash your hands after you handled paper money or coins. What about the mail, someone else said … What are you going to do, somebody retorted, suspend delivering the mail? The whole city would come to a halt. Six or seven weeks ago they would have been talking about the war news.
Roth really captures the atmosphere of alarm and confusion, but doesn’t always convey historical and medical information naturally, sometimes resorting to paragraphs of context and representative conversations like in the last quote above. I also wasn’t sure about the use of a minor character (revealed on page 108 to be one of Bucky’s playground kids and a polio patient) as the narrator. This seemed to me to make Bucky more of a symbolic hero than a genuine character. Still, this was a timely and riveting read.
Year of Wonders by Geraldine Brooks (2001)
In 1665, with the Derbyshire village of Eyam in the grip of the Plague, the drastic decision was made to quarantine it. A benevolent landowner arranged for regular deliveries of food and other supplies to just outside the parish boundaries. The villagers made an oath that no one would leave until the pestilence was eradicated. One year later, two-thirds of its residents were dead. Brooks imagines that the “plague seeds” came to the village in a bolt of cloth that was delivered from London to the tailor George Viccars, who lodged with widow Anna Frith. Viccars is the first victim and the disease quickly spreads outward from Anna’s home.
Anna barely has time to grieve her own losses before she’s called into service: along with the minister’s wife, Elinor Mompellion, she steps in as a midwife, herbal healer and even a miner. The village succumbs to several sobering trajectories. Suspicion of women’s traditional wisdom leads some to take vigilante action against presumed witches. Unscrupulous characters like Anna’s father, who sets up as a gravedigger, try to make a profit out of others’ suffering. Frustration with the minister’s apparent ineffectuality attracts others to forms of religious extremism. Like Bucky, people cannot help but see the hand of God here.
Perhaps what I was most missing in the London and Roth novels (and in Hamnet, which bears such striking thematic similarities to Year of Wonders) was intimate first-person narration, which is just what you get here from Anna. The voice and the historical recreation are flawless, and again there were so many passages that felt apt:
Stay here, in the place that you know, and in the place where you are known. … Stay here, and here we will be for one another.
the current times did seem to ask us all for every kind of sacrifice
(once they start meeting for church in a meadow) We placed ourselves so that some three yards separated each family group, believing this to be sufficient distance to avoid the passing of infection.
Yet it is a good day, for the simple fact that no one died upon it. We are brought to a sorry state, that we measure what is good by such a shortened yardstick.
I’ve docked a half-star only because of a far-fetched ending that reminded me of that to The Wonder by Emma Donoghue. Apart from that, this is just what I want from my historical fiction.
Are you doing any reading about epidemics?
I’m squeaking in here on the 31st with the doorstopper I’ve been reading all month. I started Cutting for Stone in an odd situation on the 1st: We’d attempted to go to France that morning but were foiled by a fatal engine failure en route to the ferry terminal, so were riding in the cab of a recovery vehicle that was taking us and our car home. My poor husband sat beside the driver, trying to make laddish small talk about cars, while I wedged myself by the window and got lost in the early pages of Indian-American doctor Abraham Verghese’s saga of twins Marion and Shiva, born of an unlikely union between an Indian nun, Sister Mary Joseph Praise, and an English surgeon, Thomas Stone, at Missing Hospital in Addis Ababa in 1954.
What with the flashbacks and the traumatic labor, it takes narrator Marion over 100 pages to get born. That might seem like a Tristram Shandy degree of circumlocution, but there was nary a moment when my interest flagged during this book’s 50-year journey with a medical family starting in a country I knew nothing about. I was reminded of Midnight’s Children, in that the twin brothers are born loosely conjoined at the head and ever after have a somewhat mystical connection, understanding each other’s thoughts even when they’re continents apart.
When Sister Mary Joseph Praise dies in childbirth and Stone absconds, the twins are raised by the hospital’s blunt obstetrician, Hema, and her husband, a surgeon named Ghosh. Both brothers follow their adoptive parents into medicine and gain knowledge of genitourinary matters. We observe a vasectomy, a breech birth, a C-section, and the aftermath of female genital mutilation. While Marion relocates to an inner-city New York hospital, Shiva stays in Ethiopia and becomes a world expert on vaginal fistulas. The novel I kept thinking about was The Cider House Rules, which is primarily about orphans and obstetrics, and I was smugly confirmed by finding Verghese’s thanks to his friend John Irving in the acknowledgments.
Ethiopia’s postcolonial history is a colorful background, with Verghese giving a bystander’s view of the military coup against the Emperor and the rise of the Eritrean liberation movement. Like Marion, the author is an Indian doctor who came of age in Ethiopia, a country he describes as a “juxtaposition of culture and brutality, this molding of the new out of the crucible of primeval mud.” Marion’s experiences in New York City and Boston then add on the immigrant’s perspective on life in the West in the 1980s onwards.
Naomi of Consumed by Ink predicted long ago that I’d love this, and she was right. Of course I thrilled to the accounts of medical procedures, such as an early live-donor liver transplant (this was shortlisted for the Wellcome Book Prize in 2009), but that wasn’t all that made Cutting for Stone such a winner for me. I can’t get enough of sprawling Dickensian stories in which coincidences abound (“The world turns on our every action, and our every omission, whether we know it or not”), minor characters have heroic roles to play, and humor and tragedy balance each other out, if ever so narrowly. (Besides Irving, think of books like The Heart’s Invisible Furies by John Boyne.) What I’m saying, as I strive to finish this inadequate review in the last hour of the last day of the month, is that this was just my sort of thing, and I hope I’ve convinced you that it might be yours, too.
Hema: “The Hippocratic oath is if you are sitting in London and drinking tea. No such oaths here in the jungle. I know my obligations.”
“Doubt is a first cousin to faith”
“A childhood at Missing imparted lessons about resilience, about fortitude, and about the fragility of life. I knew better than most children how little separate the world of health from that of disease, living flesh from the icy touch of the dead, the solid ground from treacherous bog.”
Page count: 667
Next month: Since Easter falls in April and I’ve been wanting to read it for ages anyway, I’ve picked out The Resurrection of Joan Ashby by Cherise Wolas to start tomorrow.
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?
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.