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.
Nonfiction
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
Fiction
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.
Naomi Alderman, musing on the intestines, draws metaphorical connections between food, sex and death, and gives thanks that digestion and excretion are involuntary processes we don’t have to give any thought. Ned Beauman reports on misconceptions about the appendix as he frets about the odds of his bursting while he’s in America without health insurance. The late Philip Kerr describes the checkered history of the lobotomy, which used to reduce patients to a vegetative state but can now quite effectively treat epilepsy.
Most authors chose a particular organ because of its importance to their own health. Christina Patterson’s acne was so bad she went to the UK’s top skin specialist for PUVA light treatments, Mark Ravenhill had his gallbladder removed in an emergency surgery, and Daljit Nagra’s asthma led his parents to engage Sikh faith healers for his lungs. Two of my favorite chapters were by William Fiennes, whose extreme Crohn’s disease caused him to have a colostomy bag for two years in his early twenties, and poet Kayo Chingonyi, who has always been ashamed to admit that his parents both died of complications of HIV in Zambia. Such personal connections add poignancy to what could have been information dumps.
During the weeks that I spent with these essays I was frequently reminded of Jan Morris’s 
As he ushers readers around the world, Szalay invites us to marvel at how quickly life changes and how – improbable as it may seem – we can have a real impact on people we may only meet once. There’s a strong contrast between impersonal and intimate spaces: airplane cabins and hotel rooms versus the private places where relationships start or end. The title applies to the characters’ tumultuous lives as much as to the flight conditions. They experience illness, infidelity, domestic violence, homophobia and more, but they don’t stay mired in their situations; there’s always a sense of motion and possibility, that things will change one way or another.
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.
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.
It’s not a place for the squeamish as there are mummified skeletons, details about Burke and Hare’s grave-robbing, surgical tools, and tumors and other anatomical deformities in jars everywhere. I found it all fascinating and spent a good two hours poking around. My favorite bits were the case full of foreign bodies removed from noses, stomachs and intestines and the temporary exhibition, “A Quest for Healing” by Zhang Yanzi, who had a residency at the museums in the summer of 2017. Her pieces included a 2D mountain made of pill packets, a cotton and gauze sculpture bristling with acupuncture needles, a matching hanging sculpture of capillaries, two surgical beds, and various silk screen panels.
A Ladder to the Sky by John Boyne is a delicious piece of literary suspense with a Tom Ripley-like hero you’ll love to hate: Maurice Swift, who wants nothing more than to be a writer but doesn’t have any ideas of his own, so steals them from other people. I loved how we see this character from several outside points of view – first Erich Ackerman, whose Nazi-era history provides the basis for Maurice’s first novel; then Gore Vidal, to whose Italian home Maurice pays a visit with his new mentor; and finally Maurice’s wife Edith, a celebrated author in her own right – before getting Maurice’s own perspective. By this point we know enough about him to understand just how unreliable a narrator he is. My one criticism is that I would have binned the whole subplot about Edith’s sister and brother-in-law. (A nice touch: at one point Maurice buys a reprint copy of Maude Avery’s Like to the Lark, which should ring a bell from 
I also read over half of Jenny Diski’s Stranger on a Train, a memoir about two long train journeys she took across America in the late 1990s that also incorporates memories from a troubled adolescence – she started smoking at 14 and was in and out of mental hospitals at 15 – in which she loved nothing more than to read while riding the Circle line all day long. I’m a quarter of the way through both Nancy Horan’s Under the Wide and Starry Sky, about Stevenson and his wife, and Peter Hill’s Stargazing, a memoir about dropping out of art school to become a Scottish lighthouse keeper in 1973; he started on Pladda, a tiny island off of Arran. And on my Nook I read a good bit of All You Can Ever Know, Nicole Chung’s forthcoming memoir about being raised by adoptive white parents in Oregon and meeting members of her Korean family in her mid-twenties, just as she became a mother herself.
Parry (a pseudonym for husband–wife duo Chris Brookmyre and Marisa Haetzman) uses the allusion to highlight the hidden sins of the Victorian period and hint at the fleshy concerns of their book, which contains somewhat gruesome scenes of childbirth and surgery. Ether and chloroform were recent introductions and many were still apprehensive about them or even opposed to their use on religious grounds, as Haetzman, a consultant anesthetist, learned while researching for her Master’s degree in the History of Medicine.
Thomas Page McBee was the first transgender man to box at Madison Square Garden. In his second memoir, which arose from a Quartz article entitled “Why Men Fight,” he recounts the training leading up to his charity match and ponders whether aggression is a natural male trait. McBee grew up in a small town outside Pittsburgh with a stepfather who sexually abused him from age four. In 2011 he started the testosterone injections that would begin his gender transformation. During the years that followed, other men seemed to pick fights with him fairly often, and he was unsure what to do about it. Finally, in 2015, the Manhattan editor decided to confront the belligerent male stereotype by starting boxing training.
Gavin Francis is a physician with a practice near Edinburgh. His latest book is like a taster course in medical topics. The overarching theme is the modifications the body undergoes, so there are chapters on, for example, body-building, tattoos, puberty, prosthetic limbs, dementia and menopause. Over his years in general practice Francis has gotten to know his patients’ stories and seen them change, for better or worse. These anecdotes of transformation are one source for his book, but he also applies insight from history, mythology, literature, etymology and more. So in a chapter on conception he discusses the Virgin Mary myth, Leonardo da Vinci’s fetal diagrams, the physiological changes pregnant women experience, and the case of a patient, Hannah, who had three difficult, surprise pregnancies in quick succession.
This is a great blend of medical history and popular science that should draw in readers who wouldn’t normally gravitate to either topic – provided they aren’t too squeamish. Fitzharris has recently returned to Oxford as a visiting academic, and this has also been nominated for the Wolfson History Prize. Follow her on Instagram (@
“It’s time to talk about dying. This is my way of promoting the conversation,” Mannix writes in her introduction to this accessible and reassuring book about death. She believes we are afraid of death because of our misconception that it is inevitably painful and undignified. In her decades of working in hospice care, this has rarely been the case. (Thank goodness that, compared to the earlier nineteenth-century situation Fitzharris surveys, we have reliable pain control options.) Mannix sees the role of the hospice worker as being like a midwife for the dying, a helpful idea I first encountered in Henry Fersko-Weiss’s Caring for the Dying: The Doula Approach to a Meaningful Death. 