March Releases by Rebecca Brown, Luis Carrasco, A.J. Lees et al.
As busy as I am with house stuff, I’m endeavouring to keep up with the new releases publishers have been kind enough to send. Today I have a collection of essays on the seasons and mental health, a novella inhabiting a homeless girl’s situation, and a memoir about how skills of observation have been invaluable to a neurologist’s career. (I also mention a few other March releases that I have written about elsewhere or will be reviewing soon.)
You Tell the Stories You Need to Believe: On the four seasons, time and love, death and growing up by Rebecca Brown
Brown has shown up twice now in my November novella reading (Excerpts from a Family Medical Dictionary in 2016 and the excellent The Gifts of the Body in 2018). I was delighted to learn from a recent Shelf Awareness newsletter that she had a new book, and its Didion-esque title intrigued me. These four essays, which were originally commissioned for The Stranger, Seattle’s alternative weekly, and appeared in print between 2014 and 2016, move methodically through the four seasons and through the weather of the heart, which doesn’t always follow nature’s cues. Depression can linger and mock by contrast the external signs of growth and happiness; it’s no wonder that spring is dubbed the “suicide season.”
The relaxed collages of experience and research blend stories from childhood and later life with references to etymology, literature, music, mythology and poetry. Spring brings to mind the Persephone legend and Vivaldi’s compositions. Summer makes her think of riding bikes on dusty roads and a pregnant dog that turned up just before a storm. Autumn has always been for falling in or out of love. Winter is hard to trudge through, but offers compensatory blessings: “You stand inside the house of your friends and feel and see and everyone is in love and alive and you get to be here, grateful, too, however long, this time, the winter lasts.”
A danger with seasonal books is that, with nostalgia tingeing everything, you end up with twee, obvious reflections. Here, the presence of grief and mental health struggles creates a balanced tone, and while the book as a whole feels a little evanescent, it’s a lovely read.
Another favorite passage:
Maybe like how in the winter it’s hard to imagine spring, I forgot there was anything else besides despair. I needed—I need—to remember the seasons change. I need to remember the dark abates, that light and life return. This is a story I need to believe.
With thanks to Chatwin Books for the e-copy for review.
Ghosts of Spring by Luis Carrasco
Carrasco’s second novella (after 2018’s El Hacho) takes an intimate journey with a young woman who sleeps rough on the streets of a city in the west of England (Cheltenham? Gloucester?). Elemental concerns guide her existence: where can she shelter for the night? Where can she store her meagre belongings during the day? Does she have enough coins to buy a cup of tea from a café, and how long can she stretch out one drink so she can stay in the warm? The creeping advance of the winter (and the holiday season) sets up an updated Christmas Carol type of scenario where the have-nots are mostly invisible to the haves but rely on their charity:
Hidden in plain sight amongst them, in nooks and doorways and sitting with heads hanging against cold stone walls are huddled shapes, blanketed and inert, with faces of indifferent boredom. Too cold to fish for cash and pity[,] they sit with their faces wrapped in dirty scarves and stolen hats, working the empty corners of tobacco pouches and sucking cold coffee from yesterday’s cups. Ghosts of flesh, they are here and everywhere and nobody sees a thing.
With no speech marks, the narrative flows easily between dialogue and a third-person limited point of view. The protagonist, generally just called “the girl,” is friends with a group of prostitutes and tries out a night in a homeless hostel and sleeping in an allotment shed when she takes a bus to the suburbs. Carrasco is attentive to the everyday challenges she faces, such as while menstruating. We get hints of the family issues that drove her away, but also follow her into a new opportunity.
The book has an eye to her promising future but also bears in mind the worst that can happen to those who don’t escape poverty and abuse. At times underpowered, at others overwritten (as I found for my only other époque press read, What Willow Says), this succeeds as a compassionate portrait of extreme circumstances, something I always appreciate in fiction, and would make a good pairing with another story of homelessness, Kerstin Hensel’s Dance by the Canal from Peirene Press.
With thanks to époque press for the proof copy for review.
Brainspotting: Adventures in Neurology by A.J. Lees
Dr Andrew Lees is a professor of neurology at the National Hospital in London and a world-renowned Parkinson’s disease researcher. The essays in this short autobiographical volume emphasize the importance of listening and noticing. The opening piece, in fact, is about birdwatching, a boyhood hobby that first helped him develop this observational ability. In further chapters he looks back to his medical education and early practice in London’s East End and in Paris in the 1960s and 1970s. He profiles the hospitals he has known over the last five decades, and the neurologists who paved the way for the modern science, such as Jean-Martin Charcot and François Lhermitte.
The professors whose lessons have most stuck with him are those who insisted on weaving patient histories and symptoms into a story. Lees likens the neurologist’s work to Sherlock Holmes’s deductions – even the smallest signs can mean so much. Indeed, Arthur Conan Doyle, himself a doctor, is known to have modelled Holmes on Joseph Bell, a Scottish surgeon. I particularly liked the essay “The Lost Soul of Neurology,” about science versus spirituality. As a whole, this didn’t particularly stand out for me compared to many of my other medical reads, but I’d still liken it to the works of Gavin Francis and Henry Marsh.
With thanks to Notting Hill Editions for the free copy for review.
Plus a few more March releases I’ve read recently:
Reviewed for BookBrowse:
Booth by Karen Joy Fowler
In an epic fictional sweep from 1822 to nearly the close of the century, Fowler surveys the Booth family’s triumphs and tragedies. Short asides chronicle Lincoln’s rise in parallel. The foreshadowing is sometimes heavy-handed, and the extended timeline means there is also some skating over of long periods. Booth is low on scenes and dialogue, with Fowler conveying a lot of information through exposition. Luckily, the present-tense narration goes a long way toward making this less of a dull group biography and more of an unfolding story. I also appreciated that the Booth sisters are given major roles as point-of-view characters. The issues considered, like racial equality, political divisions and mistrust of the government, are just as important in our own day. Recommended to fans of March and Hamnet. (I also wrote a related article on the Booth family actors and Shakespeare in performance in the 19th-century USA.)
With thanks to Serpent’s Tail for the proof copy for review.
To review for BookBrowse soon: Groundskeeping by Lee Cole, one of my favourite 2022 releases so far; just the sort of incisive contemporary American novel I love. Big questions of class, family, fate and politics are bound up in a campus-set love story between a drifting manual labourer with literary ambitions and a visiting writer. (Faber)
And coming up tomorrow in my Reading Ireland Month roundup: Vinegar Hill, Colm Tóibín’s terrific debut collection of poems about current events, religion and travels. (Carcanet Press)
Do any of these books appeal to you?
January 2022 Releases, Part I: Jami Attenberg and Roopa Farooki
It’s been a big month for new releases! I’m still working on a handful and will report back on two batches of three, tomorrow and Sunday; more will likely turn up in review roundups in future months. For today, I have a memoir in essays about a peripatetic writer’s life and an excerpt from my review of a junior doctor’s chronicle of the early days of the pandemic.
I Came All This Way to Meet You: Writing Myself Home by Jami Attenberg
I’ve enjoyed Attenberg’s four most recent novels (reviewed here: The Middlesteins and All This Could Be Yours) so was intrigued to hear that she was trying out nonfiction. She self-describes as a “moderately successful author,” now in her early fifties – a single, independent feminist based in New Orleans after years in Manhattan and then Brooklyn. (Name-dropping of author friends: “Lauren” (Groff), “Kristen” (Arnett) and “Viola” (di Grado), with whom she stays in Italy.) Leaving places abruptly had become a habit; travelling from literary festival to holiday to writing residency was her way of counterbalancing a safe, quiet writing life at home. She tells of visiting a friend in Hong Kong and teaching fiction for two weeks in Vilnius – where she learned that, despite her Jewish heritage, Holocaust tourism is not her thing. Anxiety starts to interfere with travel, though, and she takes six months off flying. Owning a New Orleans home where she can host guests is the most rooted she’s ever been.
Along with nomadism, creativity and being a woman are key themes. Attenberg notices how she’s treated differently from male writers at literary events, and sometimes has to counter antifeminist perspectives even from women – as in a bizarre debate she ended up taking part in at a festival in Portugal. She takes risks and gets hurt, physically and emotionally. Break-ups sting, but she moves on and tries to be a better person. There are a lot of hard-hitting one-liners about the writing life and learning to be comfortable in one’s (middle-aged) body:
I believe that one must arrive at an intersection of hunger and fear to make great art.
Who was I hiding from? I was only ever going to be me. I was only ever going to have this body forever. Life was too short not to have radical acceptance of my body.
Whenever my life turns into any kind of cliché, I am furious. Not me, I want to scream. Not me, I am special and unusual. But none of us are special and unusual. Our stories are all the same. It is just how you tell them that makes them worth hearing again.
I did not know yet how books would save me over and over again. I did not know that a book was a reason to live. I did not know that being alive was a reason to live.
Late on comes her #MeToo story, which in some ways feels like the core of the book. When she was in college, a creative writing classmate assaulted her on campus while drunk. She reported it but nothing was ever done; it only led to rumours and meanness towards her, and a year later she attempted suicide. You know how people will walk into a doctor’s appointment and discuss three random things, then casually drop in a fourth that is actually their overriding concern? I felt that way about this episode: that really the assault was what Attenberg wanted to talk about, and could have devoted much more of the book to.
The chapters are more like mini essays, flitting between locations and experiences in the same way she has done, and sometimes repeating incidents. I think the intent was to mimic, and embrace, the random shape that a life takes. Each vignette is like a competently crafted magazine piece, but the whole is no more than the sum of the parts.
With thanks to Serpent’s Tail for the proof copy for review.
Everything Is True: A Junior Doctor’s Story of Life, Death and Grief in a Time of Pandemic by Roopa Farooki
Farooki is a novelist, lecturer, mum of four, and junior doctor. Her storytelling choices owe more to literary fiction than to impassive reportage. The second-person, present-tense narration drops readers right into her position. Frequent line breaks and repetition almost give the prose the rhythm of performance poetry. There is also wry humour, wordplay, slang and cursing. In February 2020, her sister Kiron had died of breast cancer. During the first 40 days of the initial UK lockdown – the book’s limited timeframe – she continues to talk to Kiron, and imagines she can hear her sister’s chiding replies. Grief opens the door for magic realism, despite the title – which comes from a Balzac quote. A hybrid work that reads as fluidly as a novel while dramatizing real events, this is sure to appeal to people who wouldn’t normally pick up a bereavement or medical memoir. (Full review coming soon at Shiny New Books.)
A great addition to my Covid chronicles repertoire!
With thanks to Bloomsbury for the proof copy for review.
Would one of these books interest you?
Recovery by Gavin Francis: Review and Giveaway
Just over a year ago, I reviewed Dr Gavin Francis’s Intensive Care, his record of the first 10 months of Covid-19, especially as it affected his work as a GP in Scotland. It ended up on my Best of 2021 list and is still the book I point people to for reflections on the pandemic. Recovery serves as a natural sequel: for those contracting Covid, as well as those who have had it before and may be suffering the effects of the long form, the focus will now be on healing as much as it is on preventing the spread of the virus. This lovely little book spins personal and general histories of convalescence, and expresses the hope that our collective brush with death will make us all more determined to treasure our life and wellbeing.
Francis remembers times of recovery in his own life: after meningitis at age 10, falling off his bike at 12, and a sinus surgery during his first year of medical practice. Refuting received wisdom about scammers taking advantage of sickness benefits (government data show only 1.7% of claims are fraudulent), he affirms the importance of a social safety net that allows necessary recovery time. Convalescence is subjective, he notes; it takes as long as it takes, and patients should listen to their bodies and not push too hard out of frustration or boredom.
Traditionally, travel, rest and time in nature have been non-medical recommendations for convalescents, and Francis believes they still hold great value – not least for the positive mental state they promote. He might also employ “social prescribing,” directing his patients to join a club, see a counsellor, get good nutrition or adopt a pet. A recovery period can be as difficult for carers as for patients, he acknowledges, and most of us will spend time as both.
I read this in December while staying with my convalescent mother, and could see how much of its practical advice applied to her – “Plan rests regularly throughout the day,” “Use aids to avoid bending and reaching,” “Set achievable goals.” If only everyone being discharged from hospital could be issued with a copy – pocket-sized and only just over 100 pages, it would be a perfect companion through any recovery period. I’d especially recommend this to readers of Maggie O’Farrell’s I Am, I Am, I Am and Christie Watson’s The Language of Kindness.
Favourite lines:
At one level, convalescence has something in common with dying in that it forces us to engage with our limitations, the fragile nature of our existence. Why not, then, live fully while we can?
If we can take any gifts or wisdom from the experience of illness, surely it’s this: to deepen our appreciation of health … in the knowledge that it can so easily be taken away.
Published by Profile Books/Wellcome Collection today, 13 January. My thanks to the publisher for the free copy for review.
*The Profile publicity team has offered a giveaway copy to be sent to one of my readers. If you’d like to be entered in the draw (UK only, sorry), please mention so in your comment below. I’ll choose a winner at random next Friday morning (the 21st) and contact them by e-mail.*
#NonFicNov: Being the Expert on Covid Diaries
This year the Be/Ask/Become the Expert week of the month-long Nonfiction November challenge is hosted by Veronica of The Thousand Book Project. (In previous years I’ve contributed lists of women’s religious memoirs (twice), accounts of postpartum depression, and books on “care”.)
I’ve been devouring nonfiction responses to COVID-19 for over a year now. Even memoirs that are not specifically structured as diaries take pains to give a sense of what life was like from day to day during the early months of the pandemic, including the fear of infection and the experience of lockdown. Covid is mentioned in lots of new releases these days, fiction or nonfiction, even if just via an introduction or epilogue, but I’ve focused on books where it’s a major element. At the end of the post I list others I’ve read on the theme, but first I feature four recent releases that I was sent for review.
Year of Plagues: A Memoir of 2020 by Fred D’Aguiar
The plague for D’Aguiar was dual: not just Covid, but cancer. Specifically, stage 4 prostate cancer. A hospital was the last place he wanted to spend time during a pandemic, yet his treatment required frequent visits. Current events, including a curfew in his adopted home of Los Angeles and the protests following George Floyd’s murder, form a distant background to an allegorized medical struggle. D’Aguiar personifies his illness as a force intent on harming him; his hope is that he can be like Anansi and outwit the Brer Rabbit of cancer. He imagines dialogues between himself and his illness as they spar through a turbulent year.
Cancer needs a song: tambourine and cymbals and a choir, not to raise it from the dead but [to] lay it to rest finally.
Tracing the effects of his cancer on his wife and children as well as on his own body, he wonders if the treatment will disrupt his sense of his own masculinity. I thought the narrative would hit home given that I have a family member going through the same thing, but it struck me as a jumble, full of repetition and TMI moments. Expecting concision from a poet, I wanted the highlights reel instead of 323 rambling pages.
(Carcanet Press, August 26.) With thanks to the publisher for the free copy for review.
100 Days by Gabriel Josipovici
Beginning in March 2020, Josipovici challenged himself to write a diary entry and mini-essay each day for 100 days – which happened to correspond almost exactly to the length of the UK’s first lockdown. Approaching age 80, he felt the virus had offered “the unexpected gift of a bracket round life” that he “mustn’t fritter away.” He chose an alphabetical framework, stretching from Aachen to Zoos and covering everything from his upbringing in Egypt to his love of walking in the Sussex Downs. I had the feeling that I should have read some of his fiction first so that I could spot how his ideas and experiences had infiltrated it; I’m now rectifying this by reading his novella The Cemetery in Barnes, in which I recognize a late-life remarriage and London versus countryside settings.
Still, I appreciated Josipovici’s thoughts on literature and his own aims for his work (more so than the rehashing of Covid statistics and official briefings from Boris Johnson et al., almost unbearable to encounter again):
In my writing I have always eschewed visual descriptions, perhaps because I don’t have a strong visual memory myself, but actually it is because reading such descriptions in other people’s novels I am instantly bored and feel it is so much dead wood.
nearly all my books and stories try to force the reader (and, I suppose, as I wrote, to force me) to face the strange phenomenon that everything does indeed pass, and that one day, perhaps sooner than most people think, humanity will pass and, eventually, the universe, but that most of the time we live as though all was permanent, including ourselves. What rich soil for the artist!
Why have I always had such an aversion to first person narratives? I think precisely because of their dishonesty – they start from a falsehood and can never recover. The falsehood that ‘I’ can talk in such detail and so smoothly about what has ‘happened’ to ‘me’, or even, sometimes, what is actually happening as ‘I’ write.
You never know till you’ve plunged in just what it is you really want to write. When I started writing The Inventory I had no idea repetition would play such an important role in it. And so it has been all through, right up to The Cemetery in Barnes. If I was a poet I would no doubt use refrains – I love the way the same thing becomes different the second time round
To write a novel in which nothing happens and yet everything happens: a secret dream of mine ever since I began to write
I did sense some misogyny, though, as it’s generally female writers he singles out for criticism: Iris Murdoch is his prime example of the overuse of adjectives and adverbs, he mentions a “dreadful novel” he’s reading by Elizabeth Bowen, and he describes Jean Rhys and Dorothy Whipple as women “who, raised on a diet of the classic English novel, howled with anguish when life did not, for them, turn out as they felt it should.”
While this was enjoyable to flip through, it’s probably more for existing fans than for readers new to the author’s work, and the Covid connection isn’t integral to the writing experiment.
(Carcanet Press, October 28.) With thanks to the publisher for the free copy for review.
A stanza from the below collection to link the first two books to this next one:
Have they found him yet, I wonder,
whoever it is strolling
about as a plague doctor, outlandish
beak and all?
The Crash Wake and Other Poems by Owen Lowery
Lowery was a tetraplegic poet – wheelchair-bound and on a ventilator – who also survived a serious car crash in February 2020 before his death in May 2021. It’s astonishing how much his body withstood, leaving his mind not just intact but capable of generating dozens of seemingly effortless poems. Most of the first half of this posthumous collection, his third overall, is taken up by a long, multipart poem entitled “The Crash Wake” (it’s composed of 104 12-line poems, to be precise), in which his complicated recovery gets bound up with wider anxiety about the pandemic: “It will take time and / more to find our way / back to who we were before the shimmer / and promise of our snapped day.”
As the seventh anniversary of his wedding to Jayne nears, Lowery reflects on how love has kept him going despite flashbacks to the accident and feeling written off by his doctors. In the second section of the book, the subjects vary from the arts (Paula Rego’s photographs, Stanley Spencer’s paintings, R.S. Thomas’s theology) to sport. There is also a lovely “Remembrance Day Sequence” imagining what various soldiers, including Edward Thomas and his own grandfather, lived through. The final piece is a prose horror story about a magpie. Like a magpie, I found many sparkly gems in this wide-ranging collection.
(Carcanet Press, October 28.) With thanks to the publisher for the free e-copy for review.
Behind the Mask: Living Alone in the Epicenter by Kate Walter
[135 pages, so I’m counting this one towards #NovNov, too]
For Walter, a freelance journalist and longtime Manhattan resident, coronavirus turned life upside down. Retired from college teaching and living in Westbeth Artists Housing, she’d relied on activities outside the home for socializing. To a single extrovert, lockdown offered no benefits; she spent holidays alone instead of with her large Irish Catholic family. Even one of the world’s great cities could be a site of boredom and isolation. Still, she gamely moved her hobbies onto Zoom as much as possible, and welcomed an escape to Jersey Shore.
In short essays, she proceeds month by month through the pandemic: what changed, what kept her sane, and what she was missing. Walter considers herself a “gay elder” and was particularly sad the Pride March didn’t go ahead in 2020. She also found herself ‘coming out again’, at age 71, when she was asked by her alma mater to encapsulate the 50 years since graduation in 100 words.
There’s a lot here to relate to – being glued to the news, anxiety over Trump’s possible re-election, looking forward to vaccination appointments – and the book is also revealing on the special challenges for older people and those who don’t live with family. However, I found the whole fairly repetitive (perhaps as a result of some pieces originally appearing in The Village Sun and then being tweaked and inserted here).
Before an appendix of four short pre-Covid essays, there’s a section of pandemic writing prompts: 12 sets of questions to use to think through the last year and a half and what it’s meant. E.g. “Did living through this extraordinary experience change your outlook on life?” If you’ve been meaning to leave a written record of this time for posterity, this list would be a great place to start.
(Heliotrope Books, November 16.) With thanks to the publicist for the free e-copy for review.
Other Covid-themed nonfiction I have read:
Medical accounts
Breathtaking by Rachel Clarke
- Intensive Care by Gavin Francis
- Every Minute Is a Day by Robert Meyer and Dan Koeppel (reviewed for Shelf Awareness)
- Duty of Care by Dominic Pimenta
- Many Different Kinds of Love by Michael Rosen
+ I have a proof copy of Everything Is True: A Junior Doctor’s Story of Life, Death and Grief in a Time of Pandemic by Roopa Farooki, coming out in January.
Nature writing
Goshawk Summer by James Aldred
- The Heeding by Rob Cowen (in poetry form)
- Birdsong in a Time of Silence by Steven Lovatt
- The Consolation of Nature by Michael McCarthy, Jeremy Mynott and Peter Marren
- Skylarks with Rosie by Stephen Moss
General responses
Hold Still (a National Portrait Gallery commission of 100 photographs taken in the UK in 2020)
- The Rome Plague Diaries by Matthew Kneale
- Quarantine Comix by Rachael Smith (in graphic novel form; reviewed for Foreword Reviews)
- UnPresidented by Jon Sopel
+ on my Kindle: Alone Together, an anthology of personal essays
+ on my TBR: What Just Happened: Notes on a Long Year by Charles Finch
If you read just one… Make it Intensive Care by Gavin Francis. (And, if you love nature books, follow that up with The Consolation of Nature.)
Can you see yourself reading any of these?
20 Books of Summer, #14–15, RED: Gabriel Weston and Marie Winn
I’m catching up on blogs and getting back into the swing of work after a week’s staycation hosting my mom and stepdad and taking them on daytrips to lots of local sites: Highclere Castle (“Downton Abbey”), Bath, Avebury, the south coast, Sandham Memorial Chapel, the Kennet & Avon canal, and Mottisfont Abbey.
Today’s contributions to my colour-themed summer reading are both nonfiction: a forthright memoir from a female surgeon and a light-hearted record of multiple seasons of hawk-watching in Central Park.
Direct Red: A Surgeon’s Story by Gabriel Weston (2009)
Trying to keep herself alert seven hours into assisting with a neck surgery, Weston recites to herself a list of dyes used to stain tissues for microscopy: methylene blue, acridine orange, saffron, malachite green, Tyrian purple, Hoffman’s violet, direct red. This is how the book opens, and of course, red being the colour of blood, it shows up frequently in what follows. She tells (anonymized) stories of people she has treated, of all ages and from all backgrounds, both during her training and after she specialized in ear, nose and throat surgery.
Like Henry Marsh in Admissions, she expresses regret for moments when she was in a rush or trying to impress seniors and didn’t give the best patient-focused care she could have. Some patients even surprise her into changing her mind, such as about the morality of plastic surgery.
The accounts of individual surgeries are detailed and sometimes gory: morbidly delicious for me, but definitely not for the squeamish.
Blood trickled in a stream down the inside of my wrist onto the plasticky gown, and then dripped off me and onto the drape. It collected in a green valley and was congealing there like a small garnet jelly. I lost my balance slightly as the breast was cut off.
Surgery is still a male-dominated field, and I’ve sensed unpleasant machismo from surgeon authors before (Stephen Westaby’s The Knife’s Edge). As a woman in medicine, Weston is keenly aware of the difficult balance to be struck between confidence and compassion.
To be a good doctor, you have to master a paradoxical art. You need to get close to a patient so that they will tell you things and you will understand what they mean. But you also have to keep distant enough not to get too affected.
It is no longer enough to be technically proficient; nowadays, we need to be nice. And this presents the modern surgeon with a great challenge: how to combine a necessary degree of toughness with an equally important ability to be gentle.
Initially, her bedside manner is on the brusque side, but when she becomes a mother this changes. Treating a sick baby in the ITU, she realizes she barely sees her own child for more than five minutes per evening. In the final paragraphs, she quits her career-track consultant job to work part-time. “I chose a life with more home in it.” It’s an abrupt ending to a 180-page memoir that I thoroughly enjoyed but that left me wanting more. (Secondhand purchase from Oxfam Books, Reading)
Red-Tails in Love: A Wildlife Drama in Central Park by Marie Winn (1998)
In the early 1990s, Wall Street Journal columnist Winn fell in with an earnest group of birdwatchers who monitor the daily activity in New York City’s Central Park, a haven for wildlife. Through the Register, a logbook stored in a boathouse, they share sightings and track patterns. Relative rarities thrive and breed each year. Before long the book zeroes in on a famous pair of red-tailed hawks, “Pale Male” and a series of females. Winn emphasizes the “drama” of her subtitle, arranging the content into Acts and Scenes that span about five years.
Wild birds face many risks, most of them the fault of humans, and there are some distressing losses here. It is thus a triumph when Pale Male and his mate successfully raise three chicks on the façade of a Fifth Avenue apartment building (home to Mary Tyler Moore, with Woody Allen across the street). The birdwatchers are vigilant, sending letters to the apartment manager and calling park staff to ensure the birds are left in peace. No doubt it’s easier to disseminate information and assign responsibility now what with WhatsApp and Twitter. Indeed, I found the book a little dated and the anthropomorphizing somewhat over-the-top, but Winn makes a sweet, rollicking yarn out of people getting invested in nature. (Secondhand purchase from Clock Tower Books, Hay-on-Wye)
Coming up next: Three green, one black, one gold (and maybe a rainbow bonus).
Would you be interested in reading one of these?
Review: Intensive Care by Gavin Francis
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?”)
Signs of Life: To the Ends of the Earth with a Doctor by Stephen Fabes
Stephen Fabes is an emergency room doctor at St Thomas’s Hospital, London. Not exciting enough for you? Well, he also spent six years of the past decade cycling six continents (so, all bar Antarctica). His statistics are beyond impressive: 53,568 miles, 102 international borders, 1000+ nights of free camping, 26 bicycle tires, and 23 journals filled with his experiences. A warm-up was cycling the length of Chile with his brother at age 19. After medical school in Liverpool and starting his career in London, he found himself restless and again longing for adventure. The round-the-world cycle he planned fell into four sections: London to Cape Town, the West Coast of the Americas, Melbourne to Mumbai, and Hong Kong to home.
Signs of Life is a warm-hearted and laugh-out-loud funny account of Fabes’ travels, achieving a spot-on balance between major world events, the everyday discomforts of long-distance cycling and rough camping, and his humanitarian volunteering. He is a witness to the Occupy movement in Hong Kong, the aftermath of drought and tribal conflict in Africa, and the refugee crisis via the “Jungle” migrant camp in Calais. The desperate situations he saw while putting his medical expertise to good use in short bursts – e.g., at a floating clinic on a Cambodian lake, a malaria research center in Thailand, a leper hospital in Nepal, and a mental health rehabilitation clinic in Mumbai – put into perspective more minor annoyances like fire ants in El Salvador, Indonesian traffic, extreme cold in Mongolia, and camel spiders.
Wherever he went, Fabes met with kindness from strangers, even those who started off seeming hostile – having pitched his tent by a derelict cabin in Peru, he was alarmed to awake to a man pointing a gun at him, but the illicit gold miner soon determined he was harmless and offered him some soup. (Police officers and border guards were perhaps a bit less hospitable.) He also had occasional companions along the route, including a former housemate and a one-time girlfriend. Even limited shared language was enough to form common ground with a stranger-turned-fellow cyclist for a week or so. We get surprising glimpses of how Anglo-American culture permeates the developing world: For some reason, in the ‒Stans everyone’s point of reference when he introduced himself was Steven Seagal.
At nearly 400 pages, the memoir is on the long side, though I can see that it must have felt impossible to condense six years of adventures any further. I was less interested in the potted histories of other famous cyclists’ travels and would have appreciated a clearer sense to the passing of time, perhaps in the form of a date stamp at the head of each chapter. One of my favorite aspects of the book, though, was the use of medical metaphors to link geography to his experiences. Most chapters are titled after health vocabulary; for instance, in “Membranes” he ponders whether country borders are more like scars or cell membranes.
Fabes emphasizes, in a final chapter on the state of the West upon his return in early 2016, that, in all the most important ways, people are the same the world over. Whether in the UK or Southeast Asia, he sees poverty as the major factor in illness, perpetuating the inequality of access to adequate healthcare. Curiosity and empathy are his guides as he approaches each patient’s health as a story. Reflecting on the pandemic, which hit just as he was finalizing the manuscript, he prescribes global cooperation and innovation for this time of uncertainty.
We’re all armchair travelers this year, but this book is especially for you if you enjoy Bill Bryson’s sense of humor, think Dervla Murphy was a badass in Full Tilt, and enjoyed War Doctor by David Nott and/or The Crossway by Guy Stagg. It’s one of my top few predictions for next year’s Wellcome Book Prize – fingers crossed it will go ahead after the 2020 hiatus.
My rating:
With thanks to Dr Fabes and Profile Books for the free copy for review.