Tag Archives: medical memoirs

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.*

2022 Proof Copies & Early Recommendations (Julia Armfield’s Debut Novel, Lily King’s Short Stories)

I didn’t feel like I’d done a lot of pre-release reading yet, but put it all together and somehow it looks like a lot…

 

My top recommendations for 2022 (so far):

 

Our Wives Under the Sea by Julia Armfield

Coming on March 3rd from Picador (UK) and on July 12th from Flatiron Books (USA)

I loved Armfield’s 2019 short story collection Salt Slow, which I reviewed when it was shortlisted for the Sunday Times Young Writer of the Year Award. Her strategy in her debut novel is similar: letting the magical elements seep in gradually so that, lulled into a false sense of familiarity, you find the creepy stuff all the more unsettling.

Miri is relieved to have her wife back when Leah returns from an extended Centre for Marine Inquiry expedition. But something went wrong with the craft while in the ocean depths and it was too late to evacuate. What happened to Leah and the rest of the small crew? Miri starts to worry that Leah – who now spends 70% of her time in the bathtub – will never truly recover. Chapters alternate between Miri describing their new abnormal and Leah recalling the voyage. As Miri tries to tackle life admin for both of them, she feels increasingly alone and doesn’t know how to deal with persistent calls from the sister of one of the crew members.

This is a really sensitive consideration of dependency and grief – Miri recently lost her mother and Leah’s father also died. I especially liked the passages about Miri’s prickly mother: it was impossible not to offend her, and she truly believed that if she resisted ageing she might never die. Leah seems shell-shocked; her matter-of-fact narration is a contrast to Miri’s snark. Armfield gives an increasingly eerie story line a solid emotional foundation, and her words about family and romantic relationships ring true. I read this in about 24 hours in early December, on my way back from a rare trip into London; it got the 2022 releases off to a fab start to me. Plus, the title and cover combo is killer. I’d especially recommend this to readers of Carmen Maria Machado and Banana Yoshimoto. (Read via NetGalley)

 

Five Tuesdays in Winter by Lily King

Coming on January 20th from Picador (UK); released in the USA in November 2021

The same intimate understanding of emotions and interactions found in Euphoria and Writers & Lovers underlies King’s first short story collection. Some stories are romantic; others are retrospective coming-of-age narratives. Most are set in New England, but the time and place varies from the 1960s to the present day and from Maine to northern Europe. Several stories look back to a 1980s adolescence. “South” and “The Man at the Door” are refreshingly different, incorporating touches of magic and suspense. However, there are also a few less engaging stories, and there aren’t particularly strong linking themes. Still, the questions of love’s transience and whether any relationship can ever match up to expectations linger. I’d certainly recommend this to fans of King’s novels. (See my full review at BookBrowse. See also my related article on contemporary New England fiction.)

With thanks to Picador for the proof copy for review.

 

Other 2022 releases I’ve read:

(In publication date order)

 

Write It All Down: How to put your life on the page by Cathy Rentzenbrink [Jan. 6, Bluebird] I’ve read all of Rentzenbrink’s books, but the last few have been disappointing. Alas, this is more of a therapy session than a practical memoir-writing guide. (Full review coming later this month.)

 

Recovery: The Lost Art of Convalescence by Gavin Francis [Jan. 13, Wellcome Collection]: A short, timely book about the history and subjectivity of recovering from illness. (Full review and giveaway coming next week.)

 

The Store-House of Wonder and Astonishment by Sherry Rind [Jan. 15, Pleasure Boat Studio]: In her learned and mischievous fourth collection, the Seattle poet ponders Classical and medieval attitudes towards animals. (Full review coming to Shelf Awareness soon.)

 

Stepmotherland by Darrel Alejandro Holnes [Feb. 1, University of Notre Dame Press]: Holnes’s debut collection, winner of the Andrés Montoya Poetry Prize, ponders a mixed-race background and queerness through art, current events and religion. Poems take a multitude of forms; the erotic and devotional mix in provocative ways. (See my full review at Foreword.)

 

Rise and Float: Poems by Brian Tierney [Feb. 8, Milkweed Editions]: A hard-hitting debut collection with themes of bereavement and mental illness – but the gorgeous imagery lifts it above pure melancholy. (Full review coming to Shelf Awareness soon.)

 

Cost of Living: Essays by Emily Maloney [Feb. 8, Henry Holt]: Probing mental illness and pain from the medical professional’s perspective as well as the patient’s, 16 autobiographical essays ponder the value of life. (Full review coming to Shelf Awareness soon.)

 

Circle Way: A Daughter’s Memoir, a Writer’s Journey Home by Mary Ann Hogan [Feb. 15, Wonderwell]: A posthumous memoir of family and fate that focuses on a father-daughter pair of writers. A fourth-generation Californian, Hogan followed in her father Bill’s footsteps as a local journalist. Collage-like, the book features song lyrics and wordplay as well as family anecdotes. (See my full review at Foreword.)

 

Cold Enough for Snow by Jessica Au [Feb. 23, Fitzcarraldo Editions]: A delicate work of autofiction – it reads like a Chloe Aridjis or Rachel Cusk novel – about a woman and her Hong Kong-raised mother on a trip to Tokyo. (Full review coming up in a seasonal post.)

 

The Carriers: What the Fragile X Gene Reveals about Family, Heredity, and Scientific Discovery by Anne Skomorowsky [May 3, Columbia UP]: Blending stories and interviews with science and statistics, this balances the worldwide scope of a disease with its intimate details. (Full review coming to Foreword soon.)

 

Currently reading:

(In release date order)

This Boy We Made: A Memoir of Motherhood, Genetics, and Facing the Unknown by Taylor Harris [Jan. 11, Catapult] (Reading via Edelweiss; to review for BookBrowse)

To Paradise by Hanya Yanagihara [Jan. 11, Picador] (Blog review coming … eventually)

I Came All This Way to Meet You: Writing Myself Home by Jami Attenberg [Jan. 13, Serpent’s Tail] (Blog review coming later this month)

Everything Is True: A Junior Doctor’s Story of Life, Death and Grief in a Time of Pandemic by Roopa Farooki [Jan. 20, Bloomsbury] (To review for Shiny New Books)

Some Integrity by Padraig Regan [Jan. 27, Carcanet] (Blog review coming later this month)

 

Additional proof copies on my shelf:

(In release date order; publisher blurbs from Goodreads/Amazon)

What I Wish People Knew About Dementia by Wendy Mitchell [Jan. 20, Bloomsbury]: “When Mitchell was diagnosed with young-onset dementia at the age of fifty-eight, her brain was overwhelmed with images of the last stages of the disease – those familiar tropes, shortcuts and clichés that we are fed by the media, or even our own health professionals. … Wise, practical and life affirming, [this] combines anecdotes, research and Mitchell’s own brilliant wit and wisdom to tell readers exactly what she wishes they knew about dementia.”

 

I Love You But I’ve Chosen Darkness by Claire Vaye Watkins [Came out in USA last year; UK release = Jan. 20, Quercus]: “Leaving behind her husband and their baby daughter, a writer gets on a flight for a speaking engagement in Reno, not carrying much besides a breast pump and a spiraling case of postpartum depression. … Deep in the Mojave Desert where she grew up, she meets her ghosts at every turn: the first love whose self-destruction still haunts her; her father, a member of the most famous cult in American history.”

 

Beasts of a Little Land by Juhea Kim [Feb. 3, Oneworld]: “From the perfumed chambers of a courtesan school in Pyongyang to the chic cafes of a modernising Seoul and the thick forests of Manchuria, Juhea Kim’s unforgettable characters forge their own destinies as they shape the future of their nation. Immersive and elegant, firmly rooted in Korean folklore and legend, [this] unveils a world where friends become enemies, enemies become saviours, and beasts take many shapes.”

Theatre of Marvels by Lianne Dillsworth [April 28, Hutchinson Heinemann]: “Unruly crowds descend on Crillick’s Variety Theatre. Young actress Zillah [a mixed-race orphan] is headlining tonight. … Rising up the echelons of society is everything Zillah has ever dreamed of. But when a new stage act disappears, Zillah is haunted by a feeling that something is amiss. Is the woman in danger? Her pursuit of the truth takes her into the underbelly of the city.” (Unsolicited) [Dillsworth is Black British.]

 

The Secret Lives of Church Ladies by Deesha Philyaw [Came out in USA in 2020; UK release = May 5, Pushkin]: “explores the raw and tender places where Black women and girls dare to follow their desires and pursue a momentary reprieve from being good. … With their secret longings, new love, and forbidden affairs, these church ladies are as seductive as they want to be, as vulnerable as they need to be, as unfaithful and unrepentant as they care to be, and as free as they deserve to be.”

 

And on my NetGalley shelf:

Will you look out for one or more of these titles?

Any other 2022 reads you can recommend?

#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

+ 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

 

General responses

+ 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?

Northumberland Trip, Book Haul, and Reading & 20 Books #9 Emerald

We spent the first 11 days of July on holiday in Northumberland (via stays with friends in York on the way up and back) – our longest spell of vacation since 2016, and our longest UK break since 2013. The trip also happened to coincide with our 14th anniversary. It was a fantastic time of exploring England’s northeast corner, a region new to me. I loved the many different types of landscape, from sandy beaches and rocky coasts and islands to moorland and lovely towns. It’s the county for you if you like castles. We joined the National Trust so we could make stops at lots of stately homes and other historic sites. Some highlights were:

  • Cherryburn, the off-the-beaten-track home of engraver Thomas Bewick.
  • A cheap and delicious meal of authentic Mexican street food in Hexham, of all places (at Little Mexico).
  • Walking along a tiny fraction of Hadrian’s Wall from Housesteads Roman Fort.
  • Cragside, the over-the-top home of a Victorian inventor (and the first international arms dealer – whoops), nestled in a plantation of pines and rhododendrons.
  • A boat trip to the Farne Islands with a landing on Inner Farne, giving close-up views of puffins, other seabirds, and grey seals. We also sailed past the lighthouse made famous by Grace Darling’s rescue of shipwreck victims in 1838. (Relevant song by Duke Special, by way of a Michael Longley poem.)
  • Whiling away a rainy morning in Barter Books, one of Britain’s largest secondhand bookshops (located in an old Victorian railway station), and the charity shops of Alnwick.
  • An adventurous (and very wet) walk along the coast to the Dunstanburgh Castle ruin.
  • Searching the dunes for rare orchids on Holy Island, followed by a delicious and largely vegan lunch at Pilgrims Coffee House.
  • Another seabird-filled boat trip, this one round Coquet Island. Sightings included roseate terns and the Duke of Northumberland.
  • Our second Airbnb, The Lonnen (near Rothbury), was a rural idyll shared mostly with sheep and gray wagtails. We were spoiled by Ruth’s excellent interior décor and cooked breakfasts. You can get a feel for the place via her Instagram.
  • Coffee and snacks at Corbridge Larder’s Heron Café – so good we made a second trip.

It was also, half unexpectedly, a week filled with book shopping. First up was Forum Books in Corbridge, a lovely independent bookshop. I don’t often buy new books, so enjoyed the splurge here. The Flyn and Taylor were two of my most anticipated releases of 2021. It felt appropriate to pick up a Bloodaxe poetry title as the publisher is based in nearby Hexham.

Next came a bounteous charity shop haul in Hexham.

On the Tuesday we holed up in Barter Books for hours while it rained – and the queue lengthened – outside. I was surprised and delighted that the nine antiquarian books I resold to Barter more than paid for my purchases, leaving me in credit to spend another time (online if, as seems likely, I don’t get back up in person anytime soon).

Alnwick also has a number of charity shops. I had the most luck at the Lions bookshop.

I seemed to keep finding books wherever I went. Kitchen came from a bookshelf in a shop/café on Holy Island. A secondhand/remainders shop near York Minster was the source of the other three.

 

What I Read:

The holiday involved significant car journeys as Northumberland is a big county with an hour or more between destinations. Alongside my navigating and DJ duties, I got a lot of reading done during the days, as well as in the evenings.

 

Finished second half or so of:

Phosphorescence by Julia Baird – An intriguing if somewhat scattered hybrid: a self-help memoir with nature themes. Many female-authored nature books I’ve read recently (Wintering, A Still Life, Rooted) have emphasized paying attention and courting a sense of wonder. To cope with recurring abdominal cancer, Baird turned to swimming at the Australian coast and to faith. Indeed, I was surprised by how deeply she delves into Christianity here. She was involved in the campaign for the ordination of women and supports LGBTQ rights.

 

Open House by Elizabeth Berg – When her husband leaves, Sam goes off the rails in minor and amusing ways: accepting a rotating cast of housemates, taking temp jobs at a laundromat and in telesales, and getting back onto the dating scene. I didn’t find Sam’s voice as fresh and funny as Berg probably thought it is, but this is as readable as any Oprah’s Book Club selection and kept me entertained on the plane ride back from America and the car trip up to York. It’s about finding joy in the everyday and not defining yourself by your relationships.

 

Site Fidelity by Claire Boyles – I have yet to review this for BookBrowse, but can briefly tell you that it’s a terrific linked short story collection set on the sagebrush steppe of Colorado and featuring several generations of strong women. Boyles explores environmental threats to the area, like fracking, polluted rivers and an endangered bird species, but never with a heavy hand. It’s a different picture than what we usually get of the American West, and the characters shine. The book reminded me most of Love Medicine by Louise Erdrich.

 

Every Minute Is a Day by Robert Meyer, MD and Dan Koeppel – The Bronx’s Montefiore Medical Center serves an ethnically diverse community of the working poor. Between March and September 2020, it had 6,000 Covid-19 patients cross the threshold. Nearly 1,000 of them would die. Unfolding in real time, this is an emergency room doctor’s diary as compiled from interviews and correspondence by his journalist cousin. (Coming out on August 3rd. Reviewed for Shelf Awareness.)

 

Virga by Shin Yu Pai – Yoga and Zen Buddhism are major elements in this tenth collection by a Chinese American poet based in Washington. She reflects on her family history and a friend’s death as well as the process of making art, such as a project of crafting 108 clay reliquary boxes. “The uncarved block,” a standout, contrasts the artist’s vision with the impossibility of perfection. The title refers to a weather phenomenon in which rain never reaches the ground because the air is too hot. (Coming out on August 1st.)

 

Read most or all of:

The Other Black Girl by Zakiya Dalila Harris – I feel like I’m the last person on Earth to read this buzzy book, so there’s no point recounting the plot, which initially is reminiscent of Luster by Raven Leilani but morphs into its own thing as Nella realizes her rivalry with Hazel, her new Black colleague at Wagner Books, is evidence of a wider social experiment. The prose is hip, bringing to mind Queenie and Such a Fun Age. It was a fun road trip read for me, but I could have done without the silliness of magical hair care products.

 

Heartstopper, Volume 1 by Alice Oseman – It’s well known at Truham boys’ school that Charlie is gay. Luckily, the bullying has stopped and the others accept him. Nick, who sits next to Charlie in homeroom, even invites him to join the rugby team. Charlie is smitten right away, but it takes longer for Nick, who’s only ever liked girls before, to sort out his feelings. This black-and-white YA graphic novel is pure sweetness, taking me right back to the days of high school crushes. I raced through and placed holds on the other three volumes.

 

The Vacationers by Emma Straub – Perfect summer reading; perfect holiday reading. Like Jami Attenberg, Straub writes great dysfunctional family novels featuring characters so flawed and real you can’t help but love and laugh at them. Here, Franny and Jim Post borrow a friend’s home in Mallorca for two weeks, hoping sun and relaxation will temper the memory of Jim’s affair. Franny’s gay best friend and his husband, soon to adopt a baby, come along. Amid tennis lessons, swims and gourmet meals, secrets and resentment simmer.

 

Kitchen by Banana Yoshimoto – A pair of poignant stories of loss and what gets you through. In the title novella, after the death of the grandmother who raised her, Mikage takes refuge with her friend Yuichi and his mother (once father), Eriko, a trans woman who runs a nightclub. Mikage becomes obsessed with cooking: kitchens are her safe place and food her love language. Moonlight Shadow, half the length, repeats the bereavement theme but has a magic realist air as Satsuki meets someone who lets her see her dead boyfriend again.

 

I also made a good start on a few of my other purchases from the trip: Islands of Abandonment, No Time to Spare, Filthy Animals, and Female Friends.

Alas, most of the in-demand library books I brought along with me – Great Circle by Maggie Shipstead, Malibu Rising by Taylor Jenkins Reid, and Still Life by Sarah Winman – didn’t hit the spot, so I’ve returned them unread and will borrow them at another point later in the year (except Malibu Rising, which felt soapy and insubstantial).

 


It’s been a struggle getting back into the routines of work and writing since we got back, but I’ve managed to review one more of my 20 Books of Summer. This is #9, slipped in from my Forum Books pile, and I’m currently working on books #10–13.

 

Emerald by Ruth Padel (2018)

This was my 11th book from Padel; I’ve read a mixture of her poetry, fiction, narrative nonfiction and poetry criticism. Emerald consists mostly of poems in memory of her mother, Hilda, who died in 2017 at the age of 97. The book pivots on her mother’s death, remembering the before (family stories, her little ways, moving her into sheltered accommodation when she was 91, sitting vigil at her deathbed) and the letdown of after. It made a good follow-on to one I reviewed last month, Kate Mosse’s An Extra Pair of Hands.

Emerald, the hue and the gemstone, recurs frequently in ornate imagery of verdant outdoor scenes and expensive art objects. Two favourites were travel-based: “Jaipur,” about the emerald-cutters of India, where Padel guiltily flew while her mother was ill; and “Salon Noir,” about a trip down into prehistoric caves of France the summer after Hilda’s death. Overall, I expected the book to resonate with me more than it did. The bereavement narrative never broke through to touch me; it remained behind a silk screen of manners and form.

Two favourite stanzas:

“Your voice is your breath.

The first thing that’s yours

and the last.” (from “Fragile as Breath”)

 

“that’s all of us

sifting the dark

in our anonymities and hope.” (from “Above is the Same as Below”)

My rating:

 

Next books in progress: The Glitter in the Green by Jon Dunn and Nothing but Blue Sky by Kathleen MacMahon

February Releases by de Visser, George, Lawson, and Smiley

Nonfiction about doctors’ memorable patients and a life of chronic pain and disability; novels set in 1970s Canada and contemporary (but magically outside-of-time) Paris.

 

That One Patient: Doctors’ and nurses’ stories of the patients who changed their lives forever by Ellen de Visser

[Translated from the Dutch by Brent Annable]

Ellen de Visser is a science writer for the most popular newspaper in the Netherlands, De Volkskrant. Her “That One Patient” column, which began in the summer of 2017, turns interviews with medical professionals into punchy first-person narratives. A collection of them was published in Dutch in 2019. This English translation tacks on 10 additional pieces based on conversations with English and American practitioners (including Dr. Anthony Fauci, immunologist and presidential medical advisor), four of them explicitly reflecting on COVID-19.

Many of the cases are decades old yet stuck with the doctor or nurse in question because of a vital lesson learned. Overtreatment is regretted just as much as an omission of care. Again and again, these medical professionals conclude that it’s impossible to judge someone else’s decisions or quality of life. For instance, a surgeon admits he had a hard time empathizing with his obese patients undergoing stomach reduction until he followed up with a young woman who told him about how invisible she’d felt before her surgery. Premature and disabled children bring grief or joy, not always in the expected doses. A doctor resents the work his team puts into repairing a woman who jumped from an eighth-floor window – why the heroic measures for someone who wanted to die? – until he learns she was pushed. A cancer surgeon develops breast cancer and now knows exactly what her patients go through.

Some of these stories are disturbing: being stalked by a patient with a personality disorder, a man poisoning his girlfriend, a farmer predicting the very day and time of his death. A gynaecologist changes his mind about abortion after he meets a 15-year-old who gave birth at home and left her baby outside in a plastic bag to die of exposure. Other pieces are heart-warming: A paramedic delivers a premature, breech baby right in the ambulance. Staff throw a wedding at the hospital for a dying teen (as in Dear Life by Rachel Clarke). A woman diagnosed with cancer while pregnant has chemotherapy and a healthy baby – now a teenager. There’s even a tale from a vet who crowdfunded prostheses for a lively terrier.

One unique thing about the Netherlands is that euthanasia is legal and provided by doctors upon the express request of a patient suffering from a terminal illness. It is taken for granted in these essays, yet some interviewees express their discomfort with it as an option for young patients. De Visser is careful to note that, even with the situation as it is, only 4% of deaths in the Netherlands are by euthanasia, and the majority of these are end-stage cancer cases.

As with any collection of this nature, some stories are more enticing than others, but overall I found it a surprising and moving set of reflections that is alive to ethical complexities and grapples with tough issues like disability, doctor error, loneliness, pain, and sense of purpose.

Two quotes, in particular, stood out to me, one from a nurse – “We are only ever guests in other people’s lives, and that’s how we ought to behave” – and the other from Dr. Fauci’s piece. In 2014 he treated a doctor who had been volunteering in Sierra Leone after an Ebola outbreak but became ill with the virus and had to be evacuated. “He cited Hippocrates: ‘It is far more important to know what sort of person has the disease, rather than what sort of disease the person has.’ You treated me like a person, not a disease, he said. And that’s what medicine is all about.”

With thanks to 4th Estate for the proof copy for review.

 

A Still Life: A Memoir by Josie George

Over a year of lockdowns, many of us have become accustomed to spending most of the time at home. But for Josie George, social isolation is nothing new. Chronic illness long ago reduced her territory to her home and garden. The magic of A Still Life is in how she finds joy and purpose despite extreme limitations. Opening on New Year’s Day and travelling from one winter to the next, the book is a window onto George’s quiet existence as well as the turning of the seasons. (My full review will appear in a forthcoming issue of the Times Literary Supplement. See also Eleanor’s thorough review.) This is top of my wish list for next year’s Barbellion Prize shortlist.

With thanks to Bloomsbury for the proof copy for review.

 

A Town Called Solace by Mary Lawson

I discovered Mary Lawson in 2015 with Road Ends and caught up with Crow Lake in the summer of 2019. All four of her books are set in fictional locations inspired by the villages and rural areas of Northern Ontario, where the author grew up before moving to England in 1968. So Solace, while not a real town, is true to her memory and, despite the sometimes gruff or know-it-all locals, an emotional landmark for the three central characters, all of whom are processing trauma and looking for places of comfort where they can start over.

1972. First we meet Clara, a plucky seven-year-old sitting vigil. She’s waiting for the return of two people: her sixteen-year-old sister, Rose, who ran away from home; and their next-door neighbour, Mrs. Orchard, whose cat, Moses, she’s feeding until the old lady gets back from the hospital. As days turn into weeks, though, it seems less likely that either will come home, and one day Clara sees a strange man moving boxes around in Mrs. Orchard’s house. This is Liam Kane, who’s inherited the house from a family friend. In his thirties and recently divorced, he’s taking a break in this tiny town, never imagining that he might find a new life. The third protagonist, and only first-person narrator, is Elizabeth, who lies in a hospital bed with heart trouble and voices her memories as a monologue to her late husband.

As we cycle through these three characters’ perspectives in alternating chapters, we gradually come to understand the connections between them. There are satisfying parallels in that, on multiple occasions but in slightly different ways, a child attaches to an older person or an adult stands in as a guardian for a neglected child. All of Lawson’s creations, even the secondary figures, are dealing with distressing memories or a loss of some kind, the details of which might only emerge much later on. Solace offers myriad opportunities for recovery, whether kitty playtime at Mrs. Orchard’s or diner food and homemade ice cream.

Like Lawson’s other works, this is a slow burner featuring troubled families. Her characters, often full of regret and sorrow, take a shadowy past as a prompt to reset their lives. They’re charming in spite of their flaws. I recalled that Crow Lake also looks back to the climactic happenings experienced by a seven-year-old girl. And like Road Ends, A Town Called Solace makes a convincing case for present decisions being influenced by historical trauma. It’s a tender and inviting story I’d recommend to readers of Wendy McGrath and Anne Tyler, with Clever Girl by Tessa Hadley and Olive, Again by Elizabeth Strout as specific readalikes. (My dilemma now is whether to read my only remaining Lawson novel, The Other Side of the Bridge, right away or save it: she’s not the most prolific author, with four books in 19 years.)

A favorite passage:

[Liam’s] life prior to coming north seemed to be taking on the quality of an old movie, one in which he’d been deeply engrossed while watching it but which now seemed trivial, unconvincing and profoundly lacking in either colour or plot. Solace had colour and plot in spades, maybe too much. In every way it was coming to seem more real than Toronto, with its endless malls and traffic jams and high-powered jobs. Though maybe, if he went back to Toronto, the same would be true in reverse. Maybe when he’d been back for a couple of months he’d find that it was Solace that seemed unreal, its unremarkable streets and stores like something from a dream, its dramatic landscape fading to nothing, like a holiday photo left in the sun.

With thanks to Chatto & Windus for the free copy for review.

 

The Strays of Paris by Jane Smiley

(Published in the USA in December 2020 under the title Perestroika in Paris. It’s been given a The Boy, the Mole, the Fox and the Horse treatment for its UK release.)

My summary for Bookmarks magazine: “A racehorse, Perestroika—nicknamed Paras—strays from her unlocked suburban stable one day, carrying her groom’s purse in her mouth, and ends up in Paris’s Place du Trocadéro. Here she meets Frida the dog, Sid and Nancy the mallards, and Raoul the raven. Frida, whose homeless owner died, knows about money. She takes euros from the purse to buy food from a local market, while Paras gets treats from a baker on predawn walks. Etienne, an eight-year-old orphan who lives with his ancient great-grandmother, visits the snowy park to feed the wary animals (who can talk to each other), and offers Paras a home. A sweet fable for animal lovers.”

Yes, this is a talking animal book, but the animals only talk to each other; they communicate with humans through their gestures and soulful eyes. Kindly shopkeepers work out what Frida wants to buy based on what she stares at or points to with a paw; the baker whose window Paras passes on her early morning walks intuits that the horse is hungry; Etienne, who gives a couple of the stray animals a home during a chill winter, learns to understand when Paras needs to go out to relieve herself, after piles of dung build up in the sitting room.

I liked how patiently and convincingly Smiley builds the portrait of each character – human or animal – and the overall situation of kindness and good fortune. Raoul is particularly amusing for his birdsplaining: “It is a feature of age. I have learned so many things in my life that they just force their way out of my beak,” he says. However, a crow would be much more realistic for Paris (or any city) than a raven, and, overall, this was a little twee and farfetched for my tastes. It was nice to read something a bit different from Smiley, who I haven’t tried since her Last Hundred Years Trilogy. She has a sideline in YA horse novels; this should probably have been lumped with those. (Annabel liked it a bit more.)

I was sent an unsolicited review copy by Picador/Mantle.

 

What recent releases can you recommend?

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.