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?”)
The Being/Becoming/Asking the Expert week of the month-long Nonfiction November challenge is hosted by Rennie of What’s Nonfiction. This is my second entry for the week after Monday’s post on postpartum depression, as well as the second installment in my new “Three on a Theme” series, where I review three books that have something significant in common and tell you which one to pick up if you want to read into the topic for yourself.
It will be no surprise to regular readers that both of my ‘expert’ posts have been on a health theme: I have an amateur’s love of medical memoirs and works of medical history, and I’ve followed the Wellcome Book Prize closely for a number of years – participating in official blog tours, creating a shadow panel, and running this past year’s Not the Wellcome Prize.
The three books below are linked by the word “Care” in the title or subtitle; all reflect, in the wake of COVID-19, on the ongoing crisis in UK healthcare and the vital role of nurses.
Labours of Love: The Crisis of Care by Madeleine Bunting
Bunting’s previous nonfiction work could hardly be more different: Love of Country was a travel memoir about the Scottish Hebrides. It was the first book I finished reading in 2017, and there could have been no better start to a year’s reading. With a background in history, journalism and politics, the author is well placed to comment on current events. Labours of Love arose from five years of travel to healthcare settings across the UK: care homes for the elderly and disabled, hospitals, local doctors’ surgeries, and palliative care units. Forget the Thursday-night clapping and rainbows in the windows: the NHS is perennially underfunded and its staff undervalued, by conservative governments as well as by people who rely on it.
We first experience bodily care as infants, Bunting notes, and many of the questions that run through her book originated in her early days of motherhood. Despite all the advances of feminism, parental duties follow the female-dominated pattern evident in the caring careers:
By the age of fifty-nine, women will have a fifty-fifty chance of being, or having been, a carer for a sick or elderly person. At the same time, many are still raising their teenage children and almost half of those over fifty-five are providing regular care for grandchildren.
Women dominate caring professions such as nursing (89 per cent), social work (75 per cent) and childcare (98 per cent). They now form the majority of GPs (54 per cent) and three out of four teachers are female. And they provide the vast bulk of the army of healthcare workers in the NHS (80 per cent) and social-care workers (82 per cent) for the long-term sick, disabled and frail elderly.
These are things we know intuitively, but seeing the numbers laid out so plainly is shocking. I most valued the general information in Bunting’s introduction and in between her interviews, while I found that the bulk of the book alternated between dry statistics and page after page of interview transcripts. However, I did love hearing more from Marion Coutts, the author of the 2015 Wellcome Book Prize winner, The Iceberg, about her husband’s death from brain cancer. (Labours of Love was longlisted for the Baillie Gifford Prize for Non-Fiction 2020.)
My thanks to Granta for the free copy for review.
Duty of Care: One NHS Doctor’s Story of Courage and Compassion on the COVID-19 Frontline by Dr Dominic Pimenta
We’re going to see a flood of such books; I’m most looking forward to Dr Rachel Clarke’s Breathtaking (coming in January). Given how long it takes to get a book from manuscript to published product, I was impressed to find this on my library’s Bestsellers shelf in October. Pimenta’s was an early voice warning of the scale of the crisis and the government’s lack of preparation. He focuses on a narrow window of time, from February – when he encountered his first apparent case of coronavirus – to May, when, in protest at a government official flouting lockdown (readers outside the UK might not be familiar with the Cummings affair), he resigned his cardiology job at a London hospital to focus on his new charity, HEROES, which supports healthcare workers via PPE, childcare grants, mental health help and so on.
It felt uncanny to be watching events from earlier in the year unfold again: so clearly on a trajectory to disaster, but still gripping in the telling. Pimenta’s recreated dialogue and scenes are excellent. He gives a real sense of the challenges in his personal and professional lives. But I think I’d like a little more distance before I read this in entirety. Just from my skim, I know that it’s a very fluid book that reads almost like a thriller, and it ends with a sober but sensible statement of the situation we face. (All royalties from the book go to HEROES.)
The Courage to Care: A Call for Compassion by Christie Watson
I worried this would be a dull work of polemic; perhaps the title, though stirring, is inapt, as the book is actually a straightforward sequel to Watson’s 2018 memoir about being a nurse, The Language of Kindness. Although, like Bunting, Watson traveled widely to research the state of care in the country, she mostly relies on her own experience of various nursing settings over two decades: a pediatric intensive care unit, home healthcare for the elderly, a children’s oncology day center, a residential home for those with severe physical and learning disabilities, a community mental-health visiting team, and the emergency room. She also shadows military nurses and prison doctors.
With a novelist’s talent for scene-setting and characterization, Watson weaves each patient and incident into a vibrant story. Another strand is about parenthood: giving birth to her daughter and the process of adopting her son – both are now teenagers she raises as a single mother. She affirms the value of everyday care delivered by parents and nurses alike. I was especially struck by the account of a teenage girl who contracted measles (then pneumonia, meningitis and encephalitis) and was left blind and profoundly disabled, all because her parents were antivaxxers. In general, I’ve wearied of doctors’ memoirs composed of obviously anonymized case studies, but I’ll always make an exception for Clarke and Watson because of their gorgeous writing.
Note: Watson had left nursing to write full-time, but explains in an afterword that she returned to critical care in a London hospital during COVID-19.
What I learned:
Empathy is a key term for all three authors. They emphasize that the skills of compassion and listening are just as important as the ability to perform the required medical procedures.
A chilling specific fact I learned: 43,000 people died in the Blitz* in the UK. Pimenta cited that figure and warned that COVID-19 could be worse. And indeed, as of now, over 63,000 people have died of COVID-19 in the UK. The American death toll is even more alarming.
Here are some passages that stood out for me from each book:
Bunting: “Good care is as much an art as a skill, as much competence as tact. … Care is where we make profound collective decisions about the worth of an individual life. … There is no tradition of ageing wisely in the West, unlike in many Asian and African cultures where age has prestige, status and is associated with wisdom … We need to speak about care in a different language, instead of the relentless macho repetition of words such as ‘efficiency’, ‘quality’, ‘driving’, ‘choice’, ‘delivery’ and productivity.’”
Pimenta: “this will be akin to the Blitz*, and … we need to start thinking of it like that. A marathon, not a sprint. … The challenges to come – a second or even third wave, a global recession, climate change, mass misinformation … and political and societal upheaval … – will all require more from all of us if we hope to meet them. The challenge of our generation is not behind us, it is only just beginning. I plan to continue doing something about it, and perhaps now you do as well. So stay informed, stay safe and be kind.”
Watson: “So much of nursing, I think to myself, seems obvious, and yet seeing that need in the first place is difficult and takes experience, training and something extra. … The mundanity of human existence is where I find the most beauty … It takes my breath away: how fragile, extraordinary and vulnerable, how full of hatred and love and obsession and complexity we all are – every single one of us.”
*I highly recommend all of folk artist Kris Drever’s latest album, Where the World Is Thin, but especially the song “Hunker Down / That Old Blitz Spirit,” which has become my lockdown anthem.
If you read just one, though… Make it The Courage to Care by Christie Watson.
Can you see yourself reading any of these books?
Another day, another prize longlist! This year the Wainwright Prize has split into two awards for writing on 1) UK nature and 2) global conservation themes. Tomorrow (July 30th), they will be whittled down to shortlists. I happen to have read and reviewed 10 of the nominees already. I took the opportunity to experience a few more before the shortlist announcement. I give a paragraph on each below (forgive me for, in some cases, repeating the excerpts that appeared in my reviews roundups and best-of lists).
From the UK nature writing longlist:
Dark, Salt, Clear: Life in a Cornish Fishing Town by Lamorna Ash: In her early 20s, Ash made multiple trips from London to stay in Newlyn: walking to the cove that bears her name, going out on fishing trawlers, and getting accepted into the small community. Gruelling and lonely, the fishermen’s way of life is fading away. The book goes deeper into Cornish history than non-locals need, but I enjoyed the literary allusions – the title is from Elizabeth Bishop. I liked the writing, but this was requested after me at the library, so I could only skim it.
Wild Child: Coming Home to Nature by Patrick Barkham: Childhood has moved indoors over the course of three generations, the Guardian journalist observes. Highlighting activities that will engage budding naturalists in every season and accompanying his three children to outdoor nursery, he suggests how connection with nature can be part of everyday life. An engaging narrative not just for parents and educators but for anyone who has a stake in future generations’ resolve to conserve the natural world – which is to say, all of us. (Reviewed for Shiny New Books)
Bird Therapy by Joe Harkness: In 2013, Harkness was in such a bad place that he attempted suicide. Although he’s continued to struggle with OCD and depression in the years since then, birdwatching has given him a new lease on life. Avoiding the hobby’s more obsessive, competitive aspects (like listing and twitching), he focuses on the benefits of outdoor exercise and mindfulness. He can be lyrical when describing his Norfolk patch and some of his most magical sightings, but the writing is weak. (My husband helped crowdfund the book via Unbound.)
Dancing with Bees: A Journey Back to Nature by Brigit Strawbridge Howard: Bees were the author’s gateway into a general appreciation of nature, something she lost for a time in midlife because of the rat race and family complications. Allotment gardening gives her opportunities to observe bee behaviour and marvel at their various lookalikes (like hoverflies), identify plants, work on herbal remedies, and photograph her finds. She delights in discovery and is devoted to lifelong learning in a book characterized by curiosity and warmth. (On my runners-up of 2019 list)
Surfacing by Kathleen Jamie: Jamie has a particular interest in birds, islands, archaeology and the oddities of the human body. The bulk of the book is three long pieces set in Alaska, Orkney and Tibet. Neolithic sites lead her to think about deep time – a necessary corrective to short-term thinking that has gotten us into environmental crisis. I connected with the few-page pieces on experiencing a cave, spotting an eagle or getting lost in a forest. Beautiful nature writing and relatable words on the human condition. (My #9 nonfiction book of 2019)
Native: Life in a Vanishing Landscape by Patrick Laurie: Galloway may be the forgotten corner of Scotland, but this third-generation cattle farmer can’t imagine living anywhere else. In his year-long nature diary, each month brings rewards as well as challenges as he strives to manage the land in a manner beneficial to wildlife. I’m lucky to have visited Wigtown and the surrounding area. You needn’t have been in person, though, to appreciate this pensive account rich with the sense of place and balanced between solastalgia and practicality. (Reviewed for Shiny New Books)
Wintering by Katherine May: May’s sympathetic memoir considers winter not only as a literal season, but also as an emotional state. Although “depression” could be substituted for “wintering” in most instances, the book gets much metaphorical mileage out of the seasonal reference as she recounts how she attempted to embrace rather than resist the gloom and chill through rituals such as a candlelit St. Lucia service and an early morning solstice gathering at Stonehenge. Wintering alternates travel and research, mind and body. (Reviewed for TLS)
Diary of a Young Naturalist by Dara McAnulty: McAnulty is the UK’s answer to Greta Thunberg: a leader in the youth environmental movement and an impassioned speaker on the love of nature. This is a wonderfully observant and introspective account of his fifteenth year: of disruptions – moving house and school, of outrage at the state of the world and at individual and political indifference, of the complications of being autistic, but also of the joys of everyday encounters with wildlife. Impressive perspective and lyricism. (Reviewed for Shiny New Books; on my Best of 2020 so far list.)
Wanderland: A Search for Magic in the Landscape by Jini Reddy: Reddy has often felt like a nomad and an outsider. Through a year of travelling to holy sites, she seeks to be rooted in the country she has come to call home. The quest takes her all over the British Isles, creating an accessible introduction to its sacred spots. Recovering a sense of reverence for nature can only help in the long-term mission to preserve it. Reddy is the first person of colour nominated for the Wainwright Prize in its seven-year history. (Reviewed for Shiny New Books)
I think this year’s is an especially appealing longlist. It’s great to see small presses and debut authors getting recognition. I’ve now read 8 out of 13 (and skimmed one), and am interested in the rest, too, especially The Frayed Atlantic Edge by David Gange. The final three, all combining nature and (auto)biographical writing, are On the Red Hill by Mike Parker, The Well-Gardened Mind by Sue Stuart-Smith, and Rootbound: Rewilding a Life by Alice Vincent.
From the writing on global conservation longlist:
Greenery: Journeys in Springtime by Tim Dee: From the Cape of Good Hope to the Arctic Circle, Dee tracks the spring as it travels north. From first glimpse to last gasp, moving between his homes in two hemispheres, he makes the season last nearly half the year. His main harbingers are migrating birds, starting with swallows. The book is steeped in allusions and profound thinking about deep time and what it means to be alive in an era when nature’s rhythms are becoming distorted. A fresh, masterful model of how to write about nature. (Review reprinted at Shiny New Books; on my Best of 2020 so far list.)
Irreplaceable: The Fight to Save Our Wild Places by Julian Hoffman: Species and habitat loss are hard to comprehend even when we know the facts. This exquisitely written book is about taking stock, taking responsibility, and going beyond the numbers to tell the stories of front-line conservation work. Irreplaceable is an elegy of sorts, but, more importantly, it’s a call to arms. It places environmentalism in the hands of laypeople and offers hope that in working together in the spirit of defiance we can achieve great things. (Reviewed for Shiny New Books; my #1 nonfiction book of 2019)
Losing Eden: Why Our Minds Need the Wild by Lucy Jones: While nature’s positive effect on human mental health is something we know intuitively and can explain anecdotally, Jones wanted to investigate the scientific mechanism behind it. She makes an empirical enquiry but also attests to the personal benefits nature has. Losing Eden is full of common sense and passion, cramming masses of information into 200 pages yet never losing sight of the big picture. Like Silent Spring, on which it is patterned, I can see this leading to real change. (Reviewed for Shiny New Books; on my Best of 2020 so far list.)
Notes from an Apocalypse: A Personal Journey to the End of the World and Back by Mark O’Connell: The same satirical outlook that made O’Connell’s first book so funny is perfect for approaches to the end of the world, especially in the early chapter about preppers. Preparing = retreating, so he travels to South Dakota bunkers; a Mars Society Conference in Los Angeles; New Zealand, where billionaires plan to take refuge; and the wilderness of the Scottish Highlands. While pessimism strikes him as the only rational attitude, he decides constant anxiety is no way to live. (More extended thoughts here.)
The other book from this longlist that I’m interested in reading is Rebirding by Benedict Macdonald. I DNFed Bloom (all you ever wanted to know about algae!) last year; the other five seem too similar to other things I’ve read.
My predictions-cum-wish lists:
UK nature writing:
- The Frayed Atlantic Edge by David Gange
- Surfacing by Kathleen Jamie*
- On the Red Hill by Mike Parker
- Diary of a Young Naturalist by Dara McAnulty
- Wanderland by Jini Reddy
- Rootbound: Rewilding a Life by Alice Vincent
Writing on global conservation:
- Greenery by Tim Dee
- What We Need to Do Now for a Zero Carbon Future by Chris Goodall
- Irreplaceable by Julian Hoffman*
- Losing Eden by Lucy Jones
- Bloom by Ruth Kassinger
- Harvest: The Hidden Histories of Seven Natural Objects by Edward Posnett
*Predicted overall winners.
Have you read anything from the Wainwright Prize longlists? Do any of these books interest you?
A peek at the bylines I’ve had elsewhere so far this year.
A Good Neighborhood by Therese Anne Fowler: In Fowler’s sixth novel, issues of race and privilege undermine a teen romance and lead to tragedy in a seemingly idyllic North Carolina neighborhood. A Good Neighborhood is an up-to-the-minute story packed with complex issues including celebrity culture, casual racism, sexual exploitation, and environmental degradation. It is narrated in a first-person plural voice, much like the Greek chorus of a classical tragedy. If you loved Tayari Jones’s An American Marriage, this needs to be next on your to-read list. It is a book that will make you think, and a book that will make you angry; I recommend it to socially engaged readers and book clubs alike.
Pew by Catherine Lacey: Lacey’s third novel is a mysterious fable about a stranger showing up in a Southern town in the week before an annual ritual. Pew’s narrator, homeless, mute and amnesiac, wakes up one Sunday in the middle of a church service, observing everything like an alien anthropologist. The stranger’s gender, race, and age are entirely unclear, so the Reverend suggests the name “Pew”. The drama over deciphering Pew’s identity plays out against the preparations for the enigmatic Forgiveness Festival and increasing unrest over racially motivated disappearances. Troubling but strangely compelling; recommended to fans of Shirley Jackson and Flannery O’Connor. [U.S. publication pushed back to July 21st]
Shiny New Books
Losing Eden: Why Our Minds Need the Wild by Lucy Jones: While nature’s positive effect on human mental health is something we know intuitively and can explain anecdotally, Jones was determined to investigate the scientific mechanism behind it. She set out to make an empirical enquiry and discovered plenty of evidence in the scientific literature, but also attests to the personal benefits that nature has for her and explores the spiritual connection that many have found. Losing Eden is full of both common sense and passion, cramming masses of information into 200 pages yet never losing sight of the big picture. Just as Silent Spring led to real societal change, let’s hope Jones’s work inspires steps in the right direction.
[+ Reviews of 4 more Wainwright Prize (for nature writing) longlistees on the way!]
The Bass Rock by Evie Wyld: While it ranges across the centuries, the novel always sticks close to the title location. Just as the louring rock is inescapable in the distance if you look out from the Edinburgh hills, there’s no avoiding violence for the women and children of the novel. It’s a sobering theme, certainly, but Wyld convinced me that hers is an accurate vision and a necessary mission. The novel cycles through its three strands in an ebb and flow pattern that seems appropriate to the coastal setting and creates a sense of time’s fluidity. The best 2020 novel I’ve read, memorable for its elegant, time-blending structure as well as its unrelenting course – and set against that perfect backdrop of an indifferent monolith.
Times Literary Supplement
I Am an Island by Tamsin Calidas: A record of a demoralizing journey into extreme loneliness on a Scottish island, this offers slivers of hope that mystical connection with the natural world can restore a sense of self. In places the narrative is a litany of tragedies and bad news. The story’s cathartic potential relies on its audience’s willingness to stick with a book that can be – to be blunt –depressing. The writing often tends towards the poetic, but is occasionally marred by platitudes and New Age sentiments. As with Educated, it’s impossible not to marvel at all the author has survived. Admiring Calidas’s toughness, though, doesn’t preclude relief at reaching the final page. (Full review in May 29th issue.)
We Swim to the Shark: Overcoming fear one fish at a time by Georgie Codd: Codd’s offbeat debut memoir chronicles her quest to conquer a phobia of sea creatures. Inspired by a friend’s experience of cognitive behavioral therapy to cure arachnophobia, she crafted a program of controlled exposure. She learned to scuba dive before a trip to New Zealand, returning via Thailand with an ultimate challenge in mind: her quarry was the whale shark, a creature even Jacques Cousteau only managed to sight twice. The book has a jolly, self-deprecating tone despite its exploration of danger and dread. A more directionless second half leads to diminished curiosity about whether that elusive whale shark will make an appearance. (Full review in a forthcoming issue.)
Dottoressa: An American Doctor in Rome by Susan Levenstein: In the late 1970s, Levenstein moved from New York City to Rome with her Italian husband and set up a private medical practice catering to English-speaking expatriates. Her light-hearted yet trenchant memoir highlights the myriad contrasts between the United States and Italy revealed by their health care systems. Italy has a generous national health service, but it is perennially underfunded and plagued by corruption and inefficiency. The tone is conversational and even-handed. In the pandemic aftermath, though, Italian sloppiness and shortages no longer seem like harmless matters to shake one’s head over. (Full review coming up in June 19th issue.)
Do any of these books (all by women, coincidentally) interest you?
I’m delighted to be on the blog tour for The Cabinet of Calm: Soothing Words for Troubled Times by Paul Anthony Jones, which will be published in the UK by Elliott & Thompson on Thursday the 14th. Jones has a Master’s degree in linguistics and writes about etymology and obscure words. This is his seventh book of English-language trivia.
I was also on the blog tour for The Cabinet of Linguistic Curiosities: A Yearbook of Forgotten Words and enjoyed having that as my daily bedside book for a whole year. The short essays in his books are perfect for reading one or two at a time just before bed. (One of my current bedside reads is Jones’s 2016 book The Accidental Dictionary: The remarkable twists and turns of English words. As soon as I finish that, I’ll launch into the new one.)
The book’s publication, and the blog tour, neatly coincide with Mental Health Awareness Week (18–24 May). Here’s a bit more information about the book, from the press release: “For almost a decade, Paul Anthony Jones has written about the oddities and origins of the English language, amassing a vast collection of some of its more unusual words. Last year, doubly bereaved and struggling to regain his spirits, he turned to words – words that could be applied to difficult, challenging times and found solace. The Cabinet of Calm is the result.
“Paul has unearthed fifty-one linguistic remedies to offer reassurance, inspiration and hope in the face of such feelings as grief and despair, homesickness and exhaustion, missing our friends and a loss of hope. Written with a trademark lightness of touch, The Cabinet of Calm shows us that we’re not alone. From MELORISM, when you’re worried about the future of the world[,] and AGATHISM, when you’re feeling disillusionment or struggling to remain positive[,] to … STOUND, for when you’re grieving, someone else has felt like this before, and so there’s a word to help, whatever the challenge.”
I was assigned at random this exclusive extract from The Cabinet of Calm; how delightful to find that it references one of my favourite books!
“Like so many of the English language’s best and most inventive words, growlery is a word we owe to one of our best and most inventive writers. In 1853, Charles Dickens used the word growlery in his novel Bleak House. As the kindly benefactor Mr Jarndyce welcomes one of the novel’s key narrators, Esther Summerson, to his eponymous home, he shows her into ‘a small room next to his bed-chamber’, containing ‘a little library of books and papers, and in part quite a little museum of his boots and shoes and hat-boxes’…
Although the word growlery itself had first appeared in the language somewhat earlier (as a term for the sound of grumbling or complaining) Mr Jarndyce’s growlery is essentially the Dickensian equivalent of what we in our less poetic, twenty-first-century language might call a ‘safe space’. It is a calming, comfortable, solitary room, filled with familiar and enlightening things, in which a bad mood can be privately vented, mused on and assuaged.
We might not all have the luxury of a bespoke room in a rambling country retreat in which to give vent to our problems, but there’s no reason why our own particular growleries have to match Mr Jarndyce’s … Wherever – or, for that matter, whatever – your particular growlery is, it’s undoubtedly a word and a place well worth knowing whenever you need to lighten your spirits.”
If you are in the UK and interested in purchasing a copy, please try to support an independent bookshop nearby. For instance, my local, Hungerford Bookshop, is still delivering. Or have a look for another shop on Twitter using the hashtags #ChooseBookshops and #shopindie.
It’s hard to believe the Not the Wellcome Prize blog tour is over already! It has been a good two weeks of showcasing some of the best medicine- and health-themed books published in 2019. We had some kind messages of thanks from the authors, and good engagement on Twitter, including from publishers and employees of the Wellcome Trust. Thanks to the bloggers involved in the tour, and others who have helped us with comments and retweets.
This weekend we as the shadow panel (Annabel of Annabookbel, Clare of A Little Blog of Books, Laura of Dr. Laura Tisdall, Paul of Halfman, Halfbook and I) have the tough job of choosing a shortlist of six books, which we will announce on Monday morning. I plan to set up a Twitter poll to run all through next week. The shadow panel members will vote to choose a winner, with the results of the Twitter poll serving as one additional vote. The winner will be announced a week later, on Monday the 11th.
First, here’s a recap of the 19 terrific books we’ve featured, in chronological blog tour order. In fiction we’ve got: novels about child development, memory loss, and disturbed mental states; science fiction about AI and human identity; and a graphic novel set at a small-town medical practice. In nonfiction the topics included: anatomy, cancer, chronic pain, circadian rhythms, consciousness, disability, gender inequality, genetic engineering, premature birth, sleep, and surgery in war zones. I’ve also appended positive review coverage I’ve come across elsewhere, and noted any other awards these books have won or been nominated for. (And see this post for a reminder of the other 56 books we considered this year through our mega-longlist.)
Notes Made While Falling by Jenn Ashworth & The Remarkable Life of the Skin by Monty Lyman: Simon’s reviews
*Monty Lyman was shortlisted for the 2019 Royal Society Science Book Prize.
[Bookish Beck review of the Ashworth]
[Halfman, Halfbook review of the Lyman]
Exhalation by Ted Chiang & A Good Enough Mother by Bev Thomas: Laura’s reviews
Constellations by Sinéad Gleeson & War Doctor by David Nott: Jackie’s reviews
*Sinéad Gleeson was shortlisted for the 2020 Rathbones Folio Prize.
[Rebecca’s Goodreads review of the Gleeson]
[Kate Vane’s review of the Gleeson]
[Lonesome Reader review of the Gleeson]
[Rebecca’s Shiny New Books review of the Nott]
Vagina: A Re-education by Lynn Enright: Hayley’s Shiny New Books review
Galileo’s Error by Philip Goff: Peter’s Shiny New Books review
Mother Ship by Francesca Segal & The Lady Doctor by Ian Williams: Rebecca’s reviews
[A Little Blog of Books review of the Segal]
[Annabookbel review of the Williams]
Chasing the Sun by Linda Geddes & The Nocturnal Brain by Guy Leschziner: Paul’s reviews
[Bookish Beck review of the Geddes]
Invisible Women by Caroline Criado-Pérez: Katie’s review
*Caroline Criado-Pérez won the 2019 Royal Society Science Book Prize.
The Faculty of Dreams by Sara Stridsberg: Kate’s review
Machines Like Me by Ian McEwan: Kate’s review
Hacking Darwin by Jamie Metzl & The Memory Police by Yoko Ogawa: Annabel’s reviews
*Yoko Ogawa is shortlisted for this year’s International Booker Prize.
[Lonesome Reader review of the Ogawa]
The Body by Bill Bryson & The World I Fell Out Of by Melanie Reid: Clare’s reviews
[Bookish Beck review of the Bryson]
[Rebecca’s Goodreads review of the Reid]
And there we have it: the Not the Wellcome Prize longlist. I hope you’ve enjoyed following along with the reviews. Look out for the shortlist, and your chance to vote for the winner, here and via Twitter on Monday.
Which book(s) are you rooting for?
“This is the death of one viewpoint, and its rebirth, like land rising above the waves, or sea foam running off a crowded deck: the odd totality of persons each of whom says ‘me’.”
When I first tried reading Murmur, I enjoyed the first-person “Part One: Journal,” which was originally a stand-alone story (shortlisted for the BBC National Short Story Award 2017) but got stuck on “Part Two: Letters and Dreams” and ended up just giving the rest of the book a brief skim. I’m glad that the book’s shortlisting prompted me to return to it and give it proper consideration because, although it was a challenge to read, it was well worth it.
Eaves’s protagonist, Alec Pryor, sometimes just “the scientist,” is clearly a stand-in for Alan Turing, quotes from whom appear as epigraphs heading most chapters. Turing was a code-breaker and early researcher in artificial intelligence at around the time of the Second World War, but was arrested for homosexuality and subjected to chemical castration. Perhaps due to his distress at his fall from grace and the bodily changes that his ‘treatment’ entailed, he committed suicide at age 41 – although there are theories that it was an accident or an assassination. If you’ve read about the manner of his death, you’ll find eerie hints in Murmur.
Every other week, Alec meets with Dr Anthony Stallbrook, a psychoanalyst who encourages him to record his dreams and feelings. This gives rise to the book’s long central section. As is common in dreams, people and settings whirl in and out in unpredictable ways, so we get these kinds of flashes: sneaking out from the boathouse at night with his schoolboy friend, Chris Molyneux, who died young; anti-war protests at Cambridge; having sex with men; going to a fun fair; confrontations with his mother and brother; and so on. Alec and his interlocutors discuss the nature of time, logic, morality, and the threat of war.
There are repeated metaphors of mirrors, gold and machines, and the novel’s language is full of riddles and advanced vocabulary (volutes, manumitted, pseudopodium) that sometimes require as much deciphering as Turing’s codes. The point of view keeps switching, too, as in the quote I opened with: most of the time the “I” is Alec, but sometimes it’s another voice/self observing from the outside, as in Akwaeke Emezi’s Freshwater. There are also fragments of second- and third-person narration, as well as imagined letters to and from June Wilson, Alec’s former Bletchley Park colleague and fiancée. All of these modes of expression are ways of coming to terms with the past and present.
I am usually allergic to any book that could be described as “experimental,” but I found Murmur’s mosaic of narrative forms an effective and affecting way of reflecting its protagonist’s identity crisis. There were certainly moments where I wished this book came with footnotes, or at least an Author’s Note that would explain the basics of Turing’s situation. (Is Eaves assuming too much about readers’ prior knowledge?) For more background I recommend The Imitation Game, starring Benedict Cumberbatch as Turing.
To my surprise, given my initial failure to engage with Murmur, it is now my favorite to win the Wellcome Book Prize. For one thing, it’s a perfect follow-on from last year’s winner, To Be a Machine. (“It is my fate to make machines that think,” Alec writes.) For another, it connects the main themes of this year’s long- and shortlists: mental health and sexuality. In particular, Alec’s fear that in developing breasts he’s becoming a sexual hybrid echoes the three books from the longlist that feature trans issues. Almost all of the longlisted books could be said to explore the mutability of identity to some extent, but Murmur is the very best articulation of that. A playful, intricate account of being in a compromised mind and body, it’s written in arresting prose. Going purely on literary merit, this is my winner by a mile.
With thanks to Midas PR for the free copy for review.
Will Eaves is an associate professor in the Writing Programme at the University of Warwick and a former arts editor of the Times Literary Supplement. Murmur, his fourth novel, was also shortlisted for the 2018 Goldsmiths Prize and was the joint winner of the 2019 Republic of Consciousness Prize. He has also published poetry and a hybrid memoir.
Opinions on this book vary within our shadow panel; our final votes aren’t in yet, so it remains to be seen who we will announce as our winner on the 29th.
If you are within striking distance of London, please consider coming to the “5×15” shortlist event being held next Tuesday evening the 30th.
I was delighted to be asked to participate in the Wellcome Book Prize blog tour. See below for details of where other reviews have appeared or will be appearing soon.
I’ve now read eight of the 12 titles longlisted for the Wellcome Book Prize 2019 and skimmed another two, leaving just two unexplored.
My latest two reads are books that I hugely enjoyed yet would be surprised to see make the shortlist (both ):
The Trauma Cleaner: One Woman’s Extraordinary Life in Death, Decay and Disaster by Sarah Krasnostein (2017)
I guarantee you’ve never read a biography quite like this one. For one thing, its subject is still alive and has never been much of a public figure, at least not outside Victoria, Australia. For another, your average biography is robustly supported by archival evidence; to the contrary, this is a largely oral history conveyed by an unreliable narrator. And lastly, whether a biography is critical or adulatory overall, the author usually at least feigns objectivity. Sarah Krasnostein doesn’t bother with that. Sandra Pankhurst’s life is an incredible blend of ordinary and bizarre circumstances and experiences, and it’s clear Krasnostein is smitten with her. “I fall in love … anew each time I listen to her speak,” she gushes towards the book’s end. At first I was irked by all the fawning adjectives she uses for Sandra, but eventually I stopped noticing them and allowed myself to sink into this astonishing story.
Sandra was born male and adopted by a couple whose child had died. When they later conceived again, they basically disowned ‘Peter’, moving him to an outdoor shed and making him scrounge for food. His adoptive father was an abusive alcoholic and kicked him out permanently when he was 17. Peter married ‘Linda’ at age 19 and they had two sons in quick succession, but he was already going to gay bars and wearing makeup; when he heard about the possibility of a sex change, he started taking hormones right away. Even before surgery completed the gender reassignment, Sandra got involved in sex work, and was a prostitute for years until a brutal rape at the Dream Palace brothel drove her to seek other employment. Cleaning and funeral home jobs nicely predicted the specialty business she would start after the hardware store she ran with her late husband George went under: trauma cleaning.
Krasnostein parcels this chronology into tantalizing pieces, interspersed with chapters in which she accompanies Sandra and her team on assignments. They fumigate and clean up bodily fluids after suicides and overdoses, but also deal with clients who have lost control of their possessions – and, to some extent, their lives. They’re hoarders, cancer patients and ex-convicts; their homes are overtaken by stuff and often saturated with mold or feces. Sandra sympathizes with the mental health struggles that lead people into such extreme situations. Her line of work takes “Great compassion, great dignity and a good sense of humour,” she tells Krasnostein; even better if you can “not … take the smell in, ’cause they stink.”
The author does a nice job of staying out of the narrative: though she’s an observer and questioner, there’s only the occasional paragraph in which she mentions her own life. Her mother left when she was young, which helps to explain why she is so compassionate towards the addicts and hoarders she meets with Sandra. Some of the loveliest passages have her pondering how things got so bad for these people and affirming that their lives still have value. As for Sandra herself – now in her sixties and increasingly ill with lung disease and cirrhosis – Krasnostein believes she’s never been unconditionally loved and so has never formed true human connections.
This book does many different things in its 250 pages. It’s part journalistic exposé and part “love letter”; it’s part true crime and part ordinary life story. It considers gender, mental health, addiction, trauma and death. It’s also simply a terrific read that should draw in lots of people who wouldn’t normally pick up nonfiction. I don’t expect it to advance to the shortlist, but if it does I’ll be not-so-secretly delighted.
A favorite passage:
Sometimes, listening to Sandra try to remember the events of her life is like watching someone reel in rubbish on a fishing line: a weird mix of surprise, perplexity and unexpected recognition. No matter how many times we go over the first three decades of her life, the timeline of places and dates is never clear. Many of her memories have a quality beyond being merely faded; they are so rusted that they have crumbled back into the soil of her origins. Others have been fossilised, frozen in time, and don’t have a personal pull until they defrost slightly in the sunlit air between us as we speak. And when that happens there is a tremor in her voice as she integrates them back into herself, not seamlessly but fully.
My Year of Rest and Relaxation by Ottessa Moshfegh (2018)
If you’ve read her Booker-shortlisted debut, Eileen, you’ll be unsurprised to hear that Moshfegh has written another love-it-or-hate-it book with a narrator whose odd behavior is hard to stomach. This worked better for me than Eileen, I think because I approached it as a deadpan black comedy in the same vein as Elif Batuman’s The Idiot. Its inclusion on the Wellcome longlist is somewhat tenuous: in 2000 the unnamed narrator, in her mid-twenties, gets a negligent psychiatrist to prescribe her drugs for insomnia and depression and stockpiles them so she can take pill cocktails to knock herself out for days at a time. In a sense this is a way of extending the numbness that started with her parents’ deaths – her father from cancer and her mother by suicide. But there’s also a more fantastical scheme in her mind: “when I’d slept enough, I’d be okay, I’d be renewed, reborn. I would be a whole new person.”
Ever since she was let go from her job at a gallery that showcases ridiculous modern art, the only people in this character’s life are an on-again, off-again boyfriend, Trevor, and her best (only) friend from college, longsuffering Reva, who keeps checking up on her in her New York City apartment even though she consistently treats Reva with indifference or disdain. Soon her life is a bleary cycle of sleepwalking and sleep-shopping, interspersed with brief periods of wakefulness, during which she watches a nostalgia-inducing stream of late-1990s movies on video (the kind of stuff I watched at sleepovers with my best friend during high school) – she has a weird obsession with Whoopi Goldberg.
It’s a wonder the plot doesn’t become more repetitive. I like reading about routines, so I was fascinated to see how the narrator methodically takes her project to extremes. Amazingly, towards the middle of the novel she gets herself from a blackout situation to Reva’s mother’s funeral – about the only time we see somewhere that isn’t her apartment, the corner shop, the pharmacy or Dr. Tuttle’s office – and this interlude is just enough to break things up. There are lots of outrageous lines and preposterous decisions that made me laugh. Consumerism and self-medication to deaden painful emotions are the targets of this biting satire. As 9/11 approaches, you wonder what it will take to wake this character up to her life. I’ve often wished I could hibernate through British winters, but I wouldn’t do what Moshfegh’s antiheroine does. Call this a timely cautionary tale about privilege and disengagement.
“Initially, I just wanted some downers to drown out my thoughts and judgments, since the constant barrage made it hard not to hate everyone and everything. I thought life would be more tolerable if my brain were slower to condemn the world around me.”
“Oh, sleep, nothing else could ever bring me such pleasure, such freedom, the power to feel and move and think and imagine, safe from the miseries of my waking consciousness.”
Reva: “you’re not changing anything in your sleep. You’re just avoiding your problems. … Your problem is that you’re passive. You wait around for things to change, and they never will. That must be a painful way to live. Very disempowering.”
And one more that I got out from the library and skimmed:
Murmur by Will Eaves (2018)
The subject is Alec Pryor, or “the scientist.” It’s clear that he is a stand-in for Alan Turing, quotes from whom appear as epigraphs at the head of most chapters. Turing was arrested for homosexuality and subjected to chemical castration. I happily read the first-person “Part One: Journal,” which was originally a stand-alone story (shortlisted for the BBC National Short Story Award 2017), but “Part Two: Letters and Dreams” was a lot harder to get into, so I ended up just giving the rest of the book a quick skim. If this is shortlisted, I promise to return to it and give it fair consideration.
“all these ideas are swirling around inside your head at once, hurling through your mind, it is on fire, so when you speak it all comes out muddled and confused and no one can understand you.”
Like the other Wellcome-longlisted title I’ve highlighted so far, Freshwater by Akwaeke Emezi, Mind on Fire explores mental health. Its subtitle is “A Memoir of Madness and Recovery,” and Irish playwright Fanning focuses on the ten years or so in his twenties and thirties when he struggled to get on top of his bipolar disorder and was in and out of mental hospitals – and even homeless on the streets of London for a short time.
Fanning had suffered from periods of depression ever since his mother’s death from cancer when he was 20, but things got much worse when he was 28 and living in Dublin. It was the summer of 1997 and he’d quit a full-time job to write stories and film scripts. What with the wild swings in his moods and energy levels, though, he found it increasingly difficult to get along with his father, with whom he was living. He also got kicked out of an artists’ residency, and on the way home his car ran out of petrol – such that when he called the police for help, it was for a breakdown in more than one sense. This was the first time he was taken to a psychiatric unit, at the Tyrone and Fermanagh Hospital, where he stayed for 10 days.
In the years to come there would be many more hospital stays, delusions, medication regimes and odd behavior. There would also be time spent in America – an artists’ residency in Virginia, where he met Jennifer, and a fairly long-term relationship with her in New York City – and ups and downs in his writing career. For instance, he remembers that after reading Ulysses he was so despairingly convinced that he would never be a “real writer” like James Joyce that he burned hundreds of pages of work-in-progress.
This was a very hard book for me to rate. The prologue is a brilliant 6.5-page run-on sentence in the second person and present tense (I’ve quoted a fragment above) that puts you right into the author’s experience. It is a superb piece of writing. But nothing that comes after (a more standard first-person narrative, though still in the present tense for most of it) is nearly as good. As I’ve found in some other mental health memoirs, the cycle of hospitalizations and medications gets repetitive. It’s a whole lot of telling: this happened, then that happened. That’s also true of the flashbacks to his childhood and university years.
Due to his unreliable memory of his years lost to bipolar, Fanning has had to recreate his experiences from medical records, interviews with people who knew him, and so on. This insistence on documentary realism distances the reader from what should be intimate, terrifying events. I almost wondered if this would have worked better as a novel, allowing the author to invent more and thus better capture what it actually felt like to flirt with madness. There’s no denying the extremity of this period of his life, but I found myself unable to fully engage with the retelling. (Also, this is doomed to be mistaken for the superior Brain on Fire.)
A favorite passage:
St John of God’s carries associations for me. I attended primary school not far from here, and used to see denizens of the hospital on their day outings, conspicuous in the way they walked: hunched over, balled up, constricted, eyes down to the ground, visibly disturbed. We cruelly referred to these people as ‘mentallers’, though never to their faces or within earshot, as we were frightened of them.
Now I, too, am a mentaller.
My gut feeling: There are several stronger memoirs on the longlist, so I don’t see this one making it through.
- I’m about halfway through both The Trauma Cleaner by Sarah Krasnostein and My Year of Rest and Relaxation by Ottessa Moshfegh.
- I finally got hold of a library copy of Murmur by Will Eaves.
- The only two books I haven’t read and don’t have access to are Astroturf and Polio. I’ll only read these if they are on the shortlist. (Fingers crossed Astroturf doesn’t make it: it sounds awful!)
The Wellcome Book Prize shortlist will be announced on Tuesday, March 19th, and the winner will be revealed on Wednesday, May 1st.
We plan to choose our own shortlist to announce on Friday, March 15th. Follow along here and on Halfman, Halfbook, Annabookbel, A Little Blog of Books, and Dr. Laura Tisdall for reviews and predictions.