My best discoveries of the year: The poetry of Tishani Doshi; Penelope Lively and Elizabeth Strout (whom I’d read before but not fully appreciated until this year); also, the classic nature writing of Edwin Way Teale.
The authors I read the most by this year: Margaret Atwood and Janet Frame (each: 2 whole books plus parts of 2 more), followed by Doris Lessing (2 whole books plus part of 1 more), followed by Miriam Darlington, Paul Gallico, Penelope Lively, Rachel Mann and Ben Smith (each: 2 books).
Debut authors whose next work I’m most looking forward to: John Englehardt, Elizabeth Macneal, Stephen Rutt, Gail Simmons and Lara Williams.
My proudest reading achievement: A 613-page novel in verse (Mary Ann Sate, Imbecile by Alice Jolly) + 2 more books of over 600 pages (East of Eden by John Steinbeck and Cutting for Stone by Abraham Verghese).
Best book club selection: Red Dust Road by Jackie Kay was our first nonfiction book and received our highest score ever.
Some best first lines encountered this year:
- “What can you say about a twenty-five-year old girl who died?” (Love Story by Erich Segal)
- “The women of this family leaned towards extremes” (Away by Jane Urquhart)
- “The day I returned to Templeton steeped in disgrace, the fifty-foot corpse of a monster surfaced in Lake Glimmerglass.” (from The Monsters of Templeton by Lauren Groff)
The downright strangest book I read this year: Lanny by Max Porter
The 2019 books everybody else loved (or so it seems), but I didn’t: Fleishman Is in Trouble by Taffy Brodesser-Akner, The Topeka School by Ben Lerner, Underland by Robert Macfarlane, The Boy, The Mole, The Fox and The Horse by Charlie Mackesy, Three Women by Lisa Taddeo and The Nickel Boys by Colson Whitehead
The year’s major disappointments: Cape May by Chip Cheek, We Are the Weather: Saving the Planet Begins at Breakfast by Jonathan Safran Foer, Letters to the Earth: Writing to a Planet in Crisis, ed. Anna Hope et al., Bowlaway by Elizabeth McCracken, Rough Magic: Riding the World’s Loneliest Horse Race by Lara Prior-Palmer, The Lager Queen of Minnesota by J. Ryan Stradal, The Knife’s Edge by Stephen Westaby and Frankissstein by Jeanette Winterson
The worst book I read this year: Jonathan Livingston Seagull by Richard Bach
Some statistics on my 2019 reading:
(As usual, fiction and nonfiction are neck and neck. I read a bit more poetry this year than last.)
Male author: 39.4%
Female author: 58.9%
Nonbinary author (the first time this category has been applicable for me): 0.85%
Multiple genders (anthologies): 0.85%
(I’ve said this the past three years: I find it interesting that female authors significantly outweigh male authors in my reading; I have never consciously set out to read more books by women.)
Print books: 89.7%
(My e-book reading has been declining year on year, partially because I’ve cut back on the reviewing gigs that involve only reading e-books and partially because I’ve done less traveling; also, increasingly, I find that I just prefer to sit down with a big stack of print books.)
Work in translation: 7.2%
(Lower than I’d like, but better than last year’s 4.8%.)
Where my books came from for the whole year:
- Free print or e-copy from publisher: 36.8%
- Public library: 21.3%
- Secondhand purchase: 13.8%
- Free (giveaways, The Book Thing of Baltimore, the free mall bookshop, etc.): 9.2%
- Downloaded from NetGalley, Edelweiss or Project Gutenberg: 7.8%
- Gifts: 4.3%
- University library: 2.9%
- New purchase (usually at a bargain price): 2.9%
- Church theological library: 0.8%
- Borrowed: 0.2%
(Review copies accounted for over a third of my reading; I’m going to scale way back on this next year. My library reading was similar to last year’s; my e-book reading decreased in general; I read more books that I either bought new or got for free.)
Number of unread print books in the house: 440
(Last thing I knew the figure was more like 300, so this is rather alarming. I blame the free mall bookshop, where I volunteer every Friday. Most weeks I end up bringing home at least a few books, but it’s often a whole stack. Surely you understand. Free books! No strings attached!)
The 2018 Wellcome Book Prize longlist is here! From the prize’s website, you can click on any of these 12 books’ covers, titles or authors to get more information about them.
Some initial thoughts:
I correctly predicted three of the entries (or 25%) in yesterday’s post: In Pursuit of Memory by Joseph Jebelli, With the End in Mind by Kathryn Mannix, and I Am, I Am, I Am by Maggie O’Farrell. I’m pretty shocked to not see Fragile Lives or Admissions on the list.
Of the remainder, I’ve already read one (Midwinter Break) and DNFed another (Stay with Me). Midwinter Break didn’t immediately suggest itself to me for this prize because its themes of ageing and alcoholism are the background to a story about the disintegration of a long marriage. Nonetheless, it’s a lovely book that hasn’t gotten as much attention as it deserves – it was on my runners-up list from last year – so I’m delighted to see it nominated. Stay with Me was also on the Women’s Prize shortlist; it appears here for its infertility theme, but I wouldn’t attempt it again unless it made the Wellcome shortlist.
As to the rest:
- I’m annoyed with myself for not remembering The Butchering Art, which I have on my Kindle. Sometimes I assume that books I’ve gotten from NetGalley are USA-only and don’t check for a UK publisher. I plan to read this and With the End in Mind (also on my Kindle) soon.
- I already knew about and was interested in Mayhem and The White Book.
- Of the ones I didn’t know about, Plot 29 appeals to me the most. I’m off to get it from the library this very afternoon, in fact. Its health theme seems quite subtle: it’s about a devoted gardener ‘digging’ into his past in an abusive family and foster care. The Guardian review describes it thus: “Like Helen Macdonald’s H Is for Hawk, this is a profoundly moving account of mental trauma told through the author’s encounters with nature. Jenkins sees his garden as a place where a person can try to escape from, and atone for, the darkness of human existence.” This is the great thing about prize lists: they can introduce you to fascinating books you might never have heard of otherwise. Even if it’s just one book that takes your fancy, who knows? It might end up being a favorite.
- While I’m not immediately drawn to the books on the history of vaccines, the evolution of human behavior, and transhumanism, I will certainly be glad to read them if they make the shortlist.
Some statistics on this year’s longlist, courtesy of the press release I was sent by e-mail:
- Three novels, three memoirs, and six nonfiction titles
- Five debut authors
- Three titles from independent publishers (Canongate and Granta/Portobello Books)
- The authors are from the UK, Ireland, USA, Nigeria, Canada, and – making their first appearance – Sweden (Sigrid Rausing) and South Korea (Han Kang)
Chair of judges Edmund de Waal writes: “The Wellcome Book Prize is unique in its reach across genres, and so the range of books that we have considered has been exhilarating in its extent and ambition. This is a remarkable time for readers, with a great flourishing of writing on ideas around science, medicine and health, lives and deaths, histories and futures. After passionate discussions we have arrived at our longlist for the Wellcome Book Prize 2018 and are proud to be part of this process of bringing to a wider public these 12 tremendous books that have moved, intrigued and inspired us. All of them bring something new to our understanding of what it is to be human.”
The shortlist is announced on Tuesday, March 20th, and the winner will be revealed on Monday, April 30th.
Are there any books on here that you’d like to read?
Tomorrow the longlist for the 2018 Wellcome Book Prize will be announced. This year’s judging panel is chaired by Edmund de Waal, author of The Hare with Amber Eyes. I hope to once again shadow the shortlist along with a few fellow book bloggers. I don’t feel like I’ve read all that many books that are eligible (i.e., released in the UK in 2017, and on a medical theme), but here are some that I would love to see make the list. I link to all those I’ve already featured here, and give review extracts for the books I haven’t already mentioned.
- I Found My Tribe by Ruth Fitzmaurice
- In Pursuit of Memory: The Fight against Alzheimer’s by Joseph Jebelli
- Goodbye, Vitamin by Rachel Khong
- In Every Moment We Are Still Alive by Tom Malmquist
- Admissions: A Life in Brain Surgery by Henry Marsh
- I Am, I Am, I Am: Seventeen Brushes with Death by Maggie O’Farrell: O’Farrell captures fragments of her life through essays on life-threatening illnesses and other narrow escapes she’s experienced. The pieces aren’t in chronological order and aren’t intended to be comprehensive. Instead, they crystallize the fear and pain of particular moments in time, and are rendered with the detail you’d expect from her novels. She’s been mugged at machete point, nearly drowned several times, had a risky first labor, and was almost the victim of a serial killer. (My life feels awfully uneventful by comparison!) But the best section of the book is its final quarter: an essay about her childhood encephalitis and its lasting effects, followed by another about her daughter’s extreme allergies.
- The Smell of Fresh Rain: A Journey into the Sense of Smell by Barney Shaw
- Fragile Lives: A Heart Surgeon’s Stories of Life and Death on the Operating Table by Stephen Westaby
It’s also possible that we could see these make the longlist:
- History of Wolves by Emily Fridlund: Fridlund’s Minnesota-set debut novel is haunted by a dead child. From the second page readers know four-year-old Paul is dead; a trial is also mentioned early on, but not until halfway does Madeline Furston divulge how her charge died. This becomes a familiar narrative pattern: careful withholding followed by tossed-off revelations that muddy the question of complicity. The novel’s simplicity is deceptive; it’s not merely a slow-building coming-of-age story with Paul’s untimely death at its climax. For after a first part entitled “Science”, there’s still half the book to go – a second section of equal length, somewhat ironically labeled “Health”. (Reviewed for the TLS.)
- Hair Everywhere by Tea Tulić
- Modern Death: How Medicine Changed the End of Life by Haider Warraich: A learned but engaging book that intersperses science, history, medicine and personal stories. The first half is about death as a medical reality, while the second focuses on social aspects of death: religious beliefs, the burden on families and other caregivers, the debate over euthanasia and physician-assisted suicide, and the pros and cons of using social media to share one’s journey towards death. (See my full Nudge review.)
Of 2017’s medical titles that I haven’t read, I would have especially liked to have gotten to:
- Sound: A Story of Hearing Lost and Found by Bella Bathurst
- This Is Going to Hurt: Secret Diaries of a Junior Doctor by Adam Kay
- With the End in Mind: Dying, Death, and Wisdom in an Age of Denial by Kathryn Mannix [I have this one on my Kindle from NetGalley]
- Into the Grey Zone: A Neuroscientist Explores the Border between Life and Death by Adrian Owen
- Patient H69: The Story of My Second Sight by Vanessa Potter
We are also likely to see a repeat appearance from the winner of the 2017 Royal Society Science Book Prize, Testosterone Rex: Myths of Sex, Science, and Society by Cordelia Fine.
Other relevant books I read last year that have not (yet?) been released in the UK:
- The Education of a Coroner: Lessons in Investigating Death by John Bateson
- The Family Gene: A Mission to Turn My Deadly Inheritance into a Hopeful Future by Joselin Linder
- Last Things: A Graphic Memoir of Loss and Love by Marissa Moss
- Love and Laughter in the Time of Chemotherapy by Manjusha Pawagi
- No Apparent Distress: A Doctor’s Coming-of-Age on the Front Lines of American Medicine by Rachel Pearson: Pearson describes her Texas upbringing and the many different hands-on stages involved in her training: a prison hospital, gynecology, general surgery, rural family medicine, neurology, dermatology. Each comes with memorable stories, but it’s her experience at St. Vincent’s Student-Run Free Clinic on Galveston Island that stands out most. Pearson speaks out boldly about the divide between rich and poor Americans (often mirrored by the racial gap) in terms of what medical care they can get. A clear-eyed insider’s glimpse into American health care.
- The Bright Hour: A Memoir of Living and Dying by Nina Riggs
- The Tincture of Time: A Memoir of (Medical) Uncertainty by Elizabeth L. Silver: At the age of six weeks, Silver’s daughter suffered a massive brain bleed for no reason that doctors could ever determine. Thanks to the brain’s plasticity, especially in infants, the bleed was reabsorbed and Abby has developed normally, although the worry never goes away. Alongside the narrative of Abby’s baffling medical crisis, Silver tells of other health experiences in her family. An interesting exploration of the things we can’t control and how we get beyond notions of guilt and blame to accept that time may be the only healer.
Do you follow the Wellcome Book Prize? Have you read any books that might be eligible?
Below I’ve chosen my seven favorite nonfiction books published in 2017, followed by three older titles that I only recently discovered. Many of these books have already featured on the blog in some way over the course of the year. To keep it simple for myself as well as for all of you who are figuring out whether you’re interested in these books or not, I’m mostly limiting myself to two sentences per title: the first is a potted summary; the second tells you why you should read it. I also link to any full reviews.
- Landslide: True Stories by Minna Zallman Proctor: This gorgeous set of autobiographical essays circles through some of the overarching themes of the author’s life: losing her mother, a composer; the importance Italy had for both of them; a love for the work of Muriel Spark; their loose connection to Judaism; and the relentless and arbitrary nature of time. Proctor provides a fine example of how to write a non-linear memoir that gets to the essence of what matters in life.
- My Jewish Year by Abigail Pogrebin: From September 2014 to September 2015, Pogrebin celebrated all the holidays in the Jewish calendar, drawing thematic connections and looking for the resonance of religious rituals might have in her daily life. This bighearted, open-minded book strikes me as a perfect model for how any person of faith should engage with their tradition: not just offering lip service and grudgingly showing up to a few services a year, but knowing what you believe and practice, and why.
In Pursuit of Memory: The Fight against Alzheimer’s by Joseph Jebelli: With the world’s population aging, it is expected that by 2050 Alzheimer’s will be the second leading cause of death after heart disease. Research neurologist Joseph Jebelli gives a thorough survey of the history of Alzheimer’s and the development of our efforts to treat and even prevent it, but balances his research with a personal medical story any reader can relate to – his beloved grandfather, Abbas, succumbed to Alzheimer’s back in Iran in 2012. (See my full review for BookBrowse.)
- My Life with Bob by Pamela Paul: Whether she was hoarding castoffs from her bookstore job, obsessing about ticking off everything in the Norton Anthology, despairing that she’d run out of reading material in a remote yurt in China, or fretting that her new husband took a fundamentally different approach to the works of Thomas Mann, Paul (the editor of the New York Times Book Review) always looks beyond the books themselves to ask what they say about her. It’s just the sort of bibliomemoir I wish I had written.
- The Bright Hour by Nina Riggs: Beautiful prose enhances this literary and philosophical approach to terminal cancer. Riggs was a great-great-great-granddaughter of Ralph Waldo Emerson and quotes from her ancestor’s essays as well as from Michel de Montaigne’s philosophy to put things into perspective; she’s an expert at capturing the moments that make life alternately euphoric and unbearable – and sometimes both at once.
- Fragile Lives by Stephen Westaby: This is a vivid, compassionate set of stories culled from the author’s long career in heart surgery with the Grim Reaper looking on. I am not a little envious of all that Westaby has achieved: not just saving the occasional life despite his high-mortality field – as if that weren’t enough – but also pioneering various artificial heart solutions and a tracheal bypass tube that’s named after him.
And my nonfiction book of the year was:
1. The Shadow in the Garden: A Biographer’s Tale by James Atlas: I read this in August, planning to contrast it with Claire Tomalin’s A Life of My Own, another biographer’s memoir, for the LARB. It would have been a brilliant article, believe me. But they didn’t bite, and by the time I approached the TLS they’d already arranged coverage of the books. Alas! Such is the life of a freelancer. Since then I’ve struggled to know what to say about Atlas’s book that would explain why I loved it so much that my paperback proof is riddled with Post-It flags. (It’s going to take more than a couple of sentences…)
Much more so than Tomalin, Atlas gave me a real sense of what it’s like to immerse yourself in another person’s life. He made it up as he went along: he was only 25 when he got the contract to write a biography of the poet Delmore Schwartz, who died a penniless alcoholic at age 52. Writing about the deceased was a whole different matter to engaging with a living figure, as Atlas did when he wrote his biography of Saul Bellow in the 1990s.
Atlas perceptively explores the connections between Schwartz and Bellow (Schwartz was the model for the protagonist of Bellow’s 1975 Pulitzer winner, Humboldt’s Gift) and between Bellow and himself (a Chicago upbringing with Russian Jewish immigrant ancestors), but also sets his work in the context of centuries of biographical achievement – from Boswell’s The Life of Samuel Johnson through master biographers like Richard Holmes, Leon Edel and Richard Ellmann (Atlas’s supervisor during his fellowship at Oxford) to recent controversial biographies of Robert Frost and Vladimir Nabokov.
This book deals with the nitty-gritty of archival research and how technology has changed it; Atlas also talks story-telling strategies and the challenge of impartiality, and ponders how we look for the patterns in a life that might explain what, besides genius, accounts for a writer’s skill. Even the footnotes are illuminating, and from the notes I learned about a whole raft of biographies and books on the biographer’s trade that I’d like to read. After I finished reading it I spent a few days dreamily wondering if I might write a biography some day. For anyone remotely interested in life writing, pick this up with my highest recommendation.
I’ll make it up to an even 10 with a few backlist titles I also loved:
The Unexpected Professor: An Oxford Life in Books by John Carey (2014): Carey gives a thorough picture of events from his personal and professional life, but the focus is always on his literary education: the books that have meant the most to him and the way his taste and academic specialties have developed over the years. Ultimately what this book conveys is the joy of being a lifelong reader.
A Sand County Almanac and Sketches Here and There by Aldo Leopold (1949): So many of Leopold’s musings ring true today: how we only appreciate wildlife if we can put an economic value on it, the troubles we get into when we eradicate predators and let prey animals run rampant, and the danger of being disconnected from the land that supplies our very life. And all this he delivers in stunning, incisive prose.
The Argonauts by Maggie Nelson (2015): An exquisite interrogation of gender identity and an invaluable reminder that the supposed complications of making a queer family just boil down to your basic human experiences of birth, love and death. I preferred those passages where Nelson allows herself to string her fragments into more extended autobiographical meditations, like the brilliant final 20 pages interspersing her memories of giving birth to her son Iggy with an account of the deathbed vigil her partner (artist Harry Dodge) held for his mother; it had me breathless and in tears, on a plane of all places.
What were some of your top nonfiction reads of the year?
Tomorrow I’ll be posting my Library Checkout a few days early.
Next week’s planned posts:
26th: Doorstopper of the Month
27th: Top fiction of the year list
28th: Runners-up and other superlatives
29th: Early 2018 recommendations
30th: Final statistics on my 2017 reading
Believe it or not, but the year is almost half over already. A look back at the “Best of 2017” shelf I’ve started on Goodreads has revealed the eight releases that have stood out most clearly for me so far. All but one of these I have already featured on the blog in some way; links are provided. I’ve also included short excerpts from my reviews to show what makes each of these books so special.
How to Be Human by Paula Cocozza: There’s something gently magical about the way the perspective occasionally shifts to give a fox’s backstory and impressions as a neologism-rich stream. As much as this is about a summer of enchantment and literal brushes with urban wildlife, it’s also about a woman’s life: loneliness, the patterns we get stuck in, and those unlooked-for experiences that might just liberate us. Cocozza sets up such intriguing contradictions between the domestic and the savage, the humdrum and the unpredictable.
Swimming Lessons by Claire Fuller: This isn’t a happy family story. It’s full of betrayals and sadness, of failures to connect and communicate. Yet it’s beautifully written, with all its scenes and dialogue just right, and it’s pulsing with emotion. One theme is how there can be different interpretations of the same events even within a small family. The novel is particularly strong on atmosphere, reminding me of Iris Murdoch’s The Sea, The Sea and Diane Setterfield’s The Thirteenth Tale. Fuller also manages her complex structure very well.
In Every Moment We Are Still Alive by Tom Malmquist: Malmquist does an extraordinary job of depicting his protagonist’s bewilderment at the sudden loss of his partner and his new life as a single father. While it’s being marketed as a novel, this reads more like a stylized memoir. Similar to Karl Ove Knausgaard’s books, it features the author as the central character and narrator, and the story of grief it tells is a highly personal one. This is a book I fully expect to see on next year’s Wellcome Book Prize shortlist.
My Life with Bob by Pamela Paul: I’ve found a new favorite bibliomemoir. Whether she was hoarding castoffs from her bookstore job, obsessing about ticking off everything in the Norton Anthology, despairing that she’d run out of reading material in a remote yurt in China, or fretting that her new husband took a fundamentally different approach to the works of Thomas Mann, Paul (editor of the New York Times Book Review) always looks beyond the books themselves to ask what they say about her. Just the sort of book I wish I had written.
My Jewish Year by Abigail Pogrebin: This bighearted, open-minded book strikes me as a perfect model for how any person of faith should engage with their tradition: not just offering lip service and grudgingly showing up to a few services a year, but knowing what you believe and practice, and why. From September 2014 to September 2015, Pogrebin celebrated all the holidays in the Jewish calendar. I was consistently impressed by how she draws thematic connections and locates the resonance of religious ritual in her daily life.
The Bright Hour by Nina Riggs: Beautiful prose enhances this literary and philosophical approach to terminal cancer. Riggs was a great-great-great-granddaughter of Ralph Waldo Emerson, and she quotes from her ancestor’s essays as well as from Michel de Montaigne’s philosophy of life to put things in perspective. She’s an expert at capturing the moments that make life alternately euphoric and unbearable – sometimes both at once. A wonderful book, so wry and honest, with a voice that reminds me of Anne Lamott and Elizabeth McCracken.
Fragile Lives by Stephen Westaby: This is a vivid, compassionate set of stories culled from the author’s long career in heart surgery. Westaby conveys a keen sense of the adrenaline rush a surgeon gets while operating with the Grim Reaper looking on. I am not a little envious of all that he has achieved: not just saving the occasional life despite his high-mortality field – as if that weren’t enough – but also pioneering various artificial heart solutions and a tracheal bypass tube that’s named after him.
The Animators by Kayla Rae Whitaker: Though it seems lighthearted on the surface, there’s a lot of meat to this story of the long friendship between two female animators. The cartooning world and the Kentucky–New York City dichotomy together feel like a brand new setting for a literary tragicomedy. I appreciated how Whitaker contrasts the women’s public and private personas and imagines their professional legacy. Plus I love a good road trip narrative, and this novel has two.
And here’s five more 4.5- or 5-star books that I read this year but were not published in 2017:
Days Without End by Sebastian Barry
Homegoing by Yaa Gyasi
When Breath Becomes Air by Paul Kalanithi
The Wind-Up Bird Chronicle by Haruki Murakami
To Say Nothing of the Dog by Connie Willis
What are some of the best books you’ve read so far this year?
What 2017 releases do I need to catch up on right away?
It’s never too early to start thinking about which books might make it onto next year’s Wellcome Book Prize nominees list, open to any medical-themed books published in the UK in calendar year 2017. I’ve already read some cracking contenders, including these two memoirs from British surgeons.
Brain surgeon Henry Marsh’s first book, Do No Harm, was one of my favorite reads of 2015. In short, enthrallingly detailed chapters named after conditions he had treated or observed, he reflected on life as a surgeon, expressing sorrow over botched operations and marveling at the God-like power he wields over people’s quality of life. That first memoir saw him approaching retirement age and nearing the end of his tether with NHS bureaucracy.
Admissions: A Life in Brain Surgery serves as a sort of sequel, recording Marsh’s last few weeks at his London hospital and the projects that have driven him during his first years of retirement: woodworking, renovating a derelict lock-keeper’s cottage by the canal in Oxford, and yet more neurosurgery on medical missions to Nepal and the Ukraine. But he also ranges widely over his past, recalling cases from his early years in medicine as well as from recent memory, and describing his schooling and his parents. If I were being unkind, I might say that this feels like a collection of leftover incidents from the previous book project.
However, the life of a brain surgeon is so undeniably exciting that, even if these stories are the scraps, they are delicious ones. The title has a double meaning, of course, referring not only to the patients who are admitted to the hospital but also to a surgeon’s confessions. And there are certainly many cases Marsh regrets, including operating on the wrong side in a trapped nerve patient, failing to spot that a patient was on the verge of a diabetic coma before surgery, and a young woman going blind after an operation in the Ukraine. Often there is no clear right decision, though; operating or not operating could lead to equal damage.
Once again I was struck by Marsh’s trenchant humor: he recognizes the absurdities as well as the injustices of life. In Houston he taught on a neurosurgery workshop in which students created and then treated aneurysms in live pigs. When asked “Professor, can you give us some surgical pearls?” he “thought a little apologetically of the swine in the nearby bay undergoing surgery.” A year or so later, discussing the case of a twenty-two-year-old with a fractured spine, he bitterly says, “Christopher Reeve was a millionaire and lived in America and he eventually died from complications, so what chance a poor peasant in Nepal?”
Although some slightly odd structural decisions have gone into this book – the narrative keeps jumping back to Nepal and the Ukraine, and a late chapter called “Memory” is particularly scattered in focus – I still thoroughly enjoyed reading more of Marsh’s anecdotes. The final chapter is suitably melancholy, with its sense of winding down capturing not just the somewhat slower pace of his retired life but also his awareness of the inevitable approach of death. Recalling two particularly hideous deaths he observed in his first years as a doctor, he lends theoretical approval for euthanasia as a way of maintaining dignity until the end.
What I most admire about Marsh’s writing is how he blends realism and wonder. “When my brain dies, ‘I’ will die. ‘I’ am a transient electrochemical dance, made of myriad bits of information,” he recognizes. But that doesn’t deter him from producing lyrical passages like this one: “The white corpus callosum came into view at the floor of the chasm, like a white beach between two cliffs. Running along it, like two rivers, were the anterior cerebral arteries, one on other side, bright red, pulsing gently with the heartbeat.” I highly recommend his work to readers of Atul Gawande and Paul Kalanithi.
Admissions: A Life in Brain Surgery was published in the UK by Weidenfeld & Nicolson on May 4th. My thanks to the publisher for sending a free copy for review. It will be published in the USA by Thomas Dunne Books on October 3rd.
What Marsh does for brain surgery in his pair of memoirs, Professor Stephen Westaby does for heart surgery in Fragile Lives, a vivid, compassionate set of stories culled from his long career. A working class lad from Scunthorpe who watched his grandfather die of heart failure, he made his way up from hospital porter to world-leading surgeon after training at Charing Cross Hospital Medical School.
Each of these case studies, from a young African mother and her sick child whom he met while working in Saudi Arabia in the 1980s to a university student who collapses not far from his hospital in Oxford, is told in impressive depth. Although the surgery details are not for the squeamish, I found them riveting. Westaby conveys a keen sense of the adrenaline rush a surgeon gets while operating with the Grim Reaper looking on. I am not a little envious of all that he has achieved: not just saving the occasional life despite his high-mortality field – as if that weren’t enough – but also pioneering various artificial heart solutions and a tracheal bypass tube that’s named after him.
Like Marsh, he tries not to get emotionally attached to his patients, but often fails in this respect. “Surgeons are meant to be objective, not human,” he shrugs. But, also like Marsh, at his retirement he feels that NHS bureaucracy has tied his hands, denying necessary funds and equipment. Both authors come across as mavericks who don’t play by the rules, but save lives anyway. This is a fascinating read for anyone who enjoys books on a medical theme.
A few favorite lines:
“We stop life and start it again, making things better, taking calculated risks.”
“We were adrenaline junkies living on a continuous high, craving action. From bleeding patients to cardiac arrests. From theatre to intensive care. From pub to party.”
Fragile Lives: A Heart Surgeon’s Stories of Life and Death on the Operating Table was published in the UK by HarperCollins on February 9th. I read a public library copy. It will be published in the USA, by Basic Books, under the title Open Heart on June 20th.