After deliberation and two rounds of voting, we as a shadow panel (Annabel of Annabookbel, Clare of A Little Blog of Books, Laura of Dr. Laura Tisdall, Paul of Halfman, Halfbook and I) have reduced the 19 longlisted titles to a shortlist of six books. A few of these were clear standouts on which we all agreed, while the others required more difficult decisions.
Exhalation by Ted Chiang
Invisible Women by Caroline Criado Perez
Constellations by Sinéad Gleeson
The Nocturnal Brain by Guy Leschziner
The Remarkable Life of the Skin by Monty Lyman
War Doctor by David Nott
We’re pleased with the quality and variety we’ve come up with here. While nonfiction dominates, we have included science fiction stories that raise questions about artificial intelligence and human development. The other books address gender inequality; cancer, chronic pain, and disability; circadian rhythms and sleep; anatomy; and surgery in war zones.
The shadow panel members will vote this coming weekend to choose a winner. In the meantime, I have set up a Twitter poll to run through Saturday, the results of which will serve as one additional weighted vote. Our winner will be announced one week from today, on the morning of Monday the 11th. Go forth and vote!
Which book(s) are you rooting for?
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?
Intricate essays about writing in the wake of trauma, a feel-good novel about an odd couple on a trip to France, hilarious festive outtakes from a career in medicine, and a race-themed family memoir: I have four very different books to recommend to you this month. All:
Notes Made while Falling by Jenn Ashworth
(Coming from Goldsmiths Press [UK] on the 15th; already out from MIT Press [USA])
Like Anne Boyer’s The Undying and Sinéad Gleeson’s Constellations, this is an incisive memoir-in-essays about the effects of trauma on a woman’s body. Specifically, Ashworth’s story starts with her son’s birth in 2010, a disaster she keeps returning to over the course of seven sinuous personal essays. A routine C-section was followed by haemorrhaging, blood transfusions and anaphylaxis. The effects lasted for years afterwards: haunted by the sound of her blood dripping and the feeling that her organs could fall out of her abdomen at any time, she suffered from vomiting, insomnia and alcoholism, drinking late into the night as she watched gruesome true crime films.
Ashworth toggles between experience, memory, and the transformation of experience into a written record. She admits she has lost faith in fiction, either reading or writing it (she is a lecturer at Lancaster University and the author of four novels). Her Mormon upbringing in Preston is a major part of her backstory, and along with her childhood indoctrination she remembers brief stays in a children’s home and in the hospital with chicken pox.
The essays experiment with structure and content. For instance, “Ground Zero” counts down from #8, with incomplete final lines in each section, then back up to #8, with each piece from the second set picking up where the first left off. Slashes and cross-outs represent rethinking or alternate interpretations. “Off Topic: On Derailment” encompasses so many topics, from excommunication to Agatha Christie to rollercoasters to Charles Dickens, that you have to read it to believe she can make it all fit together (elsewhere she muses on Chernobyl, magic tricks and hating King Lear).
“How to Begin: The Cut” started as a talk given at Greenbelt 2013, when I was in the audience. I especially loved “A Lecture on Influence,” a coy self-examination through creative writing lessons, and “How to Fall without Landing: Celestial City,” a meditation on the precariousness of the human condition. Her frame of literary reference is wide and surprising. This also reminded me of Sight by Jessie Greengrass, The Empathy Exams by Leslie Jamison, I Am, I Am, I Am by Maggie O’Farrell, and In the Days of Rain by Rebecca Stott; I would recommend it to readers of any of the above.
Some favorite lines:
“My God-hurt head has a hole in it or needs one; to let the world in, or out – I can’t ever decide.”
“how to write about everything? How to take in the things that don’t belong to you without being poisoned by them? How to make use of the things that live inside, those seedlings you never asked for? How to breathe in? How to breathe out? How to keep on doing that?”
“Some days it feels like writing truthfully about her own life is the most subversive thing a woman can do.”
My thanks to the publisher for the free copy for review.
Akin by Emma Donoghue
(Coming from Picador [UK] on the 3rd; already out from Little, Brown and Co. [USA])
I’ve read Donoghue’s six most recent works of fiction. Her books are all so different from each other in setting – a one-room prison in contemporary America, bawdy 1870s San Francisco, rural Ireland in the 1850s – that it’s hard to pin her down to one time period or roster of topics. She never writes the same book twice, and that’s got to be a good thing.
Akin gets off to a slightly slow start but soon had me hooked. Noah Selvaggio, a childless widower and retired chemist in New York City, is looking forward to an imminent trip to Nice, where he was born, to celebrate his 80th birthday. He never guessed that he’d have company on his trip, much less a surly 11-year-old. This is Michael Young, his nephew Victor’s son. Victor died of a drug overdose a year and a half ago; the boy’s mother is in prison; his maternal grandmother has just died. There’s no one else to look after Michael, so with a rush passport he’s added to the itinerary.
In some ways Michael reminded me of my nephews, ages 11 and 14: the monosyllabic replies, the addiction to devices and online gaming, the finicky eating, and the occasional flashes of childlike exuberance. Having never raised a child, Noah has no idea how strict to be with his great-nephew about screen time, unhealthy food and bad language. He has to learn to pick his battles, or every moment of this long-awaited homecoming trip would be a misery. And he soon realizes that Michael’s broken home and troubled area of NYC make him simultaneously tougher and more vulnerable than your average kid.
The odd-couple dynamic works perfectly here and makes for many amusing culture clashes, not so much France vs. the USA as between these Americans of different generations. The dialogue, especially, made me laugh. Donoghue nails it:
[Noah:] “The genre, the style. Is rap the right word for it? Or hip-hop?”
[Michael:] “Don’t even try.” Michael turned his music back on.
(At the cathedral)
[Michael:] “This is some seriously frilly shit.”
[Noah:] “It’s called Baroque style.”
[Michael:] “I call it fugly.”
But there’s another dimension to the novel that keeps it from being pleasant but forgettable. Noah’s grandfather was a famous (fictional) photographer, Père Sonne, and he has recently found a peculiar set of photographs left behind by his late mother, Margot. One is of the hotel where they’re staying in Nice, known to be a holding tank for Jews before they were sent off to concentration camps. The more Noah looks into it, the more he is convinced that his mother was involved in some way – but which side was she on?
This is feel-good fiction in the best possible sense: sharp, true-to-life and never sappy. With its spot-on dialogue and vivid scenes, I can easily see it being made into a movie, too. It’s one of my favorite novels of the year so far.
My thanks to the publisher for the proof copy for review.
Twas the Nightshift before Christmas by Adam Kay
(Coming from Picador on the 17th)
If you’ve read This Is Going to Hurt, the UK’s bestselling nonfiction title of 2018, you’ll know just what to expect from the comedian’s holiday-themed follow-up. It’s raunchy, morbid and laugh-out-loud funny. In the seven years that Kay was a medical doctor, he had to work on Christmas Day six times. He takes us through the holiday seasons of 2004 to 2009, from the sickeningly festive run-up to the letdown of Christmas day and its aftermath. With his Rudolph tie on and his Scrooge spirit intact, he attends to genital oddities, childbirth crises and infertility clients, and feebly tries to keep up his relationships with his family and his partner despite them having about given up on him after so many holiday absences.
This will be a stocking-stuffer for many this year, and I can see myself returning to it year after year and flicking through for a laugh. However, there’s one story here that Kay regrets omitting from This Is Going to Hurt as being too upsetting, and he also ends on a serious note, urging readers to spare a thought for those who give up their holidays to keep our hospitals staffed.
A favorite passage:
“A lot of the reward for this job comes in the form of a warm glow. It doesn’t make you look any less tired, you can’t pay the rent with it, and it’s worth a lot less than the social life you’ve traded it for, but this comforting aura of goodness and purpose definitely throws light into some dark corners and helps you withstand a lot of the shit.”
My thanks to the publisher for the proof copy for review.
Shame on Me: An Anatomy of Race and Belonging by Tessa McWatt
(Coming from Scribe UK on the 10th)
“What are you?” This question has followed McWatt since she was eight years old. When her third-grade teacher asked the class if they knew what “Negro” meant, one boy pointed to her. “Oh, no, not Tessa,” the teacher replied, following up with a question: “What are you, Tessa?” But it has always been hard to put her mixed-race background into one word. Her family moved from Guyana to Canada and she has since settled in England, where she is a professor of creative writing; her ancestry is somewhat uncertain but may include Chinese, Indian, indigenous South American, Portuguese, French/Jewish, African, and Scottish.
The book opens with the startling scene of her grandmother, a young Chinese woman brought over to work the sugarcane fields of British Guiana, being raped by her own uncle. “To strangers, even friends—on some days also to myself—I am images of violence and oppression. I am the language of shame and destitution, of slavery and indenture, of rape and murder. I am images of power and privilege, of denial and shades of skin, shapes of faces,” McWatt writes.
Her investigation of the meaning of race takes the form of an academic paper, Hypothesis–Experiment–Analysis–Findings, and within the long third section she goes part by part through the bodily features that have most often been used as markers of racial identity, including the nose, eyes, hair and buttocks. She dives into family history but also into wider historical movements, literature and science to understand her hybrid self. It’s an inventive and sensitive work reminiscent of The Color of Water by James McBride. I would recommend it to anyone who enjoys reading (or feels they should try) interrogations of race.
A favorite line:
“as I try to square my politics with my privilege, it seems that my only true inheritance is that I am always running somewhere else.”
I won a signed proof copy in a Twitter giveaway.
Have you read any October releases that you would recommend? Do any of these tempt you?
My top 10 releases of 2019 thus far, in no particular order, are:
General / Historical Fiction
Stubborn Archivist by Yara Rodrigues Fowler: What a hip, fresh approach to fiction. Broadly speaking, this is autofiction: like the author, the protagonist was born in London to a Brazilian mother and an English father. The book opens with fragmentary, titled pieces that look almost like poems in stanzas. The text feel artless, like a pure stream of memory and experience. Navigating two cultures (and languages), being young and adrift, and sometimes seeing her mother in herself: there’s a lot to sympathize with in the main character.
The Flight Portfolio by Julie Orringer: Every day the Emergency Rescue Committee in Marseille interviews 60 refugees and chooses 10 to recommend to the command center in New York City. Varian and his staff arrange bribes, fake passports, and exit visas to get celebrated Jewish artists and writers out of the country via the Pyrenees or various sea routes. The story of an accidental hero torn between impossible choices is utterly compelling. This is richly detailed historical fiction at its best. My top book of 2019 so far.
Daisy Jones and The Six by Taylor Jenkins Reid: This story of the rise and fall of a Fleetwood Mac-esque band is full of verve and heart, and it’s so clever how Reid delivers it all as an oral history of pieced-together interview fragments, creating authentic voices and requiring almost no footnotes or authorial interventions. It’s pure California sex, drugs, and rock ’n roll, but there’s nothing clichéd about it. Instead, you get timeless rivalry, resentment, and unrequited or forbidden love; the clash of personalities and the fleeting nature of fame.
Things in Jars by Jess Kidd: In the autumn of 1863 Bridie Devine, female detective extraordinaire, is tasked with finding the six-year-old daughter of a baronet. Kidd paints a convincingly stark picture of Dickensian London, focusing on an underworld of criminals and circus freaks. Surgery before and after anesthesia and mythology (mermaids and selkies) are intriguing subplots woven through. Kidd’s prose is spry and amusing, particularly in her compact descriptions of people but also in more expansive musings on the dirty, bustling city.
The Doll Factory by Elizabeth Macneal: Iris Whittle dreams of escaping Mrs Salter’s Doll Emporium and becoming a real painter. Set in the early 1850s and focusing on the Great Exhibition and Pre-Raphaelite Brotherhood, this also reveals the everyday world of poor Londoners. It’s a sumptuous and believable fictional world, with touches of gritty realism. If some characters seem to fit neatly into stereotypes (fallen woman, rake, etc.), be assured that Macneal is interested in nuances. A terrific debut full of panache and promise.
The Lady Doctor by Ian Williams: Dr. Lois Pritchard works at a medical practice in small-town Wales and puts in two days a week treating embarrassing ailments at the local hospital’s genitourinary medicine clinic. The tone is wonderfully balanced: there are plenty of hilarious, somewhat raunchy scenes, but also a lot of heartfelt moments as Lois learns that a doctor is never completely off duty and you have no idea what medical or personal challenge will crop up next. The drawing style reminds me of Alison Bechdel’s.
Constellations by Sinéad Gleeson: Perfect for fans of I Am, I Am, I Am by Maggie O’Farrell, this is a set of trenchant autobiographical essays about being in a female body, especially one wracked by pain. Gleeson ranges from the seemingly trivial to life-and-death matters as she writes about hairstyles, blood types, pregnancy, the abortion debate in Ireland and having a rare type of leukemia. The book feels timely and is inventive in how it brings together disparate topics to explore the possibilities and limitations of women’s bodies.
Hard Pushed: A Midwife’s Story by Leah Hazard: An empathetic picture of patients’ plights and medical professionals’ burnout. Visceral details of sights, smells and feelings put you right there in the delivery room. Excerpts from a midwife’s official notes – in italics and full of shorthand and jargon – are a neat window into the science and reality of the work. This is a heartfelt read as well as a vivid and pacey one, and it’s alternately funny and sobering. If you like books that follow doctors and nurses down hospital hallways, you’ll love it.
Mother Ship by Francesca Segal: A visceral diary of the first eight weeks in the lives of her daughters, who were born by Caesarean section at 29 weeks in October 2015 and spent the next two months in the NICU. As well as portraying her own state of mind, Segal crafts twinkly pen portraits of the others she encountered in the NICU, including the staff but especially her fellow preemie mums. Female friendship is thus a subsidiary theme in this exploration of desperate love and helplessness.
Thousandfold by Nina Bogin: This is a lovely collection whose poems devote equal time to interactions with nature and encounters with friends and family. Birds – along with their eggs and feathers – are a frequent presence. Often a particular object will serve as a totem as the poet remembers the most important people in her life. Elsewhere Bogin greets a new granddaughter and gives thanks for the comforting presence of her cat. Gentle rhymes and half-rhymes lend a playful or incantatory nature. I recommend it to fans of Linda Pastan.
The three 4.5- or 5-star books that I read this year (and haven’t yet written about on here) that were not published in 2019 are:
Girls Are Coming Out of the Woods by Tishani Doshi [poetry]
Faces in the Water by Janet Frame
Priestdaddy: A Memoir by Patricia Lockwood
What are some of the best books you’ve read so far this year?
What 2019 releases do I need to catch up on right away?
Four February–April releases: A quiet novel about the clash of religion and reason; a birdwatching odyssey in London; a folktale-inspired story of the undead descending on an Indian medical clinic; and a layman’s introduction to fetal development – you can’t say I don’t read a wide variety of books! See if any of these tempt you.
Little Faith by Nickolas Butler
Butler follows in Kent Haruf’s footsteps with this quiet story of ordinary Midwesterners facing a series of small crises. Lyle Hovde works at a local Wisconsin orchard but is more interested in spending time with Isaac, his five-year-old grandson. Lyle has been an atheist since he and Peg lost a child in infancy, making it all the more ironic that their adopted daughter, Shiloh, has recently turned extremely religious. She attends a large non-denominational church that meets in an old movie theatre and is engaged to Pastor Steven*, whose hardline opinions are at odds with his hipster persona.
Steven and Shiloh believe Isaac has a healing gift – perhaps he can even help Lyle’s old pal, Hoot, who’s just been diagnosed with advanced cancer? The main story line reminded me most of Emily Fridlund’s History of Wolves (health and superstition collide) and Carolyn Parkhurst’s Harmony (the dangers of a charismatic leader). It’s all well and good to have faith in supernatural healing, but not if it means rejecting traditional medicine.
This is the epitome of a slow burner, though: things don’t really heat up until the final 35 pages, and there were a few chapters that could have been cut altogether. The female characters struck me as underdeveloped, but I did have a genuine warm feeling for Lyle. There are some memorable scenes, like Lyle’s heroic effort to save the orchard from an ice storm – a symbolic act that’s more about his desperation to save his grandson from toxic religion. But mostly this is a book to appreciate for the slow, predictable rhythms of a small-town life lived by the seasons.
[*So funny because that’s my brother-in-law’s name! I’ve also visited a Maryland church that meets in a former movie theatre. I was a part of somewhat extreme churches and youth groups in my growing-up years, but luckily nowhere that would have advocated foregoing traditional medicine in favor of faith healing. There were a few false notes here that told me Butler was writing about a world he wasn’t familiar with.]
A favorite passage:
“‘Silent Night’ in a darkened country chapel was, to Lyle, more powerful than any atomic bomb. He was incapable of singing it without feeling his eyes go misty, without feeling that his voice was but one link in a chain of voices connected over the generations and centuries, that line we sometimes call family. Or memory itself.”
With thanks to Faber & Faber for the free copy for review.
The Parakeeting of London: An Adventure in Gonzo Ornithology by Nick Hunt
Rose-ringed parakeets were first recorded in London in the 1890s, but only in the last couple of decades have they started to seem ubiquitous. I remember seeing them clustered in treetops and flying overhead in various Surrey, Kent and Berkshire suburbs we’ve lived in. They’re even more noticeable in London’s parks and cemeteries. “When did they become as established as beards and artisan coffee?” Nick Hunt wonders about his home in Hackney. He and photographer Tim Mitchell set out to canvass public opinion about London’s parakeets and look into conspiracy theories about how they escaped (Henry VIII and Jimi Hendrix are rumored to have released them; the set of The African Queen is another purported origin) and became so successful an invasive species.
A surprising cross section of the population is aware of the birds, and opinionated about them. Language of “immigrants” versus “natives” comes up frequently in the interviews, providing an uncomfortable parallel to xenophobic reactions towards human movement – “people had a tendency to conflate the avian with the human, turning the ornithological into the political. Invading, colonizing, taking over.” This is a pleasant little book any Londoner or British birdwatcher in general would appreciate.
With thanks to Paradise Road for the free copy for review.
Night Theatre by Vikram Paralkar
This short novel has an irresistible (cover and) setup: late one evening a surgeon in a rural Indian clinic gets a visit from a family of three: a teacher, his pregnant wife and their eight-year-old son. But there’s something different about this trio: they’re dead. They each bear hideous stab wounds from being set upon by bandits while walking home late from a fair. In the afterlife, an angel reluctantly granted them a second chance at life. If the surgeon can repair their gashes before daybreak, and as long as they stay within the village boundaries, their bodies will be revivified at dawn.
Paralkar draws on dreams, folktales and superstition, and the descriptions of medical procedures are vivid, as you would expect given the author’s work as a research physician at the University of Pennsylvania. The double meaning of the word “theatre” in the title encompasses the operating theatre and the dramatic spectacle that is taking place in this clinic. But somehow I never got invested in any of these characters and what might happen to them; the précis is more exciting than the narrative as a whole.
A favorite passage:
“Apart from the whispering of the dead in the corridor, the silence was almost deliberate – as if the crickets had been bribed and the dogs strangled. The village at the base of the hillock was perfectly still, its houses like polyps erupting from the soil. The rising moon had dusted them all with white talc. They appeared to have receded in the hours after sunset, abandoning the clinic to its unnatural deeds.”
With thanks to Serpent’s Tail for the free copy for review.
The Making of You: A Journey from Cell to Human by Katharina Vestre
A sprightly layman’s guide to genetics and embryology, written by Doctoral Research Fellow at the University of Oslo Department of Biosciences. Addressed in the second person, as the title suggests, the book traces your development from the sperm Leeuwenhoek studied under a microscope up to labor and delivery. Vestre looks at all the major organs and the five senses and discusses what can go wrong along with the normal quirks of the body.
I learned all kinds of bizarre facts. For instance, did you know that sperm have a sense of smell? And that until the 1960s pregnancy tests involved the death of a mouse or rabbit? Who knew that babies can remember flavors and sounds experienced in utero?
Vestre compares human development with other creatures’, including fruit flies (with whom we share half of our DNA), fish and alligators (which have various ways of determining gender), and other primates (why is it that they stay covered in fur and we don’t?). The charming style is aimed at the curious reader; I rarely felt that things were being dumbed down. Most chapters open with a fetal illustration by the author’s sister. I’m passing this on to a pregnant friend who will enjoy marveling at everything that’s happening inside her.
A representative passage:
“This may not sound terribly impressive; I promised you dramatic changes, and all that’s happened is that a round plate has become a triple-decker cell sandwich. But you’re already infinitely more interesting than the raspberry you were a short while ago. These cells are no longer confused, needy newcomers with no idea where they are or what they’re supposed to do. They have completed a rough division of labour. The cells on the top layer will form, among other things, skin, hair, nails, eye lenses, nerves and your brain. From the bottom layer you’ll get intestines, liver, trachea and lungs. And the middle layer will become your bones, muscles, heart and blood vessels.”
With thanks to Wellcome Collection/Profile Books for the free copy for review.
Would you be interested in reading one or more of these?
I’m squeaking in here on the 31st with the doorstopper I’ve been reading all month. I started Cutting for Stone in an odd situation on the 1st: We’d attempted to go to France that morning but were foiled by a fatal engine failure en route to the ferry terminal, so were riding in the cab of a recovery vehicle that was taking us and our car home. My poor husband sat beside the driver, trying to make laddish small talk about cars, while I wedged myself by the window and got lost in the early pages of Indian-American doctor Abraham Verghese’s saga of twins Marion and Shiva, born of an unlikely union between an Indian nun, Sister Mary Joseph Praise, and an English surgeon, Thomas Stone, at Missing Hospital in Addis Ababa in 1954.
What with the flashbacks and the traumatic labor, it takes narrator Marion over 100 pages to get born. That might seem like a Tristram Shandy degree of circumlocution, but there was nary a moment when my interest flagged during this book’s 50-year journey with a medical family starting in a country I knew nothing about. I was reminded of Midnight’s Children, in that the twin brothers are born loosely conjoined at the head and ever after have a somewhat mystical connection, understanding each other’s thoughts even when they’re continents apart.
When Sister Mary Joseph Praise dies in childbirth and Stone absconds, the twins are raised by the hospital’s blunt obstetrician, Hema, and her husband, a surgeon named Ghosh. Both brothers follow their adoptive parents into medicine and gain knowledge of genitourinary matters. We observe a vasectomy, a breech birth, a C-section, and the aftermath of female genital mutilation. While Marion relocates to an inner-city New York hospital, Shiva stays in Ethiopia and becomes a world expert on vaginal fistulas. The novel I kept thinking about was The Cider House Rules, which is primarily about orphans and obstetrics, and I was smugly confirmed by finding Verghese’s thanks to his friend John Irving in the acknowledgments.
Ethiopia’s postcolonial history is a colorful background, with Verghese giving a bystander’s view of the military coup against the Emperor and the rise of the Eritrean liberation movement. Like Marion, the author is an Indian doctor who came of age in Ethiopia, a country he describes as a “juxtaposition of culture and brutality, this molding of the new out of the crucible of primeval mud.” Marion’s experiences in New York City and Boston then add on the immigrant’s perspective on life in the West in the 1980s onwards.
Naomi of Consumed by Ink predicted long ago that I’d love this, and she was right. Of course I thrilled to the accounts of medical procedures, such as an early live-donor liver transplant (this was shortlisted for the Wellcome Book Prize in 2009), but that wasn’t all that made Cutting for Stone such a winner for me. I can’t get enough of sprawling Dickensian stories in which coincidences abound (“The world turns on our every action, and our every omission, whether we know it or not”), minor characters have heroic roles to play, and humor and tragedy balance each other out, if ever so narrowly. (Besides Irving, think of books like The Heart’s Invisible Furies by John Boyne.) What I’m saying, as I strive to finish this inadequate review in the last hour of the last day of the month, is that this was just my sort of thing, and I hope I’ve convinced you that it might be yours, too.
Hema: “The Hippocratic oath is if you are sitting in London and drinking tea. No such oaths here in the jungle. I know my obligations.”
“Doubt is a first cousin to faith”
“A childhood at Missing imparted lessons about resilience, about fortitude, and about the fragility of life. I knew better than most children how little separate the world of health from that of disease, living flesh from the icy touch of the dead, the solid ground from treacherous bog.”
Page count: 667
Next month: Since Easter falls in April and I’ve been wanting to read it for ages anyway, I’ve picked out The Resurrection of Joan Ashby by Cherise Wolas to start tomorrow.
Last month I picked out this exchange from East of Eden by John Steinbeck:
“But the Irish are said to be a happy people, full of jokes.”
“They’re not. They’re a dark people with a gift for suffering way past their deserving. It’s said that without whisky to soak and soften the world, they’d kill themselves. But they tell jokes because it’s expected of them.”
There’s something about that mixture of darkness and humor, isn’t there? I also find that Irish art (music as well as literature) has a lot of heart. I only read two Ireland-related historical novels this month, but they both have that soulful blend of light and somber. Both:
Things in Jars by Jess Kidd (2019)
In the autumn of 1863 Bridie Devine, female detective extraordinaire, is tasked with finding the six-year-old daughter of a baronet. Problem is, this missing girl is no ordinary child, and collectors of medical curiosities and circus masters alike are interested in acquiring her.
In its early chapters this delightful Victorian pastiche reminded me of a cross between Sarah Waters’s Fingersmith and Neil Gaiman’s The Graveyard Book, and that comparison played out pretty well in the remainder. Kidd paints a convincingly gritty picture of Dickensian London, focusing on an underworld of criminals and circus freaks: when Bridie first arrived in London from Dublin, she worked as an assistant to a resurrectionist; her maid is a 7-foot-tall bearded lady; and her would-be love interest, if only death didn’t separate them, is the ghost of a heavily tattooed boxer.
Medicine (surgery – before and after anesthesia) and mythology (mermaids and selkies) are intriguing subplots woven through, such that this is likely to appeal to fans of The Way of All Flesh and The Mermaid and Mrs Hancock. Kidd’s prose is spry and amusing, particularly in her compact descriptions of people (but also in her more expansive musings on the dirty, bustling city): “a joyless string of a woman, thin and pristine with a halibut pout,” “In Dr Prudhoe’s countenance, refinement meets rogue,” and “People are no more than punctuation from above.”
I’ll definitely go back and read Kidd’s two previous novels, Himself and The Hoarder. I didn’t even realize she was Irish, so I’m grateful to Cathy for making me aware of that in her preview of upcoming Irish fiction. [Trigger warnings: violence against women and animals.] (Out from Canongate on April 4th.)
Away by Jane Urquhart (1993)
I was enraptured from the first line: “The women of this family leaned towards extremes” – starting with Mary, who falls in love with a sailor who washes up on the Irish coast in the 1840s amid the cabbages, silver teapots and whiskey barrels of a shipwreck and dies in her arms. Due to her continued communion with the dead man, people speak of her being “away with the fairies,” even after she marries the local schoolteacher, Brian O’Malley.
With their young son, Liam, they join the first wave of emigration to Canada during the Potato Famine, funded by their landlords, the Sedgewick brothers of Puffin Court (amateur naturalist Osbert and poet Granville). No sooner have the O’Malleys settled and had their second child, Eileen, than Mary disappears. As she grows, Eileen takes after her mother, mystically attuned to portents and prone to flightiness, while Liam is a happily rooted Great Lakes farmer. Like Mary, Eileen has her own forbidden romance, with a political revolutionary who dances like a dream.
I’ve been underwhelmed by other Urquhart novels, Sanctuary Line and The Whirlpool, but here she gets it just right, wrapping her unfailingly gorgeous language around an absorbing plot – which is what I felt was lacking in the others. The Ireland and Canada settings are equally strong, and the spirit of Ireland – the people, the stories, the folk music – is kept alive abroad. I recommend this to readers of historical fiction by Margaret Atwood, A.S. Byatt and Hannah Kent.
Some favorite lines:
Osbert says of Mary: “There’s this light in her, you see, and it must not be put out.”
“When summer was finished the family was visited by a series of overstated seasons. In September, they awakened after night frosts to a woods awash with floating gold leaves and a sky frantic with migrating birds – sometimes so great in number that they covered completely with their shadows the acre of light and air that Brian had managed to create.”
“There are five hundred and forty different kinds of weather out there, and I respect every one of them. White squalls, green fogs, black ice, and the dreaded yellow cyclone, just to mention a few.”
Did you manage to read any Irish literature this month?
On Tuesday the longlist for the 2019 Wellcome Book Prize will be announced. For the third year in a row I’m running a shadow panel, and it’s composed of the same four wonderful book bloggers who joined me last year: Paul Cheney of Halfman, Halfbook, Annabel Gaskell of Annabookbel, Clare Rowland of A Little Blog of Books, and Dr. Laura Tisdall.
This year we’re going to do things slightly differently: we plan to split up the longlist, taking two to three titles each, so that between us we will have read them all and can announce our own preferred shortlist before the official shortlist is announced in March. At that point we’ll catch up by (re)reading the six shortlisted books, each reviewing the ones we haven’t already. Essentially, I’m adding an extra stage of shadow panel judging, simply because I can. I hope it will be fun – and also less onerous, in that we should get a leg-up on the shortlist and not have to read all six books in March‒April, which has proved to be a challenge in the past.
My Wellcome Prize hopefuls are all the fiction or nonfiction titles I’ve read on a medical theme that were published in the UK in calendar year 2018. I have put asterisks beside the 12 books in this post that I predict for the longlist. (The combination of wishful thinking and likelihood means that these are not exclusively my personal favorites.)
Below is a list of the books I’ve already featured on the blog in some way, with links to my coverage and a few-word summary of their relevance.
Gross Anatomy by Mara Altman: Female body woes
*Beneath the Skin: Great Writers on the Body: Essays on organs
*All that Remains by Sue Black: Forensic anthropology
Everything Happens for a Reason by Kate Bowler: Living with advanced cancer
Heal Me by Julia Buckley: Tackling chronic pain
*The Unmapped Mind by Christian Donlan: Adjusting to life with MS
From Here to Eternity by Caitlin Doughty: Funerary rites around the world
This Really Isn’t About You by Jean Hannah Edelstein: A genetic disease in the family
Natural Causes by Barbara Ehrenreich: Questioning the wellness culture
On Smaller Dogs and Larger Life Questions by Kate Figes: Pondering breast cancer
Shapeshifters by Gavin Francis: Instances of bodily change
The Reading Cure by Laura Freeman: Healing from an eating disorder
Nine Pints by Rose George: The story of blood
Waiting for the Last Bus by Richard Holloway: Ageing and death
*Heart: A History by Sandeep Jauhar: Heart disease and treatments
Sick by Porochista Khakpour: Chronic Lyme disease
Human Errors by Nathan Lents: Flawed bodies; evolutionary adaptations
Skybound by Rebecca Loncraine: Breast cancer; flying lessons
Amateur by Thomas Page McBee: Memoir of F2M transformation
*Face to Face by Jim McCaul: Tales of facial surgery
*Somebody I Used to Know by Wendy Mitchell: A firsthand account of early Alzheimer’s
*That Was When People Started to Worry by Nancy Tucker: Mental illness from the inside
*The Language of Kindness by Christie Watson: Nursing as a vocation
Little by Edward Carey: Anatomical models in wax (thanks to Clare for the reminder!)
Orchid & the Wasp by Caoilinn Hughes: Non-epileptic seizures
*The Winter Soldier by Daniel Mason: Neurology, surgery during WWI
The Way of All Flesh by Ambrose Parry: Medicine in 1840s Edinburgh
Other eligible books that I have read but not happened to mention on the blog:
In Shock by Rana Awdish: The doctor became the patient when Awdish, seven months pregnant, was rushed into emergency surgery with excruciating pain due to severe hemorrhaging into the space around her liver, later explained by a ruptured tumor. Having experienced brusque, cursory treatment, even from colleagues at her Detroit-area hospital, she was convinced that doctors needed to do better. This memoir is a gripping story of her own medical journey and a fervent plea for compassion from medical professionals.
Doctor by Andrew Bomback: Part of the Bloomsbury Object Lessons series, this is a wide-ranging look at what it’s like to be a doctor. Bomback is a kidney specialist; his wife is also a doctor, and his father, fast approaching retirement, is the kind of old-fashioned, reassuring pediatrician who knows everything. Even the author’s young daughter likes playing with a stethoscope and deciding what’s wrong with her dolls. In a sense, then, Bomback uses fragments of family memoir to compare the past, present and likely future of medicine.
A Moment of Grace by Patrick Dillon [skimmed]: A touching short memoir of the last year of his wife Nicola Thorold’s life, in which she battled acute myeloid leukemia. Dillon doesn’t shy away from the pain and difficulties, but is also able to summon up some gratitude.
Get Well Soon: Adventures in Alternative Healthcare by Nick Duerden: British journalist Nick Duerden had severe post-viral fatigue after a run-in with possible avian flu in 2009 and was falsely diagnosed with ME / CFS. He spent a year wholeheartedly investigating alternative therapies, including yoga, massage, mindfulness and meditation, visualization, talk therapy and more. He never comes across as bitter or sorry for himself. Instead, he considered fatigue a fact of his new life and asked what he could do about it. So this ends up being quite a pleasant amble through the options, some of them more bizarre than others.
*Sight by Jessie Greengrass [skimmed]: I wanted to enjoy this, but ended up frustrated. As a set of themes (losing a parent, choosing motherhood, the ways in which medical science has learned to look into human bodies and minds), it’s appealing; as a novel, it’s off-putting. Had this been presented as a set of autobiographical essays, perhaps I would have loved it. But instead it’s in the coy autofiction mold where you know the author has pulled some observations straight from life, gussied up others, and then, in this case, thrown in a bunch of irrelevant medical material dredged up during research at the Wellcome Library.
*Brainstorm: Detective Stories From the World of Neurology by Suzanne O’Sullivan: Epilepsy affects 600,000 people in the UK and 50 million worldwide, so it’s an important condition to know about. It is fascinating to see the range of behaviors seizures can be associated with. The guesswork is in determining precisely what is going wrong in the brain, and where, as well as how medicines or surgery could address the fault. “There are still far more unknowns than knowns where the brain is concerned,” O’Sullivan writes; “The brain has a mind of its own,” she wryly adds later on. (O’Sullivan won the Prize in 2016 for It’s All in Your Head.)
I’m also currently reading and enjoying two witty medical books, The Mystery of the Exploding Teeth and Other Curiosities from the History of Medicine by Thomas Morris, and Chicken Unga Fever by Phil Whitaker, his collected New Statesman columns on being a GP.
Four additional books I have not read but think might have a chance of making the longlist:
Primate Change: How the World We Made Is Remaking Us by Vybarr Cregan-Reid
The Beautiful Cure: Harnessing Your Body’s Natural Defences by Daniel M. Davis
Because I Come from a Crazy Family: The Making of a Psychiatrist by Edward M. Hallowell
*She Has Her Mother’s Laugh: The Powers, Perversions, and Potential of Heredity by Carl Zimmer
Look out for the announcement of the longlist on Tuesday afternoon! I’ll report back, perhaps on Wednesday, with some reactions and the shadow panel’s reviewing strategy.