From a vibrant novel about trauma and second chances to a cultural history of our knowledge of the organ and its symbols, via a true story of the effects of being struck by lightning, what might these three disparate books have to tell us about the human heart on Valentine’s Day?
America Is Not the Heart by Elaine Castillo (2018)
This was criminally overlooked a few years ago, though I do remember Naomi F. featuring it on The Writes of Womxn. Set in the early 1990s in the Filipino immigrant neighborhoods of the Bay Area in California, it throws you into an unfamiliar culture at the deep end. There are lots of different ethnicities mentioned, and snippets of various languages (not just Tagalog, the one I knew of previously) run through the text, sometimes translated but often not. It’s a complex, confident debut novel that references episodes from the history of the Philippines of which I was mostly ignorant – genocide and reforms, dictatorship and a Marxist resistance.
Geronima is a family name for the De Veras; not many realize that Hero, in her mid-thirties and newly arrived in the USA as an undocumented immigrant, and her cousin Roni, her uncle Pol’s seven-year-old daughter, share the same first name. Hero is estranged from her wealthy parents: they were friendly with the Marcos clan, while she ran away to serve as a doctor in the New People’s Army for 10 years. We gradually learn that she was held in a prison camp for two years and subjected to painful interrogations. Still psychologically as well as physically marked by the torture, she is reluctant to trust anyone. She stays under the radar, just taking Roni to and from school and looking after her while her parents are at work.
When Roni’s mother Paz, a medical professional, turns to traditional practices for help with Roni’s extreme eczema, Hero takes Roni to the Boy’s BBQ & Grill / Mai’s Hair and Beauty complex to see Adela Cabugao, a Filipina faith healer. The restaurant becomes a refuge for Hero and Roni – a place where they hang out with Adela’s granddaughter, Rosalyn, and her friends in the long hours Paz is away at her hospital jobs, eating and watching videos or reading Asian comics. Over the next few years Rosalyn introduces Hero to American holidays and customs. Castillo is matter-of-fact about Hero’s hook-ups with guys and girls but never strident about a bisexuality label. Hero pursues sex but remains wary of romance.
The everydayness of life here – car rides, cassette tapes, job applications, foil trays of food – contrasts with too-climactic memories. Though the plot can meander, there’s forward motion in that Hero shifts from a survival mindset into an assurance of safety that allows her to start rebuilding her life. I loved the 1990s as a setting. The characters shine and the dialogue (not in speech marks) feels utterly authentic in this fresh immigration story. My only minor disappointment was that second-person narration does not recur beyond a chapter about Paz and one about Rosalyn. The title riffs on a classic of Filipino American literature, America Is in the Heart (1946) by Carlos Bulosan, though I didn’t explore that comparison; it’s a novel that opens up real Google wormholes, should you take up the challenge. Castillo’s vibrant, distinctive voice reminded me of authors from Chimamanda Ngozi Adichie to Viet Thanh Nguyen. Please tell me she has another book in the works.
Favorite line: “Baggage means no matter how far you go, no matter how many times you immigrate, there are countries in you you’ll never leave.”
Words about the heart:
“Hero had no truck with people for whom the heart was a dreamt-up thing, held together by divine saliva, a place where gods of love still made their beds. A heart was something you could buy on the street, six to a skewer … served with garlicky rice and atsuete oil.”
“Hero had never even felt ambivalence toward Pol … She’d only ever known what it felt like to love him, to keep the minor altar of admiration for him in her heart well cleaned, its flowers rotless and blooming. What she hadn’t known was that her love was a room, cavernous, and hate could enter there, too; curl up in the same bed, blanketed and sleep-warm.”
“May tinik sa puso. You know what that means? Like she has a fishbone in the heart. She’s angry about something.”
Source: Free from a neighbor
A Match to the Heart by Gretel Ehrlich (1994)
In August 1991, as a summer thunderstorm approached her Wyoming ranch, Ehrlich was struck by lightning. Although she woke up in a pool of blood, her dogs stayed by her side and she was able to haul herself the quarter-mile home and call 911 before she collapsed completely. Being hit by so much electricity (10–30 million volts) had lasting effects on her health. Her heart rhythms were off and she struggled with fatigue for years to come. In a sense, she had died and come back to a subtly different life.
After relocating to the California coast, she shadows her cardiologist and observes open-heart surgery, attends the annual Lightning Strike and Electric Shock Conference, and explores a new liminal land of beaches and islands. Again and again, she uses metaphors of the bardo and the phoenix to make sense of the in-between state she perhaps still inhabits. Full-on medical but also intriguingly mystical, this is another solid memoir from a phenomenal author. I know of her more as a nature/travel writer (This Cold Heaven is fantastic) and have another of her books on the shelf, The Solace of Open Spaces.
Words about the heart:
“Above and beyond the drama of cardiac arrest, or the threat of it, is the metaphorical territory of the heart: if love desists, if passion arrests, if compassion stops circulating through the arteries of society, then civilization, such as it is, will stop.”
“The thoracic cavity must have been the place where human music began, the first rhythm was the beat of the heart, and after that initial thump, waltzes and nocturnes, preludes and tangos rang out, straight up through flesh and capillary, nerve ganglion and epidermal layer, resonating in sternum bone: it wasn’t light that created the world but sound.”
Source: Birthday gift (secondhand) a couple years ago
Heart: The Story of Its Myths and Meanings by Gail Godwin (2001)
I’d read one novel and one memoir by Godwin and was excited to learn that she had once written a wide-ranging study of the religious and literary meanings overlaid on the heart. While there are some interesting pinpricks here, the delivery is shaky: she starts off with a dull, quotation-stuffed, chronological timeline, all too thorough in its plod from the Epic of Gilgamesh to the Industrial Revolution. I quickly resorted to skimming and my eye alighted on Chinese philosophy (“True knowledge, Confucius taught, lies in the heart. He created and taught an ethical system that emphasized ‘human-heartedness,’ stressing balance in the heart”) and Dickens’s juxtaposition of facts and emotion in Hard Times.
Part Two, “Heart Themes in Life and Art,” initially seemed more promising in that it opens with the personal stories of her half-brother’s death in a murder–suicide and her mother’s fatal heart attack while driving a car, but I didn’t glean much from her close readings of, e.g. Joseph Conrad and Elizabeth Bowen. Still, I’ll keep this on the shelf as a reference book for any specific research I might do in the future.
Source: Bookbarn International on February 2020 visit (my last time there)
If you read just one … It’s got to be America Is Not the Heart. (Though, if you’re also interested in first-person medical accounts, add on A Match to the Heart.)
I’m really not a Valentine’s Day person, yet this is the fifth year in a row that I’ve put together a themed post featuring books that have “Love” or a similar word in the title in the run-up to mid-February. (Here are the 2017, 2018, 2019 and 2020 posts. I’m also at work on a set of three “Heart” titles to post about on the 14th.) All three of the below books reflect, in their own ways, on how love perplexes and sustains us at different points in our lives.
The Emma Press Anthology of Love, ed. Rachel Piercey and Emma Wright (2018)
I read my first book from the publisher (Tiny Moons by Nina Mingya Powles) last summer and loved it, so when this one popped up in the Waterstones sale in January I snapped it up. Your average love poetry volume would trot out all the standards from Shakespeare’s sonnets to Carol Ann Duffy, whereas this features recent work from lesser-known contemporary poets. Of the 56 poets, I’d heard of just two before: Stephen Sexton, because I reviewed his collection, If All the World and Love Were Young, last year; and Rachel Long, because I was simultaneously reading her Costa Award-shortlisted debut, My Darling from the Lions.
What I most appreciated about the book is that it’s free of cliché. You can be assured there will be no ‘Roses are red, violets are blue’ simplicity of theme or style. It must be nigh on impossible to write about romantic and erotic love without resorting to the same old symbols, but here there is a fresh, head-turning metaphor every few pages. Rachel Plummer describes her first crush, on a video game character, in “Luigi.” Love is conveyed through endless cups of tea or practical skills that favor postapocalyptic survival; desire is sparked by the downy hair on a woman’s back or the deliberate way a lover pulls on a pair of tights. Anything might be a prelude to seduction: baking, preparing lab specimens, or taking a taster at the off-license.
There are no real duds here, but a couple of my overall favorites were “Note from Edinburgh” by Stav Poleg and “Not the Wallpaper Game” by Jody Porter (“her throat was a landmine grown over with roses / and her arms were the antidote to the sufferings of war”). I’m running low on poetry, so I’ve gone ahead and ordered three more original anthologies direct from The Emma Press (poems on the sea, illness, and aunts!). After all, it’s #ReadIndies month and I’m delighted to support this small publisher based in Birmingham.
I have a friend who always believed
love was like being touched
by a livewire or swimming
on her back in a lightning storm.
I want to tell her it’s homesickness,
how longing pulls us in funny ways.
(from “Falooda” by Cynthia Miller)
It’s today already
and we have only the rest of our lives.
Long may we dabble our feet in the clear Italian lakes.
Long may we mosey through the graveyards of the world.
(from “Romantic” by Stephen Sexton)
Love After Love by Ingrid Persaud (2020)
I saw the author read from this in November as part of a virtual Faber Live Fiction Showcase. My interest was then redoubled by the book winning the Costa First Novel Award. All three narrators – Betty, her son Solo, and their lodger Mr Chetan – are absolutely delightful, and I loved the Trini slang and the mix of cultures (for example, there is a Hindu temple where locals of Indian extraction go to practice devotion to the Goddess). Early on, I was reminded most, in voice and content, of Mr Loverman by Bernardine Evaristo.
But the lightness of Part One, which ends with a comically ill-fated tryst, soon fades. When Solo moves to New York City to make his own way in the world, he discovers that life is cruel and not everyone is good at heart. Indeed, my only hesitation in recommending this book is that it gets so very, very dark; the blurb and everything I had heard did not prepare me. If easily triggered, you need to know that there are many upsetting elements here, including alcoholism, domestic violence, self-harm, attempted suicide, sadomasochism, and gruesome murder. Usually, I would not list such plot elements for fear of spoilers, but it seems important to note that what seems for its first 100 pages to be such a fun, rollicking story becomes more of a somber commentary on injustices experienced by both those who leave Trinidad and those who stay behind.
A beautiful moment of reconciliation closes the story, but man, getting to that point is tough. The title speaks of love, yet this novel is a real heartbreaker. What that means, though, is that it makes you feel something. Not every author can manage that. So Persaud is a powerful talent and I would certainly recommend her debut, just with the above caveats.
Love’s Work: A Reckoning with Life by Gillian Rose (1995)
The English philosopher’s memoir-in-essays got on my radar when it was mentioned in two other nonfiction works I read in quick succession (one of my Book Serendipity incidents of late 2019): Notes Made while Falling by Jenn Ashworth and My Year Off by Robert McCrum. I had in mind that it was a cancer memoir, and while receiving a terminal diagnosis of ovarian cancer in her early forties is indeed an element, it is a wide-ranging short book that includes pen portraits of remarkable friends – an elderly woman, a man with AIDS – she met in New York City, musings on her Jewish family history and the place that religious heritage holds in her life, and memories of the contrast between the excitement of starting at Oxford and the dismay at her mother’s marriage to her stepfather (from whom she got her surname, having changed it by deed poll at age 16 from her father’s “Stone”) falling apart.
The mishmash of topics and occasional academic jargon (e.g., “These monitory anecdotes indicate, however, the anxiety of modernity” and “Relativism of authority does not establish the authority of relativism: it opens reason to new claimants”) meant I didn’t enjoy this as much as I’d expected to.
Words about love:
“However satisfying writing is—that mix of discipline and miracle, which leaves you in control, even when what appears on the page has emerged from regions beyond your control—it is a very poor substitute indeed for the joy and the agony of loving.”
“There is no democracy in any love relation: only mercy. … each party … is absolute power as well as absolute vulnerability. … I am highly qualified in unhappy love affairs. My earliest unhappy love affair was with Roy Rogers.”
“To grow in love-ability is to accept the boundaries of oneself and others, while remaining vulnerable, woundable, around the bounds. Acknowledgement of conditionality is the only unconditionality of human love.”
If you read just one … Make it The Emma Press Anthology of Love. (But, if you’re feeling strong, add on Love After Love, too.)
Have you read any books about love lately?
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?
This Being/Becoming/Asking the Expert week of the month-long Nonfiction November challenge is hosted by Rennie of What’s Nonfiction.
I’m also counting this as the first entry in my new “Three on a Theme” series, where I’ll 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. I have another medical-themed one lined up for this Friday as a second ‘Being the Expert’ entry.
I never set out to read several memoirs of women’s experience of postpartum depression this year; it sort of happened by accident. I started with the graphic memoir and then chanced upon a recent pair of traditional memoirs published in the UK – in fact, I initially pitched them as a dual review to the TLS, but they’d already secured a reviewer for one of the books.
Inferno: A Memoir by Catherine Cho
I was delighted to see this prediction of mine make the Sunday Times Young Writer of the Year Award shortlist. Coincidentally, I was already halfway through the book on my Kindle (via NetGalley) at that point, but its nomination gave me the push to finish in a timely manner. Cho, a Korean American literary agent based in London, experienced stress-induced postpartum psychosis after the birth of her son, Cato. She and her husband James had gone back to the USA when Cato was two months old to introduce him to friends and family, ending with a big Korean 100-day celebration for him at her in-laws’ home in New Jersey. Almost as soon as they got to her in-laws’, though, she started acting strangely: she was convinced there were cameras watching their every move, and Cato’s eyes were replaced with “devil’s eyes.” She insisted they leave for a hotel, but soon she would be in an emergency room, followed by a mental health ward.
Cho alternates between her time on the New Bridge ward – writing in a notebook, trying to act normal whenever James visited, expressing milk from painfully swollen breasts, and interacting with her fellow patients with all their quirks – and a rundown of the rest of her life before the breakdown. Her Kentucky childhood was marked by her mathematician father’s detachment and the sense that she and her brother were together “in the trenches,” pitted against the world. In her twenties she worked in a New York City corporate law firm and got caught up in an abusive relationship with a man she moved to Hong Kong to be with. All along she weaves in her family’s history and Korean sayings and legends that explain their values.
Twelve days. That was the length of her hospitalization in early 2018, but Cho so painstakingly depicts her mindset that readers are fully immersed in an open-ended purgatory – a terrifying time when she questioned her sanity and whether she was cut out for motherhood. “Koreans believe that happiness can only tempt the fates and that any happiness must be bought with sorrow,” she writes. She captures both extremes, of suffering and joy, in this vivid account.
What Have I Done? An honest memoir about surviving postnatal mental illness by Laura Dockrill
Dockrill is a British children’s author. Her style reminded me of others of her contemporaries who do a good line in light, witty, warts-and-all, here’s-what-it’s-really-like-to-be-a-woman books: Dolly Alderton, Caitlin Moran and the like. From a labor that quickly deviated from her birth plan due to an emergency Caesarean to the usual post-baby blues to full-blown psychosis, Dockrill recreates her experience with fluid dialogue and italicized passages of her paranoid imaginings. Her memoir resembles Cho’s in its broad strokes but also in certain particulars, like imagining surveillance cameras and hearing a voice in her head telling her she is a bad mum. I skimmed this one because of a library deadline and because of an overload on similar content. I had a greater affinity for Cho’s literary style compared to the more between-girlfriends, self-help bent of this memoir. With the glossary and resources at the end, though, I’d say this one would be more useful for someone going through the same thing.
Dear Scarlet: The Story of My Postpartum Depression by Teresa Wong (2019)
Memoir as letter and as graphic novel. Wong narrates the traumatic birth of her first child and her subsequent postpartum depression in black-and-white sketches that manage to feel breezy and fun despite the heavy subject matter. “I felt lost. I had no maternal instincts and no clue how I was supposed to take care of a baby,” she writes to Scarlet. “Your first two months in the world were the hardest two months of my life.”
For Wong, a combination of antidepressants, therapy, a postnatal doula, an exercise class, her mother’s help, and her husband’s constant support got her through, and she knows she’s lucky to have had a fairly mild case and to have gotten assistance early on. I loved the “Not for the Faint of Heart” anatomical spreads and the reflections on her mother’s tough early years after arriving in Canada from China.
The drawing and storytelling style is similar to that of Sarah Laing and Debbie Tung. The writing is more striking than the art, though, so I hope that with future work the author will challenge herself to use more color and more advanced designs (from her Instagram page it looks like she is heading that way).
My thanks to publicist Beth Parker for the free e-copy for review.
What I learned:
All three authors emphasize that motherhood does not always come naturally; “You might not instantly love your baby,” as Dockrill puts it. There might be a feeling of detachment –from the baby and/or from one’s new body. They all note that postpartum depression is common and that new mothers should not be ashamed of seeking help from medical professionals, baby nurses, family members and any other sources of support.
These two passages were representative for me:
Cho: “I don’t feel a rush of love or an overwhelming weight of responsibility, emotions that I’d been expecting. Instead, I felt curious, like I’d just been introduced to a stranger. He was a creature, an idea, not even human yet, just a being, a life. … I’d thought I would reclaim my body after birth, but instead, it was now a tool, something to sustain life.”
Dockrill: “If childbirth and motherhood are the most natural, universal, common things in the world, the things that women have been doing since the beginning of time, then why does nobody tell us that there’s a good chance that you might not feel like yourself after you have a baby? That you might even lose your head? That you might not ever come back?”
Nobody Told Me by Hollie McNish, one of my current bedside books, also deals with complicated pregnancy emotions and the chaotic early months of motherhood.
If you read just one, though… Make it Inferno by Catherine Cho.