It’s my stop on the “Not the Wellcome Prize” blog tour. With two dozen reviews of health-themed 2019 books to choose from, I decided to nominate these two for the longlist because they’re under the radar compared to some other medical releases, plus they showcase the breadth of the books that the Prize recognizes: from a heartfelt memoir of a mother welcoming premature babies to a laugh-out-loud graphic novel about a doctor practicing in a small town in Wales. (The Prize website says “picture-led books are not eligible,” so in fact it is likely that graphic novels have never been considered, but we’ve been flexible with the rules for this unofficial blog tour.)
Mother Ship by Francesca Segal
This first work of nonfiction from the author of the exquisite The Innocents is a visceral diary of the first eight weeks in the lives of her twin daughters, who were born by Caesarean section at 29 weeks in October 2015 and spent the next two months in the NICU, “an extremely well-funded prison or perhaps more accurately a high-tech zoo.” In Mother Ship, she strives to come to terms with this unnatural start to motherhood. “Taking my unready daughters from within me felt not like a birth but an evisceration,” she writes. “My children do not appear to require mothering. Instead they need sophisticated medical intervention.”
Segal describes with tender precision the feeling of being torn: between the second novel she’d been in the middle of writing and the all-consuming nature of early parenthood; and between her two girls (known for much of the book as “A-lette” and “B-lette”), who are at one point separated in different hospitals. Her attitude towards the NHS is pure gratitude.
As well as portraying her own state of mind, she crafts twinkly pen portraits of the others she encountered in the NICU, including the staff but especially her fellow preemie mums, who met in a “milking shed” where they pumped breast milk for the babies they were so afraid of losing that they resisted naming. (Though it was touch and go for a while, A-lette and B-lette finally earned the names Raffaella and Celeste and came home safely.) Female friendship is thus a subsidiary theme in this exploration of desperate love and helplessness.
The Lady Doctor by Ian Williams
This sequel to 2014’s The Bad Doctor returns to a medical practice in small-town Wales. This time, though, the focus is on Iwan James’s colleague, Dr. Lois Pritchard, who also puts in two days a week treating embarrassing ailments at the local hospital’s genitourinary medicine clinic. At nearly 40, Lois is a divorcee with no children; just a dog. She enjoys her nights out drinking with her best friend, Geeta, but her carefree life is soon beset by various complications: she has to decide whether she wants to join the health centre as a full partner, a tryst with her new fella goes horribly wrong, and her estranged mother suddenly reappears in her life, hoping that Lois will give her a liver transplant. And that’s not to mention all the drug addicts and VD-ridden lotharios hanging about.
Williams was a GP in North Wales for 20 years, and no doubt his experiences have inspired his comics. His tone is wonderfully balanced: there are plenty of hilarious, somewhat raunchy scenes, but also touching moments where Lois learns that a doctor is never completely off duty and has no idea what medical or personal challenge will crop up next. The drawing style reminded me most of Alison Bechdel’s or Posy Simmonds’, with single shades from rose to olive alternating as the background. I especially loved the pages where each panel depicts a different patient to show the range of people and complaints a doctor might see in a day. Myriad Editions have a whole “Graphic Medicine” series that I’m keen to explore.
See below for details of the blogs where other reviews have appeared or will be appearing soon.
The shadow panel will choose a shortlist of six titles to be announced on 4 May. We will then vote to choose a winner, with the results of a Twitter poll serving as one additional vote. The Not the Wellcome Prize winner will be announced on 11 May.
This sequel to Ian Williams’s 2014 graphic novel The Bad Doctor returns to a medical practice in small-town Wales. This time, though, the focus is on Iwan James’s colleague, Dr. Lois Pritchard, who also puts in two days a week treating embarrassing ailments at the local hospital’s genitourinary medicine clinic. At nearly 40, Lois is a divorcee with no children, just a dog. She enjoys nights out drinking with her best friend, Geeta, but her carefree life is soon beset by complications: she has to decide whether she wants to join the health center as a full partner, a tryst with her new fella goes horribly wrong, and her estranged mother suddenly reappears in her life, hoping Lois will give her a liver transplant. And that’s not to mention all the drug addicts and VD-ridden lotharios hanging about.
Williams was a GP in North Wales for 20 years; no doubt his experiences have inspired his comics. His 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 (and in the cover blurb she says, “Ian Williams is the best thing to happen to medicine since penicillin”), with single colors from pink to olive alternating as the background. I especially loved the pages where each panel depicts a different patient to show the breadth of people and complaints a doctor might see in a day.
This review is on the short side for me, but I don’t want to resort to spoilers, so will just say that if you’re a fan of Bechdel and Posy Simmonds, or if you are unfamiliar with graphic novels and fancy trying one, do seek this out. The medical theme made it a must for me. In fact, Myriad Editions have a whole “Graphic Medicine” series that I’ll be keen to explore.
The Lady Doctor will be published in the UK by Myriad Editions on January 31st and in the USA by Penn State University Press on February 18th. My thanks to the publisher and publicist Emma Dowson for the free copy for review.
Heart: A History, by Sandeep Jauhar
There could hardly be an author better qualified to deliver this thorough history of the heart and the treatment of its problems. Sandeep Jauhar is the director of the Heart Failure Program at Long Island Medical Center. His family history – both grandfathers died of sudden cardiac events in India, one after being bitten by a snake – prompted an obsession with the heart, and he and his brother both became cardiologists. As the book opens, Jauhar was shocked to learn he had up to a 50% blockage of his own coronary vessels. Things had really gotten personal.
Cardiovascular disease has been the #1 killer in the West since 1910 and, thanks to steady smoking rates and a continuing rise in obesity and sedentary lifestyles, will still affect 60% of Americans. However, the key is that fewer people will now die of heart disease thanks to the developments of the last six decades in particular. These include the heart–lung machine, cardiac catheterization, heart transplantation, and artificial hearts.
Along the timeline, Jauhar peppers in bits of his own professional and academic experience, like experimenting on frogs during high school in California and meeting his first cadaver at medical school. My favorite chapter was the twelfth, “Vulnerable Heart,” which is about how trauma can cause heart arrhythmias; it opens with an account of the author’s days cataloguing body parts in a makeshift morgue as a 9/11 first responder. I also particularly liked his account of being called out of bed to perform an echocardiogram, which required catching a taxi at 3 a.m. and avoiding New York City’s rats.
Maybe I’ve read too much surgical history this year (The Butchering Art by Lindsey Fitzharris and Face to Face by Jim McCaul), though, because I found myself growing fairly impatient with the medical details in the long Part II, which centers on the heart as a machine, and was drawn more to the autobiographical material in the first and final sections. Perhaps I would prefer Jauhar’s first book, Intern: A Doctor’s Initiation.
In terms of readalikes, I’d mention Siddhartha Mukherjee’s The Gene, in which the personal story also takes something of a backseat to the science, and Gavin Francis’s Shapeshifters, which exhibits a similar interest in the metaphors applied to the body. While I didn’t enjoy this quite as much as two other heart-themed memoirs I’ve read, The Sanctuary of Illness by Thomas Larson and Echoes of Heartsounds by Martha Weinman Lear, I still think it’s a strong contender for next year’s Wellcome Book Prize (the judging panel is announced tomorrow!).
Some favorite lines:
“it is increasingly clear that the biological heart is extraordinarily sensitive to our emotional system—to the metaphorical heart, if you will.”
“Who but the owner can say what lies inside a human heart?”
“As a heart-failure specialist, I’d experienced enough death to fill up a lifetime. At one time, it was difficult to witness the grief of loved ones. But my heart had been hardened, and this was no longer that time.”
Heart is published in the UK today, September 27th, by Oneworld. My thanks to the publisher for the proof copy for review.
In My Mind’s Eye: A Thought Diary, by Jan Morris
I’ve been an admirer of Jan Morris’s autobiographical and travel writing for 15 years or more. In this diary covering 2017 into early 2018, parts of which were originally published in the Financial Times and the Welsh-language literary newspaper O’r Pedwar Gwynt, we get a glimpse into her life in her early nineties. It was a momentous time in the world at large but a fairly quiet and reflective span for her personally. Though each day’s headlines seem to herald chaos and despair, she’s a blithe spirit – good-natured about the ravages of old age and taking delight in the routines of daily one-mile walks down the lane and errands in local Welsh towns with her beloved partner Elizabeth, who’s in the early stages of dementia.
There are thrilling little moments, though, when a placid domestic life (a different kind of marmalade with breakfast each day of the week!) collides with exotic past experiences, and suddenly we’re plunged into memories of travels in Swaziland and India. Back when she was still James, Morris served in World War II, was the Times journalist reporting from the first ascent of Everest, and wrote a monolithic three-volume history of the British Empire. She took her first airplane flight 70 years ago, and is nostalgic for the small-town America she first encountered in the 1950s. Hold all that up against her current languid existence among the books and treasures of Trefan Morys and it seems she’s lived enough for many lifetimes.
There’s a good variety of topics here, ranging from current events to Morris’s love of cats; I particularly liked the fragments of doggerel. However, as is often the case with diaries, read too many entries in one go and you may start to find the sequence of (non-)events tedious. Each piece is only a page or two, so I tried never to read many more than 10 pages at a time. Even so, I noticed that the plight of zoo animals, clearly a hobby-horse, gets mentioned several times. It seemed to me a strange issue to get worked up about, especially as enthusiastic meat-eating and killing mice with traps suggest that she’s not applying a compassionate outlook consistently.
In the end, though, kindness is Morris’s cardinal virtue, and despite minor illness, telephone scams and a country that looks to be headed to the dogs, she’s encouraged by the small acts of kindness she meets with from friends and strangers alike. Like Diana Athill (whose Alive, Alive Oh! this resembles), I think of Morris as a national treasure, and I was pleased to spend some time seeing things from her perspective.
Some favorite lines:
“If I set out in the morning for my statutory thousand daily paces up the lane, … I enjoy the fun of me, the harmless conceit, the guileless complexity and the merriment. When I go walking in the evening, on the other hand, … I shall recognize what I don’t like about myself – selfishness, self-satisfaction, foolish self-deceit and irritability. Morning pride, then, and evening shame.” (from Day 99)
“Good or bad, virile or senile, there’s no life like the writer’s life.” (from Day 153)
In My Mind’s Eye was published by Faber & Faber on September 6th. My thanks to the publisher for the free copy for review.
Here’s a quick look back at a baker’s dozen of 2018 releases that have stood out most for me so far. I’ve linked to books that I’ve already reviewed in full on the blog or elsewhere.
The Only Story by Julian Barnes: A familiar story: a May–December romance fizzles out. A sad story: an idealistic young man who swears he’ll never be old and boring has to face that this romance isn’t all he wanted it to be. A love story nonetheless. Paul met 48-year-old Susan, a married mother of two, at the local tennis club when he was 19. The narrative is partly the older Paul’s way of salvaging what happy memories he can, but also partly an extended self-defense. Barnes takes what could have been a dreary and repetitive story line and makes it an exquisitely plangent progression: first-person into second-person into third-person. The picture of romantic youth shading into cynical but still hopeful middle age really resonates, as do the themes of unconventionality, memory, addiction and pity.
The Immortalists by Chloe Benjamin: Summer 1969: four young siblings escape a sweltering New York City morning by visiting a fortune teller who can tell you the day you’ll die. In the decades that follow, they have to decide what to do with this advance knowledge: will it spur them to live courageous lives, or drive them to desperation? This compelling family story lives up to the hype. Imagine the fun Benjamin had researching four distinct worlds: Daniel, a military doctor, examines Iraq War recruits; Klara becomes a magician in Las Vegas; Varya researches aging via primate studies; and Simon is a dancer in San Francisco. The settings, time periods, and career paths are so diverse that you get four novels’ worth of interesting background.
Florida by Lauren Groff: Two major, connected threads in this superb story collection are ambivalence about Florida, and ambivalence about motherhood. There’s an oppressive atmosphere throughout, with environmental catastrophe an underlying threat. Set-ups vary in scope from almost the whole span of a life to one scene. A dearth of named characters emphasizes just how universal the scenarios and emotions are. Groff’s style is like a cross between Karen Russell’s Swamplandia! and Cormac McCarthy’s The Road, and her unexpected turns of phrase jump off the page. A favorite was “Above and Below,” in which a woman slips into homelessness. Florida feels innovative and terrifyingly relevant. Any one of its stories is a bracing read; together they form a masterpiece.
Motherhood by Sheila Heti: Should one have children? Should I have children? No matter who’s asking the questions or in what context, you’re going to get the whole gamut of replies. Heti’s unnamed heroine consults a fortune teller and psychics, tosses coins and interprets her dreams as The Decision looms. Chance, inheritance, and choice vie for pride of place in this relentless, audacious inquiry into the purpose of a woman’s life. I marked out dozens of quotes that could have been downloaded directly from my head or copied from my e-mails and journal pages. The book encapsulates nearly every thought that has gone through my mind over the last decade as I’ve faced the intractable question of whether to have children. Heti has captured brilliantly what it’s like to be in this situation in this moment in time.
Orchid & the Wasp by Caoilinn Hughes: The action spans about nine years: a politically turbulent decade that opens with the Iraq War protests and closes with the Occupy movement in New York City. Gael Foess, our lovable antiheroine, is a trickster. She’s learned well her banker father’s lesson that money and skills don’t get distributed fairly in this life, so she’s going to do what she can to ensure that her loved ones succeed. Art, music, religion and health are major interlocking themes. The author is wonderfully adept at voices, and the book’s frenetic pace is well matched by the virtuosic use of language – wordplay, neologisms, and metaphors drawn from the arts and nature. Hughes is an exciting writer who has rightfully attracted a lot of buzz for her debut.
The Italian Teacher by Tom Rachman: Charles “Pinch” Bavinsky is just an Italian teacher, though as a boy in Rome in the 1950s–60s he believed he would follow in the footsteps of his sculptor mother and his moderately famous father, Bear Bavinsky, who paints close-ups of body parts. We follow Pinch through the rest of his life, a sad one of estrangement, loss and misunderstandings – but ultimately there’s a sly triumph in store for the boy who was told that he’d never make it as an artist. Rachman jets between lots of different places – Rome, New York City, Toronto, rural France, London – and ropes in quirky characters in the search for an identity and a place to belong. This is a rewarding story about the desperation to please, or perhaps exceed, one’s parents, and the legacy of artists in a fickle market.
The Line Becomes a River by Francisco Cantú: Francisco Cantú was a U.S. Border Patrol agent for four years in Arizona and Texas. Impressionistic rather than journalistic, his book is a loosely thematic scrapbook. He inserts snippets of U.S.–Mexico history, including the establishment of the border, and quotes from other primary and secondary texts. He also adds in fragments of his family’s history: His ancestors left Mexico during the Mexican Revolution of the 1910s, but there’s no doubt his Latino name and features made him a friendly face for illegal immigrants. The final third of the book makes things personal when his friend is detained in Mexico. Giving faces to an abstract struggle, this work passionately argues that people should not be divided by walls but united in common humanity.
The Unmapped Mind by Christian Donlan: Some of the best medical writing from a layman’s perspective I’ve ever read. Donlan, a Brighton-area video games journalist, was diagnosed with (relapsing, remitting) multiple sclerosis in 2014. “I think sometimes that early MS is a sort of tasting menu of neurological disease,” Donlan wryly offers. He approaches his disease with good humor and curiosity, using metaphors of maps to depict himself as an explorer into uncharted territory. The accounts of going in for an MRI and a round of chemotherapy are excellent. Short interludes also give snippets from the history of MS and the science of neurology in general. What’s especially nice is how he sets up parallels with his daughter’s early years. My frontrunner for next year’s Wellcome Book Prize so far.
Free Woman by Lara Feigel: Doris Lessing lived by ideals of free love and Communism, but it came at the price of abandoning her children. Lara Feigel could identify with Lessing in some ways, and as she entered a rocky time in her mid-thirties – a miscarriage followed by IVF, which was a strain on her marriage; the death of a close friend; ongoing worry over how motherhood might affect her academic career – she set out to find what Lessing could teach her about how to be free. A familiarity with the works of Doris Lessing is not a prerequisite to enjoying this richly satisfying hybrid of biography, literary criticism and memoir. The Golden Notebook is about the ways in which women compartmentalize their lives and the struggle to bring various strands into harmony; that’s what Free Woman is all about as well.
Implosion by Elizabeth W. Garber: The author grew up in a glass house designed by her father, Modernist architect Woodie Garber, outside Cincinnati in the 1960s to 70s. This and Woodie’s other most notable design, Sander Hall, a controversial tower-style dorm at the University of Cincinnati that was later destroyed in a controlled explosion, serve as powerful metaphors for her dysfunctional family life. Woodie is such a fascinating, flawed figure. Garber endured sexual and psychological abuse yet likens him to Odysseus, the tragic hero of his own life. She connected with him over Le Corbusier’s designs, but it was impossible for a man born in the 1910s to understand his daughter’s generation. This definitely is not a boring tome just for architecture buffs. It’s a masterful memoir for everyone.
Skybound by Rebecca Loncraine: Each year seems to bring one exquisite posthumous memoir about facing death with dignity. For Rebecca Loncraine, after treatment for breast cancer in her early thirties, taking flying lessons in an unpowered glider was her way of rediscovering joy and experiencing freedom by facing her fears in the sky. She discovered a particular love for flying alongside birds: red kites in Wales, and vultures in Nepal. The most remarkable passages of the book are the exhilarating descriptions of being thousands of feet up in the air and the reflections on why humans are drawn to flight and what it does for our bodies and spirits. Loncraine had virtually finished this manuscript when her cancer returned; she underwent another 14 grueling months of treatment before her death in September 2016.
Bookworm by Lucy Mangan: Mangan takes us along on a nostalgic chronological tour through the books she loved most as a child and adolescent. No matter how much or how little of your early reading overlaps with hers, you’ll appreciate her picture of the intensity of children’s relationship with books – they can completely shut out the world and devour their favorite stories over and over, almost living inside them, they love and believe in them so much – and her tongue-in-cheek responses to them upon rereading them decades later. There are so many witty lines that it doesn’t really matter whether you give a fig about the particular titles she discusses or not. A delightful paean to the joys of being a lifelong reader; recommended to bibliophiles and parents trying to make bookworms out of their children.
Educated by Tara Westover: This is one of the most powerful and well-written memoirs I’ve ever read. It tells of a young woman’s off-grid upbringing in Idaho and the hard work that took her from almost complete ignorance to a Cambridge PhD. Westover’s is an incredible story about testing the limits of perseverance and sanity. Her father may have been a survivalist, but her psychic survival is the most impressive outcome here. What takes this astonishing life story to the next level, making it a classic to sit alongside memoirs by Alexandra Fuller, Mary Karr and Jeannette Walls, is the writing. Westover writes with calm authority, channeling the style of the scriptures and history books that were formative in her upbringing and education.
What are some of the best books you’ve read so far this year?
What 2018 releases do I need to catch up on right away?
Many travel books are about the quest for new, exotic places and the widest possible range of experiences; many nature books focus on the surprising quality and variety of life to be found by staying close to home. In that loose framework, Neil Ansell’s The Last Wilderness belongs on the nature shelf rather than the travel section: here he’s all about developing his knowledge of a particular place, the Northwest Highlands of Scotland, where he stays five times over the course of one year to give a panoramic view of the area in different non-touristy seasons.
Ansell’s visits have the flavor of a pilgrimage: his wonder at the region’s sights and sounds, and particularly at the creatures he encounters, is akin to what one would experience in the presence of the holy; he also writes about wildlife as if it is a relic of a fast-vanishing world. “It is that exploratory desire to possess the wilds for ourselves that has resulted in their disappearance,” he notes. A true wilderness is unvisited, and true solitude is hard to experience “if the world is only a click away.”
Depicted against this backdrop of environmental damage are the author’s personal losses: a heart problem and progressive hearing loss mean that the world is narrowing in for him. He mourns each sign of diminishment, such as the meadow pipits whose call he can no longer hear. Depth of experience is replacing breadth for him, though flashbacks to his intrepid world travels – an African safari, hitchhiking in Australia, time in Sweden and Costa Rica – show that he has tried both approaches. There’s a good balance here between adventuring and the comfort of an increasingly familiar place.
Like “a tale told round a campfire,” Ansell’s is a meandering and slightly melancholy story that draws you in. If The Last Wilderness suffers, it’s mostly in comparison with his Deep Country (2011), one of the most memorable nature/travel books I’ve ever read, a modern-day Walden about his five years living in a cottage in the Welsh hills. Solitude and survival are more powerful themes there, though they echo here too. Once again, he writes of magical encounters with wildlife and gives philosophical reflections on the nature of the self. I can highly recommend Neil Ansell’s books to anyone who enjoys nature and travel writing.
The Last Wilderness: A Journey into Silence will be published by Tinder Press on February 8th. My thanks to Becky Hunter for the review copy.
We had a wonderful time in Hay-on-Wye. The weather was gorgeous – which we never would have counted on in Wales in early April – and it was a treat to get out into the countryside. Even though there were road works on the main route through Hay and a house under construction across from our Airbnb property, it was so quiet most of the time. Most often we only heard sheep and pheasants in the fields or songbirds flitting around the garden. We’ve been back to normal life for a few days, but the contrast between Hay and our terraced street’s noisy neighbors and frequent car movement has remained stark. Also, I greatly enjoyed the time off work, and struggled to clear 200+ e-mails the day after we got back.
Early bargains came from the Oxfam charity shop (a box outside with paperbacks at 5 for £1, plus various nearly new copies at 99p each) and the ‘honesty’ shopping areas around the castle (50p paperbacks and £1 hardbacks). Each day my husband’s and my rival stacks kept growing.
In the end we purchased 41 books, averaging £1.48 each: 3 gifts (alas that we couldn’t do better in this respect) plus another 19 books each. All very equitable! My husband focused on nature and travel, including some rare and novelty insect books.
Some of my prize finds were a vintage copy of the next book in Doreen Tovey’s cat series, a copy of the Joyce Carol Oates novel I intend to make my introduction to her work, and Marilyn Johnson’s book on obituaries. As a bonus, three of the books I bought are ones I’ve already read: Vikram Seth’s travel book on China, How to Age from the School of Life series – a total bargain at 50p!, and Posy Simmonds’ Tamara Drewe, an update of Thomas Hardy’s Far from the Madding Crowd and one of the first graphic novels I ever read and loved.
Of course, I didn’t end up reading very much (or any) of many of the books I took with me. I glanced at The Rebecca Rioter, but didn’t find it at all interesting; I forgot to look at The Airbnb Story; and I seem to be stuck fast just two chapters into Our Mutual Friend. On the other hand, I’ve been enjoying Bruce Chatwin’s On the Black Hill, of which I read over half, and I made good progress in George Saunders’s Lincoln in the Bardo.
It’s also been fun to browse Francis Kilvert’s diary entries from his years as the curate in nearby Clyro. In one of my favorite passages, he expresses horror at finding British tourists overrunning Llanthony Abbey ruins. For a minister, he certainly sounds like a misanthrope:
I had the satisfaction of managing to walk from Hay to Clyro by the fields without meeting a single person, always a great triumph to me and a subject for warm self congratulation for I have a peculiar dislike to meeting people, and a peculiar liking for a deserted road.
We went out to Llanthony for the first time on this trip, and paid Clyro’s church a visit, too.
Hay is much less shabby compared to our first visit. Many of the shops have been spruced up, and the pubs can’t get away with serving bog-standard fare anymore. A number of the newest eateries and entertainment venues are only open on weekends, so we’ll be sure to time our next trip to cover a Friday–Saturday. The town has even gained some hipster establishments, like a fair-trade shop and a coffee shop/vintage clothing emporium.
The Book Arts Trail was celebrating the 40 years of ‘independence’ of Richard Booth’s kingdom of Hay this year, and I expect we’ll still find the place going strong at 50.