Here’s a recap of what’s on the Wellcome Book Prize longlist, with links to all the reviews that have gone up on our blogs so far:
Amateur: A true story about what makes a man by Thomas Page McBee
Astroturf by Matthew Sperling
Educated by Tara Westover
Freshwater by Akwaeke Emezi
Heart: A history by Sandeep Jauhar
Mind on Fire: A memoir of madness and recovery by Arnold Thomas Fanning
Murmur by Will Eaves
My Year of Rest and Relaxation by Ottessa Moshfegh
Polio: The odyssey of eradication by Thomas Abraham
Sight by Jessie Greengrass
The Trauma Cleaner: One woman’s extraordinary life in death, decay and disaster by Sarah Krasnostein
This Really Isn’t About You by Jean Hannah Edelstein
Together we have chosen the six* books we would like to see advance to the shortlist. This is based on our own reading and interest, but also on what we think best fits the prize’s aim, as stated on the website:
To be eligible for entry, a book should have a central theme that engages with some aspect of medicine, health or illness. At some point, medicine touches all our lives. Books that find stories in those brushes with medicine are ones that add new meaning to what it means to be human. The subjects these books grapple with might include birth and beginnings, illness and loss, pain, memory, and identity. In keeping with its vision and goals, the Wellcome Book Prize aims to excite public interest and encourage debate around these topics.
Here are the books (*seven of them, actually) that we’ll be rooting for – we had a tie on a couple:
Amateur: A true story about what makes a man by Thomas Page McBee
Educated by Tara Westover
Heart: A history by Sandeep Jauhar
Murmur by Will Eaves
Sight by Jessie Greengrass
The Trauma Cleaner by Sarah Krasnostein
This Really Isn’t About You by Jean Hannah Edelstein
The official Wellcome Book Prize shortlist will be announced on Tuesday the 19th. I’ll check back in on Wednesday with our reactions to the shortlist and the plan for covering the rest of the books we haven’t already read.
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I guarantee you’ve never read a biography quite like this one. For one thing, its subject is still alive and has never been much of a public figure, at least not outside Victoria, Australia. For another, your average biography is robustly supported by archival evidence; to the contrary, this is a largely oral history conveyed by an unreliable narrator. And lastly, whether a biography is critical or adulatory overall, the author usually at least feigns objectivity. Sarah Krasnostein doesn’t bother with that. Sandra Pankhurst’s life is an incredible blend of ordinary and bizarre circumstances and experiences, and it’s clear Krasnostein is smitten with her. “I fall in love … anew each time I listen to her speak,” she gushes towards the book’s end. At first I was irked by all the fawning adjectives she uses for Sandra, but eventually I stopped noticing them and allowed myself to sink into this astonishing story.
Krasnostein parcels this chronology into tantalizing pieces, interspersed with chapters in which she accompanies Sandra and her team on assignments. They fumigate and clean up bodily fluids after suicides and overdoses, but also deal with clients who have lost control of their possessions – and, to some extent, their lives. They’re hoarders, cancer patients and ex-convicts; their homes are overtaken by stuff and often saturated with mold or feces. Sandra sympathizes with the mental health struggles that lead people into such extreme situations. Her line of work takes “Great compassion, great dignity and a good sense of humour,” she tells Krasnostein; even better if you can “not … take the smell in, ’cause they stink.”
The author does a nice job of staying out of the narrative: though she’s an observer and questioner, there’s only the occasional paragraph in which she mentions her own life. Her mother left when she was young, which helps to explain why she is so compassionate towards the addicts and hoarders she meets with Sandra. Some of the loveliest passages have her pondering how things got so bad for these people and affirming that their lives still have value. As for Sandra herself – now in her sixties and increasingly ill with lung disease and cirrhosis – Krasnostein believes she’s never been unconditionally loved and so has never formed true human connections.
Ever since she was let go from her job at a gallery that showcases ridiculous modern art, the only people in this character’s life are an on-again, off-again boyfriend, Trevor, and her best (only) friend from college, longsuffering Reva, who keeps checking up on her in her New York City apartment even though she consistently treats Reva with indifference or disdain. Soon her life is a bleary cycle of sleepwalking and sleep-shopping, interspersed with brief periods of wakefulness, during which she watches a nostalgia-inducing stream of late-1990s movies on video (the kind of stuff I watched at sleepovers with my best friend during high school) – she has a weird obsession with Whoopi Goldberg.
The subject is Alan Pryor, or “the scientist.” It’s clear that he is a stand-in for Alan Turing, quotes from whom appear as epigraphs at the head of most chapters. Turing was arrested for homosexuality and subjected to chemical castration. I happily read the first-person “Part One: Journal,” which was originally a stand-alone story (shortlisted for the BBC National Short Story Award 2017), but “Part Two: Letters and Dreams” was a lot harder to get into, so I ended up just giving the rest of the book a quick skim. If this is shortlisted, I promise to return to it and give it fair consideration. 
Fanning had suffered from periods of depression ever since his mother’s death from cancer when he was 20, but things got much worse when he was 28 and living in Dublin. It was the summer of 1997 and he’d quit a full-time job to write stories and film scripts. What with the wild swings in his moods and energy levels, though, he found it increasingly difficult to get along with his father, with whom he was living. He also got kicked out of an artists’ residency, and on the way home his car ran out of petrol – such that when he called the police for help, it was for a breakdown in more than one sense. This was the first time he was taken to a psychiatric unit, at the Tyrone and Fermanagh Hospital, where he stayed for 10 days.
Sing to It: New Stories by Amy Hempel [releases on the 26th]: “When danger approaches, sing to it.” That Arabian proverb provides the title for Amy Hempel’s fifth collection of short fiction, and it’s no bad summary of the purpose of the arts in our time: creativity is for defusing or at least defying the innumerable threats to personal expression. Only roughly half of the flash fiction achieves a successful triumvirate of character, incident and meaning. The author’s passion for working with dogs inspired the best story, “A Full-Service Shelter,” set in Spanish Harlem. A novella, Cloudland, takes up the last three-fifths of the book and is based on the case of the “Butterbox Babies.” (Reviewed for the Pittsburgh Post-Gazette.) 
The Cook by Maylis de Kerangal (translated from the French by Sam Taylor) [releases on the 26th]: This is a pleasant enough little book, composed of scenes in the life of a fictional chef named Mauro. Each chapter picks up with the young man at a different point as he travels through Europe, studying and working in various restaurants. If you’ve read The Heart / Mend the Living, you’ll know de Kerangal writes exquisite prose. Here the descriptions of meals are mouthwatering, and the kitchen’s often tense relationships come through powerfully. Overall, though, I didn’t know what all these scenes are meant to add up to. Kitchens of the Great Midwest does a better job of capturing a chef and her milieu. 
Holy Envy: Finding God in the Faith of Others by Barbara Brown Taylor [releases on the 12th]: After she left the pastorate, Taylor taught Religion 101 at Piedmont College, a small Georgia institution, for 20 years. This book arose from what she learned about other religions – and about Christianity – by engaging with faith in an academic setting and taking her students on field trips to mosques, temples, and so on. She emphasizes that appreciating other religions is not about flattening their uniqueness or looking for some lowest common denominator. Neither is it about picking out what affirms your own tradition and ignoring the rest. It’s about being comfortable with not being right, or even knowing who is right. 
Magic realism and mental illness fuel a swirl of disorienting but lyrical prose in this debut novel by a Nigerian–Tamil writer. Much of the story is told by the ọgbanje (an Igbo term for evil spirits) inhabiting Ada’s head: initially we have the first person plural voice of “Smoke” and “Shadow,” who deem “the Ada” a daughter of the python goddess Ala and narrate her growing-up years in Nigeria; later we get a first-person account from Asụghara, who calls herself “a child of trauma” and leads Ada into promiscuity and drinking when she is attending college in Virginia.
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.
The Beautiful Cure: Harnessing Your Body’s Natural Defences by Daniel M. Davis