Wellcome Book Prize: Shortlist Recap
Tomorrow morning we will announce our Wellcome Book Prize 2018 shadow panel winner. Beforehand I wanted to do a quick recap of my reviews, especially for the two books that I read before the shortlist announcement. My full reviews are here:
Stay with Me by Ayobami Adebayo 
To Be a Machine by Mark O’Connell 
Mayhem by Sigrid Rausing
The Vaccine Race by Meredith Wadman
I give some extra thoughts on and favorite quotes from the other two below:
The Butchering Art by Lindsey Fitzharris
This is a great blend of medical history and popular science that should draw in readers who wouldn’t normally gravitate to either topic – provided they aren’t too squeamish. Fitzharris has recently returned to Oxford as a visiting academic, and this has also been nominated for the Wolfson History Prize. Follow her on Instagram (@drlindseyfitzharris) for a steady stream of gruesomely fascinating photos (I wish The Butchering Art had been illustrated!). Her next book will be much of a muchness, it seems, documenting the early years of plastic surgery after World War I through the story of pioneering surgeon Harold Gillies. 
In the days before Joseph Lister…
“Operating theaters were gateways to death. It was safer to have an operation at home than in a hospital, where mortality rates were three to five times higher than they were in domestic settings.”
“The surgeon was very much viewed as a manual labourer who used his hands to make his living, much like a key cutter or plumber today.”
See what the rest of the shadow panel has to say about this book:
Annabel’s review: “[A]n extremely readable account of a ground-breaking career which led to real advances in hospital medicine. I enjoyed the whole, but particularly the grisly bits!”
Laura’s review: “It’s easy for me to feel a bit impatient with popular histories of periods or subjects that I know well, but Fitzharris strikes exactly the right note, writing clearly and accessibly with no dumbing down.”
Paul’s review: “It is one of the better books that I have read on medical history[;] Fitzharris writes in an engaging way on a subject that is not going to appeal to everyone, but in amongst all the blood is the fascinating story of Joseph Lister.”
With the End in Mind by Kathryn Mannix
“It’s time to talk about dying. This is my way of promoting the conversation,” Mannix writes in her introduction to this accessible and reassuring book about death. She believes we are afraid of death because of our misconception that it is inevitably painful and undignified. In her decades of working in hospice care, this has rarely been the case. (Thank goodness that, compared to the earlier nineteenth-century situation Fitzharris surveys, we have reliable pain control options.) Mannix sees the role of the hospice worker as being like a midwife for the dying, a helpful idea I first encountered in Henry Fersko-Weiss’s Caring for the Dying: The Doula Approach to a Meaningful Death.
Many of the stories in this book are of peaceful deaths the patient and family had time to prepare for. Others are sad stories of denial. One, though, is quite gruesome, yet magnificently described. Alex, a young man with testicular teratoma, has a massive GI bleed:
“Alex’s head is thrown back, almost as though it is a voluntary movement. A huge, dark-red python slithers rapidly out of his mouth, pushing his head backwards as it coils itself onto the pillow beside him; the python is wet and gleaming and begins to stain the pillowcase and sheets with its red essence as Alex takes one snoring breath, and then stops breathing. His mother screams as he realises that the python is Alex’s blood. Probably all of his blood.”
See what the rest of the shadow panel has to say about this book:
Annabel’s review: “[I]t is helping patients, and their families and loved ones, to understand the process of dying, and dispelling the taboos around it that make this book such a valuable and compelling read. I wish I’d read something like this book before my mum died.”
Clare’s review: “For me, this enlightening book is a strong potential winner for the Wellcome Book Prize and I hope it brings comfort and guidance for those who need it.”
Laura’s review: “[The book is] written from her own experiences as a specialist in palliative care, and this proved, for me, both its strength and its downfall. … Mannix writes particularly well on the characteristic patterns of somebody who is entering a gradual decline.”
Paul’s review: “Can highly recommend this moving book and I think it should be essential reading for anyone who has any concerns about death.”
I wouldn’t be at all surprised to see either of these win the Wellcome Book Prize on Monday. Stay tuned for tomorrow’s shadow panel winner announcement, and Sunday’s write-up of a shortlist event I’m attending in London.
Final Wellcome Book Prize Shortlist Review: The Vaccine Race by Meredith Wadman
I had hoped this would be a comparable read to Rebecca Skloot’s The Immortal Life of Henrietta Lacks and Siddhartha Mukherjee’s The Emperor of All Maladies, which are two of my absolute favorite books and were also among the first to turn me on to medical-themed literature. Instead, I found myself skimming through the book’s dense scientific and historical information: like Mukherjee’s other book, The Gene, which made last year’s Wellcome shortlist, The Vaccine Race is overstuffed with a mixture of the familiar (for me, at least – genetics), the seemingly irrelevant (cell culture techniques and scientific nomenclature), and the truly interesting (questions of medical ethics).
The unlikely protagonist of this story is Leonard Hayflick, a single-minded and resourceful researcher who is still alive in his late eighties and assented to dozens of interviews and many more e-mails as Wadman put this book together. While in high school Hayflick made a chemistry lab in his basement, and in college he built his father a dental lab: that tells you how driven he was. After graduating from the University of Pennsylvania, he worked at the Wistar Institute on its campus. He chiefly investigated whether viruses cause cancer and whether a cell line will be immortal or subject to the normal rules of aging – the Hayflick limit, named after him, is the number of cell divisions possible before a cell line dies out.
Hayflick experimented on his third child’s placenta, but also on aborted fetuses from the university hospital. Replacement fetal cell lines sourced from the Karolinska Institute in Stockholm, Sweden were used to produce the polio, rubella and rabies vaccines. In particular, he relied on the WI-38 line he developed from fetal cells taken from the Swedish “Mrs. X,” who – like Henrietta Lacks’s family – was never compensated; she did not want to be interviewed for or mentioned by name in this book. In the 1970s, with Roe v. Wade in the pipeline, the controversy over using aborted fetal tissue in research heated up*, and Hayflick was somewhat disgraced in the course of a 1976 lawsuit about his right to profit from WI-38.
But that’s not the only dubious ethical situation associated with the development of the twentieth century’s major vaccines: Hayflick’s bosses and associates had also tested early vaccines on intellectually disabled child “volunteers,” while a celebrated cancer researcher had injected cells into dying hospital patients and healthy prisoners in the name of science. Wadman writes, “by the mid-1960s, ordinary people were becoming less willing to give scientists carte blanche to tinker with human beings on a ‘Trust me, I know what’s best for you’ basis.” The question is whether these morally suspect strategies were worth it, given the alternative: rubella in pregnancy causes severe birth defects including blindness, while polio can be crippling and untreated rabies can lead to a slow and painful death.
These ethical questions are certainly worth thinking about, though the abortion history in particular is probably of much more interest to American readers. Here in Europe, abortion is a non-issue, so I don’t expect anyone to get fired up about the history of fetal tissue research. Wadman is certainly a thorough researcher and capable storyteller who doesn’t talk down when explaining science. That said, she might have scaled back on the science a bit to ensure that her work holds broader appeal for lay readers of popular science and medical history.
*More recently, Debi Vinnedge’s Children of God for Life nonprofit has opposed stem cell research despite a Vatican ruling that vaccines developed from fetal tissue are acceptable to use as long as there is no alternative.
My rating:
See what the rest of the shadow panel has to say about this book:
Annabel’s blog tour review: “The thrillerish feel to big pharma’s politics, and Hayflick’s continual battles for recognition and against anyone who wanted to take his cells away from him made for fascinating reading and added the much-needed human aspect.”
Clare’s review: “The Vaccine Race is a very dense read and some of the lengthier descriptions of things like the finer points of the biotechnology industry went a bit over my head in places. … However, the ethical debates are fascinating and clearly presented.”
Laura’s review: “Wadman writes clearly and compellingly, and given how much material she’s handling, managing to structure the book sensibly is a feat in itself. But I felt that The Vaccine Race was often not one thing or the other.”
Paul’s review: “It is a very important story that Wadman is telling … especially given that we may well be on the dawn of a new era in medicine with the rise of immunity against antibiotics.”
(Also, be sure to stop by Paul’s site today for an exclusive extract from The Vaccine Race as part of the ongoing blog tour.)
My gut feeling: This is the most science-y of the six books on the shortlist. For me that actually works against the broadness and public-facing nature of the prize, as expressed in its brief: “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.”
Shortlist strategy:
- Tomorrow I’ll quickly recap my thoughts about the two shortlisted books I read before the shortlist announcement, With the End in Mind and The Butchering Art.
- On Saturday morning I’ll announce our shadow panel winner. That day Clare and I are attending an event featuring five of the shortlisted authors in conversation at the Wellcome Collection in London. I’ll report back about it on Sunday.
- Monday is the awards ceremony, which I’ll be attending for the second year in a row. Expect my write-up of the experience on Tuesday. (In between you get a break from Wellcome Prize stuff with Library Checkout plus some recommendations for May!)
Wellcome Book Prize Blog Tour: Sigrid Rausing’s Mayhem
“Now that it’s all over I find myself thinking about family history and family memories; the stories that hold a family together and the acts that can split it apart.”
Sigrid Rausing’s brother, Hans, and his wife, Eva, were wealthy philanthropists – and drug addicts who kept it together long enough to marry and have children before relapsing. Hans survived that decade-long dive back into addiction, but Eva did not: in July 2012 the 48-year-old’s decomposed body was found in a sealed-off area of the couple’s £70 million Chelsea mansion. The postmortem revealed that she had been using cocaine, which threw her already damaged heart into a chaotic rhythm. She’d been dead in their drug den for over two months.
Those are the bare facts. Scandalous enough for you? But Mayhem is no true crime tell-all. It does incorporate the straightforward information that is in the public record – headlines, statements and appearances – but blends them into a fragmentary, dreamlike family memoir that proceeds through free association and obsessively deliberates about the nature and nurture aspects of addictive personalities. “We didn’t understand that every addiction case is the same dismal story,” she writes, in a reversal of Tolstoy’s maxim about unhappy families.
Rausing’s memories of idyllic childhood summers in Sweden reminded me of Tove Jansson stories, and the incessant self-questioning of a family member wracked by remorse is similar to what I’ve encountered in memoirs and novels about suicide in the family, such as Jill Bialosky’s History of a Suicide and Miriam Toews’ All My Puny Sorrows. Despite all the pleading letters and e-mails she sent Hans and Eva, and all the interventions and rehab spells she helped arrange, Rausing has a nagging “sense that when I tried I didn’t try hard enough.”
The book moves sinuously between past and present, before and after, fact and supposition. There are a lot of peculiar details and connections in this story, starting with the family history of dementia and alcoholism. Rausing’s grandfather founded the Tetra Pak packaging company, later run by her father. Eva had a pet conspiracy theory that her father-in-law murdered Swedish Prime Minister Olof Palme in 1986.
Rausing did anthropology fieldwork in Estonia and is now the publisher of Granta Books and Granta magazine. True to her career in editing, she’s treated this book project like a wild saga that had to be tamed, “all the sad and sordid details redacted,” but “I fear I have redacted too much,” she admits towards the end. She’s constantly pushing back against the more sensational aspects of this story, seeking instead to ground it in family experience. The book’s sketchy nature is in a sense necessary because information about her four nieces and nephews, of whom she took custody in 2007, cannot legally be revealed. But if she’d waited until they were all of age, might this have been a rather different memoir?
Mayhem effectively conveys the regret and guilt that plague families of addicts. It invites you to feel what it is really like to live through the “years of failed hope” that characterize this type of family tragedy. It doesn’t offer any easy lessons seen in hindsight. That makes it an uncomfortable read, but an honest one.
With thanks to Midas PR for the free copy for review.
My gut feeling: This book’s style could put off more readers than it attracts. I can think of two other memoirs from the longlist that I would have preferred to see in this spot. I suppose I see why the judges rate Mayhem so highly – Edmund de Waal, the chair of this year’s judging panel, describes the Wellcome shortlist as “books that start debates or deepen them, that move us profoundly, surprise and delight and perplex us” – but it’s not in my top tier.
See what the rest of the shadow panel has to say about this book:
Annabel’s review: “Rausing is clearly a perceptive writer. She is very hard on herself; she is brutally honest, knowing that others will be hurt by the book.”
Clare’s review: “Rausing writes thoughtfully about the nature of addiction and its many contradictions.”
Laura’s review: “One of the saddest bits of Mayhem is when Rausing simply lists some of the press headlines that deal with her family story in reverse order, illustrating the seemingly inescapable spiral of addiction.”
Paul’s review: “It is not an easy read subject wise, thankfully Rausing’s sparse but beautiful writing helps makes this an essential read.”
Also, be sure to visit Laura’s blog today for an exclusive extract from Mayhem.
Shortlist strategy: Tomorrow I’ll post a quick response to Meredith Wadman’s The Vaccine Race.
If you are within striking distance of London, please consider coming to one of the shortlist events being held this Saturday and Sunday.
I was delighted to be asked to participate in the Wellcome Book Prize blog tour. See below for details of where other reviews and extracts have appeared or will be appearing soon.
Blog Tour Review: The Leavers by Lisa Ko
Lisa Ko’s exceptional debut novel, The Leavers, was hand-picked by Barbara Kingsolver for the 2016 PEN/Bellwether Prize for Socially Engaged Fiction, was a finalist for the 2017 National Book Award for Fiction in the States, and is now the launch title for Little, Brown UK’s new imprint, Dialogue Books, which will feature “stories from illuminating voices often excluded from the mainstream,” specifically those “for, about and by readers from the LGBTQI+, disability, working class and BAME communities.” I highly recommend it to fans of Nathan Hill’s The Nix, Atticus Lish’s Preparation for the Next Life and Celeste Ng’s Little Fires Everywhere. It’s an ambitious and satisfying novel set in New York and China, with major themes of illegal immigration, searching for a mother and a sense of belonging, and deciding what to take with you from your past.
Eleven-year-old Deming Guo and his mother Peilan (nicknamed “Polly”), an undocumented immigrant, live in New York City with another Fuzhounese family: Leon, Polly’s boyfriend, works in a slaughterhouse, and they share an apartment with his sister Vivian and her son Michael. Deming gets back from school one day to find that his mother never came home from her job at a nail salon. She’d been talking about moving to Florida to work in a restaurant, but how could she just leave him behind with no warning?
Ten years later, Deming is Daniel Wilkinson, adopted and raised in upstate New York by a pair of white professors, Peter and Kay. He’s made a mess of his life with drinking and an addiction to online poker, and has been expelled from college. Now the guitar is his life, but even his best friend and bandmate Roland Fuentes isn’t willing to cut him any slack when he doesn’t show up for rehearsals and performances. Peter and Kay are pulling strings to get Daniel accepted into their college, but he keeps screwing up every chance he’s given. He can only hope his efforts to reconnect with his birth mother will be more successful.
The novel shifts fluidly between a third-person account of our protagonist then (Deming) and now (Daniel) and a first-person confession as Polly explains all: her upbringing in poverty in China, her pregnancy out of wedlock, her illegal entry to the United States, and why she had to leave Deming so suddenly. Polly and Deming/Daniel are vibrant characters, and I ached for their struggles. Both have the sense of being split between lives, of “juggling selves.” Their collective story is about figuring out who you are, what can be made right, and what to leave behind as you move forward in life. It’s such a beautiful novel, and an impressive debut from Lisa Ko.
My rating:
The Leavers will be published in paperback by Dialogue Books on April 26th. My thanks to Little, Brown for the free copy for review.
Two Memoirs: Border Control and Breast Cancer
The Line Becomes a River
Francisco Cantú was a U.S. Border Patrol agent in Arizona and Texas for four years. Agents tracked illegals using the same skills with which hunters stalk their prey. Once captured, the would-be immigrants were detained, processed and deported. Days in the field were full of smuggled drugs, cached belongings and corpses of those who’d tried to cross in inhospitable conditions. Even when Cantú was transferred to a desk job, he couldn’t escape news of Mexican drug cartels and ritual mutilation of traitors’ corpses. Dreams of wolves and of his teeth breaking and falling out revealed that this was a more stressful career than he ever realized. Cantú worried that he was becoming inured to the violence he encountered daily – was he using his position “as a tool for destruction or as one of safekeeping”?
Impressionistic rather than journalistic, the book is a loosely thematic scrapbook that uses no speech marks, so macho banter with colleagues blends into introspection, memories and stories. Cantú inserts snippets of U.S.–Mexico history, including the establishment of the border, and quotes from and discusses 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. He was often called upon to translate for those in custody. I felt that even if the overall policy was problematic, it was good to have someone compassionate in his job.
The final third of the book represents a change of gears: Cantú left law enforcement to be a Fulbright scholar and then embarked on an MFA in creative writing at the University of Arizona. During those years of study he worked as a barista at a food court and every day he chatted and shared food with another worker, José Martínez from Oaxaca. When José went back to Mexico to visit his dying mother and settle her estate, he was refused reentry to the United States for not having the proper papers. Cantú drew on his contacts in Border Patrol to find out when José’s hearing would be, helped his wife to gather character witness letters, and took José’s sons to visit him in the detention center during his continuance and civil trial. There’s a particularly wrenching recreated monologue from José himself.
I love these endpapers.
It is as if, for the first time, Cantú could see the human scale of U.S. immigration policy, what his mother, a former national park ranger, had described as “an institution with little regard for people.” No longer could he be blasé about the way things are. It was also, he recognized, an attempt to atone for the heartless deportations he had conducted as a Border agent. “All these years,” he said to his mother, “it’s like I’ve been circling beneath a giant, my gaze fixed upon its foot resting at the ground. But now, I said, it’s like I’m starting to crane my head upward, like I’m finally seeing the thing that crushes.” As he quotes from Holocaust historian Timothy Snyder, “It is for us as humanists to turn the numbers back into people.” That’s just what this remarkable memoir does. In giving faces to an abstract struggle, it passionately argues that people should not be divided by walls but united in common humanity.
My rating:
The Line Becomes a River was published in the UK by Bodley Head on March 1st. My thanks to the publisher for the free copy for review.
On Smaller Dogs and Larger Life Questions
It was hard to resist such a great title, especially with my penchant for cancer memoirs. In nine chapters that are almost like linked essays, Kate Figes reflects on the changes that a diagnosis of triple-negative, metastasized breast cancer has wrought in her life. However, like Vesna Goldsworthy’s Chernobyl Strawberries, the book sets the cancer experience within a wider life story of trauma and displacement. In the first essay, as Figes, a freelance nonfiction writer, approached age 60, she delighted in Zeus, their miniature wire-haired dachshund puppy, but also resented the sense of obligation. Cancer quickly changed her perspective.
I appreciated the lack of bitterness; the book’s focus is generally on resilience and on the liberation of knowing that little is now expected of her: “when there is no need to rush just to be able to get through everything I had to achieve each day, there is a glorious sense of freedom, of empty space.” Two chapters go in-depth into Figes’s “arsenal” of cancer-fighting tools, everything from hyperbaric oxygen treatments to yoga. She gave up sugar and swears by cannabis oil, filtered water, supplements and fresh juices. Her embrace of complementary medicine and discussion of her limitations – it takes her an hour and a half to get dressed and have breakfast – will probably mean the most to others with a chronic illness.
As to the other essays, “Tennis” is an ode to a favorite hobby she had to give up; “Mediation” is about training as a family mediator. The psychological understanding she gained through this and through researching her books helped her work through childhood hurt over her parents’ divorce. “The Beach Hut” remembers recent ‘escapes’ to the seaside and contrasts them with her Jewish mother’s* escape from 1930s Germany. “Home,” my favorite essay, is about clearing out her mother’s flat and the memories and comfort a home retains, even decades later. “That’s the power I will leave behind too, the essence of having been really known. It will pervade every piece of crockery I have eaten off, … every chair I have sat on.”
Unfortunately, Figes frequently uses clichéd language – “Cancer can feel isolating” and “battle is the right word” – and seems to give credence to the damaging idea that unresolved emotional trauma caused her cancer. What with the typos and the slight repetition across the essays, this feels like a book that was put together in a hurry. A bit more time and editing could have made it more cohesive and fresh. But perhaps Figes does not have that time. Fellow cancer patients may well appreciate her dispatches from what she calls “Planet Cancer,” but it’s not a book that will particularly stand out for me in this crowded genre.
*Her mother was Eva Figes, an author in her own right.
My rating:
On Smaller Dogs and Larger Life Questions was published by Virago on February 28th. My thanks to the publisher for the free copy for review.
Wellcome Book Prize Shortlist: To Be a Machine by Mark O’Connell
The topic of this shortlisted book didn’t particularly appeal to me, so I was pleasantly surprised to enjoy it. Transhumanism is about using technology to help us overcome human limitations and radically extend our lifespan. Many of the strategies O’Connell, a Dublin-based freelance writer with a literature background, profiles are on the verge of science fiction. Are we looking at liberation from the rules of biology, or enslavement to technology? His travels take him to the heart of this very American, and very male, movement.
Cryogenic freezing: The first person was cryogenically frozen in 1966. Max More’s Alcor Life Extension Foundation in Scottsdale, Arizona offers whole-body or head-only (“neuro”) options for $200,000 or $80,000. More argues that the residents of Alcor are somewhere between living and dead. These entities are held in suspension in the belief that technology will one day allow us to upload the contents of the mind into a new vessel.
- This approach seems to conceive of the human mind/consciousness as pure information to be computed.
Cyborgs: Grindhouse Wetware, near Pittsburgh, aims to turn people into literal cyborgs. Tim Cannon had a Circadia device the size of a deck of cards implanted in his arm for three months to take biometric measurements. Other colleagues have implanted RFID chips. He intends to have his arms amputated and replaced by superior prostheses as soon as the technology is available.
- That may seem extreme, but think how bound people already are to machines: O’Connell calls his smartphone a “mnemonic prosthesis” during his research travels.
Mortality as the enemy: Many transhumanists O’Connell meets speak of aging and death as an affront to human dignity. We mustn’t be complacent, they argue, but must oppose these processes with all we’re worth. One of the key people involved in that fight is Aubrey de Grey of SENS (“Strategies for Engineered Negligible Senescence”), and Google has also gotten in on it with their “Calico” project.
- O’Connell recounts explaining aging and death to his three-year-old son; his wife chipped in that – according to “Dada’s book” – perhaps by the time the boy is grown up death will no longer be a problem.
The Singularity: Posited by Ray Kurzweil, the Singularity is the future point at which artificial intelligence will surpass humanity. O’Connell likens it to the Christian idea of the Rapture, itself a moment of transcendence. At a conference on transhumanism and religion in Piedmont, California, he encounters Terasem, a religion founded recently by a transhumanist and transgender person.
- To my surprise, To Be a Machine makes frequent reference to religious ideas: O’Connell thinks of transhumanism as an attempt to reverse the Fall and become godlike, and he often describes the people he meets as zealots or saints, driven by the extremity of their beliefs. Both religion and transhumanism could be seen as a way of combating nihilism and insisting on the meaning of human life.
O’Connell’s outsider position helped me to engage with the science; he’s at least as interested, if not more so, in the deeper philosophical questions that transhumanism raises. I would caution that a grounding in religion and philosophy could be useful, as the points of reference used here range from the Gnostic gospels and St. Augustine to materialism and Nietzsche. But anyone who’s preoccupied with human nature should find the book intriguing.
You could also enjoy this purely as a zany travelogue along the lines of Elif Batuman’s The Possessed and Donovan Hohn’s Moby-Duck. The slapstick antics of the robots at the DARPA Robotics Challenge and the road trip in Zoltan Istvan’s presidential campaign Immortality Bus are particularly amusing. O’Connell’s Dickensian/Wildean delight in language is evident, and I also appreciated his passing references to William Butler Yeats.
It could be argued, however, that O’Connell was not the ideal author of this book. He is not naturally sympathetic to transhumanism; he’s pessimistic and skeptical, often wondering whether the proponents he meets are literally insane (e.g., to think that they are in imminent danger of being killed by robots). Most of the relevant research, even when conducted by Europeans, is going on in the USA, particularly in the Bay Area. So why would an Irish literary critic choose transhumanism as the subject for his debut? It’s a question I asked myself more than once, though it never stopped me from enjoying the book.
The title (from an Andy Warhol quote) may reference machines, but really this is about what it means to be human. O’Connell even ends with a few pages on his own cancer scare, a reminder that our bodies are flawed machines. I encourage you to give this a try even if you think you have no particular interest in technology or science fiction. It could also give a book club a lot to discuss.
Favorite lines:
“We exist, we humans, in the wreckage of an imagined splendor. It was not supposed to be this way: we weren’t supposed to be weak, to be ashamed, to suffer, to die. We have always had higher notions of ourselves. … The frailty is the thing, the vulnerability. This infirmity, this doubtful convalescence we refer to, for want of a better term, as the human condition.”
My rating:
See what the rest of the shadow panel has to say about this book:
Annabel’s review: “I loved this book from the front cover to the back, starting with its title. … He writes with empathy and a good deal of humour which makes the text always readable and entertaining, while provoking his readers to think deeply about their own beliefs.”
Clare’s review: “O’Connell’s prose style is wordy and ironic. He is pleasingly sceptical about many aspects of transhumanism. … It is an entertaining book which provides a lot of food for thought for a layperson like myself.”
Laura’s review: “Often, I found that his description of his own internal questions would mirror mine. This is a really fantastic book, and for me, a clear front runner for the Wellcome Book Prize.”
Paul’s review: “An interesting book that hopefully will provoke further discussion as we embrace technology and it envelops us.”
My gut feeling: Though they highlight opposite approaches to death – transcending it versus accepting it – this and Kathryn Mannix’s With the End in Mind seem to me the two shortlisted books of the most pressing importance. I’d be happy to see either of them win. To Be a Machine is an awful lot of fun to read, and it seems like a current favorite for our panel.
Shortlist strategy:
- I’m coming close to the end of my skim of The Vaccine Race by Meredith Wadman.
- I’m still awaiting a review copy of Mayhem by Sigrid Rausing, which I’ll be featuring as part of the official Wellcome Book Prize shortlist blog tour.
A Trip to Wigtown, Scotland’s Book Town
Wigtown is tucked away in the southwest corner of Scotland in Galloway, a region that doesn’t draw too many tourists. It did remind us a lot of Hay-on-Wye, the Book Town in Wales, what with the dry-stone walls, rolling green hills with more imposing mountains behind, sheep in the fields, and goodly number of bookshops. Wigtown is a sleepier place – it’s really just one main street and square – and has fewer bookshops and eateries overall, but the shops it does have are mainly large and inviting, and several are lovely bookshops-cum-cafés where you can pause for tea/coffee and cake before continuing with your book browsing. It rained for much of our trip and even snowed on a couple of brief occasions, but we got one day of very good weather and made the best of all the rest.
Day 1, Monday the 2nd: Six-plus hours of driving, partially in the sleet and snow, saw us arriving to our spacious and comfortable B&B by 6 p.m., giving us an hour to freshen up before dinner in the dining room. Cullen skink (leek and potato soup with chunks of smoked haddock); pork chops in a mustard cream sauce with roast parsnips, boiled potatoes and carrots, and mashed swede (aka rutabaga); and chocolate cake with gingerbread sauce. All delicious!
Day 2, Tuesday the 3rd: Smoked salmon and scrambled eggs for breakfast, accompanied by plenteous tea and toast. Off in the drizzle to see some local sites: Torhouse stone circle and Crook of Baldoon RSPB bird reserve. Nice sightings of whooper swans, pink-footed geese and lapwings, and a panoramic view of Wigtown across the way. Back to the car in the steady rain to find that we had a flat tire. Thanks to our foot pump, we got back to the W. Barclay garage in town, where they ordered a new tire and fitted the spare wheel. In the afternoon we drove to the Isle of Whithorn to see the 13th-century St. Ninian’s Chapel ruins and St. Ninian’s Cave. In the evening we went to Craft for beer/cider and the weekly acoustic music night, which, alas, just ended up being two old guys playing Americana songs on guitars.
Today’s book shopping: Glaisnock Café, where we also stopped for coffee and a tasty slice of courgette and avocado cake; The Open Book (run by Airbnb customers – this week it was Maureen from Pennsylvania and her niece Rebecca from Switzerland; they’d booked the experience two years ago, and the wait is now up to three years); the Wigtown Community shop (a charity shop); and browsing at Old Bank Books and Byre Books.
I loved seeing lots of Bookshop Band merchandise around. This was in the Festival Shop.
Day 3, Wednesday the 4th: Vegetarian ‘full Scottish’ cooked breakfast to fuel us for a rainy day of bookshops and explorations further afield. 12 p.m.: return trip to the garage to have our tire fitted. All the staff were so friendly and pleasant. They seemed delighted to see tourists around, and were interested in where we came from and what we were finding to do in the area. Mr. Barclay himself had one of the thickest Scottish accents I’ve ever heard, but I managed to decipher that he thinks of Galloway as “the next best place to heaven,” despite the weather. We spotted a local ‘celebrity’, Ben of the Bookshop Band, in the Co-op, but didn’t say hello as he was trying to pay for his shopping and had the baby in tow.
In the afternoon we ventured to Newton Stewart, the nearest big town, to buy petrol, picnic supper food, and another secondhand book at the community shop there. We retreated from the sudden snow for a scrumptious dinner of smoked salmon, black pudding and haggis (all of them battered and fried, with chips!) at a diner-like smokehouse. Back in Wigtown, we got a mainly dry evening to do the Martyrs’ Walk. In 1685 two Covenanters (Scottish reformers who broke from Charles I’s Anglican Church), Margaret McLachlan, 63, and Margaret Wilson, 18, were tied to stakes on the mud flats and allowed to drown in the rising tide.
Today’s book shopping: THE BOOKSHOP. I’ve meant to visit ever since I read Jessica Fox’s memoir, Three Things You Need to Know about Rockets, in February 2013. Previously based in California, Fox decided on a whim to visit a bookshop in Scotland and ended up here at the country’s largest. She promptly fell in love with the bookshop owner and with Wigtown itself; though she and Shaun Bythell are no longer an item, she has been a major mover and shaker in the town, playing a role in the annual festival and establishing The Open Book.
The Bookshop is a wonderfully rambling place with lots of nooks and crannies housing all sorts of categories. Look out for the shot and mounted Kindle, the Festival bed, the stuffed badger, a scroll of bookseller’s rules, Captain the cat, and a display of Bythell’s The Diary of a Bookseller. Together we found £35 worth of books we wanted to buy – whew! – thanks to my husband’s niche nature books, and had a nice chat with the man himself at the till. He signed my book, commiserated with us about the weather and our trip to see “Willie” (Barclay), and gave us tips for what to see locally. You’d hardly believe he’s the same curmudgeon who wrote the book. Now that I’ve been to the town and the shop, it’s time for me to start rereading it.
We also perused the smallish but very nice selection at Beltie Books, where we made a welcome stop for a cappuccino and some cookies, and I bought a cut-price new book at the Festival Shop. (They stock books by festival speakers plus a curated selection of new releases.)
Day 4, Thursday the 5th: SUNSHINE, at last! After hearty omelettes, we headed to the hill that overlooks the town to get the best views of the week. On to Monreith for a charming coastal walk up to the Gavin Maxwell monument of a bronze otter. (He wrote Ring of Bright Water, which my husband brought along to read on our trip.) After a lunch stop back in town, it was out to the red kite feeding station about 40 minutes away – I came for the books; my husband came for the red kites. Though they’re common enough in our part of Berkshire, he was keen to see the site of another recent reintroduction. Wales also has a feeding station we visited some years ago, and on both occasions seeing dozens of birds swoop down for meat was quite the spectacle – though here you sit on an open porch, even closer to the action. We did a few other short walks in the area, finishing off with a sunset sit in Wigtown’s bird hide.
Today’s book shopping: ReadingLasses calls itself Britain’s only women’s bookshop. They stock Persephone Books direct from Bloomsbury, and they also have a large selection of secondhand books. This is the best place to go in town for a light meal and a snack. We had delicious homemade soup with soda bread for an early lunch, followed by coffee and tiffin. I bought a novel by Candia McWilliam, a Scottish author I’ve only read nonfiction by before.
At Curly Tale Books, the children’s bookshop next-door to The Bookshop, we bought a picture book about the local ‘belted’ Galloway cows for our niece. We didn’t realize the shop owner is also the author! She offered to sign the book for us, but we decided that a five-year-old wouldn’t appreciate it enough.
Day 5, Friday the 6th: Full Scottish breakfast to see us on our way, and a farewell to the two B&B cats, including the fluffiest cat on earth. To break up the rather arduous journey, we stopped early on at the Cairn Holy stone circle/tomb and the Cream o’ Galloway farm shop for cheese and ice cream. Home at 7:30 p.m. to find something from the freezer for dinner, unpack and shelve all these new books.
Cairn Holy
Total acquisitions: 13 books for me, 7 books for my husband, 3 books for gifts
Wigtown is more than twice as far away as Hay is for us, so we’re less likely to go back. (It’s also a tough place to find a decent evening meal.) However, I’d like to think that life will take me back to Wigtown someday, perhaps for the Festival, or for a stay at The Open Book – though I’d have to start planning ahead to 2021!
What I read:
Bits of lots of books I had on the go, but mostly a few vaguely appropriate titles:
Under the Skin by Michel Faber was the perfect book for reading on rainy Scottish highways. I’m so glad I decided at the last minute to bring it. Isserley drives along Highland roads picking up hitchhikers – but only the hunky males – to take back to her farm near the Moray Firth. It’s likely that you already know the setup of this even if you haven’t read it, perhaps from the buzz around the 2013 film version starring Scarlett Johansson. It must have been so difficult for the first reviewers and interviewers to discuss the book without spoilers back in 2000. David Mitchell, in his introduction to my Canons series reprint, does an admirable job of suggesting the eeriness of the contents without giving anything significant away.
Shelve this under science fiction, though it veers towards horror and then becomes a telling allegory. I knew the basic plot beforehand, but there were still some surprises awaiting me, and I was impressed with how Faber pulled it all off. Keep an eye open for how he uses the word “human.” This has a lot to say about compassion and dignity, and how despite our differences we are fundamentally the same “under the skin.”
An atmospheric line: “The fields all around her house were shrouded in snow, with patches of dark earth poking through here and there as if the world were a rich fruit cake under cream.”
Between Stone and Sky: Memoirs of a Waller by Whitney Brown: For a TLS review. Brown, from South Carolina, trained as a dry-stone waller in Wales (where she fell in love with a man who wouldn’t marry her), but we saw plenty such walls in Scotland too. As an expat I could relate to her feeling of being split between two countries. (Releases May 17th.)
I
n the Days of Rain: A daughter. A father. A cult. by Rebecca Stott: I read the first two-fifths or so, mostly in the car and over our leisurely B&B breakfasts. One branch of Stott’s Exclusive Brethren family came from Eyemouth, a Scottish fishing village. A family memoir, a bereavement memoir, a theological theme: this brings together a lot of my favorite things. And it won last year’s Costa Biography Award, so you know it’s got to be good.
I also started two books by Scottish novelists, The Orchard on Fire by Shena Mackay and The Accidental by Ali Smith – though I don’t know if I’ll make it through the latter.
Die, My Love by Ariana Harwicz
This intense Argentinian novella, originally published in 2012 and nominated for this year’s Republic of Consciousness and Man Booker International Prizes, is an inside look at postpartum depression as it shades into what looks like full-blown psychosis. We never learn the name of our narrator, just that she’s a foreigner living in France (like Harwicz herself) and has a husband and young son. The stream-of-consciousness chapters are each composed of a single paragraph that stretches over two or more pages. From the first page onwards, we get the sense that this character is on the edge: as she’s hanging laundry outside, she imagines a sun shaft as a knife in her hand. But for now she’s still in control. “I wasn’t going to kill them. I dropped the knife and went to hang out the washing like nothing had happened.”
Not a lot happens over the course of the book; what’s more important is to be immersed in this character’s bitter and perhaps suicidal or sadistic outlook. But there are a handful of concrete events. Her father-in-law has recently died, so she tells of his funeral and what she perceives as his sad little life. Her husband brings home a stray dog that comes to a bad end. Their son attends a children’s party and they take along a box of pastries that melt in the heat.
The only escape from this woman’s mind is a chapter from the point of view of a neighbor, a married radiologist with a disabled daughter who passes her each day on his motorcycle and desires her. With such an unreliable narrator, though, it’s hard to know whether the relationship they strike up is real. This woman is racked by sexual fantasies, but doesn’t seem to be having much sex; when she does, it’s described in disturbing terms: “He opened my legs. He poked around with his calloused hands. Desire is the last thing there is in my cries.”
The language is jolting and in-your-face, but often very imaginative as well. Harwicz has achieved the remarkable feat of showing a mind in the process of cracking up. It’s all very strange and unnerving, and I found that the reading experience required steady concentration. But if you find the passages below intriguing, you’ll want to seek out this top-class translation from new Edinburgh-based publisher Charco Press. It’s the first book in what Harwicz calls “an involuntary trilogy” and has earned her comparisons to Virginia Woolf.
“My mind is somewhere else, like I’ve been startled awake by a nightmare. I want to drive down the road and not stop when I reach the irrigation ditch.”
“I take off my sleep costume, my poisonous skin. I recover my sense of smell and my eyelashes, go back to pronouncing words and swallowing. I look at myself in the mirror and see a different person to yesterday. I’m not a mother.”
“The look I’m going for is Zelda Fitzgerald en route to Switzerland, and not for the chocolate or watches, either.”
My rating:
Translated from the Spanish by Sarah Moses and Carolina Orloff. My thanks to the publisher for the free copy for review.
Just Okay for Me, Dawg
This was one of the catchphrases of long-time judge Randy Jackson on the reality TV show American Idol, which was my guilty pleasure viewing for a decade or more. The three recent books for which I provide short-ish reviews below have nothing much in common apart from the fact that I requested or accepted them from publishers and ended up feeling disappointed but like I still owed a review. You can consider them all 
.
The Friendship Cure by Kate Leaver
(Duckworth, March 22nd)
We’re in the middle of a loneliness epidemic, so friends are more important than ever. That’s the impetus for Kate Leaver’s jaunty, somewhat insubstantial book about modern friendship. She observes teen girls on the Tube and reflects on how we as primates still engage in social grooming – though language has replaced much of this more primitive bond-forming behavior. We experience a spike in our number of friends through adolescence and early adulthood, but friendships can fall by the wayside during our thirties as we enter long-term relationships and turn our attention to children and other responsibilities. Leaver argues that female friendships can amplify women’s voices and encourage us to embrace imperfection. She also surveys the bromance, mostly in its TV and film manifestations. There are plenty of pop culture references in the book; while I enjoy a Scrubs or Parks and Recreation scene or quotation as much as the next fan, the reliance on pop culture made the book feel lightweight.
Perhaps the most useful chapter was the one on online friendships (hi, book blogger friends!). We so often hear that these can’t replace IRL friendships, but Leaver sticks up for social media: it allows us to meet like-minded people, and is good for introverted and private people. Anything is better than isolation. The biggest problem I had with the book was the tone: Leaver is going for a Caitlin Moran vibe, and peppers in hip references to Taylor Swift, Lindsay Lohan and the like. But then she sometimes tries for more of a Mary Beard approach, yet doesn’t trust herself to competently talk about science, so renders it in matey, anti-intellectual language like “Robin [Dunbar, of Oxford University] did some fancy maths” (um, I think you mean “Dr. Dunbar”!) or “Let me hit you with a bit of research.”
Favorite lines:
“on some days, somewhere in our souls, we still count the number of social media connections as a measure of who we are”
“When you successfully recruit a new person into your friendship circle, you’re essentially confirming that you are a likable human being, worthy of someone’s time and emotional investment.”
You might choose to read instead: Kory Floyd’s The Loneliness Cure; Ann Patchett’s Truth and Beauty; Anna Quindlen’s essay “Girlfriends” from Lots of Candles, Plenty of Cake.
Writer’s Luck: A Memoir: 1976–1991 by David Lodge
(Harvill Secker, January 11th)
David Lodge has been one of my favorite authors for over a decade. His first memoir, Quite a Good Time to Be Born: A Memoir, 1935–1975 (see my Nudge review), is a good standalone read, even for non-fans, for its insight into the social changes of post-war Britain. However, this volume makes the mistake of covering much less ground, in much more detail – thanks to better record-keeping at the peak of his career – and the result is really rather tedious. The book opens with the publication of How Far Can You Go? and carries through to the reception of Paradise News, with a warning that he cannot promise a third volume; he is now 83. Conferences, lecture tours, and travels are described in exhaustive detail. There’s also a slightly bitter edge to Lodge’s attempts to figure out why ventures flopped or novels got negative reviews (Small World, though Booker-shortlisted, was better received in America), though he concludes that his career was characterized by more good luck than bad.
I liked the account of meeting Muriel Spark in Italy, and valued the behind-the-scenes look at the contentious task of judging the 1989 Booker Prize, which went to Kazuo Ishiguro for The Remains of the Days. Especially enjoyable is a passage about getting hooked on saunas via trips to Finland and to Center Parcs, a chain of all-inclusive holiday activity camps in England. Oh how I laughed at his description of nude sauna-going in midlife (whether I was supposed to or not, I’m not sure): “The difference in pleasure between swimming wearing a costume of any kind and the sensation of swimming without one, the water coursing unimpeded round your loins as you move through it, cannot be exaggerated, and I first discovered it in Center Parcs.” I also cringed at the Lodges placing “our Down’s son” Christopher in a residential care home – I do hope thinking about disability has moved on since the mid-1980s.
Ultimately, I’m not sure Lodge has had an interesting enough life to warrant a several-volume project. He’s an almost reassuringly dull chap; “The fact is that I am constitutionally monogamous,” he admits at one point. Although it was fun for me to see the genesis of novels like Paradise News, I don’t think I’d have the stomach for reading any more about why Lodge thinks his star faded starting in the 1990s. However, I’ll keep this on the shelf to go back to for some context when I finally get around to rereading Small World and Nice Work.
Favorite lines:
“there has been a downside to the Prize Culture which the Booker engendered. It has warped the evaluation of new fiction by measuring success as if it were a competitive sport.”
You might choose to read instead: Lodge’s Quite a Good Time to Be Born or John Carey’s The Unexpected Professor: An Oxford Life in Books – overall the better autobiography of a working-class, bookish lad.
The Parentations by Kate Mayfield
(Point Blank [Oneworld], March 29th)
Sisters Constance and Verity Fitzgerald have been alive for over 200 years. A green pool in Iceland, first discovered in 1783, gives them “extended mortality” so long as they take the occasional two-week nap and only swallow two drops of the liquid at a time. In London in 2015, they eat a hearty stew by candlelight and wait for their boy to come. Then they try the churchyard: dead or alive, they are desperate to have him back. Meanwhile, Clovis Fowler is concealing extra phials of the elixir from her husband, their son and the maid. What’s going on here? We go back to Iceland in 1783 to see how the magic pool was first found, and then hop across to 1783 London to meet the sisters as children.
I read the first 67 pages, continued skimming to page 260, and then gave up. At well past the one-third point, the novel still hasn’t established basic connections. A book of nearly 500 pages has to hook the reader in sooner and more securely, not lull them with wordiness (case in point: on the first page of the first chapter, the adjective “macilent” – I looked it up and it means thin or lean, either of which would have been a far preferable word to use).
I could see faint echoes here of so many great books – Jonathan Strange and Mr. Norrell, A Discovery of Witches, Slade House, The Essex Serpent; works by Hannah Kent and Diane Setterfield, maybe even Matt Haig? I liked Mayfield’s memoir The Undertaker’s Daughter and had hoped for improvement with this debut novel. As it is, The Parentations has an interesting premise and lineage, but doesn’t deliver.
Favorite lines:
“His rage foments a decision. He will either take his place in the mounds of the dead, or he will find a good reason to stay alive.”
“Francis and Averil Lawless have impressed upon their daughters the concept of the consequences of a single moment, and there is no better teacher than the river’s majesty and its demand for respect for its waters, which can easily bring violence and ruin as well as wealth and peace.”
You might choose to read instead: Any of the literary fantasy novels listed above.
What books have disappointed or defeated you lately?
Wellcome Book Prize Shortlist: Stay with Me by Ayobami Adebayo
“Women manufacture children and if you can’t you are just a man. Nobody should call you a woman.”
On balance, I’m glad that the Wellcome Book Prize shortlist reading forced me to go back and give Stay with Me another try. Last year I read the first 15% of this debut novel for a potential BookBrowse review but got bored with the voice and the story, rather unfairly dismissing it as a rip-off of Chimamanda Ngozi Adichie. I also doubted that the health theme was strong enough for it to make the Wellcome shortlist, but that’s because I hadn’t read far enough to realize just how many medical conditions come up for consideration: it’s not just infertility, but also false pregnancy, cot death (or SIDS), sickle cell disease, and impotence.
This time around I found Yejide a more sympathetic character. The words that open this review are cruel ones spoken by her mother-in-law. Her desperation to become and stay a mother drives her to extreme measures that also give a window onto indigenous religion in Nigeria: ‘breastfeeding’ a goat on the Mountain of Jaw-Dropping Miracles, and allowing an act of ritual scarification to prevent the return of an abiku, or spirit child (I’ve heard that one narrates Ben Okri’s Booker Prize-winning 1991 novel, The Famished Road).
Polygamy is another Nigerian custom addressed in the novel. Yejide’s husband, Akinyele Ajayi, allows himself to be talked into taking another wife, Funmilayo, when Yejide hasn’t produced a child after four years. There’s irony in the fact that polygyny is considered a valid route to pregnancy while polyandry is not, and traditional versus Western values are contrasted in the different generations’ reactions to polygamy: does it equate to adultery?
There are some welcome flashes of humor in the novel, such as when Yejide deliberately serves a soup made with three-day-old beans and Funmi gets explosive diarrhea. I also enjoyed the ladies’ gossip at Yejide’s hair salon. However, the story line tends towards the soap operatic, and well before halfway it starts to feel like just one thing after another: A lot happens, but to no apparent purpose. I was unconvinced by the choices the author made in terms of narration (split between Yejide and Akin, both in first person but with some second person address to each other) and structure (divided between 2008 and the main action starting in the 1980s). We see certain scenes from both spouses’ perspective, but that doubling doesn’t add anything to the overall picture. The writing is by turns maudlin (“each minute pregnant with hope, each second tremulous with tragedy”) and uncolloquial (“afraid that my touch might … careen him into the unknown”).
Things that at first seemed insignificant to me – the 1993 election results, what happens to Funmi, the one major scene set in 2008 – do eventually take on more meaning, and there is a nice twist partway through as well as a lovely surprise at the end. I did feel the ache of the title phrase as it applies to this couple’s children and marriage, so threatened by “all the mess of love and life that only shows up as you go along.” It all makes for truly effortless reading that I gobbled up in chunks of 50 or 100 pages – which indicates authorial skill, of course – yet this seems to me a novel more interesting for the issues it addresses than for its story and writing.
My rating:
See also:
My gut feeling: I would be very surprised if a novel won two years in a row. While the medical situations examined here are fairly wrenching, Stay with Me isn’t strong enough to win. Its appearance on the shortlist (for the Women’s Prize, too) is honor enough, I think.
Shortlist strategy:
- I’m one-third through The Vaccine Race by Meredith Wadman but have started skimming because it’s dense and not quite as laymen-friendly as The Immortal Life of Henrietta Lacks and The Emperor of All Maladies, the two books its subject matter is most reminiscent of for me.
- On Friday I started To Be a Machine by Mark O’Connell, which I’m also one-third through and have taken away on our mini-holiday. This is the shortlisted book whose topic appealed to me the least, so I’m pleasantly surprised to be enjoying it so much. It helps that O’Connell comes at the science as an outsider – he’s a freelance writer with a literature background, and he’s interested in the deeper philosophical questions that transhumanism raises.
- I’m awaiting a review copy of Mayhem by Sigrid Rausing, which I’ll be featuring as part of the official Wellcome Book Prize shortlist blog tour.
Bookish Beck = Rebecca Foster. American transplant to England. Freelance proofreader and book reviewer.
Bookish Beck 