Best of 2020: Nonfiction
Complementing yesterday’s list of my top fiction and poetry reads of 2020, I have chosen my six favorite nonfiction works of the year. Last year’s major themes were bodies, archaeology, and the environmental crisis; this year’s are adjacent: anatomy, nature, deep time, death, and questions of inheritance, both within families and more broadly. What will we leave behind? As usual, these topics reflect my own interests but also, I think, something of the zeitgeist.
Let the countdown begin!
Kay’s Anatomy: A Complete (and Completely Disgusting) Guide to the Human Body by Adam Kay: Think of this as a juvenile, graphic novel version of Bill Bryson’s The Body; that’s exactly how thorough, accessible, and entertaining it is. Kay ditches his usual raunchiness and plumps for innocuous forms of humor: puns, dad jokes, toilet humor, running gags and so on. But where it counts – delivering vital information about not smoking, mental health, puberty, and facing the death of someone you love – Kay is completely serious, and always lets young readers know when it’s essential to tell an adult or ask a doctor. Henry Paker’s silly, grotesque illustrations are the perfect accompaniment.
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Sign Here If You Exist and Other Essays by Jill Sisson Quinn: The naturalist’s second essay collection considers themes of connection and change. Quinn regrets the afterlife prospect she lost along with her childhood Christian faith, while adopting a baby leads her to question notions of belonging and inheritance. Whether she’s studying wasps and reptiles or musing on family and faith, she knits her subjects together with meticulous attention. Putting self and nature under the microscope, she illuminates both. (Reviewed for Foreword.)
Footprints: In Search of Future Fossils by David Farrier: Blending human and planetary history, environmental realism and literary echoes, Farrier, a lecturer in English literature, tells the story of the human impact on the Earth. Each chapter is an intricate blend of fact, experience, and story. We’ll leave behind massive road networks, remnants of coastal megacities, plastics, carbon and methane in the permafrost, the fossilized Great Barrier Reef, nuclear waste, and jellyfish-dominated oceans. An invaluable window onto the deep future.
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Greenery: Journeys in Springtime by Tim Dee: From the Cape of Good Hope to the Arctic Circle, Dee tracks the spring as it travels north. From first glimpse to last gasp, moving between his homes in two hemispheres, he makes the season last nearly half the year. His main harbingers are migrating birds, starting with swallows. The book is steeped in allusions and profound thinking about deep time and what it means to be alive in an era when nature’s rhythms are becoming distorted. A fresh, masterful model of how to write about nature.
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Dear Life: A Doctor’s Story of Love and Loss by Rachel Clarke: I’ve read so many doctors’ memoirs and books about death that it takes a truly special one to stand out. Clarke specializes in palliative medicine and alternates her patients’ stories with her own in a natural way. A major theme is her relationship with her doctor father and his lessons of empathy and dedication. She wrote in the wake of his death from cancer – an experience that forced her to practice what she preaches as a hospice doctor: focus on quality of life rather than number of days. This passionate and practical book encourages readers to be sure they and their relatives have formalized their wishes for end-of-life care and what will happen after their death.
Vesper Flights by Helen Macdonald: Any doubt that Macdonald could write a worthy follow-up to H Is for Hawk evaporates instantly. Though these essays were written for various periodicals and anthologies and range in topic from mushroom-hunting to deer–vehicle collisions and in scope from deeply researched travel pieces to one-page reminiscences, they form a coherent whole. Equally reliant on argument and epiphany, the book has more to say about human–animal interactions in one of its essays than some whole volumes manage. As you might expect, birds are a recurring theme. Her final lines are always breath-taking. I’d rather read her writing on any subject than almost any other author’s.
(Books not pictured were read digitally, or have already gone back to the library.)
What were some of your top nonfiction reads of the year?
Upcoming posts:
28th: Library Checkout
29th: Runners-up from 2020 (all genres)
30th: Best backlist reads
31st: Random superlatives and some statistics
Announcing the NOT the Wellcome Prize and Blog Tour
Soon after I heard that the Wellcome Book Prize would be on hiatus this year, I had the idea to host a “Not the Wellcome Prize” blog tour to showcase some of the best health-themed literature published in 2019. I was finalizing the participants and schedule just before as well as during the coronavirus crisis, which has reinforced the importance of celebrating books that disseminate crucial information about medicine and/or tell stories about how health affects our daily lives. I got the go-ahead for this unofficial tour from the Wellcome Trust’s Simon Chaplin (Director of Culture & Society) and Jeremy Farrar (overall Director).
Starting on Monday and running for the next two weeks (weekdays only), the tour will be featuring 19 books across 10 blogs. One of the unique things about the Wellcome Prize is that both fiction and nonfiction are eligible, so we’ve tried to represent a real variety here: on the longlist we have everything from autobiographical essays to science fiction, including a graphic novel and a couple of works in translation.
Based on the blog tour reviews and the Prize’s aims*, the shadow panel (Annabel of Annabookbel, Clare of A Little Blog of Books, Laura of Dr. Laura Tisdall, Paul of Halfman, Halfbook and I) will choose a shortlist of six titles, to be announced on the 4th of May. We will then vote to choose a winner, with the results of a Twitter poll serving as one additional vote (be sure to have your say!). The overall winner of the Not the Wellcome Prize will be announced on the 11th of May.
I hope you’ll follow along with the reviews and voting. I would like to express my deep thanks to all the blog tour participants, especially the shadow panel for helping with ideas and planning – plus Annabel designed the graphics.
*Here is how the website describes the Prize’s purpose: “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.”
Below I’ve appended our preliminary list of eligible books that were considered but didn’t quite make the cut to be featured on the tour, noting major themes and positive blog review coverage I’ve come across. (The official Prize excludes poetry entries, but we were more flexible.)
Nonfiction:
- When Death Takes Something from You Give It Back by Naja Marie Aidt (memoir of child’s sudden death)
- The Man in the Red Coat by Julian Barnes (biography of 19th-century gynecologist)
- Let Me Not Be Mad by A.K. Benjamin (neuropsychologist’s memoir)
- The Story of Sex: From Apes to Robots by Philippe Brenot (medical history/graphic novel, in translation)
- The Prison Doctor by Amanda Brown (doctor’s memoir)
- The Undying by Anne Boyer (essays – cancer)
- Breaking & Mending by Joanna Cannon (doctor’s memoir)
- How to Treat People by Molly Case (nurse’s memoir)
- Will My Cat Eat My Eyeballs? by Caitlin Doughty (popular science – death)
- Happening by Annie Ernaux (memoir, in translation – abortion)
- I Remain in Darkness by Annie Ernaux (memoir, in translation – mother’s dementia)
- Out of Our Minds by Felipe Fernández-Armesto (popular science – evolutionary biology)
- The Heartland by Nathan Filer (medical history/memoir – schizophrenia)
- Childless Voices by Lorna Gibb (cultural history – infertility, etc.)
- Maybe You Should Talk to Someone by Lori Gottlieb (memoir/self-help – therapy)
Books Are My Favourite and Best review
- Once More We Saw Stars by Jayson Greene (memoir – child’s sudden death)
- A Short History of Falling by Joe Hammond (memoir – disability, dying)
- All Things Consoled by Elizabeth Hay (memoir – geriatrics, dementia)
- Hard Pushed by Leah Hazard (midwife’s memoir)
- Life Lessons from a Brain Surgeon by Rahul Jandial (memoir/self-help)
- Twas the Nightshift before Christmas by Adam Kay (doctor’s memoir)
- Why Can’t We Sleep? by Darian Leader (popular science – insomnia)
- Incandescent: We Need to Talk about Light by Anna Levin (light’s effects on health and body rhythms)
- A Puff of Smoke by Sarah Lippett (memoir – growing up with rare disease)
- Hormonal by Eleanor Morgan (popular science – women’s health)
- Critical by Matt Morgan (ICU doctor’s memoir)
- A Short History of Medicine by Steve Parker (medical history, illustrated)
- Notes to Self by Emilie Pine (essays – infertility, rape, etc.)
- That Good Night by Sunita Puri (doctor’s memoir – palliative care)
- An Elegant Defense: The Extraordinary New Science of the Immune System: A Tale in Four Lives by Matt Richtel (popular science)
- The Gendered Brain by Gina Ripon (popular science – neuroscience, gender)
- The Five by Hallie Rubenhold (alcoholism, sex work)
- When I Had a Little Sister by Catherine Simpson (memoir – mental health, suicide)
- Flash Count Diary: Menopause and the Vindication of Natural Life by Darcey Steinke (memoir, female anatomy)
- Skeleton Keys: The Secret Life of Bone by Brian Switek (popular science – anatomy)
- Out of the Woods by Luke Turner (memoir – masculinity, bisexuality)
- The Making of You by Katharina Vestre (popular science, in translation – embryology)
- Transcendence: How Humans Evolved through Fire, Language, Beauty, and Time by Gaia Vince (popular science – human evolution)
- The Knife’s Edge by Stephen Westaby (surgeon’s memoir)
Fiction:
- Starling Days by Rowan Hisayo Buchanan (literary fiction – mental illness, bisexuality)
- Recursion by Blake Crouch (science fiction – memory)
- Expectation by Anna Hope (women’s fiction – infertility, cancer)
- Stillicide by Cynan Jones (speculative fiction – water crisis)
- Things in Jars by Jess Kidd (historical fiction – Victorian medicine)
- Patience by Toby Litt (disability)
- The Migration by Helen Marshall (speculative fiction – immune disorder)
- The Warlow Experiment by Alix Nathan (historical fiction – medical experimentation)
- Night Theatre by Vikram Paralkar (magic realism – surgeon to the dead)
- The Art of Dying by Ambrose Parry (historical mystery – Victorian medicine)
- The Dutch House by Ann Patchett (doctor narrator, diabetes)
- Body Tourists by Jane Rogers (science fiction – body rental technology)
- Children of Ruin by Adrian Tchaikovsky (science fiction – evolutionary biology)
- Oligarchy by Scarlett Thomas (eating disorders)
- Wanderers by Chuck Wendig (science fiction – sleepwalking disorder)
Poetry:
- O Positive by Joe Dunthorne (death, therapy)
- The Carrying by Ada Limon (ageing parents, infertility)
October Recommendations: Ashworth, Donoghue, Kay & McWatt
Intricate essays about writing in the wake of trauma, a feel-good novel about an odd couple on a trip to France, hilarious festive outtakes from a career in medicine, and a race-themed family memoir: I have four very different books to recommend to you this month. All:
Notes Made while Falling by Jenn Ashworth
(Coming from Goldsmiths Press [UK] on the 15th; already out from MIT Press [USA])
Like Anne Boyer’s The Undying and Sinéad Gleeson’s Constellations, this is an incisive memoir-in-essays about the effects of trauma on a woman’s body. Specifically, Ashworth’s story starts with her son’s birth in 2010, a disaster she keeps returning to over the course of seven sinuous personal essays. A routine C-section was followed by haemorrhaging, blood transfusions and anaphylaxis. The effects lasted for years afterwards: haunted by the sound of her blood dripping and the feeling that her organs could fall out of her abdomen at any time, she suffered from vomiting, insomnia and alcoholism, drinking late into the night as she watched gruesome true crime films.
Ashworth toggles between experience, memory, and the transformation of experience into a written record. She admits she has lost faith in fiction, either reading or writing it (she is a lecturer at Lancaster University and the author of four novels). Her Mormon upbringing in Preston is a major part of her backstory, and along with her childhood indoctrination she remembers brief stays in a children’s home and in the hospital with chicken pox.
The essays experiment with structure and content. For instance, “Ground Zero” counts down from #8, with incomplete final lines in each section, then back up to #8, with each piece from the second set picking up where the first left off. Slashes and cross-outs represent rethinking or alternate interpretations. “Off Topic: On Derailment” encompasses so many topics, from excommunication to Agatha Christie to rollercoasters to Charles Dickens, that you have to read it to believe she can make it all fit together (elsewhere she muses on Chernobyl, magic tricks and hating King Lear).
“How to Begin: The Cut” started as a talk given at Greenbelt 2013, when I was in the audience. I especially loved “A Lecture on Influence,” a coy self-examination through creative writing lessons, and “How to Fall without Landing: Celestial City,” a meditation on the precariousness of the human condition. Her frame of literary reference is wide and surprising. This also reminded me of Sight by Jessie Greengrass, The Empathy Exams by Leslie Jamison, I Am, I Am, I Am by Maggie O’Farrell, and In the Days of Rain by Rebecca Stott; I would recommend it to readers of any of the above.
Some favorite lines:
“My God-hurt head has a hole in it or needs one; to let the world in, or out – I can’t ever decide.”
“how to write about everything? How to take in the things that don’t belong to you without being poisoned by them? How to make use of the things that live inside, those seedlings you never asked for? How to breathe in? How to breathe out? How to keep on doing that?”
“Some days it feels like writing truthfully about her own life is the most subversive thing a woman can do.”
My thanks to the publisher for the free copy for review.
Akin by Emma Donoghue
(Coming from Picador [UK] on the 3rd; already out from Little, Brown and Co. [USA])
I’ve read Donoghue’s six most recent works of fiction. Her books are all so different from each other in setting – a one-room prison in contemporary America, bawdy 1870s San Francisco, rural Ireland in the 1850s – that it’s hard to pin her down to one time period or roster of topics. She never writes the same book twice, and that’s got to be a good thing.
Akin gets off to a slightly slow start but soon had me hooked. Noah Selvaggio, a childless widower and retired chemist in New York City, is looking forward to an imminent trip to Nice, where he was born, to celebrate his 80th birthday. He never guessed that he’d have company on his trip, much less a surly 11-year-old. This is Michael Young, his nephew Victor’s son. Victor died of a drug overdose a year and a half ago; the boy’s mother is in prison; his maternal grandmother has just died. There’s no one else to look after Michael, so with a rush passport he’s added to the itinerary.
In some ways Michael reminded me of my nephews, ages 11 and 14: the monosyllabic replies, the addiction to devices and online gaming, the finicky eating, and the occasional flashes of childlike exuberance. Having never raised a child, Noah has no idea how strict to be with his great-nephew about screen time, unhealthy food and bad language. He has to learn to pick his battles, or every moment of this long-awaited homecoming trip would be a misery. And he soon realizes that Michael’s broken home and troubled area of NYC make him simultaneously tougher and more vulnerable than your average kid.
The odd-couple dynamic works perfectly here and makes for many amusing culture clashes, not so much France vs. the USA as between these Americans of different generations. The dialogue, especially, made me laugh. Donoghue nails it:
[Noah:] “The genre, the style. Is rap the right word for it? Or hip-hop?”
[Michael:] “Don’t even try.” Michael turned his music back on.
(At the cathedral)
[Michael:] “This is some seriously frilly shit.”
[Noah:] “It’s called Baroque style.”
[Michael:] “I call it fugly.”
But there’s another dimension to the novel that keeps it from being pleasant but forgettable. Noah’s grandfather was a famous (fictional) photographer, Père Sonne, and he has recently found a peculiar set of photographs left behind by his late mother, Margot. One is of the hotel where they’re staying in Nice, known to be a holding tank for Jews before they were sent off to concentration camps. The more Noah looks into it, the more he is convinced that his mother was involved in some way – but which side was she on?
This is feel-good fiction in the best possible sense: sharp, true-to-life and never sappy. With its spot-on dialogue and vivid scenes, I can easily see it being made into a movie, too. It’s one of my favorite novels of the year so far.
My thanks to the publisher for the proof copy for review.
Twas the Nightshift before Christmas by Adam Kay
(Coming from Picador on the 17th)
If you’ve read This Is Going to Hurt, the UK’s bestselling nonfiction title of 2018, you’ll know just what to expect from the comedian’s holiday-themed follow-up. It’s raunchy, morbid and laugh-out-loud funny. In the seven years that Kay was a medical doctor, he had to work on Christmas Day six times. He takes us through the holiday seasons of 2004 to 2009, from the sickeningly festive run-up to the letdown of Christmas day and its aftermath. With his Rudolph tie on and his Scrooge spirit intact, he attends to genital oddities, childbirth crises and infertility clients, and feebly tries to keep up his relationships with his family and his partner despite them having about given up on him after so many holiday absences.
This will be a stocking-stuffer for many this year, and I can see myself returning to it year after year and flicking through for a laugh. However, there’s one story here that Kay regrets omitting from This Is Going to Hurt as being too upsetting, and he also ends on a serious note, urging readers to spare a thought for those who give up their holidays to keep our hospitals staffed.
A favorite passage:
“A lot of the reward for this job comes in the form of a warm glow. It doesn’t make you look any less tired, you can’t pay the rent with it, and it’s worth a lot less than the social life you’ve traded it for, but this comforting aura of goodness and purpose definitely throws light into some dark corners and helps you withstand a lot of the shit.”
My thanks to the publisher for the proof copy for review.
Shame on Me: An Anatomy of Race and Belonging by Tessa McWatt
(Coming from Scribe UK on the 10th)
“What are you?” This question has followed McWatt since she was eight years old. When her third-grade teacher asked the class if they knew what “Negro” meant, one boy pointed to her. “Oh, no, not Tessa,” the teacher replied, following up with a question: “What are you, Tessa?” But it has always been hard to put her mixed-race background into one word. Her family moved from Guyana to Canada and she has since settled in England, where she is a professor of creative writing; her ancestry is somewhat uncertain but may include Chinese, Indian, indigenous South American, Portuguese, French/Jewish, African, and Scottish.
The book opens with the startling scene of her grandmother, a young Chinese woman brought over to work the sugarcane fields of British Guiana, being raped by her own uncle. “To strangers, even friends—on some days also to myself—I am images of violence and oppression. I am the language of shame and destitution, of slavery and indenture, of rape and murder. I am images of power and privilege, of denial and shades of skin, shapes of faces,” McWatt writes.
Her investigation of the meaning of race takes the form of an academic paper, Hypothesis–Experiment–Analysis–Findings, and within the long third section she goes part by part through the bodily features that have most often been used as markers of racial identity, including the nose, eyes, hair and buttocks. She dives into family history but also into wider historical movements, literature and science to understand her hybrid self. It’s an inventive and sensitive work reminiscent of The Color of Water by James McBride. I would recommend it to anyone who enjoys reading (or feels they should try) interrogations of race.
A favorite line:
“as I try to square my politics with my privilege, it seems that my only true inheritance is that I am always running somewhere else.”
I won a signed proof copy in a Twitter giveaway.
Have you read any October releases that you would recommend? Do any of these tempt you?
Hard Pushed: A Midwife’s Story by Leah Hazard
“For fans of Adam Kay’s This Is Going to Hurt and Christie Watson’s The Language of Kindness,” the blurb on my press release for Leah Hazard’s memoir opens. The publisher’s comparisons couldn’t be more perfect: Hard Pushed has the gynecological detail and edgy sense of humor of Kay’s book (“Another night, another vagina” is its first line, and the author has been known to introduce herself with “Midwife Hazard, at your cervix!”), and matches Watson’s with its empathetic picture of patients’ plights and medical professionals’ burnout.
Hazard alternates between anonymized case studies of patients she has treated and general thoughts on her chosen career (e.g. “Notes on Triage” and “Notes on Being from Somewhere Else”). Although all of the patients in her book are fictional composites, their circumstances are rendered so vividly that you quickly forget these particular characters never existed. Visceral details of sights, smells and feelings put you right there in the delivery room with Eleanor, one-half of a lesbian couple welcoming a child thanks to the now-everyday wonder of IVF; Hawa, a Somali woman whose pregnancy is complicated by the genital mutilation she underwent as a child; and Pei Hsuan, a Chinese teenager who was trafficked into sex work in Britain.
Sometimes we don’t learn the endings to these stories. Will 15-year-old Crystal have a healthy baby after she starts leaking fluid at 23 weeks? What will happen next for Pei Hsuan after her case is passed on to refugee services? Hazard deliberately leaves things uncertain to reflect the partial knowledge a hospital midwife often has of her patients: they’re taken off to surgery or discharged, and when they eventually come back to deliver someone else may be on duty. All she can do is to help each woman the best she can in the moment.
A number of these cases allow the author to comment on the range of modern opinions about pregnancy and childrearing, including some controversies. A pushy new grandmother tries to pressure her daughter into breastfeeding; a woman struggles with her mental health while on maternity leave; a rape victim is too far along to have a termination. At the other end of the spectrum, we meet a hippie couple in a birthing pool who prefer to speak of “surges” rather than contractions. Hazard rightly contends that it’s not her place to cast judgment on any of her patients’ decisions; her job is simply to deal with the situation at hand.
I especially liked reading about the habits that keep the author going through long overnight shifts, such as breaking the time up into 15-minute increments, each with its own assigned task. The excerpts from her official notes – in italics and full of shorthand and jargon – are a neat window into the science and reality of a midwife’s work, with a glossary at the end of the book ensuring that nothing is too technical for laypeople.
Hazard, an American, lives in Scotland and has a Glaswegian husband and two daughters. Her experience of being an NHS midwife has not always been ideal; there were even moments when she was ready to quit. Like Kay and Watson, she has found that the medical field can be unforgiving what with low pay, little recognition and hardly any time to wolf down your dinner during a break, let alone reflect on the life-and-death situations you’ve been a part of. Yet its rewards outweigh the downsides.
Hard Pushed has none of the sentimentality of Call the Midwife – a relief since I’m not one to gush over babies. Still, it’s a heartfelt read as well as a vivid and pacey one, and it’s alternately funny and sobering. If you like books that follow doctors and nurses down hospital hallways, you’ll love it. This was one of my most anticipated books of the first half of the year, and it lived up to my expectations. It’s also one of my top contenders for the 2020 Wellcome Book Prize so far.
A few favorite passages:
“So many things in midwifery are ‘wee’ [in Scotland, at least!] – a wee cut, a wee tear, a wee bleed, the latter used to describe anything from a trickle to a torrent. Euphemisms are one of our many small mercies: we learn early on to downplay and dissemble. The brutality of birth is often self-evident; there is little need to elaborate.”
“Whenever I dress a wound in this way, I remember that this is an act of loving validation; every wound tells a story, and every dressing is an acknowledgement of that story – the midwife’s way of saying, I hear you, and I believe you.”
“midwives do so much more than catch babies. We devise and implement plans of care; we connect, console, empathise and cheerlead; we prescribe; we do minor surgery. … We may never have met you until the day we ride into battle for you and your baby; … you may not even recognise the cavalry that’s been at your back until the drapes are down and the blood has dried beneath your feet.”
My rating:
Hard Pushed was published in the UK on May 2nd (just a few days before International Midwives’ Day) by Hutchinson. My thanks to the publisher for the free proof copy for review.