20 Books of Summer, 14–16: Polly Atkin, Nan Shepherd and Susan Allen Toth
I’m still plugging away at the challenge. It’ll be down to the wire, but I should finish and review all 20 books by the 31st! Today I have a chronic illness memoir, a collection of poetry and prose pieces, and a reread of a cosy travel guide.
Some of Us Just Fall: On Nature and Not Getting Better by Polly Atkin (2023)
I was heartened to see this longlisted for the Wainwright Prize. It was a perfect opportunity to recognize the disabled/chronically ill experience of nature and the book achieves just what the award has recognised in recent years: the braiding together of life writing and place-based observation. (Wainwright has also done a great job on diversity this year: there are three books by BIPOC and five by women on the nature writing shortlist alone.)
Polly Atkin knew something was different about her body from a young age. She broke bones all the time, her first at 18 months when her older brother ran into her on his bicycle. But it wasn’t until her thirties that she knew what was wrong – Ehlers-Danlos syndrome and haemochromatosis – and developed strategies to mitigate the daily pain and the drains on her energy and mobility. “Correct diagnosis makes lives bearable,” she writes. “It gives you access to the right treatment. It gives you agency.”
The book assembles long-ish fragments, snippets from different points of her past alternating with what she sees on rambles near her home in Grasmere. She writes in some depth about Lake District literature: Thomas De Quincey as well as the Wordsworths – Atkin’s previous book is a biography of Dorothy Wordsworth that spotlights her experience with illness. In describing the desperately polluted state of Windermere, Atkin draws parallels with her condition (“Now I recognise my body as a precarious ecosystem”). Although she spurns the notion of the “Nature Cure,” swimming is a valuable therapy for her.
Theme justifies form here: “This is the chronic life, lived as repetition and variance, as sedimentation of broken moments, not as a linear progression.” For me, there was a bit too much particularity; if you don’t connect to the points of reference, there’s no way in and the danger arises of it all feeling indulgent. Besides, by the time I opened this I’d already read two Ehlers-Danlos memoirs (All My Wild Mothers by Victoria Bennett and Floppy by Alyssa Graybeal) and another reference soon came my way in The Invisible Kingdom by Meghan O’Rourke. So overfamiliarity was a problem. And by the time I forced myself to pick this off of my set-aside shelf and finish it, I’d read Nina Lohman’s stellar The Body Alone. For those newer to reading about chronic illness, though, especially if you also have an interest in the Lakes, it could be an eye-opener.
With thanks to Sceptre (Hodder) for the free copy for review.
Selected Prose & Poetry by Nan Shepherd (2023)
I’d read and enjoyed Shepherd’s The Living Mountain, which has surged in popularity as an early modern nature writing classic thanks to Robert Macfarlane et al. I’m not sure I’d go as far as the executor of the Nan Shepherd Estate, though, who describes her in the Preface as “Taylor Swift in hiking boots.” The pieces reprinted here are from her one published book of poems, In the Cairngorms, and the mixed-genre collection Wild Geese. There is also a 28-page “novella,” Descent from the Cross. After World War I, Elizabeth, a workers’ rights organiser for a paper mill, marries a shell-shocked veteran who wants to write a book but isn’t sure he has either the genius or the dedication. It’s interesting that Shepherd would write about a situation where the wife has the economic upper hand, but the tragedy of the sickly failed author put me in mind of George Gissing or D.H. Lawrence, so didn’t feel fresh. Going by length alone, I would have called this a short story, but I understand why it would be designated a novella, for the scope.
None of the miniature essays – field observations and character studies – stood out to me. About half of the book is given over to poetry. As with the nature writing, there is a feeling of mountain desolation. There are a lot of religious references and hints of the mystical, as in “The Bush,” which opens “In that pure ecstasy of light / The bush is burning bright. / Its substance is consumed away / And only form doth stay”. It’s a mixed bag: some feels very old-fashioned and sentimental, with every other line or, worse, every line rhyming, and some archaic wording and rather impenetrable Scots dialect. It could have been written 100 years before, by Robert Burns if not William Blake. But every so often there is a flash of brilliance. “Blackbird in Snow” is quite a nice one, and reminiscent of Thomas Hardy’s “The Darkling Thrush.” I even found the cryptic lines from “Real Presence” that inspired a song on David Gray’s Skellig. My favourite poem by far was:

Overall, this didn’t engage me; it’s only for Shepherd fanatics and completists. (Won from Galileo Publishers in a Twitter giveaway)
England As You Like It: An Independent Traveler’s Companion by Susan Allen Toth (1995)
A reread. As I was getting ready to go overseas for the first time in the summer of 2003, Toth’s trilogy of memoirs whetted my appetite for travel in Britain. (They’re on my Landmark Books in My Life, Part II list.) This is the middle book and probably the least interesting in that it mostly recounts stays in particular favourite locations, such as Dorset, the Highlands, and various sites in Cornwall. However, I’ve never forgotten her “thumbprint theory,” which means staying a week or more in an area no larger than her thumb covers on a large-scale map, driving an hour or less for day trips. Not for her those cram-it-all-in trips where you race through multiple countries in a week (I have American friends who did Paris, London and Rome within six days, or five countries in eight days; blame it on stingy vacation policies, I guess). Instead, she wants to really bed into one place and have the time to make serendipitous discoveries such as an obscure museum or a rare opening of a private garden.
I most liked the early general chapters about how to make air travel bearable, her obsession with maps, her preference for self-catering, and her tendency to take home edible souvenirs. Of course, all the “Floating Facts” are hopelessly out-of-date. This being the early to mid-1990s, she had to order paper catalogues to browse cottage options (I still did this for honeymoon prep in 2006–7) and make international phone calls to book accommodation. She recommends renting somewhere from the National Trust or Landmark Trust. Ordnance Survey maps could be special ordered from the British Travel Bookshop in New York City. Entry fees averaged a few pounds. It’s all so quaint! An Anglo-American time capsule of sorts. I’ve always sensed a kindred spirit in Toth, and those whose taste runs toward the old-fashioned will probably also find her a charming tour guide. I’ve also reviewed the third book, England for All Seasons. (Free from The Book Thing of Baltimore)
Miscellaneous #ReadIndies Reviews: Mostly Poetry + Brown, Sands
Catching up on a few final #ReadIndies contributions in early March! Short responses to some indie reading I did from my shelves over the course of last month.

Bloodaxe Books:
Parables & Faxes by Gwyneth Lewis (1995)
I was surprised to discover this was actually my fourth book by Lewis, a bilingual Welsh author: two memoirs, one of depression and one about marriage; and now two poetry collections. The table of contents suggest there are only 16 poems in the book, but most of the titles are actually headings for sections of anywhere between 6 and 16 separate poems. She ranges widely at home and abroad, as in “Welsh Espionage” and the “Illinois Idylls.” “I shall taste the tang / of travel on the atlas of my tongue,” Lewis writes, an example of her alliteration and sibilance. She’s also big on slant and internal rhymes – less so on end rhymes, though there are some. Medieval history and theology loom large, with the Annunciation featuring more than once. I couldn’t tell you now what that many of the poems are about, but Lewis’s telling is always memorable.
Sample lines:
For the one
who said yes,
how many
said no?
…
But those who said no
for ever knew
they were damned
to the daily
as they’d disallowed
reality’s madness,
its astonishment.
(from “The ‘No’ Madonnas,” part of “Parables & Faxes”)
(Secondhand purchase – Westwood Books, Sedbergh) 
&
Fields Away by Sarah Wardle (2003)
Wardle’s was a new name for me. I saw two of her collections at once and bought this one as it was signed and the themes sounded more interesting to me. It was her first book, written after inpatient treatment for schizophrenia. Many of the poems turn on the contrast between city (London Underground) and countryside (fields and hedgerows). Religion, philosophy, and Greek mythology are common points of reference. End rhymes can be overdone here, and I found a few of the poems unsubtle (“Hubris” re: colonizers and “How to Be Bad” about daily acts of selfishness vs. charity). However, there are enough lovely ones to compensate: “Flight,” “Word Tasting” (mimicking a wine tasting), “After Blake” (reworking “Jerusalem” with “And will chainsaws in modern times / roar among England’s forests green?”), “Translations” and “Word Hill.”
Favourite lines:
(oh, but the last word is cringe!)
Catkin days and hedgerow hours
fleet like shafts of chapel sun.
Childhood in a cobwebbed bower
guards a treasure chest of fun.
(from “Age of Awareness”)
(Secondhand purchase – Carlisle charity shop) 
Carcanet Press:
Tripping Over Clouds by Lucy Burnett (2019)
The title is a setup for the often surrealist approach, but where another Carcanet poet, Caroline Bird, is warm and funny with her absurdism, Burnett is just … weird. Like, I’d get two stanzas into a poem and have no idea what was going on or what she was trying to say because of the incomplete phrases and non-standard punctuation. Still, this is a long enough collection that there are a good number of standouts about nature and relationships, and alliteration and paradoxes are used to good effect. I liked the wordplay in “The flight of the guillemet” and the off-beat love poem “Beer for two in Brockler Park, Berlin.” The noteworthy Part III is composed of 34 ekphrastic poems, each responding to a different work of (usually modern) art.
Favourite lines:
This is a place of uncalled-for space
and by the grace of the big sky,
and the serrated under-silhouette of Skye,
an invitation to the sea unfolds
to come and dine with mountain.
(from “Big Sands”)
(New (bargain) purchase – Waterstones website) 
&
The Met Office Advises Caution by Rebecca Watts (2016)
The problem with buying a book mostly for the title is that often the contents don’t live up to it. (Some of my favourite ever titles – An Arsonist’s Guide to Writers’ Homes in New England, The Voluptuous Delights of Peanut Butter and Jam – were of books I couldn’t get through). There are a lot of nature poems here, which typically would be enough to get me on board, but few of them stood out to me. Trees, bats, a dead hare on the road; maps, Oxford scenes, Christmas approaching. All nice enough; maybe it’s just that the poems don’t seem to form a cohesive whole. Easy to say why I love or hate a poet’s style; harder to explain indifference.
Sample lines:
Branches lash out; old trees lie down and don’t get up.
A wheelie bin crosses the road without looking,
lands flat on its face on the other side, spilling its knowledge.
(from the title poem)
(New (bargain) purchase – Amazon with Christmas voucher) 
Faber:
Places I’ve Taken My Body by Molly McCully Brown (2020)
The title signals right away how these linked autobiographical essays split the ‘I’ from the body – Brown resents the fact that disability limits her experience. Oxygen deprivation at their premature birth led to her twin sister’s death and left her with cerebral palsy severe enough that she generally uses a wheelchair. In Bologna for a travel fellowship, she writes, “There are so many places that I want to be, but I can’t take my body anywhere. But I must take my body everywhere.” A medieval city is particularly unfriendly to those with mobility challenges, but chronic pain and others’ misconceptions (e.g. she overheard a guy on her college campus lamenting that she’d die a virgin) follow her everywhere.
A poet, Brown earned minor fame for her first collection, which was about historical policies of enforced sterilization for the disabled and mentally ill in her home state of Virginia. She is also a Catholic convert. I appreciated her exploration of poetry and faith as ways of knowing: “both … a matter of attending to the world: of slowing my pace, and focusing my gaze, and quieting my impatient, indignant, protesting heart long enough for the hard shell of the ordinary to break open and reveal the stranger, subtler singing underneath.” This is part of a terrific run of three pieces, the others about sex as a disabled person and the odious conservatism of the founders of Liberty University. Also notable: “Fragments, Never Sent,” letters to her twin; and “Frankenstein Abroad,” about rereading this novel of ostracism at its 200th anniversary. (Secondhand purchase – Amazon) 
New River Books:
The Hedgehog Diaries: A Story of Faith, Hope and Bristle by Sarah Sands (2023)
Reasons for reading: 1) I’d enjoyed Sands’s The Interior Silence and 2) Who can resist a book about hedgehogs? She covers a brief slice of 2021–22 when her aged father was dying in a care home. Having found an ill hedgehog in her garden and taken it to a local sanctuary, she developed an interest in the plight of hedgehogs. In surveys they’re the UK’s favourite mammal, but it’s been years since I saw one alive. Sands brings an amateur’s enthusiasm to her research into hedgehogs’ place in literature, philosophy and science. She visits rescue centres, meets activists in Oxfordshire and Shropshire who have made hedgehog welfare a local passion, and travels to Uist to see where hedgehogs were culled in 2004 to protect ground-nesting birds’ eggs. The idea is to link personal brushes with death with wider threats of extinction. Unfortunately, Sands’s lack of expertise is evident. This was well-meaning, but inconsequential and verging on twee. (Christmas gift from my wishlist) 
January’s Nonfiction Releases: Clarke, Heminsley and Lalkhen
Three new books with medical themes (no surprise there), including the first Covid wave in the UK; fertility and body issues in a new queer family; and pain management strategies.
Breathtaking: Inside the NHS in a Time of Pandemic by Rachel Clarke
Clarke is a palliative care doctor based in Oxfordshire. She runs the Katharine House hospice but during the coronavirus pandemic has also been on active duty in the Oxford University Hospitals system. If you’re on social media you have likely come across some of her postings as she has been equally vocal in her praise of the NHS and her criticism of Boris Johnson’s faltering policies, which are often of the too little, too late variety. So I was eager to read her insider’s account of hospital treatment of the first wave of Covid in the UK, especially because her previous book, Dear Life, was one of my top two nonfiction releases of last year.
The focus is on the first four full months of 2020, and the book originated in Clarke’s insomniac diaries and notes made when, even after manically busy shifts, she couldn’t rest her thoughts. Her pilot husband was flying to China even as increasingly alarming reports started coming in from Wuhan. She weaves in the latest news from China and Italy as well as what she hears from colleagues and disease experts in London. But the priority is given to stories: of the first doctor to die in China; of a Yorkshire ICU nurse’s father, who comes down with Covid and is on a ventilator in an Oxford hospital; and of her patients there and in the hospice. She is touched that so many are making great sacrifices, such as by deciding not to visit loved ones at the end of their lives so as not to risk spreading infection.
A shortage of PPE remained a major issue, though Dominic Pimenta (whose Duty of Care was my first COVID-19 book) pulled through for her with an emergency shipment for the hospice – without which it would have had to close. Clarke marvels at the NHS’s ability to create an extra 33,000 beds within a month, but knows that this comes at a cost of other services, including cancer care, being stripped back or cancelled, meaning that many are not receiving the necessary treatment or are pushing inescapable problems further down the road.

From January 26, 2021
A comparison with Gavin Francis’s Intensive Care, published earlier in the month, is inevitable. Both doctors bounce between headlines and everyday stories, government advice and the situation on the ground. Both had their own Covid scare – Clarke didn’t meet the criteria to be tested so simply went back to work two weeks later, when she felt well enough – and had connections to regions that foreshadowed what would soon happen in the UK. Both give a sense of the scope of the crisis and both lament that, just when patients need compassion most, full PPE leads to their doctors feeling more detached from them than ever.
However, within the same page count, Francis manages to convey more of the science behind the virus and its transmission, and helpfully explores the range of effects Covid is having for different groups. He also brings the story more up to the minute with a look back from November, whereas Clarke ends in April and follows up with an epilogue set in August. A book has to end somewhere, yes, but with this crisis ongoing, the later and more relevant its contents can be, the better. And in any book that involves a lot of death, mawkishness is a risk; Clarke so carefully avoided this in Dear Life, but sometimes succumbs here, with an insistence on how the pandemic has brought out the best in people (clapping and rainbows and all that). Her writing is as strong as ever, but I would have appreciated a sharper, more sombre look at the situation a few months later. Perhaps there will be a sequel.

From January 6, 2021
With thanks to Little, Brown UK for the free copy for review.
Some Body to Love: A Family Story by Alexandra Heminsley
From Heminsley’s previous book, Leap In, I knew about her getting married and undergoing IVF. It was also a book about outdoor swimming; I appreciated her words on acquiring a new skill as an adult and overcoming body issues. This memoir continues the story: in 2017, after a gruelling journey through infertility treatment, Heminsley finally got the baby she wanted. But not before a couple more heart-wrenching moments: the lab made an error and notified her that she shared no DNA with this last embryo, and while heavily pregnant she was assaulted by a drunk man on a train. Both incidents left her feeling a loss of agency. “Why was I consistently being deemed the least reliable witness of my own reality?” she asks.
As they adjusted to new life with a baby, Heminsley started to notice that she wasn’t connecting with her husband, D, like she used to. She felt emotionally unsupported and, in fact, jealous of D’s relationship with their son, L. And while they’d never been the most conventional couple, D’s changes of appearance and wardrobe seemed like a sign of something bigger. Indeed, when L was six months old, D told Heminsley, “this body doesn’t represent who I am” and announced a decision to begin transitioning.
As D moved towards having a body that fit their identity, Heminsley, too, needed to get back in touch with her body. After books like Running Like a Girl, she was considered an exercise guru, but she didn’t see herself in the new obsession with Instagram-ready images of fitness perfection. This is not, then, primarily a memoir of queer family-making, because D’s transitioning was not Heminsley’s story to tell and mostly occurs in the background. Instead she focuses on what she does know and can control: her relationship to her own body.
However, this entails what can feel like irrelevant flashbacks to her teenage years of undergoing rehab at a military clinic in Germany for hypermobility, trips to Trinidad and Italy, and the genesis of her two sporting memoirs. Much as I applaud the sensitivity to trans and body issues, the book ends up feeling scattered. Still, the writing is so candid and the narrative so eventful that you’ll race through this even if you don’t normally pick up nonfiction. (For a bit more information, see my short write-up of the virtual book launch.)
With thanks to Chatto & Windus for the free copy for review.
Pain: The Science of the Feeling Brain by Abdul-Ghaaliq Lalkhen
Originally from South Africa, Dr Lalkhen is an anaesthesiology and pain specialist based in Manchester. In a nutshell, his approach is “biopsychosocial,” meaning that he seeks to understand pain not just as a physical phenomenon resulting from acute injury or damage but as an ongoing process that is affected by emotional and psychological factors. Particularly in the context of chronic syndromes, he acknowledges that pain can continue even when its immediate cause has been repaired. Mental preparation can come into the equation: if a patient assumes they’ll wake up from surgery healed, they may be alarmed if pain persists. Lalkhen talks about managing patient expectations, perhaps with something as simple as the promise, “we’ll aim to get your pain down to a 4 after surgery.” In part, he blames Western society’s Cartesian philosophy for treating mind and body as separate rather than a system.
There are genetic and psychological reasons people might be predisposed to chronic pain. Pain itself can then change the brain chemistry, making the body more alert to pain signals. People can choose one of three paths, Lalkhen observes: “You can spend your time agitating about the alarm going off, you can try to ignore it (but the ignoring of it actually takes up more energy), or the final alternative is to learn to live with this deeply unpleasant situation.” Those who opt for pharmacological solutions can become addicted to opiates, which are less effective over time. Non-drug-related therapies involve the desensitization of nerves, the injection of anaesthetics or steroids, or the implanting of spinal cord stimulators. But all of these strategies have their limitations, and can diminish in efficacy. The patients he sees in his pain clinics may be disappointed that, rather than offering a panacea, he wants to wean them off their current pain relief and help them develop a new way of thinking about pain.
I felt I learned a lot from reading this. Lalkhen is careful to state that he is only referring to non-cancer pain (cancer pain in terminal patients will take all the morphine you can throw at it). Like many physicians, he worries about the modern epidemic of overtreatment and our obsession with wellness. I especially enjoyed the discussion of the understanding of pain and its treatment from the ancient world onward, and in particular the history of opiates. The prose is not literary, but this is an accessible and informational read if the subject matter draws you.
With thanks to Atlantic Books for the free copy for review.





Small Rain by Garth Greenwell: A poet and academic (who both is and is not Greenwell) endures a Covid-era medical crisis that takes him to the brink of mortality and the boundary of survivable pain. Over two weeks, we become intimately acquainted with his every test, intervention, setback and fear. Experience is clarified precisely into fluent language that also flies far above a hospital bed, into a vibrant past, a poetic sensibility, a hoped-for normality. I’ve never read so remarkable an account of what it is to be a mind in a fragile body.



















Stories of motherhood, the quest to find effective treatment in a patriarchal medical system, volunteer citizen science projects (monitoring numbers of dead seabirds, returning beached cetaceans to the water, dissecting fulmar stomachs to assess their plastic content), and studying Shetland’s history and customs mingle in a fascinating way. Huband travels around the archipelago and further afield, finding a vibrant beachcombing culture on the Dutch island of Texel. As in
And this despite the fact that four of five chapter headings suggest pandemic-specific encounters with nature. Lockdown walks with his two children, and the totems they found in different habitats – also including a chaffinch nest and an owl pellet – are indeed jumping-off points, punctuating a wide-ranging account of life with nature. Smyth surveys the gateway experiences, whether books or television shows or a school tree-planting programme or collecting, that get young people interested; and talks about the people who beckon us into greater communion – sometimes authors and celebrities; other times friends and family. He also engages with questions of how to live in awareness of climate crisis. He acknowledges that he should be vegetarian, but isn’t; who does not harbour such everyday hypocrisies?

In April 2020, McHugh experienced a relapse of MS so bad she had to move back in with her parents and was sleeping 20 hours a day. Her sphere had contracted to a single room. If only, she wished, there was “something to concentrate on that wasn’t my unravelling body or the unravelling world.” A Catholic upbringing and childhood holidays in Northumberland made her think about the early Christian hermits and saints like Aidan, Cuthbert and Julian of Norwich who salvaged something from solitude, who out of the privations of monasticism made monuments of faith and, sometimes, written documents, too.



Kika & Me by Amit Patel – Patel was a trauma doctor and lost his sight within 36 hours due to a rare condition. He was paired with his guide dog, Kika, in 2015.
Water is a source of comfort and delight for Abi, the narrator of Sanatorium (whose experiences may or may not be those of the author; always tricky to tell with autofiction). Floating is like dreaming for her – an intermediate state between the solid world where she’s in pain and the prospect of vanishing into the air. In 2017 she spends a few weeks at a sanatorium in Budapest for water therapy; when she returns to London she buys a big inflatable plastic bathtub to keep up the exercises as she tries to wean herself off of opiates.
The book is in snippets, often of just a paragraph or even one sentence, and cycles through its several strands: Abi’s time in Budapest and how she captures it in an audio diary; ongoing therapy at her London flat, custom-designed for disabled tenants (except “I was the only cripple who could afford it”); the haunted house she grew up in in Surrey; and notes on plus prayers to St. Teresa of Ávila, accompanied by diagrams of a female figure in yoga poses.