A Review for PKD Awareness Day: The Mourner’s Bestiary by Eiren Caffall
Today is PKD Awareness Day. Because the author and I both have polycystic kidney disease, I’m doing something I rarely do and reprinting an early review of mine that has already appeared on Shelf Awareness. I could hardly believe it when I was trawling through the list of review book offers and saw that Eiren Caffall also has PKD, then even more astonished to learn that it is a major theme in her memoir, which also weaves in marine biology and environmental concerns. An altogether intriguing book that, of course, held personal interest for me.
The Mourner’s Bestiary by Eiren Caffall
Eiren Caffall’s debut is an ardent elegy for her illness-haunted family and for the ailing marine environments that inspire her.
For centuries, the author’s family has been subject to “the Caffall Curse.” Polycystic kidney disease, a degenerative genetic condition, causes fluid-filled cysts to proliferate in a person’s enlarged kidneys. PKD can involve pain, fatigue, high blood pressure, kidney failure, and a heightened risk of brain aneurysm. Given Caffall’s paternal family history, she expected to die before age 50.
Caffall’s melancholy memoir spotlights moments that opened her eyes to medical and environmental catastrophe. In 1980, when she was nine years old, she and her parents vacationed at a rental cottage on Long Island Sound. They nicknamed the pollution-ridden site “Dogshit Beach”—her mother spent idyllic summers there as a child, yet now “both the ecosystem and my father were slipping away.” For the first time, Caffall became aware of her father’s suffering and lack of energy. She realized that she, too, might have inherited PKD and could face similar struggles as an adult.
In 2014, Caffall, then a single mother, took her nine-year-old son, Dex, on vacation to the Gulf of Maine. During the trip, she had a fall that prompted a seizure, and she and Dex were evacuated from Monhegan Island by Coast Guard ship. Although no further seizures ensued and no clear cause emerged, the crisis served as a wake-up call, reminding her of how serious PKD is and that it might afflict her son as well.
The book draws fascinating connections between personal experiences and ecological threats. Caffall structures her story as a gallery of endangered marine animals such as the Longfin Inshore Squid and Humpback Whale, tracing their history and exposing the dangers they face in degraded environments. Red tides (massive algal blooms) and floods are apt metaphors for physical trials: “the Sound was dying, hypoxic … from an overwhelm of nutrients flooding an ecosystem—nitrogen, phosphorus, imbalanced saline—the same things that overwhelm a body when kidneys can no longer filter blood properly.”
Re-created scenes enliven accounts of family illness and therapeutic developments. The lyrical hybrid narrative, informed by scientific journals and government publications, is as impassioned about restoring the environment as it is about ensuring equality of access to health care. Personal and species extinction are just cause for “permanent mourning,” Caffall writes, but adapting to change keeps hope alive.
(Coming out in the USA from Row House Publishing on October 15th)
Posted with permission from Shelf Awareness.
[I couldn’t help but compare family members’ trajectories. Like her father, my mother was on dialysis for a time before getting a transplant, from her cousin. Like her aunt, my uncle died of a brain aneurysm, which is an associated risk. It sounds like Caffall has been much more severely affected than I have thus far. She is 53 and on Tolvaptan, a cutting-edge drug that slows the growth of cysts and thus the decline in kidney function. But even within families, the disease course is so varied. A cousin of mine was in her thirties when she had a transplant, whereas I am still very much in the early stages.]
A shout-out to the PKD Foundation in the States and the PKD Charity here in the UK.
A related post: In 2017 I reviewed four books for World Kidney Day.

From the supermarket last week: a plum that wanted to be a kidney.
Short Nature Books for #NovNov by John Burnside, Jim Crumley and Aimee Nezhukumatathil
#NovNov meets #NonfictionNovember as nonfiction week of Novellas in November continues!
Tomorrow I’ll post my review of our buddy read for the week, The Story of My Life by Helen Keller (free from Project Gutenberg, here).
Today I review four nature books that celebrate marvelous but threatened creatures and ponder our place in relation to them.
Aurochs and Auks: Essays on Mortality and Extinction by John Burnside (2021)
[127 pages]
I’ve read a novel, a memoir, and several poetry collections by Burnside. He’s a multitalented author who’s written in many different genres. These four essays are rich with allusions and chewy with philosophical questions. “Aurochs” traces ancient bulls from the classical world onward and notes the impossibility of entering others’ subjectivity – true for other humans, so how much more so for extinct animals. Imagination and empathy are required. Burnside recounts an incident from when he went to visit his former partner’s family cattle farm in Gloucestershire and a poorly cow fell against his legs. Sad as he felt for her, he couldn’t help.
“Auks” tells the story of how we drove the Great Auk to extinction and likens it to whaling, two tragic cases of exploiting species for our own ends. The second and fourth essays stood out most to me. “The hint half guessed, the gift half understood” links literal species extinction with the loss of a sense of place. The notion of ‘property’ means that land becomes a space to be filled. Contrast this with places devoid of time and ownership, like Chernobyl. Although I appreciated the discussion of solastalgia and ecological grief, much of the material here felt a rehashing of my other reading, such as Footprints, Islands of Abandonment, Irreplaceable, Losing Eden and Notes from an Apocalypse. Some Covid references date this one in an unfortunate way, while the final essay, “Blossom Ruins,” has a good reason for mentioning Covid-19: Burnside was hospitalized for it in April 2020, his near-death experience a further spur to contemplate extinction and false hope.
The academic register and frequent long quotations from other thinkers may give other readers pause. Those less familiar with current environmental nonfiction will probably get more out of these essays than I did, though overall I found them worth engaging with.
With thanks to Little Toller Books for the proof copy for review.
Kingfisher and Otter by Jim Crumley (2018)
[59 pages each]
Part of Crumley’s “Encounters in the Wild” series for the publisher Saraband, these are attractive wee hardbacks with covers by Carry Akroyd. (I’ve previously reviewed his The Company of Swans.) Each is based on the Scottish nature writer’s observations and serendipitous meetings, while an afterword gives additional information on the animal and its appearances in legend and literature.
An unexpected link between these two volumes was beavers, now thriving in Scotland after a recent reintroduction. Crumley marvels that, 400 years after their kind could last have interacted with beavers, otters have quickly gotten used to sharing rivers – to him this “suggests that race memory is indestructible.” Likewise, kingfishers gravitate to where beaver dams have created fish-filled ponds.
Kingfisher was, marginally, my preferred title from the pair. It sticks close to one spot, a particular “bend in the river” where the author watches faithfully and is occasionally rewarded by the sight of one or two kingfishers. As the book opens, he sees what at first looks like a small brown bird flying straight at him, until the head-on view becomes a profile that reveals a flash of electric blue. As the Gerard Manley Hopkins line has it (borrowed for the title of Alex Preston’s book on birdwatching), kingfishers “catch fire.” Lyrical writing and self-deprecating honesty about the necessity of waiting (perhaps in the soaking rain) for moments of magic made this a lovely read. “Colour is to kingfishers what slipperiness is to eels. … Vanishing and theory-shattering are what kingfishers do best.”
In Otter, Crumley ranges a bit more widely, prioritizing outlying Scottish islands from Shetland to Skye. It’s on Mull that he has the best views, seeing four otters in one day, though “no encounter is less than unforgettable.” He watches them playing with objects and tries to talk back to them by repeating their “Haah?” sound. “Everything I gather from familiar landscapes is more precious as a beholder, as a nature writer, because my own constant presence in that landscape is also a part of the pattern, and I reclaim the ancient right of my own species to be part of nature myself.”
From time to time we see a kingfisher flying down the canal. Some of our neighbors have also seen an otter swimming across from the end of the gardens, but despite our dusk vigils we haven’t been so lucky as to see one yet. I’ve only seen a wild otter once, at Ham Wall Nature Reserve in Somerset. One day, maybe there will be one right here in my backyard. (Public library)
World of Wonders: In Praise of Fireflies, Whale Sharks and Other Astonishments by Aimee Nezhukumatathil (2020)
[160 pages]
Nezhukumatathil, a professor of English and creative writing at the University of Mississippi, published four poetry collections before she made a splash with this beautifully illustrated collection of brief musings on species and the self – this was shortlisted for the Kirkus Prize. Some of the 28 pieces spotlight an animal simply for how head-shakingly wondrous it is, like the dancing frog or the cassowary. More often, though, a creature or plant is a figurative vehicle for uncovering an aspect of her past. An example: “A catalpa can give two brown girls in western Kansas a green umbrella from the sun. Don’t get too dark … our mother would remind us as we ambled out into the relentless midwestern light.”
The author’s Indian/Filipina family moved frequently for her mother’s medical jobs, and sometimes they were the only brown people around. Loneliness, the search for belonging and a compulsion to blend in are thus recurrent themes. As an adult, traveling for poetry residencies and sabbaticals exposes her to new species like whale sharks. Childhood trips back to India allowed her to spend time among peacocks, her favorite animal. In the American melting pot, her elementary school drawing of a peacock was considered unacceptable, but when she featured a bald eagle and flag instead she won a prize.
These pinpricks of the BIPOC experience struck me more powerfully than the actual nature writing, which can be shallow and twee. Talking to birds, praising the axolotl’s “smile,” directly addressing the reader – it’s all very nice, but somewhat uninformed; while she does admit to sadness and worry about what we are losing, her sunny outlook seemed out of touch at times. On the one hand, it’s great that she wanted to structure her fragments of memoir around amazing animals; on the other, I suspect that it cheapens a species to only consider it as a metaphor for the self (a vampire squid or potoo = her desire to camouflage herself in high school; flamingos = herself and other fragile long-legged college students; a bird of paradise = the guests dancing the Macarena at her wedding reception).

My favorite pieces were one on the corpse flower and the bookend duo on fireflies – she hits just the right note of nostalgia and warning: “I know I will search for fireflies all the rest of my days, even though they dwindle a little bit more each year. I can’t help it. They blink on and off, a lime glow to the summer night air, as if to say, I am still here, you are still here.”
With thanks to Souvenir Press for the free copy for review.
Any nature books on your reading pile?
Wigtown Book Festival 2020: The Bookshop Band, Bythell, O’Connell & Stuart
During the coronavirus pandemic, we have had to take small pleasures where we can. One of the highlights of lockdown for me has been the chance to participate in literary events like book-themed concerts, prize shortlist announcements, book club discussions, live literary award ceremonies and book festivals that time, distance and cost might otherwise have precluded.
In May I attended several digital Hay Festival events, and this September to early October I’ve been delighted to journey back to Wigtown, Scotland – even if only virtually.
The Bookshop Band
The Bookshop Band have been a constant for me this year. After watching their 21 Friday evening lockdown shows on Facebook, as well as a couple of one-off performances for other festivals, I have spent so much time with them in their living room that they feel more like family than a favorite band. Add to that four of the daily breakfast chat shows from the Wigtown Book Festival and I’ve seen them play over 25 times this year already!
(The still below shows them with, clockwise from bottom left, guests Emma Hooper, Stephen Rutt and Jason Webster.)

Ben and Beth’s conversations with featured authors and local movers and shakers, punctuated by one song per guest, were pleasant to have on in the background while working. The songs they performed were, ideally, written for those authors’ books, but other times just what seemed most relevant; at times this was a stretch! I especially liked seeing Donal Ryan, about whose The Spinning Heart they’ve recently written a terrific song; Kate Mosse, who has been unable to write during lockdown so (re)read 200 books instead, including all of Agatha Christie, Ngaio Marsh et al.; and Ned Beauman, who is nearing the deadline for his next novel, a near-future story of two scientists looking for traces of the venomous lumpsucker (a made-up fish) in the Baltic Sea. Closer to science fiction than his previous work, it’s a funny take on extinctions, he said. I’ve read all of his published work, so I’m looking forward to this one.
Shaun Bythell
The opening event of the Festival was an in-person chat between Lee Randall and Shaun Bythell in Wigtown, rather than the split-screen virtual meet-ups that made up the rest of my viewing. Bythell, owner of The Book Shop, has become Wigtown’s literary celebrity through The Diary of a Bookseller and its sequel. In early November he has a new book coming out, Seven Kinds of People You Find in Bookshops. I’m halfway through it and it has more substance than its stocking-stuffer dimensions would imply. Within his seven categories are multiple subcategories, all given tongue-in-cheek Latin names, as if he’s naming species.
The Book Shop closed for 116 days during COVID-19: the only time in more than 40 years that it has been closed for longer than just over the Christmas holidays. He said that it has been so nice to see customers again; they’ve been a ray of sunshine for him, something the curmudgeon would never usually say! Business has been booming since his reopening, with Agatha Christie his best seller – it’s not just Mosse who’s turning to cozy mysteries. He’s also been touched by the kindness of strangers, such as one from Monaco who sent him £300, having read an article by Margaret Atwood about how hard it is for small businesses just now and hoping it would help the shop survive until they could get there in person.
(Below: Bythell on his 50th birthday, with Captain the cat.)

Randall and Bythell discussed a few of the types of customers he regularly encounters. One is the autodidact, who knows more than you and intends for you to know it. This is not the same, though, as the expert who actually helps you by sharing their knowledge (of a rare cover version on an ordinary-looking crime paperback, for instance). There’s also the occultists, the erotica browsers, the local historians and the young families – now that he has one of his own, he’s become a bit more tolerant.
Mark O’Connell
Appearing from Dublin, Mark O’Connell was interviewed by Scottish writer and critic Stuart Kelly about his latest book, Notes from an Apocalypse (my review). He noted that, while all authors hope their books are timely, perhaps he overshot with this one! The book opens with climate change as the most immediate threat, yet now he feels that “has receded as the locus of anxiety.” O’Connell described the “flattened” experience of being alive at the moment and contrasted it with the existential awfulness of his research travels. For instance, he read a passage from the book about being at an airport Yo Sushi! chain and having a vision of horror at the rampant consumerism its conveyor belt seemed to represent.
Kelly characterized O’Connell’s personal, self-conscious approach to the end of the world as “brave,” while O’Connell said, “in terms of mental health, I should have chosen any other topic!” Having children creates both vulnerability and possibility, he contended, and “it doesn’t do you any good as a parent to indulge in those predilections [towards extreme pessimism].” They discussed preppers’ white male privilege, New Zealand and Mars as havens, and Greta Thunberg and David Attenborough as saints of the climate crisis.

O’Connell pinpointed Dr. Seuss’s The Lorax as the work he spends more time on in his book than any other; none of your classic nihilist literature here, and he deliberately avoided bringing up biblical references in his secular approach. In terms of the author he’s reached for most over the last few years, and especially during lockdown, it’s got to be Annie Dillard. Speaking of the human species, he opined, “it should not be unimaginable that we should cease to exist at some point.”
This talk didn’t add much to my experience of reading the book (vice versa would probably be true, too – I got the gist of Roman Krznaric’s recent thinking from his Hay Festival talk and so haven’t been engaging with his book as much as I’d like), but it was nice to see O’Connell ‘in person’ since he couldn’t make it to the 2018 Wellcome Book Prize ceremony.
Douglas Stuart
Glasgow-born Douglas Stuart is a fashion designer in New York City. Again the interviewer was Lee Randall, an American journalist based in Edinburgh – she joked that she and Stuart have swapped places. Stuart said he started writing his Booker-shortlisted novel, Shuggie Bain, 12 years ago, and kept it private for much of that time. Although he and Randall seemed keen to downplay how autobiographical the work is, like his title character, Stuart grew up in 1980s Glasgow with an alcoholic single mother. As a gay boy, he felt he didn’t have a voice in Thatcher’s Britain. He knew many strong women who were looked down on for being poor.
It’s impossible to write an apolitical book about poverty (or a Glasgow book without dialect), Stuart acknowledged, yet he insisted that the novel is primarily “a portrait of two souls moving through the world,” a love story about Shuggie and his mother, Agnes. The author read a passage from the start of Chapter 2, when readers first meet Agnes, the heart of the book. Randall asked about sex as currency and postulated that all Agnes – or any of these characters; or any of us, really – wants is someone whose face lights up when they see you.
The name “Shuggie” was borrowed from a small-town criminal in his housing scheme; it struck him as ironic that a thug had such a sweet nickname. Stuart said that writing the book was healing for him. He thinks that men who drink and can’t escape poverty are often seen as loveable rogues, while women are condemned for how they fail their children. Through Agnes, he wanted to add some nuance to that double standard.
The draft of Shuggie Bain was 900 pages, single-spaced, but his editor helped him cut it while simultaneously drawing out the important backstories of Agnes and some other characters. He had almost finished his second novel by the time Shuggie was published, so he hopes it will be with readers soon.
[I have reluctantly DNFed Shuggie Bain at p. 100, but I’ll keep my proof copy on the shelf in case one day I feel like trying it again – especially if, as seems likely, it wins the Booker Prize.]
Review: Extinctions by Josephine Wilson
I don’t often get a chance to read the wonderful-sounding Australian books I see on prize shortlists or on Kate’s blog, so I was delighted when Extinctions, which won the 2017 Miles Franklin Literary Award, was published in the UK last year. It may just be my mind making easy associations, but Josephine Wilson’s second novel indeed reminded me of other Australian fiction I’ve enjoyed, including The Life and Loves of Lena Gaunt by Tracy Farr, Salt Creek by Lucy Treloar, and The Singing Ship by Rebecca Winterer. I can’t quite put my finger on what these novels have in common despite their disparate time settings. A hot and forbidding landscape? An enduring sense of pioneer spirit, of survival against the odds? All four, to an extent, pit an explorer’s impetus against family trauma and/or racial difference.
The antihero of Extinctions is widower Frederick Lothian, who at age 69 is a reluctant resident of St Sylvan’s Estate retirement village. It’s January 2006, the middle of a blistering Australian summer, and amid his usual morbid activities of reading the newspaper obituaries and watching his elderly co-residents fall over outside his air-conditioned unit, he has plenty of time to drift back over his life. A retired engineer, he’s an expert on concrete construction as well as a noted collector of modernist furniture. But he’s been much less successful in his personal life. His son is in a care home after a devastating accident, and his adopted daughter Caroline, who is part Aborigine, blames and avoids Fred. A run-in with a nosy neighbor, Jan, forces him to face the world – and his past – again.
Meanwhile, Caroline is traveling in the UK to secure specimens for a museum exhibit on extinct species, and the idea of feeling utterly lonesome, like the last of one’s kind, recurs: Frederick sits stubbornly on his own at St Sylvan’s, pondering the inevitability of death; Caroline and Jan, both adopted, don’t have the comfort of a family lineage; and the museum specimens whose photographs are dotted through the novel (including the last passenger pigeon, Martha, which also – not coincidentally, I’m sure – was Fred’s wife’s name) represent the end of the line.

A famous modernist chair features in the book. This is just my office chair.
I loved pretty much everything about this book: the thematic connections, the gentle sense of humor (especially during Fred and Jan’s expensive restaurant dégustation), the chance for a curmudgeonly protagonist to redeem himself, and the spot-on writing. Highly recommended.
My rating:
A favorite passage:
“Like many educated people, Frederick had his opinions, most of which were set in concrete so as to render them more akin to truths, but in reality politics and modern history were his weak points – along with poetry. Where poetry and politics were concerned he feared a lack of foundation, which left him vulnerable to challenge. Deep down he knew that opinion – like concrete – was most resilient when well founded and reinforced.”
Other readalikes: Darke by Rick Gekoski & Ok, Mr Field by Katharine Kilalea
With thanks to Serpent’s Tail for the free copy for review.













Berger (1926–2017), an art critic and Booker Prize-winning novelist, spent six weeks shadowing the doctor, to whom he gives the pseudonym John Sassall, with Swiss documentary photographer Jean Mohr, his frequent collaborator. Sassall’s dedication was legendary: he attended every birth in this community, and nearly every death. Sassall’s middle-class origins set him apart from his patients. There’s something condescending about how Berger depicts the locals as simple peasants. Mohr’s photos include soft-focus close-ups on faces exhibiting a sequence of emotions, a technique that feels outdated in the age of video. Along with recording the day-to-day details of medical complaints and interventions, Berger waxes philosophical on topics such as infirmity and vocation. A Fortunate Man is a curious book, part intellectual enquiry and part hagiography.
With its layers of local history and its braided biographical strands, A Fortunate Woman takes up many of the same heavy questions but feels more subtle and timely. It also soon delivers a jolting surprise: the doctor Berger called John Sassall was likely bipolar and, soon after the death of his beloved wife Betty, committed suicide in 1982. His story still haunts this community, where many of the older patients remember going to him for treatment. Like Berger, Morland keenly follows a range of cases. As the book progresses, we see this beautiful valley cycle through the seasons, with certain of Richard Baker’s landscape shots deliberately recreating Mohr’s scene setting. The timing of Morland’s book means that it morphs from a portrait of the quotidian for a doctor and a community to, two-thirds through, an incidental record of the challenges of medical practice during COVID-19. 
Galbraith’s is an elegiac tour through imperilled countryside and urban edgelands. Each chapter resembles an in-depth magazine article: a carefully crafted profile of a beloved bird species, with a focus on the specific threats it faces. Galbraith recognises the nuances of land use. However, shooting plays an outsized role. (Curious for his bio not to disclose that he is editor of the Shooting Times.) The title’s reference is to literal birdsong, but the book also celebrates birds’ cultural importance through their place in Britain’s folk music and poetry. He is clearly enamoured of countryside ways, but too often slips into laddishness, with no opportunity missed to mention him or another man having a “piss” outside. Readers could also be forgiven for concluding that “Ilka” (no surname, affiliation or job title), who briefs him on her research into kittiwake populations in Orkney, is the only female working in nature conservation in the entire country; with few exceptions, women only have bit parts: the farm wife making the tea, the receptionist on the phone line, and so on.
Pavelle’s book is a tonic in more ways than one. Employed by Beaver Trust, she is enthusiastic and self-deprecating. Her nature quest has a broader scope, including insects like the marsh fritillary and marine species such as seagrass and the Atlantic salmon. Travelling between lockdowns in 2020–1, Pavelle took low-carbon transport wherever possible and bolsters her trip accounts with context, much of it gleaned from Zoom calls and e-mail correspondence with experts from museums and universities. Refreshingly, around half of these interviewees are women, and the animal subjects are never the obvious choices. Instead, she seeks out “underdog” species. The explanations are at a suitable level for laymen, true to her job as a science communicator. The snappy, casual prose (“the future of the bilberry bumblebee and its Aperol arse can be bright, but only if we get off our own”) could even endear her to teenage readers. As image goes, Pavelle’s cheerful naïveté holds more charm than Galbraith’s hardboiled masculinity.
Taking Flight by Lev Parikian: Parikian’s accessible account of the animal kingdom’s development of flight exhibits a layman’s enthusiasm for an everyday wonder. He explicates the range of flying strategies and the structural adaptations that made them possible. The archaeopteryx section, chronicling the transition between dinosaurs and birds, is a highlight. Though the most science-heavy of the author’s six works, this, perhaps ironically, has fewer footnotes. His usual wit is on display: he describes the feral pigeon as “the Volkswagen Golf of birds” and penguins as “piebald blubber tubes”. This makes it a pleasure to tag along on a journey through evolutionary time, one sure to engage even history- and science-phobes.

Merritt asked about the novel’s magic realist element and how stylistically different his novels have been from each other. He was glad she found the book funny, as “life is tragicomic.” In an effort not to get stuck in a rut, he deliberately ‘breaks the mould’ after each book and starts over. This has not made him popular with his publisher!



Last year’s Dylan Thomas Prize winner interviewed this year’s winner, and it was clear that the mutual admiration was strong. Though I had mixed feelings about Luster (
Shipstead (also a Dylan Thomas Prize winner) echoed something Leilani had said: that she starts a novel with questions, not answers. Such humility is refreshing, and a sure way to avoid being preachy in fiction. Her new novel, Great Circle, is among my 
Lockwood is the only novelist to be included on the Atlantic’s roster of best tweets. She and Nina Stibbe, who interviewed her, agreed that 1) things aren’t funny when they try too hard and 2) the Internet used to be a taboo subject for fiction – producing time-stamped references that editors used to remove. “I had so many observations and I didn’t know where to put them,” Lockwood said, and it seems to her perverse to not write about something that is such a major part of our daily lives. The title of her Women’s Prize-shortlisted novel, No One Is Talking About This (
Like Lockwood, Pachico was part of the “10 @ 10” series featuring debut novelists (though her first book, the linked story collection 
Speaking to Arifa Akbar about 
I’ve read more of and gotten on better with Heti’s work than Cusk’s, so this was a rare case of being perhaps more interested in interviewer than interviewee. Heti said that, compared with the Outline trilogy, Cusk’s new novel Second Place feels wilder and more instinctual. Cusk, speaking from the Greek island of Tinos, where she is researching marble quarrying, described her book in often vague yet overall intriguing terms: it’s about exile and the illicit, she said; about femininity and entitlement to speak; about the domestic space and how things are legitimized; about the adoption of male values and the “rightness of the artist.”












