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?
Wellcome Book Prize 2019: Announcing Our Shadow Panel Shortlist
Here’s a recap of what’s on the Wellcome Book Prize longlist, with links to all the reviews that have gone up on our blogs so far:

Amateur: A true story about what makes a man by Thomas Page McBee
Astroturf by Matthew Sperling
Educated by Tara Westover
Freshwater by Akwaeke Emezi
Heart: A history by Sandeep Jauhar
Mind on Fire: A memoir of madness and recovery by Arnold Thomas Fanning
Murmur by Will Eaves
My Year of Rest and Relaxation by Ottessa Moshfegh
Polio: The odyssey of eradication by Thomas Abraham
Sight by Jessie Greengrass
The Trauma Cleaner: One woman’s extraordinary life in death, decay and disaster by Sarah Krasnostein
This Really Isn’t About You by Jean Hannah Edelstein
Together we have chosen the six* books we would like to see advance to the shortlist. This is based on our own reading and interest, but also on what we think best fits the prize’s aim, as stated on the website:
To be eligible for entry, a book should have a central theme that engages with some aspect of medicine, health or illness. At some point, medicine touches all our lives. Books that find stories in those brushes with medicine are ones that add new meaning to what it means to be human. The subjects these books grapple with might include birth and beginnings, illness and loss, pain, memory, and identity. In keeping with its vision and goals, the Wellcome Book Prize aims to excite public interest and encourage debate around these topics.
Here are the books (*seven of them, actually) that we’ll be rooting for – we had a tie on a couple:

Amateur: A true story about what makes a man by Thomas Page McBee
Educated by Tara Westover
Heart: A history by Sandeep Jauhar
Murmur by Will Eaves
Sight by Jessie Greengrass
The Trauma Cleaner by Sarah Krasnostein
This Really Isn’t About You by Jean Hannah Edelstein
The official Wellcome Book Prize shortlist will be announced on Tuesday the 19th. I’ll check back in on Wednesday with our reactions to the shortlist and the plan for covering the rest of the books we haven’t already read.
The Wellcome Book Prize 2019 Longlist: Reactions & Shadow Panel Reading Strategy
The 2019 Wellcome Book Prize longlist was announced on Tuesday. From the prize’s website, you can click on any of these 12 books’ covers, titles or authors to get more information about them.

This year marks the 10th anniversary of the prize. As always, it’s a strong and varied set of nominees, with an overall focus on gender and mental health. Here are some initial thoughts (see also Laura’s thorough rundown of the 12 nominees):

- I correctly predicted just two, Sight by Jessie Greengrass and Heart: A History by Sandeep Jauhar, but had read another three: This Really Isn’t About You by Jean Hannah Edelstein, Amateur by Thomas Page McBee, and Educated by Tara Westover (reviewed for BookBrowse).
- I’m particularly delighted to see Edelstein on the longlist as her book was one of my runners-up from last year and deserves more attention.
- I’m not personally a huge fan of the Greengrass or McBee books, but can certainly see why the judges thought them worthy of inclusion.
- Though it’s a brilliant memoir, I never would have thought to put Educated on my potential Wellcome list. However, the more I think about it, the more health elements it has: her father’s possible bipolar disorder, her brother’s brain damage, her survivalist family’s rejection of modern medicine, her mother’s career in midwifery and herbalism, and her own mental breakdown at Cambridge.
- Books I knew about and was keen to read but hadn’t thought of in conjunction with the prize: The Trauma Cleaner by Sarah Krasnostein and My Year of Rest and Relaxation by Ottessa Moshfegh.
- Novels I had heard of but wasn’t necessarily interested in beforehand: Murmur by Will Eaves and Freshwater by Akwaeke Emezi. I went to get Freshwater from the library the afternoon of the longlist announcement and am now 60 pages in. I’d be tempted to call it this year’s Stay with Me except that the magic realist elements are much stronger here, reminding me of what I know about work by Chigozie Obioma and Ben Okri. The novel is narrated in the first person plural by a pair of (gods? demons? spirits?) inhabiting Ada’s head.
- And lastly, there are a few books I had never even heard of: Polio: The Odyssey of Eradication by Thomas Abraham, Mind on Fire: A Memoir of Madness and Recovery by Arnold Thomas Fanning, and Astroturf by Matthew Sperling. I’m keen on the Fanning but not so much on the other two. Polio will likely make it to the shortlist as this year’s answer to The Vaccine Race; if it does, I’ll read it then.

Some statistics on this year’s longlist, courtesy of a press release sent by Midas PR:
- Five novels (two more than last year – I think we can see the influence of novelist Elif Shafak), five memoirs, one biography, and one further nonfiction title
- Six debut authors
- Six titles from independent publishers (Canongate, CB Editions, Faber & Faber, Oneworld, Hurst Publishers, and The Text Publishing Company)
- Most of the authors are British or American, while Fanning is Irish (Emezi is Nigerian-American, Jauhar is Indian-American, and Krasnostein is Australian-American).

Chair of judges Elif Shafak writes: “In a world that remains sadly divided into echo chambers and mental ghettoes, this prize is unique in its ability to connect various disciplines: medicine, health, literature, art and science. Reading and discussing at length all the books on our list has been fascinating from the very start. We now have a wonderful longlist, of which we are all very proud. Although it sure won’t be easy to choose the shortlist, and then, finally, the winner, I am thrilled about and truly grateful for this fascinating journey through stories, ideas, ground-breaking research and revolutionary knowledge.”
We of the shadow panel have divided up the longlist titles between us as follows (though we may well each get hold of and read more of the books, simply out of personal interest) and will post reviews on our blogs within the next five weeks.
Amateur: A true story about what makes a man by Thomas Page McBee – LAURA
Astroturf by Matthew Sperling – PAUL
Educated by Tara Westover – CLARE
Freshwater by Akwaeke Emezi – REBECCA
Heart: A history by Sandeep Jauhar – LAURA
Mind on Fire: A memoir of madness and recovery by Arnold Thomas Fanning – REBECCA
Murmur by Will Eaves – PAUL
My Year of Rest and Relaxation by Ottessa Moshfegh – CLARE
Polio: The odyssey of eradication by Thomas Abraham – ANNABEL
[Sight by Jessie Greengrass – 4 of us have read this; I’ll post a composite of our thoughts]
The Trauma Cleaner: One woman’s extraordinary life in death, decay and disaster by Sarah Krasnostein – ANNABEL
This Really Isn’t About You by Jean Hannah Edelstein – LAURA
The Wellcome Book Prize shortlist will be announced on Tuesday, March 19th, and the winner will be revealed on Wednesday, May 1st.
We plan to choose our own shortlist to announce on Friday, March 15th. Follow along here and on Halfman, Halfbook, Annabookbel, A Little Blog of Books, and Dr. Laura Tisdall for reviews and predictions.
The dialogue is sparkling, just like you’d expect from a playwright. As in the Hendrik Groen books and Elizabeth Taylor’s Mrs Palfrey at the Claremont, the situation invites cliques and infantilizing. The occasional death provides a bit more excitement than jigsaws and knitting. Ageing bodies may be pitiable (the incontinence!), but sex remains a powerful impulse.
The 18 poems in this pamphlet (in America it would be called a chapbook) orbit the sudden death of Pimlott’s husband a few years ago. By the time she found Robert at the bottom of the stairs, there was nothing paramedics could do. What next? The callousness of bureaucracy: “Your demise constitutes a quarter off council tax; / the removal of a vote you seldom cast and then / only to be contrary; write-off of a modest overdraft; / the bill for an overpaid pension” (from “Death Admin I”). Attempts at healthy routines: “I’ve written my menu for the week. Today’s chowder. / I manage ten pieces of the 1000-piece jigsaw’s scenes / from Jane Austen. Tomorrow I’ll visit friends and say // it’s alright, it’s alright, seventy, eighty percent / alright” (from “How to be a widow”). Pimlott casts an eye over the possessions he left behind, remembering him in gardens and on Sunday walks of the sort they took together. Grief narratives can err towards bitter or mawkish, but this one never does. Everyday detail, enjambment and sprightly vocabulary lend the wry poems a matter-of-fact grace. I plan to pass on my copy to a new book club member who was widowed unexpectedly in May – no doubt she’ll recognise the practical challenges and emotional reality depicted.
Ten-year-old Ronja and her teenage sister Melissa have to stick together – their single father may be jolly and imaginative, but more often than not he’s drunk and unemployed. They can’t rely on him to keep food in their Tøyen flat; they subsist on cereal. When Ronja hears about a Christmas tree seller vacancy, she hopes things might turn around. Their father lands the job but, after his crew at a local pub pull him back into bad habits, Melissa has to take over his hours. Ronja hangs out at the Christmas tree stand after school, even joining in enthusiastically with publicity. The supervisor, Tommy, doesn’t mind her being around, but it’s clear that Eriksen, the big boss, is uncomfortable with even a suggestion of child labour.
My favourite individual story was “August in the Forest,” about a poet whose artist’s fellowship isn’t all it cracked up to be – the primitive cabin being no match for a New Hampshire winter. His relationships with a hospital doctor, Chloe, and his childhood best friend, Elizabeth, seem entirely separate until Elizabeth returns from Laos and both women descend on him at the cabin. Their dialogues are funny and brilliantly awkward (“Sorry not all of us are quietly chiseling toward the beating heart of the human experience, August. One iamb at a time”) and it’s fascinating to watch how, years later, August turns life into prose. But the crowning achievement is the opening title story and its counterpart, “Origin Stories,” about folk music recordings made by two university friends during the First World War – and the afterlife of both the songs and the men.
Literary prize season will soon be in full swing, and can be overwhelming. I’m currently reading Megan Nolan’s Acts of Desperation, doing double duty from the
Today the second Barbellion Prize winner was announced: Lynn Buckle for 


The Candy House by Jennifer Egan – 

In Shock by Rana Awdish: The doctor became the patient when Awdish, seven months pregnant, was rushed into emergency surgery with excruciating pain due to severe hemorrhaging into the space around her liver, later explained by a ruptured tumor. Having experienced brusque, cursory treatment, even from colleagues at her Detroit-area hospital, she was convinced that doctors needed to do better. This memoir is a gripping story of her own medical journey and a fervent plea for compassion from medical professionals.
Doctor by Andrew Bomback: Part of the Bloomsbury Object Lessons series, this is a wide-ranging look at what it’s like to be a doctor. Bomback is a kidney specialist; his wife is also a doctor, and his father, fast approaching retirement, is the kind of old-fashioned, reassuring pediatrician who knows everything. Even the author’s young daughter likes playing with a stethoscope and deciding what’s wrong with her dolls. In a sense, then, Bomback uses fragments of family memoir to compare the past, present and likely future of medicine. 
A Moment of Grace by Patrick Dillon [skimmed]: A touching short memoir of the last year of his wife Nicola Thorold’s life, in which she battled acute myeloid leukemia. Dillon doesn’t shy away from the pain and difficulties, but is also able to summon up some gratitude.
Get Well Soon: Adventures in Alternative Healthcare by Nick Duerden: British journalist Nick Duerden had severe post-viral fatigue after a run-in with possible avian flu in 2009 and was falsely diagnosed with ME / CFS. He spent a year wholeheartedly investigating alternative therapies, including yoga, massage, mindfulness and meditation, visualization, talk therapy and more. He never comes across as bitter or sorry for himself. Instead, he considered fatigue a fact of his new life and asked what he could do about it. So this ends up being quite a pleasant amble through the options, some of them more bizarre than others.
*Sight by Jessie Greengrass [skimmed]: I wanted to enjoy this, but ended up frustrated. As a set of themes (losing a parent, choosing motherhood, the ways in which medical science has learned to look into human bodies and minds), it’s appealing; as a novel, it’s off-putting. Had this been presented as a set of autobiographical essays, perhaps I would have loved it. But instead it’s in the coy autofiction mold where you know the author has pulled some observations straight from life, gussied up others, and then, in this case, thrown in a bunch of irrelevant medical material dredged up during research at the Wellcome Library. 
*Brainstorm: Detective Stories From the World of Neurology by Suzanne O’Sullivan: Epilepsy affects 600,000 people in the UK and 50 million worldwide, so it’s an important condition to know about. It is fascinating to see the range of behaviors seizures can be associated with. The guesswork is in determining precisely what is going wrong in the brain, and where, as well as how medicines or surgery could address the fault. “There are still far more unknowns than knowns where the brain is concerned,” O’Sullivan writes; “The brain has a mind of its own,” she wryly adds later on. (O’Sullivan won the Prize in 2016 for It’s All in Your Head.)
I’m also currently reading and enjoying two witty medical books, The Mystery of the Exploding Teeth and Other Curiosities from the History of Medicine by Thomas Morris, and Chicken Unga Fever by Phil Whitaker, his collected New Statesman columns on being a GP.
The Beautiful Cure: Harnessing Your Body’s Natural Defences by Daniel M. Davis
roding = the sound produced during the mating display of snipe and woodcock, also known as drumming
lemniscate = the infinity symbol, here used as a metaphor for the pattern of pipe smoke
bronies = middle-aged male fans of My Little Pony (wow, who knew this was a thing?! I feel like I’ve gone down a rabbit hole just by Googling it.)
xeric = very dry (usually describes a habitat, but used here for a person’s manner)
pareidolia = seeing faces in things, an evolutionary adaptation (check out @FacesPics on Twitter!)











