Tag Archives: medicine

20 Books of Summer, 19–20: Emily St. James and Abraham Verghese

Going out on a high! My last three books for the challenge (also including Beautiful Ruins) were particularly great, just the sort of absorbing and rewarding reading that I wish I could guarantee for all of my summer selections.

 

Woodworking by Emily St. James (2025)

Colloquially, “woodworking” is disappearing in plain sight; doing all you can to fade into the woodwork. Erica has only just admitted her identity to herself, and over the autumn of 2016 begins telling others she’s a woman – starting with her ex-wife Constance, who is now pregnant by her fiancé, John. To everyone else, Erica is still Mr. Skyberg, a 35-year-old English teacher at Mitchell High involved in local amateur dramatics. When Erica realizes that not only is there another trans woman in her small South Dakota town but that it’s one of her students, Abigail Hawkes, she lights up. Abigail may be half her age but is further along in her transition journey and has sassy confidence. But this foul-mouthed new mentor has problems of her own, starting with parents who refuse to refer to her by her chosen name. Abigail lives with her adult sister instead, and gains an unexpected surrogate family via her boyfriend Caleb, a Korean adoptee whose mother, Brooke Daniels, is directing Our Town. Brooke is surprisingly supportive given that she attends Isaiah Rose’s megachurch.

As Trump/Pence signs proliferate, a local election is heating up, too: Pastor Rose is running for State Congress on the Republican ticket, opposed by Helen Swee. Erica befriends Helen and becomes faculty advisor for the school’s Democrat club (which has all of two members: Abigail and her Leslie Knope-like friend Megan). The plot swings naturally between the personal and political, emphasizing how the personal business of 1% of the population has been made into a political football. Chapters alternate between Abigail in first person and Erica in third. The characters feel utterly real and the dialogue is as genuine as the narrative voices. The support group Erica and Abigail attend presents a range of trans experiences based on when one came of age. Some are still deep undercover. There’s a big reveal I couldn’t quite accept, though I can see its purpose. It’s particularly effective how St. James lets second- and third-person narration shade into first as characters accept their selves. Grey rectangles cover up deadnames all but once, making the point that even allies can get it wrong.

This was pure page-turning enjoyment with an important message to convey. It reminded me a lot of Under the Rainbow by Celia Laskey but also had the flavour of classic Tom Perrotta (Election). In the Author’s Note, St. James writes, “They say the single greatest determinant of whether someone will support and affirm trans people is if they know a trans person.” I feel lucky to count three trans people among my friends. It’s impossible to make detached pronouncements about bathrooms and slippery slopes if you care about people whose rights and very existence are being undermined. We should all be reading books by and about trans women. (New purchase from Bookshop.org)

 

The Covenant of Water by Abraham Verghese (2023)

All too often, I shy away from doorstoppers because they seem like too much of a time commitment. Why read 715 pages in one novel when I could read 3.5 of 200 pages each? Yet there’s something special about being lost in the middle of a great big book and trusting that wherever the story goes will be worthwhile. I let this review copy languish on the shelf for over TWO YEARS when I should have known that the author of the amazing Cutting for Stone couldn’t possibly let me down. Verghese’s second novel is very much in the same vein: a family saga that spans decades and in every generation focuses on medical issues. Verghese is a practicing doctor as well as a Stanford professor and you can tell he glories in the details of hand and brain surgeries, disability and rare diseases – and luckily, so do I.

Wider events play out in the background (wars, partition, the fall of the caste system), but the focus is always on one family in Kerala, starting in 1900 when a 12-year-old girl is brought to the Parambil estate for her arranged marriage to a 40-year-old widower. One day she will be Big Ammachi, the matriarch of a family with a mysterious Condition: In every generation, someone drowns. As a result, they all avoid water, even if it requires going hours out of their way. Her son Philipose longs to be a scholar, but is so hard of hearing that his formal education is cut short. He becomes a columnist in a local newspaper and marries Elsie, a spirited artist. Their daughter, Mariamma, trains as a doctor. In parallel, we follow the story of Digby Kilgour, a Glaswegian surgeon whose career takes him to India. Through Digby and Mariamma’s interactions with colleagues, we watch colonial incompetence and sexism play out. Addiction and suicide recur across the years. Destiny and choice lock horns. I enjoyed the window onto the small community of St. Thomas Christians and felt fond of all the characters, including Damodaran the elephant. It’s also really clever how Verghese makes the Condition a cross between a mystical curse and a diagnosable ailment. An intellectual soap opera that makes you think about storytelling, purpose and inheritance, this is extraordinary.

With thanks to Atlantic Books for the proof copy for review.

I read 10 of the books I selected in my initial planning post. I’m pleased that I picked off a couple of long-neglected review copies and several recent purchases. The rest were substituted at whim. There were two duds, but the overall quality was high, with 10 books I rated 4 stars or higher! Along with the above and Beautiful Ruins, Pet Sematary and Storm Pegs were overall highlights. I also managed to complete a row on the Bingo card, a fun add-on. And, bonus: I cleared 7 books from my shelves by reselling or giving them away after I read them.

May Graphic Novels by Alison Bechdel, Peter Kuper & Craig Thompson

May has been chock-full of new releases for me! For this first batch of reviews, I’m featuring three fantastic graphic novels that have made it onto my Best of 2025 (so far) list. I don’t read graphic books as often as I’d like to – my library tends to major on superhero comics and manga, which aren’t my cup of tea – but I sometimes get a chance to access them for paid review purposes. (The first two below are ones I was sent for potential Shelf Awareness reviews, but I missed the deadlines.) Reading these took me back to the early 2010s when I worked for a university library in South London and would walk to Lambeth Library on my lunch breaks to borrow huge piles of books, mostly taking advantage of their excellent graphic novel selection. That was where my education and fascination began.

 

Spent: A Comic Novel by Alison Bechdel

I’ve read all but one of Bechdel’s works now. Fun Home was among the first graphic books I read and is a great choice if you’re new to this form of storytelling. It’s a family memoir about her father’s funeral home business and closeted lifestyle, which emerged shortly after her own coming-out – and shortly before his accidental death. In Spent, Alison and her handy wife Holly live on a Vermont pygmy goat farm. Alison has writer’s block and is struggling financially despite her famous memoir about her taxidermist father having been made into a successful TV series, Death & Taxidermy. Mostly, she’s consumed with anxiety about the state of the world, what with the ongoing pandemic, her sister’s right-wing opinions, and the litany of awful headlines. “Who can draw when the world is burning?” she exclaims.

Then Alison has an idea for a book – or maybe a reality TV series ­– called $UM that will wean people off of capitalism. That creative journey is mirrored in Spent, which is composed of 12 “episodes” titled after Marxist terminology. Through Alison’s ageing hippie friends and their kids, Bechdel showcases alternative ways of living: a commune, a throuple, nonbinary identity, unpaid internships, Just Stop Oil demos, and the influencer lifestyle versus rejection of technology. It’s (auto)fiction exaggerated to the brink of absurdity, with details changed enough to mock but not enough to hide (e.g., she’s published by “Megalopub,” the hardware store is “Home Despot,” her show airs on “Schmamazon”).

Tiny details in the drawings reward close attention, such as Alison and Holly’s five cats’ antics during their morning routine, and a stuffed moose head rolling its eyes. It’s the funniest I can remember Bechdel being, with much broad humour derived from the outrageous screen mangling of her book – cannibalism, volcanoes and dragons come out of nowhere – and her middle-class friends’ hand-wringing over their liberal credentials. Even the throwaway phrases are hilarious. It’s a gleeful and zeitgeist-y satire, yet draws to a touching close as Alison has the epiphany that she can’t fix everything herself so must simply do what she can, “with a little help from her annoying, tender-hearted, and utterly luminous friends.”

Accessed as an e-book from Mariner Books. Published in the UK by Jonathan Cape (Penguin).

 

Insectopolis: A Natural History by Peter Kuper

Nearly a decade ago, I reviewed Peter Kuper’s Ruins, which features monarch migration and has as protagonist a laid-off Natural History Museum entomologist. Here insects have even more of a starring role. The E. O. Wilson epigraph sets the stage: “If all mankind were to disappear, the world would regenerate back to the rich state of equilibrium that existed ten thousand years ago. If insects were to vanish, the environment would collapse into chaos.” We follow an African American brother-and-sister pair, the one dubious and the other eager, as they walk downtown to the New York Public Library. The sister, who holds a PhD in entomology, promises that its exhibition on insects is going to be amazing. But just before they reach the building, a red alert flashes up on every smartphone and sirens start blaring. A week later, the city is a ruin of overturned cabs and debris. Only insects remain and, group by group, they guide readers through the empty exhibit, interacting within and across species.

It’s a sly blend of science, history, stories and silliness. I loved the scenes of mosquitoes and ants railing against how they’ve been depicted as villainous, and dignified dung beetles resisting scatological jokes and standing up for their importance in ecosystems. There are interesting interludes about insects in literature (not just Kafka and Nabokov, but the Japanese graphic novel The Book of Human Insects by Osamu Tezuka), and unsung heroines of entomology get their moment in the sun. The pages in which Margaret Collins, an African American termite researcher in the 1950s, and Rachel Carson appear to a dragonfly as ghosts and tell their stories of being dismissed by male researchers were among my favourites. Informative and entertaining at once; what could be better? Welcome our insect overlords!

Accessed as an e-book from W. W. Norton & Company.

 

Ginseng Roots by Craig Thompson

I’d read several of Thompson’s works and especially enjoyed his previous graphic memoir, Blankets, about his first love and loss of faith. When I read this blurb, I worried the niche subject couldn’t possibly sustain my attention for nearly 450 pages. But I was wrong; this is a vital book about everything, by way of ginseng. It begins with childhood summers working on American ginseng farms with his siblings in Marathon, Wisconsin. Theirs was a blue collar and highly religious family, but Thompson and his little brother Phil were allowed to spend their earnings from the back-breaking labour of weeding and picking rocks as they pleased. Each hour, each dollar, meant a new comic from the pharmacy. “Comics helped me survive my childhood. But what will help me survive my adulthood?” Thompson asks.

Together with Phil, he travels first to Midwest ginseng farms and festivals and then through China and Korea to learn about the plant’s history, cultivation practices, lore, and medicinal uses. As he meets producers – including a Hmong man whose early life mirrors his own – he feels sheepish about how he makes a living: “I carry this working-class guilt – what I do isn’t real work.” When his livelihood is threatened by worsening autoimmune conditions, he tries everything from acupuncture to psychotherapy to save his hands and his creativity.

This chunky book has an appealing earth-tones palette and shifts smoothly between locations and styles, memories and research. When interviewing growers and Chinese medicine practitioners, the depictions are almost photorealistic, but there are also superhero pastiche panels and a cute ginseng mascot who pops up throughout the book. Like Spent, this pulls in class and economic issues in a lighthearted way and also explores its own composition process.

The story of ginseng is often sobering, involving the exploitation of immigrants (in the Notes, Thompson regrets that he was unable to speak with any of the Mexican migrant workers on whom the American ginseng harvest now depends), soil degradation, and pesticide pollution. The roots of the title are both literal and symbolic of the family story that unfolds in parallel. Both strands are captivating, but especially the autobiographical material: Thompson’s relationship with Phil, his new understanding but ongoing frustration with his parents, and the way all three siblings exhibit the damage of their upbringing – Phil’s marriage is crumbling; their sister Sarah, who has moved 26 times as an adult, wonders what she’s running from. A conversation with a Chinese herbal pharmacist gets to the heart of the matter: “I learned home is not WHERE I am. Home is HOW I am.”

Both expansive and intimate, this is a surprising gem from one of the best long-form graphic storytellers out there.

With thanks to Faber for the free copy for review. Published in the USA by Pantheon (Penguin).

Reading Ireland Month, Part II: Hughes, Kennedy, Murray

My second contribution to Reading Ireland Month after a first batch that included poetry and a novel.

Today I have a poetry collection based around science and travel, and two multi-award-winning novels, one set in the thick of the Troubles in Belfast and another about the crumbling of an ordinary suburban family.

 

Gathering Evidence by Caoilinn Hughes (2014)

I bought this in the same order as Patricia Lockwood’s poetry collection, thinking a segue to another genre within an author’s oeuvre (I’d enjoyed Hughes’s 2018 debut novel, Orchid & the Wasp) might be a clever strategy. That worked out with Lockwood, but not as well here. A collection about scientific discoveries and medical advances seemed likely to be up my street. “The Moon Should Be Turned” is about the future of the HeLa cells harvested from Henrietta Lacks; poems are dedicated to the Curies and Johannes Kepler and one has Fermi as a main character. Russian nuclear force is a background menace. There are also some poems about growing up in Dublin and travels in the Andes. “Vagabond Monologue” stood out for its voice, “Marbles” for its description of childhood booty: “A netted bag of green glass marbles with aquamarine swirls / deep in the otherworld of spherical transparency (simultaneous opacity) / was the first thing I ever stole when I was three and far from the last.” Elsewhere, though, I found the precision vocabulary austere and offputting. (New purchase with Amazon voucher)

 

Trespasses by Louise Kennedy (2022)

Despite its many accolades, not least a shortlisting for the Women’s Prize, I couldn’t summon much enthusiasm for reading a novel about the Troubles. I don’t know why I tend to avoid this topic; perhaps it’s the insidiousness of fighting that’s not part of a war somewhere else, but ongoing domestic terrorism instead. Combine that with an affair – Cushla is a 24-year-old schoolteacher who starts sleeping with a middle-aged, married barrister she meets in her family’s pub – and it sounded like a tired, ordinary plot. But after this won last year’s McKitterick Prize (for debut authors over 40) and I was sent the whole shortlist in thanks for being a manuscript judge, I thought I should get over myself and give it a try.

Little surprise that Kennedy’s writing – compassionate, direct, heart-rending – is what sets the book apart. With no speech marks, radio reports of everyday atrocities blend in with thoughts and conversations. We meet and develop fondness for characters across classes and the Catholic–Protestant divide: Cushla’s favourite pupil, Davy, whose father was assaulted in the street; her alcoholic mother, Gina, who knows more than she lets on, despite her inebriation; Gerry, a colleague who takes Cushla on friend dates and covers for her when she goes to see Michael. An Irish language learning circle introduces the 1970s bourgeoisie with their dinner parties and opinions.

This doesn’t read like a first novel at all, with each character fully realized and the plot so carefully constructed that I was as shocked as Cushla by a revelation four-fifths of the way through. Desire is bound up with guilt; can anyone ever be happy when violence is so ubiquitous and random? “Booby trap. Incendiary device. Gelignite. Nitroglycerine. Petrol bomb. Rubber bullets. Saracen. Internment. The Special Powers Act. Vanguard. The vocabulary of a seven-year-old child now.” But a brief framing episode set in 2015 gives hope of life beyond seemingly inescapable tragedy. (Free from the Society of Authors)

 

The Bee Sting by Paul Murray (2023)

“The trouble is coming from inside; from his family. And unless something happens to stop it, it will keep billowing out, worse and worse”

Another great Irish novel I nearly missed out on, despite it being shortlisted for the Booker Prize and Writers’ Prize and winning the inaugural Nero Book Awards’ Gold Prize, this one because I was daunted by its doorstopper proportions. I’d gotten it in mind that it was all about money: Dickie Barnes’s car dealership is foundering and the straitened circumstances affect his whole family (wife Imelda, teenage daughter Cass, adolescent son PJ). A belated post-financial crash novel? Again, it sounded tired, maybe clichéd.

But actually, this turned out to be just the kind of wry, multi-perspective dysfunctional family novel that I love, such that I was mostly willing to excuse a baggy midsection. Murray opens with long sections of close third person focusing on each member of the Barnes family in turn. Cass is obsessed with sad-girl poetry and her best friend Elaine, but self-destructive habits threaten her university career before it’s begun. PJ is better at making friends through online gaming than in real life because of his family’s plunging reputation, so concocts a plan to run away to Dublin. Imelda is flirting with Big Mike, who’s taking over the dealership, but holds out hope that Dickie’s wealthy father will bail them out. Dickie, under the influence of a weird handyman named Victor, has become fixated on eradicating grey squirrels and building a bunker to keep his family safe.

There are no speech marks throughout, and virtually no punctuation in Imelda’s sections. There are otherwise no clever tricks to distinguish the points-of-view, though. The voice is consistent. Murray doesn’t have to strain to sound like a teenage girl; he fully and convincingly inhabits each character (even some additional ones towards the end). I particularly liked the final “Age of Loneliness” section, which starts rotating between the perspectives more quickly, each one now in the second person. It all builds towards a truly thrilling yet inconclusive ending. I could imagine this as a TV miniseries for sure.

SPOILERS, if you’re worried about that sort of thing:


It was all the details I didn’t pick up from my pre-reading about The Bee Sting that made it so intricate and rewarding. Imelda’s awful upbringing in macho poverty and how it seemed that Rose, then Frank, might save her. The cruelty of Frank’s accidental death and the way that, for both Imelda and Dickie, being together seemed like the only way of getting over him, even if Imelda was marrying the ‘wrong’ brother. The recurrence of same-sex attraction for Dickie, then Cass. The irony of the bee sting that never was.


BUT. Yes, it’s too long, particularly Imelda’s central section. I had to start skimming to have any hope of making it through. Trim the whole thing by 200 pages and then we’re really talking. But I will certainly read Murray again, and most likely will revisit this book in the future to give it the attention it deserves. I read it from the library’s Bestsellers collection; the story of how I own a copy as of this week is a long one…

(Public library; free from the Booker Prize/Premier Comms)

I’ll be catching up on reviewing March releases in early April.

Happy Easter to those who celebrate!

Long Live the NHS! Free for All by Gavin Francis

Dr Gavin Francis’s Intensive Care is the definitive Covid-19 read for me, and I admired his follow-up, Recovery, a personal and general history of convalescence. Free for All is most similar to the latter: a short book, impassioned and practical, that demands a social safety net.

The UK’s National Health Service was established 75 years ago this summer, with the aim of making healthcare free at the point of use for everyone, funded not by charity but by taxation. Today, the NHS is limping along from crisis to crisis (every winter, basically) because it has been chronically underfunded. Any UK-based reader could tell their own story of ridiculous wait times*, I suspect.

Francis makes it clear that the governing party of the last 13 years bears the responsibility for this. The UK’s healthcare spending is lower than that of key European benchmark nations that have better health outcomes. The Conservatives’ goal seems to be to privatize health and focus on market demand. Francis argues powerfully that allowing healthcare to be driven by profit, as it is in the USA, is immoral and uncivilized.

His valuable perspective is that of a GP who has to pick up the slack in his clinics and is begged not to send any but the most desperate cases to overcrowded hospitals. Services are strained to the breaking point; private medicine, far from lessening the burden, increases it when patients revert to the NHS for follow-up care or repair of botched procedures. Meanwhile, the introduction of performance standards can divert doctors’ attention to ticking boxes and ensuring value for money rather than providing the best possible care. Overtreatment (mostly of the elderly) is another potential pitfall.

Francis elaborates his case through his work with anonymized patients, conversations with fellow medical professionals, and a frank look at the statistics on spending and achievements. The book is slightly dry compared to some of his earlier work, simply because of the subject matter, and I noticed a bit of repetition. However, it is still a concise and cogent manifesto. The author believes that people can show they value the NHS by electing politicians who will properly fund it. The NHS is, after all, “an expression of what’s best in our society” and “worth saving,” he concludes. Hear hear!

With thanks to Profile Books/Wellcome Collection for the free copy for review.

Buy Free for All from Bookshop UK. [affiliate link]


*Mine? I waited 12 months for a PHONE consultation with an ear, nose and throat specialist regarding tinnitus. By that point, of course, my problem had largely subsided.

Recent Writing for BookBrowse, Foreword, Shelf Awareness, Shiny New Books, and the TLS

I’ve compiled excerpts from some reviews I’ve contributed to other websites and publications this year. I link to the full text where available. (When writing a paid review, I seek to be balanced but positive. Ratings reflect my personal response.)

BookBrowse

The Last Animal by Ramona Ausubel: In Ausubel’s offbeat third novel, a widowed scientist and her two daughters embark on a rogue plan to make history by resurrecting the woolly mammoth. There is a quirky combination of cosmic and domestic concerns here. A winsome sister duo is at the heart of the unusual and timely story, with priority given to the points of view of teenagers Eve and Vera, whose banter is a highlight. Ausubel has wisely chosen not to dwell on the scientific details of de-extinction, yet that means that this becomes more like speculative fiction or a fairy tale. Ironically, the fabulist-leaning novel is best when most realist, documenting struggles with bereavement, sexism and parenting teens.

The Lost Wife by Susanna Moore: Moore’s hard-hitting novella is based in part on the memoir Six Weeks in the Sioux Tepees: A Narrative of Indian Captivity. In Moore’s version, Sarah, 25, leaves her baby behind when she flees an abusive husband, and once in Minnesota Territory marries John Brinton, who becomes a doctor on a Sioux reservation. By 1862, Sarah is friendly with the Native women. Although the Civil War is unfolding, the greater threat here is of revolt by the starving Indigenous residents. There is much of anthropological and historical interest, but Sarah’s flat storytelling, which may represent a pastiche of period style, means threatening or climactic scenes lose some of their potential gravity.

Foreword

My Mother Says by Stine Pilgaard (trans. from the Danish by Hunter Simpson): After breaking up with her zookeeper girlfriend over their age gap and their conflicting takes on motherhood, the heroine moves back in with her father, a pastor who’s obsessed with Pink Floyd, and her stepmother. Her mother visits often, nagging her to finish her thesis. The line between her conversations and internal thoughts is thin. From her mansplaining doctor, she learns that the brain’s hippocampus is named for its seahorse shape. This inspires “Monologues of a Seahorse,” interludes of stream-of-consciousness association. Experimental and whimsical, this delivers deadpan narration of everyday woes.

In Vitro: On Longing and Transformation by Isabel Zapata (trans. from the Spanish by Robin Myers): A Mexican poet probes the enduring mysteries of pregnancy and birth in a memoir in fragments that travels from fertility treatment through to the early weeks of pandemic-time motherhood. The clinical language of a gynecological history—late menstruation, polycystic ovary syndrome, eighteen years on the pill, and infertility—and the embryo transfer process contrasts with Zapata’s mystical thinking. The microessays integrate family stories, history, and artistic explorations. This resolute account of a personal metamorphosis alchemizes tender experiences into enchanting vignettes.

Shelf Awareness

Fiction

Daughters of Nantucket by Julie Gerstenblatt: This engrossing debut novel explores the options for women in the mid-19th century while bringing a historical tragedy to life. Metaphorical conflagrations blaze in the background in the days leading up to the great Nantucket fire of 1846: each of three female protagonists (a whaling captain’s wife, a museum curator, and a pregnant Black entrepreneur) holds a burning secret and longs for a more expansive, authentic life. The action spans two tense weeks, one week before the fire through eight days after. The women’s lives collide in two climactic scenes. Gerstenblatt’s eye for detail results in sultry historical fiction for Sue Monk Kidd’s readers.

Camp Zero by Michelle Min Sterling: Sterling’s brilliantly unsettling debut novel is set in mid-21st-century, post-oil North America. Prioritizing perspectives from two all-female communities, it contrasts the heights of opulence and technology with the basic instinct for survival. How the strands connect is a mystery sustained through much of the book. Characters go by multiple names and harbor ulterior motives; scenes echo each other as disparate subplots meet in unexpected ways. The background is all too plausible. Sterling also takes to its logical extreme the state of being constantly online. Compelling dystopian cli-fi with three-dimensional characters—perfect for fans of Station Eleven and To Paradise.

Dear Chrysanthemums by Fiona Sze-Lorrain: In this elegant collection of 11 linked short stories by a poet and translator, China’s mid-20th-century political upheaval casts a long shadow. Music and food, not to mention love, bring meaning to those displaced in the aftermath of dissent. The stories—set in China, Singapore, Paris, and New York—span seven decades but always take place in a year ending in a six, a sacred number in Chinese divination. A highlight is “News from Saigon,” in which a prostitute meets Marguerite Duras in a Paris café. The connections are subtle, with the final story pulling together many strands. Ideal for readers of Madeleine Thien’s Do Not Say We Have Nothing.

Nonfiction

Stranded by Maddalena Bearzi: Bearzi developed a deep love for marine fauna during childhood summers in Sardinia and cofounded the Ocean Conservation Society in the 1990s. Temporarily confined to land by Covid-19 lockdowns, she adopts a different tactic for exploring animal behavior: “an urban safari in my backyard and neighborhood.” These nature essays exemplify evenhandedness, curiosity, and close observation. From wasps to night-blooming flowers, her interest is wide-ranging. Gardening is a relaxing pastime and a connection to her mother while they are separated. As a behavioral ecologist, she views even her dog as a subject of study. A passionate primer to appreciating everyday nature.

 

Poetry

Lo by Melissa Crowe: This incandescent autobiographical collection travels from girlhood to marriage and motherhood in post-pandemic USA. Crowe delves into sexual abuse and growing up in rural poverty. Yet the collection is so carefully balanced in tone that it never feels bleak. The emotional range is enhanced by alliteration and botanical imagery.

Dislocations by Karen Enns: The fourth collection by Canadian poet Enns skillfully evokes a rural upbringing and revels in the beauty of nature and music. One of its aphorisms could encapsulate the entire collection: “The ratio of love to grief / we understood as music.” Updating the pastoral tradition, the bittersweet verse also takes solace in the past.

Shiny New Books

A Fortunate Woman by Polly Morland & A Fortunate Man by John Berger: The similarities go much further than the title and subject matter: these two biographical works, both illustrated with black-and-white photographs, are set in the same English valley and the female subject of Morland’s is the next-but-one successor of the doctor who stars in Berger’s.

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.

The Memory of Animals by Claire Fuller: Neffy has nothing to lose when she enrolls in a controversial vaccine trial in a familiar mid-pandemic landscape. The novel is presented as her journal. The bulk takes place in two weeks she spends on a locked unit with four fellow test subjects. In the meantime, she is introduced to an experimental technology for reliving memories. The characterisation of the four other cast members is somewhat thin, and the elements feel randomly assembled. The world-building and tech are unlikely to stand up to science fiction fans’ scrutiny, but this has just the right dose of the speculative for literary fiction readers. It also happens to fit into a recent vogue for octopus novels.

Times Literary Supplement

A late-twenties journalist sets out to survey the situation on the ground for ten British species being squeezed out by anthropogenic climate change: The mission is very similar, and both authors embody passionate dedication to conservation, but the difference in tone of these travel narratives makes them likely to appeal to separate audiences…

In Search of One Last Song by Patrick Galbraith & Forget Me Not by Sophie Pavelle:

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.

Do any of these catch your eye?

First Four in a Row: Márai, Maupin, McEwan, McKay

I announced a few new TBR reading projects back in May 2020, including a Four in a Row Challenge (see the ‘rules’, such as they are, in my opening post). It only took me, um, nearly 11 months to complete a first set! The problem was that I kept changing my mind on which four to include and acquiring more that technically should go into the sequence, e.g. McCracken, McGregor; also, I stalled on the Maupin for ages. But here we are at last. Debbie, meanwhile, took up the challenge and ran with it, completing a set of four novels – also by M authors, clearly a numerous and tempting bunch – back in October. Here’s hers.

I’m on my way to completing a few more sets: I’ve read one G, one and a bit H, and I selected a group of four L. I’ve not chosen a nonfiction quartet yet, but that could be an interesting exercise: I file by author surname even within categories like science/nature and travel, so this could throw up interesting combinations of topics. Do feel free to join in this challenge if, like me, you could use a push to get through more of the books on your shelves.

 

Embers by Sándor Márai (1942)

[Translated from the Hungarian by Carol Brown Janeway]

My first work of Hungarian literature.* This was a random charity shop purchase, simply because I’m always trying to read more international literature and had enjoyed translations by Carol Brown Janeway before. In 1940, two old men are reunited for the first time in 41 years at a gloomy castle, where they will dine by candlelight and, over the course of a long conversation, face up to the secret that nearly destroyed their friendship. This is the residence of 75-year-old Henrik, usually referred to as “the General,” who lives alone apart from Nini, his 91-year-old wet nurse. His wife, Krisztina, died 33 years ago.

Henrik was 10 when he met Konrad at an academy school. They were soon the best of friends, but two things came between them: first was the difference in their backgrounds (“each forgave the other’s original sin: wealth on the one hand and poverty on the other”); second was their love for the same woman.

I appreciated the different setup to this one – a male friendship, just a few very old characters, the probing of the past through memory and dialogue – but it was so languid that I struggled to stay engaged with the plot.

*My next will be Journey by Moonlight by Antal Szerb, another charity shop find.

Favourite lines:

“My homeland was a feeling, and that feeling was mortally wounded.”

“Life becomes bearable only when one has come to terms with who one is, both in one’s own eyes and in the eyes of the world.”

 

Tales of the City by Armistead Maupin (1978)

I’d picked this up from the free bookshop we used to have in the local mall (the source of my next two as well) and started it during Lockdown #1 because in The Novel Cure it is given as a prescription for Loneliness. Berthoud and Elderkin suggest it can make you feel like part of a gang of old friends, and it’s “as close to watching television as literature gets” due to the episodic format – the first four Tales books were serialized in the San Francisco Chronicle.

How I love a perfect book and bookmark combination!

The titled chapters are each about three pages long, which made it an ideal bedside book – I would read a chapter per night before sleep. The issue with this piecemeal reading strategy, though, was that I never got to know any of the characters; because I’d often only pick up the book once a week or so, I forgot who people were and what was going on. That didn’t stop individual vignettes from being entertaining, but meant it didn’t all come together for me.

Maupin opens on Mary Ann Singleton, a 25-year-old secretary who goes to San Francisco on vacation and impulsively decides to stay. She rooms at Anna Madrigal’s place on Barbary Lane and meets a kooky assortment of folks, many of them gay – including her new best friend, Michael Tolliver, aka “Mouse.” There are parties and affairs, a pregnancy and a death, all told with a light touch and a clear love for the characters; dialogue predominates. While it’s very much of its time, it manages not to feel too dated overall. I can see why many have taken the series to heart, but don’t think I’ll go further with Maupin’s work.

Note: Long before I tried the book, I knew about it through one of my favourite Bookshop Band songs, “Cleveland,” which picks up on Mary Ann’s sense of displacement as she ponders whether she’d be better off back in Ohio after all. Selected lyrics:

Quaaludes and cocktails

A story book lane

A girl with three names

A place, post-Watergate

Freed from its bird cage

Where the unafraid parade

[…]

Perhaps, we should all

Go back to Cleveland

Where we know what’s around the bend

[…]

Citizens of Atlantis

The Madrigal Enchantress cries

And we decide, to stay and bide our time

On this far-out, far-flung peninsula.

 

The Children Act by Ian McEwan (2014)

Although it’s good to see McEwan take on a female perspective – a rarer choice for him, though it has shown up in Atonement and On Chesil Beach – this is a lesser novel from him, only interesting insomuch as it combines elements from two of his previous works, The Child in Time (legislation around child welfare) and Enduring Love (a religious stalker). Fiona Maye, a High Court judge, has to decide whether 17-year-old Adam, a bright and musical young man with acute leukaemia, should be treated with blood transfusions despite his Jehovah’s Witness parents’ objection.


[SPOILERS FOLLOW]

She rules that the doctors should go ahead with the treatment. “He must be protected from his religion and from himself.” Adam, now better but adrift from the religion he was raised in, starts stalking Fiona and sending her letters and poems. Estranged from her husband, who wants her to condone his affair with a young colleague, and fond of Adam, Fiona spontaneously kisses the young man while traveling for work near Newcastle. But thereafter she ignores his communications, and when he doesn’t seek treatment for his recurring cancer and dies, she blames herself.

[END OF SPOILERS]


It’s worth noting that the AI in McEwan’s most recent full-length novel, Machines Like Me, is also named Adam, and in both books there’s uncertainty about whether the Adam character is supposed to be a child substitute.

 

The Birth House by Ami McKay (2006)

Dora is the only daughter to be born into the Rare family of Nova Scotia’s Scots Bay in five generations. At age 17, she becomes an apprentice to Marie Babineau, a Cajun midwife and healer who relies on ancient wisdom and appeals to the Virgin Mary to keep women safe and grant them what they want, whether that’s a baby or a miscarriage. As the 1910s advance and the men of the village start leaving for the war, the old ways represented by Miss B. and Dora come to be seen as a threat. Dr. Thomas wants women to take out motherhood insurance and commit to delivering their babies at the new Canning Maternity Home with the help of chloroform and forceps. “Why should you ladies continue to suffer, most notably the trials of childbirth, when there are safe, modern alternatives available to you?” he asks.

Encouraged into marriage at an early age, Dora has to put her vocation on hold to be a wife to Archer Bigelow, a drunkard with big plans for how he’s going to transform the area with windmills that generate electricity. Dora’s narration is interspersed with journal entries, letters, faux newspaper articles, what look like genuine period advertisements, and a glossary of herbal remedies – creating what McKay, in her Author’s Note, calls a “literary scrapbook.” I love epistolary formats, and there are so many interesting themes and appealing secondary characters here. Early obstetrics is not the only aspect of medicine included; there is also an exploration of “hysteria” and its treatment, and the Spanish flu makes a late appearance. Dora, away in Boston at the time, urges her friends from the Occasional Knitters’ Society to block the road to the Bay, make gauze masks, and wash their hands with hot water and soap.

There are a few places where the narrative is almost overwhelmed by all the (admittedly, fascinating) facts McKay, a debut author, turned up in her research, and where the science versus superstition dichotomy seems too simplistic, but for the most part this was just the sort of absorbing, atmospheric historical fiction that I like best. McKay took inspiration from her own home, an old birthing house in the Bay of Fundy.

Review Book Catch-Up: Bamforth, McGrath, Mertz

Today I have a book of medico-philosophical musings, a triptych of novels about the resonant moments of a Canadian childhood, and a varied collection of ekphrastic poems.

 

Scattered Limbs: A Medical Dreambook by Iain Bamforth (2020)

A doctor based in Strasbourg, Iain Bamforth offers a commonplace book full of philosophical musings on medicine and wellness from the ancient world to today. All through December I would read just a few pages at a time as a palate cleanser between larger chunks of other books. Most of the entries are under three pages in length, with some one-sentence dictums interspersed. The point of reference is broadly European, with frequent allusions to English, French, and German literature (Charles Dickens, Marcel Proust, and Thomas Mann) and to Greek thinkers like Aristotle and Plato. The themes include memory, overtreatment, technology, and our modern wellness culture. If you’re equally interested in medicine and philosophy, this is a perfect bedside book for you; if you only gravitate towards one or the other, it’s possible that you could run low on patience for the high-brow rumination. My favourite piece was on “panicology,” and two stand-out lines are below.

“Prognostication is where writers and doctors resemble each other most.”

“A proper attitude to death can be a source of life. That is medicine’s only profundity.”


With thanks to Galileo Publishers for the free copy for review.

 

The Santa Rosa Trilogy by Wendy McGrath (2011–19)

I’m indulging in one last listen to our holiday music compilations as I write, before putting everything away until a hoped-for ‘Christmas in July’ with family and friends. Yesterday I devoured Broke City, the third novella in Wendy McGrath’s Santa Rosa Trilogy, in one sitting and treasured all the Christmas and pine tree references: they bind the book together but also connect it satisfyingly back to Book 1, Santa Rosa, which opened with Christine’s neighbour preparing a Christmas cake one summer. That annual ritual and its built-in waiting period take on new significance when the adult Christine’s life changes suddenly.

In this trio of linked narratives about Christine’s 1960s Edmonton childhood, totem objects and smells evoke memories that persist for decades: Pine-Sol, her parents’ cigarettes, the local meat-packing plant. Even at age seven, Christine is making synaesthetic links between colours and scents as she ponders language and imagines other lives. That her recollections – of a carnival, the neighbourhood grocery store, queasy road trips to her grandmother’s in Saskatchewan, a drive-in movie, and Christmas Eve with her father’s side of the family – so overlap with my late-1980s mental flipbook proves not that suburban Maryland and upstate New York (where I grew up and my mother’s home turf, respectively) are so similar to Alberta, but that this is the universal stuff of a later 20th-century North American childhood.

The other night, discussing The Light Years by Elizabeth Jane Howard, my book club noted how difficult it is to capture childhood in all its joy and distress. McGrath does so superbly, exploiting the dramatic irony between what Christine overhears and what she understands. Readers know her parents’ marriage is in trouble because she never sees them laughing or happy, and she hears her mother complain to her father about his drinking. We know the family is struggling because a man from the City delivers a box of Spam, standard issue to all those who are out of work over the winter. A simple mishearing (“clatteral,” “brain tuber”; thinking that an abattoir sounds “like a fancy ballroom”) can be a perfect example of the child perspective, too. Meanwhile, the pop culture references situate the story in the time period.

Towards the end of Broke City, young Christine declares, “I shall be unusual.” As we root for the girl to outrun her sadder memories and forge a good life, we hope that – like all of us – she’ll find a balance between the ordinary and the exceptional through self-knowledge. While Broke City was my favourite and could probably stand alone, it’s special to chart how moments turn into memories across the three books. I’d recommend the trilogy to readers of Tove Ditlevsen, Tessa Hadley, and Elizabeth Hay. I particularly loved the hybrid-poetry style of the Prologue to Santa Rosa (similar to what Bernardine Evaristo employs), so I would also be interested to try one of McGrath’s two poetry collections.

Some favourite passages:

“he walks at the same time everyday             summer and winter

early morning when the day still makes promises” (Santa Rosa)

 

“Christine thought of herself as a child, with no idea of the world but all the ideas in the world. … Christine is the girl that used to live here, but the girl has disappeared. Her ghost is here, existing parallel to the person she is now. How did this happen? There must have been something she wasn’t paying attention to, something she didn’t see coming.” (Broke City)


With thanks to Wendy McGrath and Edmonton’s NeWest Press for the e-copies for review. I learned about the books from Marcie; see her appreciation of McGrath’s work at Buried in Print.

 

Color and Line by Carole Mertz (2021)

“Ekphrastic” was a new vocabulary word for me – or, if I’d heard it before, I needed a reminder. It refers to poetry written to describe or respond to artworks. Many of Carole Mertz’s poems, especially in the first section, attest to her love of the visual arts. This is the Ohio church organist’s first full-length collection after the 2019 chapbook Toward a Peeping Sunrise and extensive publication in literary magazines. She was inspired by art ranging in date from 1555 to 2019. “Come Share a Glass with Me,” for instance, is a prose poem that imagines the story behind a Van Gogh. I loved the line “The ewer sits expectant” in a short poem capturing The Staircase by Xavier Mellery.

One could look up all of the artworks discussed, but the descriptions here are so richly detailed that I often didn’t feel I needed to. Two paintings in a row depict sisters. A poem about Salome and the beheading of John the Baptist draws on the Bible story, but also on its many portrayals through art history. Other topics include concern for the Earth and beloved works of literature. I particularly enjoyed “The Word in Joseph’s Hand,” a Christmas hymn that can be sung to the tune of “Lo, How a Rose E’er Blooming,” and a haiku about a cardinal, “a flash of bright red / … in the garden”. Below is my favourite of the poems; it incorporates the titles of 14 books, nine of them by Anne Tyler. See if you can spot them all!


Color and Line was released by Kelsay Books on the 2nd. My thanks to Carole Mertz for the e-copy for review.

 

Would you be interested in reading one or more of these?

And, just for fun, put a description of or link to your favourite Bernie-in-mittens meme in the comments.

Review: Intensive Care by Gavin Francis

I finally finished a book in 2021! And it’s one with undeniable ongoing relevance. The subtitle is “A GP, a Community & COVID-19.” Francis, a physician who is based at an Edinburgh practice and frequently travels to the Orkney Islands for healthcare work, reflects on what he calls “the most intense months I have known in my twenty-year career.” He draws all of his chapter epigraphs from Daniel Defoe’s A Journal of the Plague Year and journeys back through most of 2020, from the day in January when he and his colleagues received a bulletin about a “novel Wuhan coronavirus” to November, when he was finalizing the book and learned of promising vaccine trials but also a rumored third wave and winter lockdown.

In February, no one knew whether precautions would end up being an overreaction, so Francis continued normal life: attending a conference, traveling to New York City, and going to a concert, pub, and restaurant. By March he was seeing more and more suspected cases, but symptoms were variable and the criteria for getting tested and quarantining changed all the time. The UK at least seemed better off than Italy, where his in-laws were isolating. Initially it was like flu outbreaks he’d dealt with before, with the main differences being a shift to telephone consultations and the “Great Faff” of donning full PPE for home visits and trips to care homes. The new “digital first” model left him feeling detached from his patients. He had his own Covid scare in May, but a test was negative and the 48-hour bug passed.

Through his involvement in the community, Francis saw the many ways in which coronavirus was affecting different groups of people. He laments the return of mental health crises that had been under control until lockdown. Edinburgh’s homeless, many in a perilous immigration situation thanks to Brexit, were housed in vacant luxury hotels. He visited several makeshift hostels, where some residents were going through drug withdrawal, and also met longtime patients whose self-harm and suicidal ideation were worsening.

Children and the elderly were also suffering. In June, he co-authored a letter begging the Scottish education secretary to allow children to return to school. Perhaps the image that will stick with me most, though, is of the confused dementia patients he met at care homes: “there was a crushing atmosphere of sadness among the residents … [they were] not able to understand why their families no longer came to visit. How do you explain social distancing to someone who doesn’t remember where they are, sometimes even who they are?”

Francis incorporates brief histories of vaccination and the discovery of herd immunity, and visits a hospital where a vaccine trial is underway. I learned some things about COVID-19 specifically: it can be called a “viral pneumonia”; it has two phases, virological (the virus makes you unwell) and immunological (the immune system misdirects messages and the lungs get worse); and it affects the blood vessels as well as the lungs, with one in five presenting with a rash and some developing chilblains in the summer. Amazingly, as the year waned, Francis only knew three patients who had died of Covid, with many more recovered. But in August, a city that should have been bustling with festival tourists was nearly empty.

Necessarily, the book ends in the middle of things; Francis has clear eyes but a hopeful heart. While this is not the first COVID-19 book I’ve encountered (that was Duty of Care by Dominic Pimenta) and will be far from the last – next up for me will be Rachel Clarke’s Breathtaking, out at the end of this month – it is an absorbing first-hand account of a medical crisis as well as a valuable memorial of a time like no other in recent history. A favorite line was “One of the few consolations of this pandemic is its grim camaraderie, a new fellowship among the fear.” Another consolation for me is reading books by medical professionals who can compassionately bridge the gap between expert opinion and everyday experience.


Intensive Care was published by the Wellcome Collection/Profile Books on January 7th. My thanks to the publisher for the free copy for review.

 

Gavin Francis’s other work includes:

Previously reviewed: Shapeshifters

Also owned: Adventures in Human Being

I’m keen to read: Empire Antarctica, about being the medical officer at the British research centre in Antarctica – ironically, this was during the first SARS pandemic. (In July 2020, conducting medical examinations on the next batch of scientists to ship out there, he envied them the chance to escape: “By the time they came home it would be 2022. Surely we’d have the virus under control by then?”)

Signs of Life: To the Ends of the Earth with a Doctor by Stephen Fabes

Stephen Fabes is an emergency room doctor at St Thomas’s Hospital, London. Not exciting enough for you? Well, he also spent six years of the past decade cycling six continents (so, all bar Antarctica). His statistics are beyond impressive: 53,568 miles, 102 international borders, 1000+ nights of free camping, 26 bicycle tires, and 23 journals filled with his experiences. A warm-up was cycling the length of Chile with his brother at age 19. After medical school in Liverpool and starting his career in London, he found himself restless and again longing for adventure. The round-the-world cycle he planned fell into four sections: London to Cape Town, the West Coast of the Americas, Melbourne to Mumbai, and Hong Kong to home.

Signs of Life is a warm-hearted and laugh-out-loud funny account of Fabes’ travels, achieving a spot-on balance between major world events, the everyday discomforts of long-distance cycling and rough camping, and his humanitarian volunteering. He is a witness to the Occupy movement in Hong Kong, the aftermath of drought and tribal conflict in Africa, and the refugee crisis via the “Jungle” migrant camp in Calais. The desperate situations he saw while putting his medical expertise to good use in short bursts – e.g., at a floating clinic on a Cambodian lake, a malaria research center in Thailand, a leper hospital in Nepal, and a mental health rehabilitation clinic in Mumbai – put into perspective more minor annoyances like fire ants in El Salvador, Indonesian traffic, extreme cold in Mongolia, and camel spiders.

Wherever he went, Fabes met with kindness from strangers, even those who started off seeming hostile – having pitched his tent by a derelict cabin in Peru, he was alarmed to awake to a man pointing a gun at him, but the illicit gold miner soon determined he was harmless and offered him some soup. (Police officers and border guards were perhaps a bit less hospitable.) He also had occasional companions along the route, including a former housemate and a one-time girlfriend. Even limited shared language was enough to form common ground with a stranger-turned-fellow cyclist for a week or so. We get surprising glimpses of how Anglo-American culture permeates the developing world: For some reason, in the ‒Stans everyone’s point of reference when he introduced himself was Steven Seagal.

At nearly 400 pages, the memoir is on the long side, though I can see that it must have felt impossible to condense six years of adventures any further. I was less interested in the potted histories of other famous cyclists’ travels and would have appreciated a clearer sense to the passing of time, perhaps in the form of a date stamp at the head of each chapter. One of my favorite aspects of the book, though, was the use of medical metaphors to link geography to his experiences. Most chapters are titled after health vocabulary; for instance, in “Membranes” he ponders whether country borders are more like scars or cell membranes.

Fabes emphasizes, in a final chapter on the state of the West upon his return in early 2016, that, in all the most important ways, people are the same the world over. Whether in the UK or Southeast Asia, he sees poverty as the major factor in illness, perpetuating the inequality of access to adequate healthcare. Curiosity and empathy are his guides as he approaches each patient’s health as a story. Reflecting on the pandemic, which hit just as he was finalizing the manuscript, he prescribes global cooperation and innovation for this time of uncertainty.

We’re all armchair travelers this year, but this book is especially for you if you enjoy Bill Bryson’s sense of humor, think Dervla Murphy was a badass in Full Tilt, and enjoyed War Doctor by David Nott and/or The Crossway by Guy Stagg. It’s one of my top few predictions for next year’s Wellcome Book Prize – fingers crossed it will go ahead after the 2020 hiatus.

My rating:

 

With thanks to Dr Fabes and Profile Books for the free copy for review.

Recent Writing for BookBrowse, Shiny New Books and the TLS

A peek at the bylines I’ve had elsewhere so far this year.

BookBrowse

A Good Neighborhood by Therese Anne Fowler: In Fowler’s sixth novel, issues of race and privilege undermine a teen romance and lead to tragedy in a seemingly idyllic North Carolina neighborhood. A Good Neighborhood is an up-to-the-minute story packed with complex issues including celebrity culture, casual racism, sexual exploitation, and environmental degradation. It is narrated in a first-person plural voice, much like the Greek chorus of a classical tragedy. If you loved Tayari Jones’s An American Marriage, this needs to be next on your to-read list. It is a book that will make you think, and a book that will make you angry; I recommend it to socially engaged readers and book clubs alike.

Pew by Catherine Lacey: Lacey’s third novel is a mysterious fable about a stranger showing up in a Southern town in the week before an annual ritual. Pew’s narrator, homeless, mute and amnesiac, wakes up one Sunday in the middle of a church service, observing everything like an alien anthropologist. The stranger’s gender, race, and age are entirely unclear, so the Reverend suggests the name “Pew”. The drama over deciphering Pew’s identity plays out against the preparations for the enigmatic Forgiveness Festival and increasing unrest over racially motivated disappearances. Troubling but strangely compelling; recommended to fans of Shirley Jackson and Flannery O’Connor. [U.S. publication pushed back to July 21st]

Shiny New Books

Losing Eden: Why Our Minds Need the Wild by Lucy Jones: While nature’s positive effect on human mental health is something we know intuitively and can explain anecdotally, Jones was determined to investigate the scientific mechanism behind it. She set out to make an empirical enquiry and discovered plenty of evidence in the scientific literature, but also attests to the personal benefits that nature has for her and explores the spiritual connection that many have found. Losing Eden is full of both common sense and passion, cramming masses of information into 200 pages yet never losing sight of the big picture. Just as Silent Spring led to real societal change, let’s hope Jones’s work inspires steps in the right direction.

[+ Reviews of 4 more Wainwright Prize (for nature writing) longlistees on the way!]

The Bass Rock by Evie Wyld: While it ranges across the centuries, the novel always sticks close to the title location. Just as the louring rock is inescapable in the distance if you look out from the Edinburgh hills, there’s no avoiding violence for the women and children of the novel. It’s a sobering theme, certainly, but Wyld convinced me that hers is an accurate vision and a necessary mission. The novel cycles through its three strands in an ebb and flow pattern that seems appropriate to the coastal setting and creates a sense of time’s fluidity. The best 2020 novel I’ve read, memorable for its elegant, time-blending structure as well as its unrelenting course – and set against that perfect backdrop of an indifferent monolith.

Times Literary Supplement

I Am an Island by Tamsin Calidas: A record of a demoralizing journey into extreme loneliness on a Scottish island, this offers slivers of hope that mystical connection with the natural world can restore a sense of self. In places the narrative is a litany of tragedies and bad news. The story’s cathartic potential relies on its audience’s willingness to stick with a book that can be – to be blunt –depressing. The writing often tends towards the poetic, but is occasionally marred by platitudes and New Age sentiments. As with Educated, it’s impossible not to marvel at all the author has survived. Admiring Calidas’s toughness, though, doesn’t preclude relief at reaching the final page. (Full review in May 29th issue.)

We Swim to the Shark: Overcoming fear one fish at a time by Georgie Codd: Codd’s offbeat debut memoir chronicles her quest to conquer a phobia of sea creatures. Inspired by a friend’s experience of cognitive behavioral therapy to cure arachnophobia, she crafted a program of controlled exposure. She learned to scuba dive before a trip to New Zealand, returning via Thailand with an ultimate challenge in mind: her quarry was the whale shark, a creature even Jacques Cousteau only managed to sight twice. The book has a jolly, self-deprecating tone despite its exploration of danger and dread. A more directionless second half leads to diminished curiosity about whether that elusive whale shark will make an appearance. (Full review in a forthcoming issue.)

Dottoressa: An American Doctor in Rome by Susan Levenstein: In the late 1970s, Levenstein moved from New York City to Rome with her Italian husband and set up a private medical practice catering to English-speaking expatriates. Her light-hearted yet trenchant memoir highlights the myriad contrasts between the United States and Italy revealed by their health care systems. Italy has a generous national health service, but it is perennially underfunded and plagued by corruption and inefficiency. The tone is conversational and even-handed. In the pandemic aftermath, though, Italian sloppiness and shortages no longer seem like harmless matters to shake one’s head over. (Full review coming up in June 19th issue.)

Do any of these books (all by women, coincidentally) interest you?