Heart and Mind: New Nonfiction by Sandeep Jauhar and Jan Morris
Heart: A History, by Sandeep Jauhar
There could hardly be an author better qualified to deliver this thorough history of the heart and the treatment of its problems. Sandeep Jauhar is the director of the Heart Failure Program at Long Island Medical Center. His family history – both grandfathers died of sudden cardiac events in India, one after being bitten by a snake – prompted an obsession with the heart, and he and his brother both became cardiologists. As the book opens, Jauhar was shocked to learn he had up to a 50% blockage of his own coronary vessels. Things had really gotten personal.
Cardiovascular disease has been the #1 killer in the West since 1910 and, thanks to steady smoking rates and a continuing rise in obesity and sedentary lifestyles, will still affect 60% of Americans. However, the key is that fewer people will now die of heart disease thanks to the developments of the last six decades in particular. These include the heart–lung machine, cardiac catheterization, heart transplantation, and artificial hearts.
Along the timeline, Jauhar peppers in bits of his own professional and academic experience, like experimenting on frogs during high school in California and meeting his first cadaver at medical school. My favorite chapter was the twelfth, “Vulnerable Heart,” which is about how trauma can cause heart arrhythmias; it opens with an account of the author’s days cataloguing body parts in a makeshift morgue as a 9/11 first responder. I also particularly liked his account of being called out of bed to perform an echocardiogram, which required catching a taxi at 3 a.m. and avoiding New York City’s rats.
Maybe I’ve read too much surgical history this year (The Butchering Art by Lindsey Fitzharris and Face to Face by Jim McCaul), though, because I found myself growing fairly impatient with the medical details in the long Part II, which centers on the heart as a machine, and was drawn more to the autobiographical material in the first and final sections. Perhaps I would prefer Jauhar’s first book, Intern: A Doctor’s Initiation.
In terms of readalikes, I’d mention Siddhartha Mukherjee’s The Gene, in which the personal story also takes something of a backseat to the science, and Gavin Francis’s Shapeshifters, which exhibits a similar interest in the metaphors applied to the body. While I didn’t enjoy this quite as much as two other heart-themed memoirs I’ve read, The Sanctuary of Illness by Thomas Larson and Echoes of Heartsounds by Martha Weinman Lear, I still think it’s a strong contender for next year’s Wellcome Book Prize (the judging panel is announced tomorrow!).
Some favorite lines:
“it is increasingly clear that the biological heart is extraordinarily sensitive to our emotional system—to the metaphorical heart, if you will.”
“Who but the owner can say what lies inside a human heart?”“As a heart-failure specialist, I’d experienced enough death to fill up a lifetime. At one time, it was difficult to witness the grief of loved ones. But my heart had been hardened, and this was no longer that time.”
My rating: 
Heart is published in the UK today, September 27th, by Oneworld. My thanks to the publisher for the proof copy for review.
In My Mind’s Eye: A Thought Diary, by Jan Morris
I’ve been an admirer of Jan Morris’s autobiographical and travel writing for 15 years or more. In this diary covering 2017 into early 2018, parts of which were originally published in the Financial Times and the Welsh-language literary newspaper O’r Pedwar Gwynt, we get a glimpse into her life in her early nineties. It was a momentous time in the world at large but a fairly quiet and reflective span for her personally. Though each day’s headlines seem to herald chaos and despair, she’s a blithe spirit – good-natured about the ravages of old age and taking delight in the routines of daily one-mile walks down the lane and errands in local Welsh towns with her beloved partner Elizabeth, who’s in the early stages of dementia.
There are thrilling little moments, though, when a placid domestic life (a different kind of marmalade with breakfast each day of the week!) collides with exotic past experiences, and suddenly we’re plunged into memories of travels in Swaziland and India. Back when she was still James, Morris served in World War II, was the Times journalist reporting from the first ascent of Everest, and wrote a monolithic three-volume history of the British Empire. She took her first airplane flight 70 years ago, and is nostalgic for the small-town America she first encountered in the 1950s. Hold all that up against her current languid existence among the books and treasures of Trefan Morys and it seems she’s lived enough for many lifetimes.
There’s a good variety of topics here, ranging from current events to Morris’s love of cats; I particularly liked the fragments of doggerel. However, as is often the case with diaries, read too many entries in one go and you may start to find the sequence of (non-)events tedious. Each piece is only a page or two, so I tried never to read many more than 10 pages at a time. Even so, I noticed that the plight of zoo animals, clearly a hobby-horse, gets mentioned several times. It seemed to me a strange issue to get worked up about, especially as enthusiastic meat-eating and killing mice with traps suggest that she’s not applying a compassionate outlook consistently.
In the end, though, kindness is Morris’s cardinal virtue, and despite minor illness, telephone scams and a country that looks to be headed to the dogs, she’s encouraged by the small acts of kindness she meets with from friends and strangers alike. Like Diana Athill (whose Alive, Alive Oh! this resembles), I think of Morris as a national treasure, and I was pleased to spend some time seeing things from her perspective.
Some favorite lines:
“If I set out in the morning for my statutory thousand daily paces up the lane, … I enjoy the fun of me, the harmless conceit, the guileless complexity and the merriment. When I go walking in the evening, on the other hand, … I shall recognize what I don’t like about myself – selfishness, self-satisfaction, foolish self-deceit and irritability. Morning pride, then, and evening shame.” (from Day 99)
“Good or bad, virile or senile, there’s no life like the writer’s life.” (from Day 153)
My rating: 
In My Mind’s Eye was published by Faber & Faber on September 6th. My thanks to the publisher for the free copy for review.
A CanLit Classic: The Stone Angel by Margaret Laurence
Hagar Shipley has earned the right to be curmudgeonly. Now 90 years old, she has already lived with her son Marvin and his wife Doris for 17 years when they spring a surprise on her: they want to sell the house and move somewhere smaller, and they mean to send her to Silver Threads nursing home. What with a recent fall, gallbladder issues and pesky constipation, the old woman’s health is getting to be more than Doris can handle at home. But don’t expect Hagar to give in without a fight.
This is one of those novels where the first-person voice draws you in immediately. “I am rampant with memory,” Hagar says, and as the book proceeds she keeps lapsing back, seemingly involuntarily, into her past. While in a doctor’s waiting room or in the derelict house by the coast where she runs away to escape the threat of the nursing home, she loses the drift of the present and in her growing confusion relives episodes from earlier life.
Many of these are melancholy: her mother’s early death and her difficult relationship with her father, an arrogant, self-made shopkeeper (“Both of us were blunt as bludgeons. We hadn’t a scrap of subtlety between us”); her volatile marriage to Bram, a common fellow considered unworthy of her (“Twenty-four years, in all, were scoured away like sand-banks under the spate of our wrangle and bicker”); and the untimely deaths of both a brother and a son.

The stone angel of the title is the monument on Hagar’s mother’s grave, but it is also an almost oxymoronic description for our protagonist herself. “The night my son died I was transformed to stone and never wept at all,” she remembers. Hagar is harsh-tongued and bitter, always looking for someone or something to blame. Yet she recognizes these tendencies in herself and sometimes overcomes her stubbornness enough to backtrack and apologize. What wisdom she has is hard won through suffering, but she’s still standing. “She’s a holy terror,” son Marvin describes her later in the novel: another paradox.
Originally from 1964, The Stone Angel was reprinted in the UK in September as part of the Apollo Classics series. It’s the first in Laurence’s Manawaka sequence of five novels, set in a fictional town based on her hometown in Manitoba, Canada. It could be argued that this novel paved the way for any number of recent books narrated by or about the elderly and telling of their surprise late-life adventures: everything from Jonas Jonasson’s The Hundred-Year-Old Man Who Climbed Out of the Window and Disappeared to Emma Hooper’s Etta and Otto and Russell and James. I was also reminded of Jane Smiley’s Midwest novels, and wondered if Carol Shields’s The Stone Diaries was possibly intended as an homage.
I loved spending time in Hagar’s company, whether she’s marveling at how age has crept up on her—
I feel that if I were to walk carefully up to my room, approach the mirror softly, take it by surprise, I would see there again that Hagar with the shining hair, the dark-maned colt off to the training ring
trying to picture life going on without her—
Hard to imagine a world and I not in it. Will everything stop when I do? Stupid old baggage, who do you think you are? Hagar. There’s no one like me in this world.
or simply describing a spring day—
The poplar bluffs had budded with sticky leaves, and the frogs had come back to the sloughs and sang like choruses of angels with sore throats, and the marsh marigolds were opening like shavings of sun on the brown river where the tadpoles danced and the blood-suckers lay slimy and low, waiting for the boys’ feet.
It was a delight to experience this classic of Canadian literature.
(The Apollo imprint will be publishing the second Manawaka book, A Jest of God, in March.)
With thanks to Blake Brooks at Head of Zeus/Apollo for the free copy for review.
My rating: 
This terrific Great Depression-era story was inspired by the real-life work of photographers such as Dorothea Lange who were sent by the Farm Security Administration, a new U.S. federal agency, to document the privations of the Dust Bowl in the Midwest. John Clark, 22, is following in his father’s footsteps as a photographer, leaving New York City to travel to the Oklahoma panhandle. He quickly discovers that struggling farmers are believed to have brought the drought on themselves through unsustainable practices. Many are fleeing to California. The locals are suspicious of John as an outsider, especially when they learn that he is working to a checklist (“Orphaned children”, “Family packing car to leave”).
This debut poetry collection is on the Dylan Thomas Prize shortlist. I’ve noted that recent winners – such as 
I approached this as a companion to
A medical crisis during pregnancy that had her minutes from death was a wake-up call for Scull, leading her to rethink whether the life she was living was the one she wanted. She spent the next decade interviewing people in her New Zealand and the UK about what they learned when facing death. Some of the pieces are like oral histories (with one reprinted from a blog), while others involve more of an imagining of the protagonist’s past and current state of mind. Each is given a headline that encapsulates a threat to contentment, such as “Not Having a Good Work–Life Balance” and “Not Following Your Gut Instinct.” Most of her subjects are elderly or terminally ill. She also speaks to two chaplains, one a secular humanist working in a hospital and the other an Anglican priest based at a hospice, who recount some of the regrets they hear about through patients’ stories.
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.”

I learned about this from one of May Sarton’s journals, which shares its concern with ageing and selfhood. The author was an American suffragist, playwright, mother and analytical psychologist who trained under Jung and lived in England and Scotland with her Scottish husband. She kept this notebook while she was 82, partly while recovering from gallbladder surgery. It’s written in short, sometimes aphoristic paragraphs. While I appreciated her thoughts on suffering, developing “hardihood,” the simplicity that comes with giving up many cares and activities, and the impossibility of solving “one’s own incorrigibility,” I found this somewhat rambly and abstract, especially when she goes off on a dated tangent about the equality of the sexes. (Free from The Book Thing of Baltimore) 
“Activism is not a journey to the corner store, it is a plunge into the unknown. The future is always dark.” This resonated with the 
Tangye wrote a series of cozy animal books similar to Doreen Tovey’s. He and his wife Jean ran a flower farm in Cornwall and had a succession of cats, along with donkeys and a Muscovy duck named Boris. After the death of their beloved cat Monty, Jean wanted a kitten for Christmas but Tangye, who considered himself a one-cat man rather than a wholesale cat lover, hesitated. The matter was decided for them when a little black stray started coming round and soon made herself at home. (Her name is a tribute to the Dalai Lama’s safe flight from Tibet.) Mild adventures ensue, such as Lama going down a badger sett and Jeannie convincing herself that she’s identified another stray as Lama’s mother. Pleasant, if slight; I’ll read more by Tangye. (From Kennet Centre free bookshop)
Like Tangye, Gallico is known for writing charming animal books, but fables rather than memoirs. Set in postwar Assisi, Italy, this stars Pepino, a 10-year-old orphan boy who runs errands with his donkey Violetta to earn his food and board. When Violetta falls ill, he dreads losing not just his livelihood but also his only friend in the world. But the powers that be won’t let him bring her into the local church so that he can pray to St. Francis for her healing. Pepino takes to heart the maxim an American corporal gave him – “don’t take no for an answer” – and takes his suit all the way to the pope. This story of what faith can achieve just manages to avoid being twee. (From Kennet Centre free bookshop)
Reprinted as a stand-alone pamphlet to celebrate the author’s 70th birthday, this is about a waitress who on her 20th birthday is given the unwonted task of taking dinner up to the restaurant owner, who lives above the establishment. He is taken with the young woman and offers to grant her one wish. We never hear exactly what that wish was. It’s now more than 10 years later and she’s recalling the occasion for a friend, who asks her if the wish came true and whether she regrets what she requested. She surveys her current life and says that it remains to be seen whether her wish will be fulfilled; I could only assume that she wished for happiness, which is shifting and subjective. Encountering this in a larger collection would be fine, but it wasn’t particularly worth reading on its own. (Public library) 

