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review 2017-05-27 18:05
Five Days at Memorial, Sheri Fink
Five Days at Memorial: Life and Death in a Storm-Ravaged Hospital - Sheri Fink

It was hard to put down this impressive work of journalism that focuses on events at Memorial Hospital in New Orleans before, during, and after Hurricane Katrina. As hurricane season approaches it begs the question: are we better prepared to deal with natural disasters in the U.S.? The epilogue to the book, written a few years ago, suggests in some ways we are, but in important ways we are not.

 

Hospitals were exempt from the evacuation order (belatedly) given by the mayor of New Orleans as Katrina approached. Many staff, patients, family members, and even pets sheltered at the hospitals (lesson the first: evacuate before the storm hits), including Memorial. As the title indicates, it would be five days before all were evacuated. After power loss, the generators eventually failed as they were in the basement, where the water levels rose once the levees broke. Though they had food and bottled water, the hospital went without running water, air conditioning, working plumbing, and the power needed to run vital medical equipment.

 

Evacuation aid via helicopters and boats was erratic or turned away by staff at points. Communication at all levels was unreliable; rumors swarmed, including that New Orleans was under martial law and looting and violence were everywhere. The staff went without much sleep as they continued to care for patients. The bad decision was made to leave the sickest patients, including those with DNR (Do Not Resuscitate) orders, last for evacuation, with the exception of neonates. Healthier patients (though some still critical) left first. Family members were encouraged and even pressured to leave their loved ones, assured the patients would be cared for.

 

Soon after the disaster, there was a reckoning. Or, I should say, an attempt at a reckoning. Troubled reports of irresponsible and ethically questionable decisions being made at hospitals and nursing homes arose, including euthanasia at Memorial. 40-some patients had died there, and about half were later found to have high levels of morphine as well as Versed, a sedative, in their systems. Were they euthanized, and by whom?

 

In addition to covering events at the hospital as reported by those who were there, Fink covers the development of the legal case against a particular doctor and two nurses accused of second degree homicide. Reading about what happened at the hospital, the good and, mostly, the bad, is heartrending and horrifying, impossible to look away from, like a car accident. Learning what does and does not happen afterwards infuriated me; my sympathies were with those who'd lost loved ones, who don't quite have closure. I sympathized also with nurses so traumatized by those five days that they could no longer practice.

 

Fink contextualizes Katrina as well as the ethics of decisions made. She profiles key players, letting their own words speak for them. I don't pretend to read much non-fiction, but it seems to me her work is exceptionally well researched, every effort made to fact-check and communicate with those involved. The book evolved from a piece she did for ProPublica and the New York Times, which won the Pulitzer. Regardless, I'm sure there's been a range of reactions. If you google the topic, you'll find a website by/for the doctor arrested who continues to deny wrongdoing, with a link to another site that proclaims "the truth" of what happened. I didn't bother clicking.

 

Mostly I think about the contrasting example of Charity Hospital, also in New Orleans, who lost fewer patients despite having more, with additional patients delivered to them. I think of proposed (and adopted) legislation or protocols that would shield physicians from legal ramifications of unethical decisions made during a disaster. I think of the following quote, with which I agree:

 

“Rather than thinking about exceptional moral rules for exceptional moral situations,” Harvard’s Dr. Lachlan Forrow, who is also a palliative care specialist, wrote, “we should almost always see exceptional moral situations as opportunities for us to show exceptionally deep commitment to our deepest moral values.”

 

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review SPOILER ALERT! 2017-05-01 19:24
Deliverance, by James Dickey
Deliverance (Modern Library 100 Best Novels) - James Dickey

The film version of Deliverance is known for "that scene," the one where Bobby, one of four city men traversing a wild river in Georgia, is raped by a "hillbilly." The scene is a bit different in the book--there's no "Squeal like a pig!" moment--but essentially the same. Before I even saw the film, I knew about that scene. Men as victims of rape (outside of prison as a context) in stories shock us; women as victims are so common, often serving as the impetus for a male protagonist to seek revenge, or to "develop" a female character, that it's rare for their victimization to become the talking point of a film or book, unless the scene is especially brutal (e.g. Irreversible) or unique (e.g. that turkey baster in Don't Breathe).

 

I mention this because I came to Deliverance as a reader who is now rarely interested in books with white masculinity as their subject. Its spot on the Modern Library's 100 Best Novels of the 20th Century likely put it on my radar, and when I read a sample I was dazzled by its language. Dickey's prose is the best thing about the novel, for a reader like me. He has a way of describing moments of consciousness or states of being that is unlike anything else I've read. It carried me through the story, even as the book became what I feared it might. In essence, it's about using and relying on one's physical and mental resources as a man to make it through a dire situation.

 

The leader of this river expedition is Lewis, the most capable and masculine "man's man" of the foursome. He's what we would today call a survivalist; he has faith in himself and his body, first and foremost, and wants to be prepared for anything. There's Drew, the sensible, amateur musician, and Bobby, the smartass who's the least helpful on the river. The protagonist and narrator is Ed, Lewis's best friend. Ed is mildly dissatisfied with his work (in advertising) and goes back and forth about wanting to take part in the river trip. When Lewis is badly injured and another member of their party killed by the surviving local man who participated in the rape (Lewis killed the other), it's up to Ed to get them out of there alive. He does, though injured and obliged to murder (or kill in self-defense, depending on your perspective). The three survivors lie about what happened, concerned they won't be believed by local law enforcement. This experience will clearly haunt them always.

 

What troubles me is the way Bobby is characterized, especially after the rape. When reading, especially a violent and potentially offensive book like this, I try to separate characters' actions and attitudes from the author's. Immediately after the rapist is killed by Lewis, Ed thinks to himself that he doesn't want to touch or be around Bobby. This is a moment where you can distinguish between character and author. But Bobby is elsewhere characterized as weak by the author; his ineptitude makes him a hazard to his friends more than a help as they traverse the river and try to escape the situation. Bobby is, in effect, the least masculine and feminized. Drew had his sense of morality going for him; what does Bobby have except (useless) humor?

 

The few women in the book are wives or objects of a desirous male gaze. Ed has sex with his wife the morning he leaves for the trip, and when he returns, thinks he hasn't appreciated her enough. Drew's widow is angry and predictably points out how useless a death he suffered, adventuring on a river. Throughout the story, Ed thinks of the model who posed topless (back to the camera) and held her breast in a roomful of men, a gold tint in one eye. The women seem there to help define the men's masculinity.

 

Deliverance is tightly constructed, the type of book with symbolism to pore through, ready for a book group or class discussion. I've mentioned its stellar language and also gasped at several points. I can certainly understand its presence on the Modern Library's list, even as I struggle with some elements.

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review 2017-03-17 01:17
Version Control, by Dexter Palmer
Version Control: A Novel - Dexter Palmer

I'm seeing a theme in this year's Tournament of Books shortlist (or, I should say, those books whose samples appealed to me): genre-bending and concerns about identity. I like to think about the lines between or blurring genres, and I appreciate the lens of race or sexuality, both of which are commonly excluded from much genre fic.

 

Dexter Palmer's Version Control is speculative, but only just: its future is near, and there are certainly elements that are not at all far-fetched and therefore frightening: self-driving cars that can endanger passengers when, say, a firmware update has a glitch; data mining and what it could be used for; digital avatars, operating much like bot accounts on social media sites. There are also reminders for our own present, such as the real goals of online dating services--to keep you using (and paying) as long as possible, not successfully find a partner.

 

Palmer's novel is marketed as "time travel like you've never seen it before." I'll go ahead and preface my questions about and problems with the book by saying I'm easily confused by time travel narratives, no matter how well explained.

 

The book is structurally tight, with thematic echoes across points of view and timelines, of which there are two. The idea of "the best of all possible worlds" is central; when it's inevitably discovered that the device the protagonist's husband is working on is, well, working, despite a lack of scientific proof, the characters realize what we as readers learned about halfway through the book when details of their lives change (character x is dead instead of y; characters go--or don't go--by certain nicknames; character a cheats with character b rather than c, etc.): every time someone enters the "causation violation" chamber, a new timeline branches off.

 

Before the characters themselves are in the know, in the first timeline explored, the protagonist feels something's not right, but can't explain what. She's not alone; the phenomenon is experienced by others and has become a diagnosis. What I don't understand is why they have that sense of wrongness. I was also confused by Sean, the physicist and protagonist's son. Is his mural as his mother, Rebecca, sees it, or as Alicia sees (or doesn't see) it? Is he simply an artistic child suffering from loss?

 

Though thematically sound with some fresh explorations of gender and race in the hard sciences especially, Version Control didn't quite come together for me. I didn't particularly like or care about any of the characters; I'd say Carson was most interesting to me. The end was fairly predictable; I enjoyed the first half more. I have some stylistic quibbles that are just my bias, like chunks or pages of dialog, which reminded me of exposition in movies, and what felt like unnecessary section breaks. But I wanted to know what happened next, and the mystery of what was going on and why definitely kept me reading.

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review 2017-03-11 20:24
Black Wave, Michelle Tea
Black Wave - Michelle Tea

The more I read (and watch movies and TV), the more I value encountering something unlike anything else I ever have before. Black Wave, by Michelle Tea, immersed me in a world new to me in several ways.

 

Though there are occasionally individual queer characters in the books I read, I haven't read much queer lit where a larger community is represented, especially queer women. Black Wave is set in San Francisco in the 90s at the start, an alternative past where gentrification has strangled most of the culture(s) from the city. In addition, the world appears to be ending due to advanced climate change: it's dangerous to be out in the sun even incidentally, the ocean is a trash wave, many animals are extinct, and invasive species have overtaken the dying native flora. In other words, the environment's death mirrors a cultural and, as is soon apparent, a personal one.

 

The protagonist, Michelle (like the author), is in her later twenties, and is the kind of addict who tells herself she's not because she doesn't shoot heroin but snorts it and is able to keep her job at a bookstore. She falls in love (or becomes infatuated) easily and hooks up with many of the women who come into her orbit, despite being in a "steady" relationship with a partner more stable than she is. At one point the point of view shifts from Michelle's to her girlfriend's, who thinks she's a sociopath.

 

That feels pretty accurate, but one of the amazing things about Black Wave is that despite Michelle's objectively unlikable character, I still felt very much invested in her. In part this is due to the humor and energy of the writing. For example:

 

Michelle seemed more like some sort of compulsively rutting land mammal, a chimera of dog in heat and black widow, a sex fiend that kills its mate. Or else she was merely a sociopath. She was like the android from Blade Runner who didn’t know it was bad to torture a tortoise. She had flipped [her girlfriend] Andy onto her belly in the Armageddon sun and left her there, fins flapping.

 

I may also personally respond to Michelle because she's a writer, one who's even published and had a sort of local fame. Around the midpoint of the book when she moves to L.A., the narrative is deconstructed as she attempts to write a new book. It becomes clear that not everything we've read so far is as it happened. Another aspect I liked is that somehow this sudden shift doesn't feel like a trick as can happen in many modernist and post-modernist writing and metafiction. How and why I don't know, but after some minor readjustment on my part as a reader, I was still invested.

 

I've often noted what a structure fanatic I am, and the last major selling point of Black Wave is the way it beautifully spins out in the last third.

 

Tangents were Michelle’s favorite part of writing, each one a declaration of agency: I know I was going over there but now I’m going over here, don’t be so uptight about it, just come along. A tangent was a fuckup, a teenage runaway. It was a road trip with a full tank of gas. You can’t get lost if you don’t have anywhere to be. This was writing for Michelle: rule free, glorious, sprawling.

 

As the world ends, people begin dreaming vividly and lucidly about others who exist in the real world, all over the world. They're dreams of connection and love where identity is fluid, and some begin living in them, like Michelle's bosses at the bookstore who hand over the business to her. So the world ends, but somehow Michelle's in a good place, and so was I.

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review 2017-02-16 16:28
Sweet Lamb of Heaven, by Lydia Millet
Sweet Lamb of Heaven: A Novel - Lydia Millet

Hm. Hmmm. This is a difficult book to write about as it defies easy genre placement. It has notes of thriller, horror, SF/speculative fiction, and philosophy. I chose to shelve it under "literary fiction" because I don't see a conflict between the literary and genre elements.

 

Judging by the three-star average rating, most will either love or be confounded by and hate this novel. It took some warming up for me, and I have other quibbles about characterization and writing style. But when I finished the book, I wanted to jump back in and discuss it.

 

It's a novel of big (and politically relevant) ideas wrapped in a domestic thriller. The story centers on a mom and her young daughter. The mother, Anna, hears a voice. Not voices, one voice, and much of the novel's first quarter or third is spent characterizing this voice--what it is and isn't, if not why it is at all. Then, the voice stops. Anna is relieved but still puzzled. More importantly, she has to get away from her husband, who is revealing himself to be a sociopath. She sets out on her own with her daughter and shacks up at a motel in New England. Her husband doesn't care until he decides to run for a government office. He wants his estranged wife and kid around as political props. Anna resists but is threatened.

 

Interspersed with events are bits of research Anna has done on the voice--on language and communication across species, flora and fauna, on God and mental health, community and self-hood. She's found a small community at the isolated motel, and they contribute to her understanding. The closer she comes to making sense of things, the more danger she's in until matters reach a breaking point, not felt until she realizes just how much she's been manipulated.

 

Millet is posing some big questions and making assertions that ring especially true in our new extreme-right and digital environments. I haven't yet sorted through all the implications of the story, but I'm happy for the challenge.

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