Showing posts with label medicine. Show all posts
Showing posts with label medicine. Show all posts

Monday, October 26, 2009

Restoration by Rose Tremain

If I finish a book and declare it to be one of the best I have ever read, I normally wait a few days before writing a review. If my opinion hasn’t changed by the time I take up my pen, I restate the opinion. It doesn’t happen often. Rose Tremain’s Restoration remains one of the best books I have ever read.

It’s a book with everything a good novel should have. There’s a thoroughly endearing, involving and interesting central character. There’s a wonderful backdrop in mid-seventeenth century England. There’s intellectual pursuit, carnal knowledge, earthy lifestyle, religious revelation and a good deal of excellent cooking. There are complicated relationships, both unrequited and requited love, commissions from royalty, the proximity of madness and, to keep everything in perspective, a keen sense of the absurd. And, alongside all of that, we live through some great historical events in the restoration of the monarchy, the plague and a Great Fire.

But central to everything is the remarkable Robert Merivel. He’s a talented individual who threatens to achieve but rarely does. He’s never a success but manages to stumble upon a succession of remarkable achievements. He drops out of his studies as a physician, but practices as a doctor. He gets a special job from the king, but fluffs it. He lands a job that’s a meal ticket for life and gets kicked out. Through Merivel’s eyes we experience the sounds, smells and lifestyle of London, the opulence of high society, courtesy of royal patronage and then the frugality of religious commitment. We also appreciate how knowledge and thus assumptions can change.

We enter a world where Harvey’s discovery of the circulation of the blood is still novel. When, as medical students, Merivel and his colleague Pearce discover a man with an open wound on the chest that allows his beating heart to be touched, the pair marvel at how the organ that is supposed to be the centre of all emotion has itself no feeling. In our rational age, of course, no-one refers to heart as having anything whatsoever to do with emotion… One wonders which of our currently unquestioned assumptions will be as quaintly absurd three hundred years from now. 

Celia is one of the king’s mistresses. As a cover for his continued liaisons with her, he suggests Merivel marry her in name only. It all goes wrong, of course, when our rather shaggy and unattractive hero, seen as something of a joke by his contemporaries, falls for her. He spins a yarn or two and is found out, but along the way we feel we have experienced what it is like to seek and receive patronage. We also feel the subsequent fall from favour.

When Merivel’s life changes, we too are drawn into his new world, a world in which his unfinished and thus unconsummated study of medicine can be usefully employed. He becomes involved with his work, eventually too involved, and there is yet another fall from grace back into the company of the hoi polloi. But in this era, everyone’s life experience seems close to some edge or other. There’s plague about, and disease of all kinds. Poverty both threatens and beckons, and yet daily the needs of flesh must be satisfied. And in this respect Merivel is both a success and a survivor.

Despite being a figure of fun and an incompetent, he lives life to the full. Through him we taste, smell and sense his age and, in the end, we also understand it a little more than we did. Restoration is strong on plot. What happens to Robert Merivel is as important as how it happens, so my review reveals little of the detail of the character’s progress through life. But it is always an endearing and enlightening journey, and reveals aspects of humanity that are surely universal and eternal, as eternal perhaps as Merivel’s own room at the top of his tower. Restoration remains one of the best books I have ever read.

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Wednesday, August 20, 2008

Never Let Me Go by Kazuo Ishiguro

Never Let Me Go by Kazuo Ishiguro is a compelling portrait of people on the downside of a dystopia. Like Margaret Atwood’s The Handmaid’s Tale or J G Ballard’s Kingdom Come, Never Let Me Go is built around an abhorrent aspect of social organisation. Crucially, in all three books, the focus of the subject matter is merely an extension of a facet of our own society. Fertility issues provide the material for The Handmaid’s Tale, while brainless consumerism fuelled Kingdom Come. Kazuo Ishiguro’s subject matter has a medical focus that provides an essentially more credible idea than either of the two other works mentioned. Eventually Ballard’s vision cannot be maintained by his scant material, whereas Margaret Atwood’s is strengthened by the credibility of its own downside, its own contradictions. Ishiguro’s story line is strong enough in itself to maintain interest, credibility and drama from start to finish. There is real humanity in this story.

The book begins in Hailsham, an obviously special school set in an idyllic corner of the English countryside. But this is clearly no ordinary education. We follow the fortunes of three of its students, Kathy, Ruth and Tommy. We see them grow up, make their fumbling transformation from childhood to adolescence and then embark upon the stuttering unpredictability of young adulthood. Hailsham’s students have to learn how to deal with their own shortcomings and how to manage their talents. They must cope with sometimes strained relations with their teachers, especially in the area of reconciling what they want to do versus what seems to be demanded of them, and thus what they are allowed to attempt. They become aware of sex and introduce themselves to its world in their own ways at different times, each of them reacting differently to their experience.

So what makes these people so special? Well, for a start they live protected lives. They never appear to need any money, nor possessions, for that matter, what little they do have being recycled ad infinitum via a system of almost formal barter. They seem to be protected from fashion, consumerism, family break-up, mass media and even street life. Surely there is something strange about them, despite their apparently normal physical, mental and psychological characteristics.

Not until about half way through the book does the reader start to fill in the blanks. But by the end the dreadful picture is complete, and rendered even more frightening by its complete credibility. To find out the nature of the plot, you will have to read the book, but, though I have stressed the importance of the overall concept’s contribution to the book’s success, it is not the subject matter that makes this a superb novel. It is the characterisation, the empathy that the reader develops with Kathy and Tommy and the sympathy that their tragedy eventually engenders. The context served to amplify these responses, not blur or confuse them. It is this quality that makes never Let Me Go a completely memorable and highly moving read.

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Never Let Me Go