Out of Patients by Sandra Cavallo Miller (Fiction)

Story: 4/5 Characters: 5/5 Writing: 4/5 Enjoyment: 5/5

Norah is the tending-toward-cynical but unfailingly caring and dedicated family practice doctor in the Arizona desert. In her 50s, she thinks of retirement almost every day, but can’t get herself to pull the trigger.

With a jaded but humorous and never bitter tone, Miller brings to life the modern family doctor. Forget Marcus Welby, Norah and her colleagues are beset with endless regulations, condescending specialists, arrogant medical students, health insurance battles, and a plethora of patients who don’t always (ie hardly ever) advance their own cause. On top of this, the practice seems to be losing money despite a full waiting room, and someone is leaving nasty-notes on car windshields. Norah had to kick her do-nothing boyfriend of three years out of the house for … continuing to do nothing, and she has nearly daily calls with (possibly my favorite character) her 86-year old mother who has a crush on the elderly, but well-built mailman and gives detailed instructions on what to do if she doesn’t answer the phone (wait several days to make sure she is dead!). While too grumpy to even consider dating, Norah does come across some potential love interests — an even grumpier vet and a shy radiologist who suffers at her side during endless student admissions committee meetings .

I loved the tone, loved the characters, and appreciated the peek into a real doctor’s life by someone who a) has lived through it themselves and b) translates her knowledge into a highly self-aware and comical story. Some very interesting medical tidbits and asides as well…

Some good quotes:
“To give your life more purpose, for what that’s worth. I’m not sure anyone has ever convincingly proved that human life actually has a purpose. Evolution just does its thing. Sunrise, sunset.”

“I guess when your spirit pales to a washed-out shadow, you grow tentative.”

“Once upon a time we became physicians, but now we also must perform as secretaries and transcriptionists and file clerks and coding authorities and billing experts ad regulations enforcers.”

“And I wondered how anyone can eat baloney, that mash of pig snouts and ears and genitals. You can feel gritty little bits of bone.”

“That made me sad, but why should it? Why should I impose my arduous overdrive, my endless quests, on a quietly contented person?”

“No, apparently my ego needed to analyze and try to fix them. Make a difference in their lives. Maybe I worried that my failure with Grace, a previous student, might repeat itself. I may have mentioned how doctors often obsess about doing things right.”

“Nobody listens. Sometimes I feel like a tiny squeaky voice in a wind tunnel, about to be blown away.”

“And even before I say this next sentence, I’m aware it isn’t fair, because I know tons of great physician men, smart and intuitive, generous and wise. But between Jeremy Newell and Carter Billings, I’d drink my fill of medical males that day.”

“A long afternoon, but mostly rewarding. Nothing easy, nothing cut and dried. Everyone needed to talk. Mostly good patients, all with real problems. No one surly or defiant, no one acting like I owed them good health because they demanded it, no matter how unwilling they might be to earn it. Every now and then those petulant people stayed home and I felt in my element, listening, sorting, treating. Come on, Norah, I told myself, settling in with my charts after everyone had gone.”

“What would fix me would be better healthcare systems, not spending hours grappling with a convoluted computer program. Where I got more than ten minutes with an addict. Consistent medical billing and affordable insulin. Free insulin, Where medical students didn’t lose their glittering idealism in a few short years, while a handful of ego-besotted attending physicians badgered them into despondency. Until some students lost themselves under the crushing demise of their dream. The statistics on physician suicide are dreadful — every day, at least one physician or medical student is lost forever. What an unforgivable waste.”

Thank you to University of Nevada Press and NetGalley for providing an advance copy of this book in exchange for my honest review. The book will be published on August 16th, 2022.

Cora’s Kitchen by Kimberly Garrett Brown (Historical / Literary / Multicultural Fiction)

Plot: 4/5 Characters: 5/5 Writing: 4/5 Enjoyment: 5/5

In 1928, Harlem librarian Cora James writes a letter to Langston Hughes whose poetry has inspired her. In ongoing correspondence, he supports her confessed desire to write and offers advice and commentary on her writing attempts.

There are more story elements including a surprising friendship with a white woman and a dangerous encounter, but for me the real story is about Cora’s awakening to the concept of having her own dreams and desires — beyond the expectations of being a wife and mother, a Black woman, and a good Christian. I absolutely loved and was startled by her own recognition of the limitations placed on her by societal and familial norms that she hadn’t even been aware of herself.

As part of the story she reads literature — Kate Chopin’s The Awakening, W.E.B Du Bois’ The Souls of Black Folk, Miss Esale Fauset’s There is Confusion, Walt Whitman’s Leaves of Grass, Nella Larsen’s Quicksand — and each informs her developing desire to express more than she knew she had in her to express. It is thoughtful, inspiring, and fascinating. Her reactions to works of literature are individual. She doesn’t like Amos and Andy or the characters in a prize winning Zora Neale Hurston story because she feels they make colored people look like fools. And she doesn’t want to write the standard colored woman story — growing up poor and oppressed in the South etc. She says, “We have been through so much as a people, but we have endured. I guess that’s why I think racism and oppression shouldn’t be our only focus. There are other stories to tell.” And in the end, when forced to choose, she makes what I found to be a surprising (and I was surprised that I was surprised by this) choice to identify more with the womanhood of her characters, rather than their Blackness). She explains it much better than I can, so I’ll let you read the story.

I loved this book and read it in a single sitting (OK — I was on a long plane flight BUT I had plenty of other books available on the kindle!).

Just a couple of quotes to let you see how Cora’s mind works:
“But most books written by colored authors are about race one way or another. And though I know it’s important to talk about, I’m tired of that being the focus all the time. There are other things in life that are just as important. Dreams. Desires. But maybe that’s too much to ask of a book.”

“But I wish Miss Larsen spent more time exploring Helga Crane’s desire for individuality and beauty, rather than her struggle as a mulatto woman trying to figure out where she belongs. Then maybe the novel would have spoken more to the workings of a colored woman’s mind.”

Thank you to Inanna Publications and NetGalley for providing an advance copy of this book in exchange for my honest review. The book will be published on September 20th, 2022.

In the Shadow of Humanity by N. John Williams (literary science fiction)

Writing: 4/5 Plot: 4/5 Characters: 4/5 Overall Enjoyment: 5/5

What it means to be human is the theme driving this story of two brothers — one alive and one long dead (but faithfully rendered as an AI in the metaverse and allowed to age) — who each long for the other’s existence. One longs for the immortality and eternal healthy youth while the other longs for the rights and respect kept from him by dint of not being fully human despite his ability to think, feel, create, and perceive pain.

This is technology driven science fiction — my favorite kind, reminiscent of the “old days.” It made me realize how much better this kind of SF is when written by an author with actual experience in the technical areas s/he is extrapolating from. In this case, the author is well versed in Computer Science, Linguistics, and Artificial Intelligence, and it shows in his fully fleshed out cultures evolving from a thoroughly described metaverse (the metaverse is the blending of physical and virtual worlds, not to be confused with the multiverse which is the theoretical existence of multiple physical universes). There are power struggles (the Administration powered by Technologists; transhumanist activists; and an evolving superintelligence) with equal word count given to the abundant (and to me more interesting) ethical / political issues.

I’ve thought about the ending for some time — I’m not sure I like the conclusion but I do think I understand it, and it was quite thought provoking (a top criterion for me). One of the better SF books I’ve read in the past few years.

Thank you to BooksGoSocial and NetGalley for providing an advance copy of this book in exchange for my honest review. The book will be published on August 1st, 2022.

All That’s Left Unsaid by Tracey Lien (Audio Book — Literary / Multicultural Fiction)

Writing: 4/5 Characters: 4/5 Plot: 3.5/5

Ky Tran comes back to the violent, drug ridden, largely Vietnamese / Chinese Sydney suburb of Cabramatta when her relatively nerdy, honor student, brother is brutally murdered at a post graduation party. The witnesses won’t talk, the police don’t care, and her parents haven’t the language skills or the will to pursue the matter. Ky tackles the witnesses — most of whom she knows — unable to let the matter rest. The novel structure fills in background, the story each witness reluctantly lets out, and the real story each remembers about while curating what comes out of their mouth. The path of disclosure winds towards a confrontation with Minnie — the best friend Ky hasn’t spoken to in years.

The writing is good and the main reader for the audio book is excellent (I did not love the two minor readers but they only appear once each for a relatively short time). I appreciated the in-depth descriptions of different approaches taken by members of a refugee community trying to make a life in a new country that doesn’t necessarily want them. Insightful commentary on loyalty, friendship, family, justice, and the concept of “being good.”

Thank you to Harper Audio and NetGalley for providing an advance copy of this book in exchange for my honest review. The book will be published on September 13th, 2022.

A Grave Talent by Laurie R. King (Literary Mystery)

Writing: 5/5 Characters: 4/5 Plot: 5/5

The first in the Kate Martinelli mystery series (for which she won an Edgar), and I’m completely hooked! Completely bizarre, twisted plot, fully developed characters and tight writing. Writing quality is right up there with Louise Penny (which I don’t say a lot) — feels more like literary fiction embedding an intriguing mystery rather than a (boring) cozy or a mystery that is all plot/action filled with stock characters.

A serial killer has begun murdering young girls, depositing them all on a road in the midst of an odd colony outside of San Francisco. A seasoned cop and a newly promoted Detective (Kate) have been assigned the case with no real leads — and then they find out that one of the colony residents was associated with a similar crime many years before …

The Marriage Portrait by Maggie O’Farrell (Historical Fiction)

Writing: 5/5 Characters: 4/5 Plot: 4/5

Renaissance Italy brought to life with stunningly sensual (as in all of the senses) language. 15-year old Lucrezia do Cosimo de Medici of Florence is given in marriage to the older (but handsome and charming) new Duke of Ferrara as a replacement for her recently deceased elder sister. An unusual and high spirited girl, we experience her removal to a new land where she must learn to navigate an unfamiliar court and language and meet the expectations of a changeable husband intent on begetting an heir. Lucrezia is a surprisingly talented artist with an artist’s way of viewing the world, and this — coupled with her youth — gives an unusual perspective to her first person descriptions of what she experiences. This individualized viewpoint was my favorite part of the book.

The writing is lush and almost too persuasive and richly drawn, as I found I didn’t want to experience her life quite that vividly. This was not a time period favorable to women, particularly women serving as pawns in the power machinations of Renaissance Italy.

The story is loosely based on a real person — the wikipedia entry is interesting, but don’t read it until after you’ve finished the book!

Thank you to Knopf Doubleday Publishing Group Books and NetGalley for providing an advance copy of this book in exchange for my honest review. The book will be published on September 6th, 2022.

In the Time of our History by Susanne Pari (Literary Fiction)

Writing: 5/5 Characters: 5/5 Plot: 5/5

I loved this character and culture driven drama about an extended Iranian American family post the 1979 Islamic revolution. The characters have depth and nuance that take them far beyond the obvious stereotypes that could describe each of them: the family patriarch, the obedient wife, the rebellious daughter, the faithful family retainer. The depictions are honest — no clear heroes or victims, no melodramatic righteous rage — just people finding their way while blending an inherited traditional culture with the modern practices of their new home.

The language is powerful but never manipulative, and the stories feel real. Moral dilemmas — with no clearly correct solutions — abound, and the frank and straightforward discussions of some of them — perceived racism, roles for women, infidelity, etc. — are captivating. I loved the way immigrants were depicted as individuals, each with their own backstory, set of initial circumstances, and eventual integration paths — none following the same script. Also — one of the best first lines I’ve read in a long while.

Set in the late 1990s and taking place in New Jersey and San Francisco. Great for fans of “Of a Place For Us” by Fatima Farheen Mirza. Highly recommended!

Quotes:

“Espresso and anxiety — well behaved on their own, rambunctious as urchins together.”

“Mitra, on the other hand, had once told a flirtatious union official that if he didn’t smell like a sewer in non ninety-degreee weather, she might consider thanking him for staring blatantly at her breasts. Another time, Mitra told the mayor’s secretary — a consistently rude person — to call after her PMS was over.”

“Anahita had innately understood that it was a traditional woman’s responsibility to refract unwanted male attention, a concept Mitra once denounced as a direct offshoot of the idea of hejab, invented and perpetuated by men who didn’t want to take responsibility for their own lust.”

“I also had a difficult father. Some people cannot abandon their misery. Mitra studied him. His face was drawn, his mouth pulled down either end. ‘Is that how you justify their behaviour?’ ‘No, it is how I keep from hating them. Hate takes too much energy.’ ”

“This was the dynamic, false though it was on its face. Mitra tried to see Akram the way Julian did. ‘She’s just confused, Mitra. Wouldn’t you be? She’s never known anything different. We have to teach her.’ Mitra hates those lines; they sounded like something from a Kipling story about the civilized enlightening the natives. As if the Western world was devoid of poor, uneducated, and bitter people.”

“Surely someone had reminded her of this fact: that few people escaped the tragedy of senseless death, that suffering had no purpose, no meaning, no justification. But she hadn’t heard, hadn’t listened. Until now. Why now? She didn’t know. It didn’t matter. She got it.”

“This is what I’m explaining, Shireen. You came to America, and while you were here, Iran moved forward. After the Kennedys invited the Shah and Farah to visit America, the rush to reform was on. Not only did the landscape change — the buildings and roads and modern conveniences — but also the people, the culture. Even the traditional families couldn’t ignore the excitement of it — the opportunities for prosperity, technology, for resistance against Soviet influence.”

“Mitra squinted at the tube of the jetway and spotted her mother between the hulking arms of two businessmen, their suit bags hanging off their shoulders like slaughtered game.”

“Perhaps she’d seen too many TV talk shows where women displayed their mistakes and misfortunes as if they were wares on a blanket at the bazaar. Or perhaps she knew now that so few outcomes in life could be controlled.”

“The mere fact of their abandonment was a stigma, a curse almost, that prevented them from being wanted by anyone. They came from bad stock, from people in such dire straits or lacking such humanity and sense of goodness that they could abandon their own offspring.”

“Those were the days when she didn’t want to have much to do with her parent’s culture, which prized opaque symbolism excessively. The harder a person had to work to discover hidden meanings, the higher its value.”

Thank you to Kensington Books and NetGalley for providing an advance copy of this book in exchange for my honest review. The book will be published on January 3rd, 2023.

Lucy by the Sea by Elizabeth Strout (Literary Fiction)

Writing: 4.5/5 Plot: 4/5 Characters: 4.5/5
This third chapter in the Lucy Barton series (I am Lucy Barton and Oh William!) might alternately be titled Lucy Gets Through the Covid Pandemic as it extends from just before Covid slams into New York City and continues through the availability of vaccines. Lucy and her first husband, William (the parasitologist), head to Maine for what (very) naive Lucy is told will just be a few weeks to escape the ravages of Covid. William is — very simply — trying to save her life.

I’m a huge Strout fan and have read most or all of her books — I love her clean, clear writing and insight into personal experience. I did find this book a little more preachy than previous novels to the point where I liked the main character much less than I did previously. This is largely because the book took on political topics (Covid, George Floyd, the Capitol Riots) and manipulated the story to show how very correct her side of the political spectrum was in every case (the Capitol Rioters were all nazis and racists but the George Floyd riots were all peaceful; everyone in her book who did not adhere to strict covid protocols were rashly stupid and were all punished by death or hospitalization, etc.). While worrying about the state of democracy and bemoaning child labor in foreign countries, she has access to lots of money, and while befriending people with very different beliefs and professing love for her born again sister, she comes off as feeling superior to them. Of course, it is Lucy’s story and to be fair, the author does let some characters blast Lucy for just that! She even has Lucy (a writer) write stories about people very unlike herself so … overall I enjoyed the book, and it gave me a lot to think about (I think I’m still just sensitive to the many sanctimonious people I weathered Covid with, some of whom called me a “grandma killer” when I went out to run on deserted streets).

Thank you to Random House and NetGalley for providing an advance copy of this book in exchange for my honest review. The book will be published on September 20th, 2022.

Dinosaurs by Lydia Millet (Literary Fiction)

Writing: 5/5 Plot: 4/5 Characters: 5/5

Deceptively simple, deeply beautiful story about a man who learns to open himself up to the world of human connection. Gorgeous writing detailing nature, thoughts, and a continuum of effort to fight for and take care of other people, but never himself. Takes place in the Phoenix desert, where one neighbor lives in a “castle” overlooking another neighbor whose home is built entirely of glass.

This is the first book I’ve read by Millet, and I’m definitely going to seek out the others to see if they all have this iridescent writing. The story was slow paced (which is not usually my thing) but I couldn’t stop reading. Humor, kindness, friendship, confusion, love, and moments of great poignancy — the book had it all.

Thank you to W. W. Norton & Company and Net Galley for providing an advance copy of this book in exchange for my honest review. The book was published on October 10th, 2022.

Free Food for Millionaires by Min Jin Lee (Literary fiction / Audio book)

Writing: 5/5 Characters: 5/5 Plot: 4/5

Casey Han — the daughter of Korean immigrants in Queens — craves a wealthy lifestyle she cannot afford, having been exposed to such while on a scholarship to Princeton. She craves “beauty and the illusion of a better life.” Casey balances pride, deeply embedded family traditions, and her emerging sense of self as she struggles to grow up and be the person she is slowly determining that she wants to be. While we follow Casey from graduation through the next five (or so) years, we are also treated to the developing stories of women who are important to her: her mother, a mentor, an acquaintance who rescues her and turns into a close friend. Rather than following a narrative arc, this book seems to follow a Life Arc — twisting and turning with sometimes rapid and surprising (to us and to Casey) shifts. The first novel by the author of Pachinko, you’ll recognize the style and treatment, while this book focuses on a Korean-American family and Pachinko is focused on 20th century Korea.

Although only covering a few years, this book felt epic because of its size and incredible depth. The characters are far too detailed and deeply introspective to even hint at stereotypes. Psychological analysis, philosophical musings, and cultural context (somehow never the same for any two people) help move the inner story along while the external story is utterly unpredictable.

The prose is beautiful, detailed, and rich. I love the way the author repeatedly and seamlessly contrasts the inner deliberations of each character with how his or her behavior appears to others. We are led through the minutiae of multiple lives that rarely go in the expected direction, but make do with the many, realistic tangents that comprise a life (regardless of any planning!). I appreciated the many domains that were brought to life by Casey’s experiences: investment banking and trading, millinery and fashion, church and faith, weddings, antiquarian books, and probably several others that I can no longer remember.

There were so many good quotes, but I listened to most of it as an audio book while driving and couldn’t write down a single one. 😦