I’d been reading some books about writing non-fiction (to try and improve my own writing) and I came across this book, extensively cited as a fine example of the genre. It’s a chunky book that I intended to skim read, with a view to getting an idea about structure and the concept of writing about a personal journey, but I quickly became engrossed in the incredible story of Henrietta Lacks, a black woman, mother of five from Virginia, who died in 1951 at the age of thirty-one from an aggressive form of cervical cancer. Without either her consent or knowledge, the surgeon treating Henrietta took some of her cancer cells and passed them on to a colleague who was trying to find cells which would survive long enough outside the human body to be useful for research. The idea of doing this without the patient’s consent seems shocking to a 21st century reader, but remember this occurred at a time of segregation and ethical concerns and patient rights were concepts not widely considered to be essential elements of medical practice.
This may have been unremarkable and probably happened more than we care to imagine, but for what happened next: Henrietta’s surgeon had noticed how rapidly her cancer cells had grown, but when George Gey, the scientist to whom he had sent the cells, received them, he found that they divided and reproduced at a rapid rate, and, most remarkably, seemed extraordinarily robust outside their host, unlike all other cells he had dealt with. Gey soon forwarded cells to other colleagues working in the field and they too found the ability of these cells to thrive truly remarkable. HeLa (the name given to the cells) was born and they quickly became an essential part of research worldwide into therapies not just for cancer but for polio and HIV to name but a few. It is thought that around 50 million tonnes of HeLa cells have been cultivated since 1951.
Meanwhile, Henrietta, died and left behind a widowed husband and five young children, two still in nappies, who would never have any memory of their late mother, and one with severe disabilities who would later be committed to an institution. They were poor; Day, Henrietta’s husband, tried to scrape together a living for the family as best he could while Henrietta’s sisters helped with the children. The family would know nothing of what had happened to Henrietta’s cells.
Rebecca Skloot, the author of this book first learned about the HeLa cells in a science class, but it was not until several years later, reading a research paper that her interest was truly piqued and she decided to do a little more digging. She tried to get in touch with the family and was at first rebuffed, but she became increasingly fascinated, obsessed even about HeLa, and the woman behind the headlines, and what had happened to her family. Eventually, she built a relationship with Deborah, Henrietta’s daughter, who had been an infant when her mother died, and a woman who had never come to terms with her loss.
This book is not just the story of Henrietta and her family, and her cells, it is the author’s journey of discovery of the truth about medicine and science in the second half of the twentieth century. It is also a story about racism and health inequality, about exploitation and greed. The author put years of her life into this book and a glance at the references pages will show you the huge amount of research that went into producing it. It also raises some interesting questions about ethics and consent which may surprise you – you might think the answer to the question “who owns discarded parts of our bodies?” is obvious, but when the complexities of the proposition are explored we see that it is not quite so straightforward.
I expected to skim through this book in a few hours, but I found myself captivated by the story and by the issues it raised. Perhaps there are some bits the author could have left out, but I think it is also pretty clear why she couldn’t!
Recommended, especially if you have any interest in the world of medicine.
Have you ever found yourself becoming engrossed in a book that you didn’t expect?
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The book incorporates cognitive behavioural therapy techniques into exercises for addressing, for example tendencies to be self-critical. Low self-esteem can lead to debilitating inhibition, irrational fears, in both social and professional situations, and, I believe, can truly limit one’s life experience, achievement, enjoyment in life and personal relationships. I have found it really tough working through this book, particularly the chapters which focus on understanding the causes of poor self-esteem. Thinking about my relationship with my parents, in the aftermath of my mother’s death just a few months ago has not been easy.
I think we can believe the hype – this is surely a writer at the top of her game! A few lucky critics who have had a preview have already tipped it for this year’s Booker Prize (parts one and two both won in 2009 and 2012). I am a huge fan of Mantel, ever since I read “A Place of Greater Safety”, a novel about the aftermath of the French Revolution. It was the book that really got me back into reading after I’d finished my English degree – I was all ‘read-out’ by the time I graduated, so this book saved me!
There are many other books to get excited about this year. Isabel Allende’s latest book A Long Petal of the Sea was published in English last month. It is a story about escapees from the Spanish Civil War arriving in Chile in 1939, their evacuation having been organised by the great national poet Pablo Neruda. I was lucky enough to attend a talk Isabel Allende gave in Manchester (with Jeanette Winterson!) a couple of weeks ago and she was every bit as impressive and inspiring as I expected her to be. AND I got a signed copy of the book!
The Silence of the Girls has been critically-acclaimed and was shortlisted for last year’s Women’s Prize for Fiction. I really, really wanted to love this book, but I’m afraid I didn’t. It could be that the timing was wrong – December for me was mad busy so I read the book in short bursts over a longish period when I was quite stressed. I don’t think I gave it the time and attention it deserved. But then, neither did it really grab me when perhaps it ought to have done.
This book grabbed me by the throat right from the outset; I listened to it on audio (fantastic performances from the actors Julia Whelan and Kirby Haborne, by the way) and simply could not ‘put it down’. I got a lot of exercise in January, because going for a walk became an excuse to listen to a few more minutes’ worth!
In Winter, Ali Smith examines the ideas through the dynamics of a family thrown unwillingly together at Christmas. Sophia lives alone in a large house in Cornwall. She was a successful businesswoman but, now late in life, finds herself alone, estranged from her sister, not knowing what is going on in the life of her only son in London, and navigating with despair some of the dehumanising aspects of modern life. When we meet her at the start of the book, she is communicating with what I can only describe as a hallucination of a child’s head, which floats about with her. To the reader, this seems surreal at first, but it gradually becomes merely a manifestation of Sophia’s mental state – her deep loneliness and her disconnection from normal life and society. Arthur, Sophia’s son will have similar hallucinations later in the book. Sophia goes about her Christmas Eve business in the town with sadness, recalling the once vibrant high street that is now a series of boarded-up shops, frustrated at being unable to withdraw money from her own bank account and the inability of the young man in the bank to appreciate or meet her needs as a customer – she has nostalgia for the days of the friendly bank manager.
A book I listened to at the end of last year was Ashes of London by Andrew Taylor. I borrowed it from the library when it was first published in 2017 but did not manage to get through it before I had to return it for someone else. It is a historical thriller set at the time of the Great Fire of London in September 1666 and is the first in Taylor’s Marwood & Lovett detective series. I have not yet read (or listened to) the second and third books in the series, both of which were published last year, but they sound intriguing.
Last week I launched my 
