THE GRACEVIEW PATIENT, spooky #Deathtober scarefest (for rational reasons)

THE GRACEVIEW PATIENT
CAITLIN STARLING
St. Martin's Press (non-affiliate Bookshop.org link)
$14.99 ebook, available now

Rating: 4* of five

The Publisher Says: Misery meets Invasion of the Body Snatchers in this genre-bending, claustrophobic hospital gothic from the bestselling author of The Death of Jane Lawrence.

Margaret lives with a rare autoimmune condition that has destroyed her life, leaving her isolated. It has no cure, but she’s making do as best she can—until she’s offered a fully paid-for spot in an experimental medical trial at Graceview Memorial.

The conditions are simple, if grueling; she will live at the hospital as a full-time patient, subjecting herself to the near-total destruction of her immune system and its subsequent regeneration. The trial will essentially kill most of, but not all of her. But as the treatment progresses and her body begins to fail, she stumbles upon something sinister living and spreading within the hospital.

Unsure of what's real and what is just medication-induced delusion, Margaret struggles to find a way out as her body and mind succumb further to the darkness lurking throughout Graceview's halls.

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My Review: I've had gout for decades, starting in my earliest twenties. My family has gout throughout it. I'm convinced, and medical orthodoxy agrees, there is a genetic component to the condition. If someone had told me in the 1980s "we have a truly horrifyingly painful way to rid you forever of your gout" I'd've had my bags packed for the trip to Graceview Hospital before I stopped smelling the garlic the utterer had eaten for lunch.

So this story was a "sign me up!" from giddy-up to whoa. As I got to know Margaret, to be in her familiar-but-dreadful world of "how much is there for me to do, versus how much is there available for me to do it with?" calculus of living, worry with her as she tries to balance practical necessities, dealing with a narcissistic parent, and leap with joy at the sudden promise of the lifeline she's flung, I wanted so badly for things to go well for her.

Bait-and-switch much, Author Starling? It's a spooky place, Graceview, and Margaret's a very vulnerable lassie. Bad stuff's gonna happen! It's part of the read!

As Margaret gets deeper and deeper into the meddical hell she was warned awaited her, odd things occur. One of her nurses becomes a patient. The weird offness of Graceview Hospital intensifies, though of course the medication and the extreme nature of the treatment combine to present mental-health challenges to the participants. As you'd expect! Still, having experienced medication-induced psychosis first hand, I can tell you Margaret's utter horror at the psychotic break's symptoms is spot-on.

So that's the secret to my four-star rating of this weird, creepy, deeply unsettling story: I never for an instant believed this was anything other than a perfect;y reasonable side-effect of a perfectly horrible medication that was meant to cure something previously incurable. Spooky stuff seldom gets even this far up in my literary estimation because I'm so deeply materialist in my worldview.

Author Starling writes her socks off creating this setting, making it a very real place, imbuing it with eerieness and thus setting Margaret up for her nightmarish experiences. That she would've had them no matter what is what kept me from feeling this was more or less a prurient exercise in psychological torment as entertainment. It is real and honest in its presentation of what a psychotic break feels like. The terror of being unmoored from reality while undergoing very physically challenging treatment to improve your quality of life is the central fact we're dealing with here.

And that is the reason I enjoyed this story as a horror read for #Deathtober. It's got gothic rags draped over its granny-panties, so I can trust it to deal with the scary stuff as *feelings* not Reality, which they manifestly are not. Mostly, anyway.

The lack of even a fraction of a fifth star is down to a more serious problem I had: the ending is as ambiguous as possible, leaving every concerning thing well and truly unresolved. I'm as unhappy as the next reader when authors spoon-feed me a little-bow-wrapped ending; but there exists a middle ground between "the end" and this book's stopping place.

I'd say more but y'all're really, really spoiled and complain about spoilers with the verve of the wronged adolescent denied the car keys.

JOAN IS OKAY, the title's a complete lie; & THREE APPLES FELL FROM THE SKY, a fairy/folk tale of the Armenian Genocide

JOAN IS OKAY
WEIKE WANG
Random House
$27.00 hardcover, available now

One of NPR's Best Books of 2022!

Funny how Life works out, isn't it? This wasn't *meant* to be a pandemic novel, says Weike Wang.

LONGLISTED for the 2023 Andrew Carnegie Medal for Excellence in Fiction!


Rating: 4* of five

The Publisher Says: A witty, moving, piercingly insightful new novel about a marvelously complicated woman who can’t be anyone but herself, from the award-winning author of Chemistry

Joan is a thirtysomething ICU doctor at a busy New York City hospital. The daughter of Chinese parents who came to the United States to secure the American dream for their children, Joan is intensely devoted to her work, happily solitary, successful. She does look up sometimes and wonder where her true roots lie: at the hospital, where her white coat makes her feel needed, or with her family, who try to shape her life by their own cultural and social expectations.

Once Joan and her brother, Fang, were established in their careers, her parents moved back to China, hoping to spend the rest of their lives in their homeland. But when Joan’s father suddenly dies and her mother returns to America to reconnect with her children, a series of events sends Joan spiraling out of her comfort zone just as her hospital, her city, and the world are forced to reckon with a health crisis more devastating than anyone could have imagined.

Deceptively spare yet quietly powerful, laced with sharp humor, Joan Is Okay touches on matters that feel deeply resonant: being Chinese-American right now; working in medicine at a high-stakes time; finding one’s voice within a dominant culture; being a woman in a male-dominated workplace; and staying independent within a tight-knit family. But above all, it’s a portrait of one remarkable woman so surprising that you can’t get her out of your head.

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My Review: First things first: I think Joan's neurodivergent. There. I said it.

What else is Joan? A disappointing daughter, who isn't going to give her mother the expected grands. An annoying sister, who is resolutely unimpressed with her brother's lavish getting-and-spending lifestyle. A breathtakingly good, effective ICU doctor at the outset of the Plague. A clueless, oblivious object of somewhat diffident romantic interest...utterly unrequited...for her neighbor. And most of all, most satisfyingly and unbreakably, Joan is herself.

If you don't like to read "women's fiction" because it's about men (how to catch), read this book. It's about Others (how to evade), when it's about anyone not Joan. And that was exactly why I enjoyed the read so much. Joan's struggles are typical for an atypical person, and her intelligence isn't a problem but a solution, making her an extra delightful companion for this reader. As everyone around her tries to make her feel she's missing out, lacking something, somehow wanting for something, and until she decides for herself what she thinks, she remains upset and at sea. In her enforced idleness (bereavement leave? for a father she felt little connection to still less affection for, shouting abuser that he was?) she loses the armor of being too busy to deal with all the mishegas of ordinary life.

It is great to read about the woman lead's sense of self being explored and resolved without a boyfriend at the beginning, middle, or end of the process. It is bracing to read the genuinely painful experience of the first-generation American in attempting to come to a happy resolution to a parent's desires when these are rooted in a wildly different world. But then, as the visibly different as well as culturally different as well as neurologically different (this last is not explicit in the text, but its factuality is the hill I'll die on) Joan thinks, "Why try to explain yourself to someone who had no capacity to listen?" She thinks this in a different relationship's context but the truth is, it is Joan all the way. She's not going to do the same thing a dozen...even, I suspect, a pair of...times expecting or hoping for different results. What kept me from giving it all five stars was, however, that very thing: I felt Joan was harshly judgmental from beginning to end, despite questioning herself and her responses as we went through the story. I think that's a bit unbelievable, it seemed to me she would've adjusted some of her private judgments...still, not a fatal flaw since I liked her from giddy-up to whoa.

In fact, in just over 200pp, I fell in love with Joan as she is. I think you might do the same. Give her a few of your hours. She's a good companion.

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

THREE APPLES FELL FROM THE SKY
NARINE ABGARYAN (tr. Lisa C. Hayden)
OneWorld Publications (non-affiliate Amazon link)
99¢ Kindle edition, available now

Rating: 4* of five

The Publisher Says: The Russian bestseller about love and second chances, brimming with warmth and humour

In the tiny village of Maran nestled high in the Armenian mountains, a place where dreams, curses and miracles are taken very seriously, a close-knit community bickers, gossips and laughs, untouched by the passage of time. A lifelong resident, Anatolia is happily set in her ways. Until, that is, she wakes up one day utterly convinced that she is dying. She lies down on her bed and prepares to meet her maker, but just when she thinks everything is ready, she is interrupted by a surprise visit from a neighbour with an unexpected proposal.

So begins a tale of unforeseen twists and unlikely romance that will turn Maran on its head and breathe a new lease of life into a forgotten village. Narine Abgaryan's enchanting fable is a heart-warming tale of community, courage, and the irresistible joy of everyday friendship.

THIS WAS A FREE DOWNLOAD VIA BOOKBUB. I THINK. ANYWAY, THANK YOU.

My Review: A clever little folk-tale that mimics the forms of earlier tales with modern, relatable trappings. It’s meant to be a means of processing the upheavals of Armenia as it bumpily traveled from tsars to commissars to…chaos, pure capitalism, as part of Russia then on its own with no stops at any rational place anywhere along the way. We’re not given much information but the wretchedness of the people to use as a calendar. The main event is World War I's Armenian Genocide, there was much suffering; there was much suffering throughout, but the weird thing about it is how little of it seemed to penetrate the inner lives of the characters, really better called "survivors" given how many die in the course of the story. Their village, isolated and insulated all together, goes on, despite the horrific events that unfurl between and around them.

Is that realistic? What do I, fat comfortable American that I am, know about that; I know the author chose the fairy-tale/folk-tale structure and tenor for a reason. The Armenians have a saying:

As has been established in Maran legends since time immemorial, the night will drop them to earth from the sky:
And three apples fell from heaven:
One for the storyteller,
One for the listener,
And one for the eavesdropper.

Welcome, fellow eavesdropper, to the juicy apple of Narine Abgaryan's bestselling Russian-language tale of Armenia's wild ride through the 20th century. Strap your helmet on a little tighter. You're going to meet a lot of people, and not all of them have names you'll be able to pronounce. It does not matter a whit. Love them for who they are, not how they sound in your monoglot's ear. Anatolia, the woman at the actual center of the story, is one of the world's readers-cum-librarians so she merits our rapt attention. It's not hard to give.

Little by little, thanks to intuition and innate taste, she learned to distinguish good literature from bad and fell in love with Russian and French classics, though she came to hate Count Tolstoy, unequivocally and forever, as soon as she finished Anna Karenina.

Happen I agree...but the less said of her shelving preferences the better. Her travails, those of her fellow villagers, are deeply experienced in the author's (and translator's, what a great job Lisa Hayden did on this book! I honestly forgot it was a translation most of the time, and that is meant as a compliment) open, honest, and still lyrical prose:

For eight long, unbearable years, the war reaped a harvest of restless souls around the world, but one day it sputtered out and retreated, howling and limping and licking its bloody paws.
–and–
Anatolia suddenly grasped that there was no heaven and no hell: happiness was heaven and grief was hell. And their God was everywhere, all over, not just because He was all-powerful but also because He was the unseen threads that connect them with each other.

The other feature of the prose you'll have discerned by now is the simple, direct wisdom of it. The author and translator have taken care to make sentences that sound like they've rolled around simple peoples' minds and mouths for long enough to become weighty with meaning and light of touch:

“There’s nothing more destructive than idleness,” his father had loved repeating. “Idleness and leisure deprive life of purpose.”

Vasily now understood the truth of his father’s words. Life does, indeed, lose its purpose at the very instant a person ceases bringing benefit to those around him.

Which is a truth that many of us, disabled and/or retired, learn at a very high cost in self-esteem and peace of mind. It's not, youthful imaginings to the contrary, at all fun to be idle. So what is one meant to do? Find something useful to do! Me, I write book reviews...how about you?

THE COLOR OF ROCK, physician with boundary-setting and anxiety issues figures it out

THE COLOR OF ROCK
SANDRA CAVALLO MILLER
University of Nevada Press
$24.95 hardcover, available now

Rating: 3* of five

The Publisher Says: A young physician, Dr. Abby Wilmore, attempts to escape her past by starting over at the Grand Canyon Clinic. Silently battling her own health issues, Abby struggles with adjusting to the demands of this unique rural location. She encounters everything from squirrel bites to suicides to an office plagued by strong personalities. While tending to unprepared tourists, underserved locals, and her own mental trials, Abby finds herself entangled in an unexpected romance and trapped amidst a danger even more treacherous than the foreboding desert landscape.

Sandra Cavallo Miller’s debut novel transports readers to the beautiful depths of Arizona and weaves an adventurous and heartwarming tale of the courage and strength it takes to overcome personal demons and to find love.

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My Review: I was really starting to feel wobbly about this read...almost a third of the way through and no one's dead, the sleuth is getting seriously invaded by a man whose hair-pulling, erection-rubbing, and general encroachment on her personal space she was just horny enough...no sex in a year! that'll do it to you!...not to firmly put a stop to. He isn't quite horrible enough not to seek at least some kind of consent (after the fact of kissing her, though). She gives him no clear no, a very unclear yes, and he accepts this as his borderline.

I am well aware that this is exactly in line with romance-novel conventions that still exist. Frankly, I'm one of those supporting a sea change to conditions where a man, receiving no positive reinforcement for his aggressive behavior, stops and apologizes. But this book isn't playing by those rules. It doesn't have to; Author Cavallo Miller tells her own story her own way by right. And, major readjustment of expectations time!, this isn't a mystery at all. It's a contemporary Bildungsroman.

That truth told to myself, I sat back to soak up the fun of Grey's Anatomy: Grand Canyon Clinic edition. Abby, fresh from pain and heartbreak and also having broomed her nebbishy fiancé out of her life, is Ready For Life! Sober. Unmedicated. Ready.

She hopes.

Her new practice, with long-time family practitioner Dr. John Pepper (no jokes, please), is busy from the get-go. We're not in medias res here, but we're left to infer it's summer because the Grand Canyon National Park is keeping her in minor injuries and the company of Ranger Jake Peterson. Hot hazel-eyed gym-rat Jake. Abby's anxiety disorder is suddenly closer to the surface because Jake is one of those obnoxious touch-and-loom alpha-actin' boys and she, while this isn't "her type," is Ready just not ready yet.

Events unfold; the clinic gets some bad stuff, and irritating Jake doesn't give up but instead does some Personal Revealing. Demonstrates keen alertness to Abby's needs and moods. Learns about her, too...and when decision time comes, so does he. From the point that event happens the relationship she's been skittish about simply is and there's fairly little introspection about how that might not be a great idea. Her AA sponsor and bestie back in Phoenix does call her on some of her stuff and she's right there with the agreements...but stuff goes on goin' on.

Abby's one of those heroines who "doesn't know how amazing she is"—Jake even says that in chapter five, that it makes him even crazier with lust and longing because of it. Now, if that trope is a deal-breaker for you, then do not read further. She *is* that girl.

But the book won't let you dismiss her, or her complexities, that easily. She's knocked down by a missed diagnosis that almost kills a tourist; when it's demonstrated to her that she didn't miss the diagnosis, the issue in question is 1) rare and 2) fast-moving, plus her Spidey-senses were tingling because she required the guy to come back later the same day on an excuse but really so she could look at him again. She's barely able to acknowledge how good she is at differential diagnosis when the stakes are incredibly high, and her action is swift, decisive, and life-saving. So that's Abby. She's got confidence issues, possesses strengths she doesn't know she has, and is a hawttie but blissfully unaware of it.

Then there's tragedy-soaked Dr. Pepper. He won't talk about it, has sad eyes, refuses to lighten up because...well, reasons, and he runs the clinic with a hands-off kindliness that spills over onto the patients. There's Ginger the receptionist, who takes people's squirrel-bite histories (actually histrionics) and there's Dolores the Mother Hen...and Priscilla. Priscilla is as attractive as a sodden Kleenex in a teenage boy's bedroom trash. But in all her wicked, man-trap glory, there she is.

This is the team...these are the players. The way they all interact is the fun of this ride; the camaraderie and pettiness, the sad, the bad, the catastrophic issues are all there, all handled in the space they share. Especially the worst, the vilest cowardly act that could've been quite sensationalized, just isn't. That felt like a giant rock slipping off my neck. The issues I have with the surfaces being telegraphs for the interiors are real. But when the time came to do something truly game-changing, Author Cavallo Miller did it. Changed the game. Didn't go for the lurid, cheap solution, but gave us this story's path: Inwards.

We travel inwards indeed, as the characters gavotte for our entertainment...condors and tents and fucking selfish smokers and Harry Potter jokes that work as intended...until, inevitably and without undue and unpleasant Theatrics, the right configurations are etched on the screen. It's not all that often that I want to read something that explores a setting as quotidian as a medical office. After reading this, Author Cavallo Miller's first novel, I'll go back to the clinic with her in her next book.