An original, disturbing new version of hospital fiction.
A trainee doctor offers her perspective on her work and its environment, exposing a less-than-sunny view of institutional medical practice.
In an unusual, quiet, but dark debut, DeForest plunges the reader into an unspecified hospital environment, guided by a nameless narrator who is training to be a “future doctor.” This woman introduces a chilling world of dutiful care threaded with incidental horror, inadvertent cruelty, and occasional macabre humor, glimpsed in a variety of contexts: the emergency psych ward; the abortion clinic; the quiet room “where we held the difficult conversations”; neurology; end of life care; and more. The tone can be abstract, musing on poetry or anatomy, at other times, revelatory of medical norms and modes of expression: “Empty speech, the neurologists call it”; “Failing the medication is what we call this.” Slowly the narrator’s personal history emerges: an impoverished childhood, “never seeing doctors”; a religious school with no science or world history; separated parents; visits to her father “in dirty clothing, with head lice, with no clear habits of dental hygiene”; and a string of fearsome stepfathers. Now, in adulthood, she is in a celibate relationship with a seminarian “from a bad-hearted family.” This strange and oppressive context explains some of the oddity of her commentary on her medical training and experience, as does her “fascination with disaster.” Her more political observations on the increased suffering of the poor, the disabled, and people of color are shocking but less unfamiliar. Snapshots of bad behavior by medical personnel—racist comments or derogatory asides about overweight or tattooed patients—seem persuasive. The case of Ada, a patient with slow encephalitis, intersperses the short text and showcases the gamut of process, endurance, loss, and, above all, care and its complex shortcomings.
An original, disturbing new version of hospital fiction.Pub Date: Aug. 16, 2022
ISBN: 978-0-316-38106-2
Page Count: 176
Publisher: Little, Brown
Review Posted Online: May 24, 2022
Kirkus Reviews Issue: June 15, 2022
BOOK REVIEW
Brilliant, affecting work from one of contemporary literature’s masters.
A phone call from her past disrupts the tenuously reconstructed life of a concert pianist turned farmer’s wife.
We know from the beginning that Livia Cable is the battered survivor of her brother Cyrus’ death by suicide, a devastating romance, and a career-ending injury. Only 11 when Cyrus stepped in front of a train, she was already marked out as different in her rural Tennessee hometown by her extraordinary musical ability. The siblings had huddled together against their angry mother’s frequent beatings, and Livia still feels abandoned by Cyrus years later, when she picks up the phone to hear the voice of Sigurd, the fiery labor organizer she loved and lost to “the revolution” while on scholarship at the Indiana University School of Music. Now married to kind, steady childhood friend Charlie, Livia looks back on her affair with Sigurd as she struggles to deal with the recent death of her mother, a compulsive hoarder who left a house stuffed with junk to be disposed of and bitter memories that haven’t faded over time. Kingsolver skillfully juggles the two time frames to unravel Livia’s complicated feelings about the life she lost when her right hand was crushed and the life she has now as a country piano teacher. A partita, she explains to Sigurd early on, “is a composition made of a lot of parts with a lot of different moods…the artist’s work is to make them all add up to something that feels whole.” That’s precisely what Kingsolver does in this beautifully paced and judged narrative, which builds to revelations uncovered amid the piles of trash in Livia’s childhood home about the reasons for Cyrus’ suicide (clearly foreshadowed) and their mother’s rage (startling and heartbreaking). A fierce belief that great art is for everyone joins Kingsolver’s familiar preoccupations with class distinctions, social injustice, and the complex bonds of family and community in a tender denouement.
Brilliant, affecting work from one of contemporary literature’s masters.Pub Date: Oct. 6, 2026
ISBN: 9780063577541
Page Count: 352
Publisher: Harper/HarperCollins
Review Posted Online: July 6, 2026
Kirkus Reviews Issue: Aug. 1, 2026
SEEN & HEARD
Fans of Stockett’s bestselling debut will love this engaging follow-up.
Stockett heads to Mississippi for another historical novel about feisty women.
This time, perhaps recalling criticisms of cultural appropriation in The Help (2009), she sticks to feisty white women, with one exception. The setting is Oxford in 1933. For two miserable years, 11-year-old Meg has lived in “the Orphan,” a county asylum for parentless girls. Chairlady Garnett—a villain so one-note she’d twirl a mustache if she had one—makes it her mission to ostracize the older girls she deems unadoptable, stigmatizing them as offspring of the “feebleminded” mothers who abandoned them. She particularly has it in for smart, sassy Meg, who refuses to believe her mother’s mysterious disappearance was deliberate. Elsewhere in Oxford, Birdie Calhoun comes to visit her sister Frances, who married a wealthy banker, to ask for money on behalf of their mother and grandmother back in Footely. Frances isn’t thrilled by this reminder of her impoverished small-town origins. But she’s trying to climb up in Oxford society by volunteering at the Orphan, the asylum’s books need to be done before the state inspector shows up in a few weeks, and Birdie is a bookkeeper. Having neatly arranged to keep Birdie in town and draw these two storylines together, Stockett goes on to spin a compulsively readable yarn with enough plot for a half-dozen novels. Birdie and Meg become friends, Meg is adopted despite Garnett’s best efforts, Meg’s mother turns up at the Orphan demanding to know where her child is—and that’s less than a quarter of the way through a long, winding narrative that keeps piling on more dramatic developments until all loose ends are neatly, if hastily, wrapped up in the final pages. Stockett might be making a point about Southern women facing facts and standing up for themselves, but mostly this is just a satisfyingly twisty tale that should make a great miniseries.
Fans of Stockett’s bestselling debut will love this engaging follow-up.Pub Date: May 5, 2026
ISBN: 9781954118812
Page Count: 656
Publisher: Spiegel & Grau
Review Posted Online: Feb. 2, 2026
Kirkus Reviews Issue: March 1, 2026
BOOK REVIEW
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