AWF15: Atul Gawande interviewed by David Galler

‘Thou shalt not kill; but needst not strive
Officiously to keep alive…’

pp_atul_gawande

Arthur Hugh Clough had it poetically straight in the early 19th century, but with modern medicine we now sometimes expect miracles at the end of a scalpel or the syringe injection of a new drug.

But surgeon and medical writer Atul Gawande questions if we are asking patients the right questions to discover what outcomes they wish for; his own father when faced with problems said a good quality of life would be being able to sit around the dining table, eating and conversing with friends.

Gawande thinks it is important that the right questions are asked about end of life care, he told a packed three tier audience in the ASB Theatre in discussion with ICU specialist David Galler.

An important anecdote: when one group of prospective knee replacement candidates had discussion with their doctors only about the medical procedure, most chose to go ahead. But when a similar group were given the same information and were also asked about the outcomes they wanted from surgery, fewer opted to go ahead.

A highlight was the tale of a zoo let loose in the residential nursing home. Plants and pets are part of most homes, so it was argued why not in residential care? Great plan, but having a large number of parakeets delivered before cages were constructed caused temporary chaos. However long term results saw happier, more engaged residents taking dogs for walks, cuddling cats and feeding the birds… as well as becoming more active, more engaged and needing dramatically fewer medications.

Gawande writes incredibly well – as a medical columnist for the New Yorker his apprenticeship under a tough editor the many rewrites he was asked to make, see his literary skills matching medical ones.

A postscript discussion by the two doctors talked about the surgical theatre check list system initiated at the Boston hospital where Gawande works which is now used internationally in many hospitals,including Middlemore, where Galler is based.

Reviewed by Jillian Ewart

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Chick Lit: Fiction’s dessert course?

Veteran book rep John Bentley never let his bookseller customers move to the Thames & Hudson list until they had bought from the lists of more basic publishers he represented. That done, he would announce “Here’s pudding!” and open the box of full-colour art and decor titles.

So it is with chick lit*, the pavlova of fiction. When your reading selection becomes meat, cv_chocolate_cake_for_breakfastgreens and potatoes, it is time to divert to the light and frothy. As it happens, New Zealand authors do pavlova rather well, and our top five have an international readership.

Danielle Hawkins’ Chocolate Cake for Breakfast has been a steady presence in Nielsen’s top ten NZ fiction list for several weeks now. She is counted as NZ-published, though the Arena imprint is a part of Allen and Unwin, and Chocolate Cake is also successful in the Australian market.

The Sarah-Kate Lynch effect
Wedding Bees, the most recent title by Sarah-Kate Lynch, is published by HarperCollins in NZ, HarperCollins 360 in the UK and by one of their other imprints, William Morrow, in America. Her agent in New York arranged the overseas rights sales for this and many of her prior chick lit books, with translations in the Dutch, Polish, Bulgarian, Swedish, Italian, Portuguese and Brazilian markets – and in Hebrew.
pp_sarah-kate-lynch
No chance of that for her next book, the personal, anecdotal nonfiction Screw You Dolores: A Wicked Approach to Happiness (and a guide to turning 50) released by Random House next month. It is written for a strictly Kiwi audience: “We get the jokes,” she told The Read. “It is about knowing when to do what someone tells you to do, and knowing when to tell them to stick it…”

Nicky Pellegrino weaves food with love
Nicky Pellegrino (right) is our other major chick-lit author published internationally. After her first book, Delicious, published here by Random House was picked up pp_nicky_pellegrinointernationally by Hachette’s Orion imprint, she was offered a worldwide contract with the imprint. One of her reasons for accepting that was the ease of being able to deal with just one publisher and one editor. In fact, over her five titles – most recently The Food of Love Cookery School – she has had only two editors. ”Both are strong and old-fashioned female editors who knew what they were doing. Every writer goes off on tangents and needs to be brought back to the story line!” Her titles have been translated in Polish, Dutch and Portuguese.

Our most recent break-out author
cv_the_sweet_second_life_of_darrell_kincaidCatherine Robertson has written three novels: The Sweet Life of Darrell Kincaid, The Not So Perfect Life of Mo Lawrence, and The Misplaced Affections of Charlotte Fforbes, all Kiwi best sellers. Her first two books were picked up by a major German publisher, but they refused Misplaced Affections.

It wasn’t sweet or simple enough, as Robertson explained on the Booknotes Unbound blog, for the publisher to easily market it as chick lit. “My stories have become too complex, and my humour too ironic,” she wrote. “Why would irony and humour be out of place in chick lit, I wondered? Why would either diminish a reader’s enjoyment of a book in this genre?” Seems the clash of literary cultures extends to cover this field: worthy apple strudel for Germans, melt in the mouth ‘pav’ for Kiwis!

Michelle Holman
And if Catherine is queen of the longest titles a chickpp_michelle_holman lit author has ever got away with, Michelle Holman’s are the opposite. Bonkers, Divine, Knotted and Barefoot are one book, one word, titles. Her most recent, the loquacious Hand Me Down, spent 20 weeks on the bestsellers list in 2011. “I write what I like to read,” says Holman, “Stylish, sexy, funny romances where women are sassy, men are flawed, and laughter and happy endings are guaranteed.”

Rights to her novels have sold in Germany, Austria, Switzerland and Portugal.
Fans have been waiting for a new novel, and Michelle is constantly asked when she’s going to write another book. Right now the pressure of home (she has a family) and work life means there is very little time left to write a new novel at the moment.

But how is it selling?
pp_Catherine_RaynesSo how is chick lit faring on the bookshop shelves? Paper Plus Group’s Catherine Raynes (left) says the popularity of chick lit peaked around three to four years ago, but it still performs consistently on the book market. Our top Kiwi authors in the genre have all been on the chains’ best seller lists.

“It is nice to see New Zealand publishing more mass market titles and to see them succeed pp_gail_liddingtoninternationally. Their style and covers don’t look like ‘a New Zealand novel’ in the convention we’ve come to expect, which is refreshing.”

Gail Woodward (left), book buyer at Paper Plus (formerly Dymocks) Newmarket, believes the chick lit offering on the market has become diversified, and that the trend is for the light and fluffy sex-and-shopping titles to be aimed at a younger age group, and the classic relationship based novels to be more complex and have more depth.

“Chick lit doesn’t ring true as a label for the genre now… a lot of it has moved up a stage. I prefer to call it women’s fiction.”

Gail muses that Truman Capote’s Breakfast at Tiffanycv_breakfast_at_tiffanyss ‘was the original chick lit novel’ and that Marian Keyes, JoJo Moyes, and Bridget Jones author Helen Fielding are being surpassed by newer writers including our own international stars.

Always  ahead of the market, Gail’s book of the moment is American novel Fin & Lady, by Cathleen Schine. Only loosely chick lit, the story of a relationship between orphaned Fin and his older half sister Lady in fifties America is one she is enthusiastically hand-selling.

cv_fin_and_ladyBut already, Gail thinks she has detected the next big thing in novels for the female market. It is ‘faction’ with real characters populating fiction. Think The Paris Wife, by Paula McLain, Loving Frank, by Nancy Horan, American Wife, by Curtis Sittenfeld and Naomi Woods’ Mrs Hemingway.

By Jillian Ewart, Feature Writer for The Read

*Wikipedia definition: Chick lit is genre fiction which addresses issues of modern womanhood, often humorously and lightheartedly. The genre became popular in the late 1990s, with chick lit titles topping bestseller lists and the creation of imprints devoted entirely to chick lit.

Although it sometimes includes romantic elements, chick lit is generally not considered a direct subcategory of the romance novel genre, because the heroine’s relationship with her family or friends is often just as important as her romantic relationships.