Wednesday, 10 May 2017

Dr Avindra Nath's research. And lovely books

I'm so very, very heartened by the research that is currently going in USA at the National Institute of Health with Dr Avindra Nath as principle investigator (PI). Dr Nath is a neuroimmunologist and exactly the calibre of scientist we need in ME research. His hypothesis is that ME is 'triggered by a viral illness that results in immune-mediated brain dysfunction'. His work is described as a 'deep-diving' into the disease, he is looking at not just one aspect but every aspect. Long overdue!!! Brian Vastag is a former science reporter for the Washington Post, now disabled by ME - he got ill almost five years ago. He's one of Dr Nath's patients - you have to have had a clear infectious trigger and been ill for less than five years - and has been tweeting some interesting details of the study. This is a lovely photo of doctor and patient (from Brian's timeline) - such mutual respect and warmth on display (can you even begin to imagine that scenario here with our so-called 'CFS experts'?).

More than thirty years ago, Peter Behan, the consultant neurologist who diagnosed me, was  looking into viral damage and mitochondrial dysfunction (I recently came across this article from 1985 in the The Journal of Infection. He describes muscle abnormalities in fifty ME patients, I'm uncertain if I was one of them but I had all the tests he refers to):

His paper states: 'The illness was severe, with a high morbidity, and a disastrous effect on their lives'. Of course, medical technology is way more advanced now and I'm optimistic about what will be uncovered in the years ahead. Just tragic though that a core in the medical profession, specifically UK psychiatrists, have held back biomedical research with their self-serving theories of false illness beliefs, and their wilful and sinister conflation of ME with 'chronic fatigue'. That's thirty-three years of my life I'll never get back - thanks, in no small part, to their biopsychosocial idealogy.


Been meaning for a while to mention Marion Michell's book Supinely Sublimely (2016).

Marion is a German-born artist, based in London. She is very severely ill and I can imagine what it cost her to produce this slim book of meditations and art. I love the cover, which if you look closely has tiny paper boats as faces. There is a sense too of being shackled, at least, I see chains, and what is ME if it is not a kind of prison, in all its grimly fluctuating, punitive severity. The book is perfect for dipping into and there are gems such as: 'Limbs, jaws, skull, the hair on my head hurt, my hands had been stamped on, and something pounded my ribs and stole my air. Half a week later, I am still returning''.


Another book I very much enjoyed recently is Zeeba Sadiq's 38 Bahadurabad (1996), a gorgeous mix of fiction and autobiography, it describes a young woman growing up in Karachi in 1960s with a doctor father who has spent time in Britain. I loved it, especially the chapter called 'Lame Auntie', the writing is exquisite. I was truly sad to learn that Zeeba had passed away suddenly in 2010 after suffering a brain aneuryism, we're almost the same age.

Monday, 10 April 2017

A Book of Banished Words

Delighted to have a short piece in Nancy Campbell's just published The Polar Tombola: A Book of Banished Words (photo from @BirdEditions).

More on  Nancy's live literature event  here: What happens when a language begins to disappear?

I first met Nancy on Twitter via a photo of a snowdrop three years ago and we came to 'know' each other through my dear late stepdad. My own banished word is described in 'The Hoot of an Owl', here is a fragment:

Coxsackie – pronounced cook-sah-kee – is the name of a small town on the Hudson River in upstate New York. Derived from Native American language, it’s said to mean the ‘hoot of an owl’. Poetic when whispered, but Coxsackie can also be a bully, swaggering its hard-sounding ‘C’s.

Life is truly stranger than fiction. How could I have known in winter 1982 that the hellish illness that had ruined my year in France - yet to be diagnosed as Coxsackie virus, which in turn triggered ME - would, thirty-five years later, be represented in a piece in a beautiful art book whose author had (by then) done a residency in my stepdad's childhood home in Greenland?

Monday, 20 February 2017

Bath Flash Fiction Anthology - To Carry Her Home

Delighted to receive this gorgeous anthology of longlisted, shortlisted and winners in past Bath Flash Awards. My own story 'A widow with a bowl of wine and lipstick coming off' - longlisted in early 2016 - was inspired by seeing my dear stepfather in the funeral home just two years ago. I still can't go to that image in my mind without feeling shock.

Someone has remarked this cover has a feel of Vanessa Bell, I agree. I very much look forward to reading the other flash fictions (144 of them). If interested in getting hold of the book, you can order here. And if you want to know more about what flash fiction is, some descriptions here.

Tuesday, 24 January 2017

A change of mind...

Fiction titles are sometimes changed to be more nuanced and suit the country of publication. For example, Miss Smilla's Feeling For Snow by Peter H√łeg, translated from the Danish - I gave it my dear late stepdad in 1993 - was published as Smilla's Sense of Snow in the USA. Smilla - a half Danish scientist with an Inuit mother -  has 'a feeling for snow', which is helping her solve the death of an Inuit child who is her neighbour's son in Copenhagen.

What may be more surprising is that the UK title of Suzanne O'Sullivan's popular-science book It's All in Your Head (2015) has been changed to Is it All in Your Head? for  recent  publication in USA.

This title change from bold declaration to interrogative has, I'd bet, nothing to do with British/American English differences but more suggests that publishers are now well aware of the fire O'Sullivan has come under for her ludicrous, irresponsible and harmful chapter 'Rachel', in which she frames ME/CFS as psychosomatic. This 'subtle tweak', of course, does nothing to ennoble the content, but does highlight a lack of certainty, which is surely a little embarrassing for a prize-winning science book. We can only hope that the next tweaking will be Is it All in Suzanne's Head?


This is a very good recent paper from Leonard Jason and Julia Newton and others, which explains the differences in criteria between 'chronic fatigue syndrome' and myalgic encephalomyelitis - signalling how crucial it is to know which disease we are diagnosing/studying (Suzanne O'Sullivan would do well to read it). Ramsay-defined ME - also known as classic ME - has the most physically impaired patients - and to fit the criteria you must have: acute onset with three major symptom categories: post-exertional malaise, neurological manifestations,  autonomic manifestations. Of course, I have all of these, though in the eighties, we didn't yet call the tell-tale burning/exhaustion in muscles 'post-exertional malaise' (PEM), we didn't know not being able to stand was 'orthostatic intolerance', and we didn't know not being able to remember the names of neighbours we had known for twenty years was 'brain fog' - we just felt as if we were dying.

Saturday, 7 January 2017

On fathers: Om Puri, Hisham Matar and some short writing

Saddened to learn that Om Puri has died aged only sixty-six. I loved him, of course, as the flawed Pakistani father in East is East. And as the taxi driver in My Son the Fanatic (based on a short story by Hanif Kureishi). I watched him more recently in Satyajit Ray's 1981 film Sadgati/Deliverance - Puri, in his early thirties, gave a devastating performance as an 'untouchable'.

The last book I read in 2016 was Hisham Matar's The Return. Anne Enright describes it as a terrible and lovely book, and it is: the writing is lovely and the truth is terrible, the knowing and not knowing the brutality of his father's death at the hands of the Gaddafi regime in the nineties. I underlined several passages as I read, words that stay in my head: 'I have always wondered if it is possible to lose your father without sensing the particular moment of his death'.


Happy that 2017 will see with the upcoming publication (print and digital) of Bath Flash Fiction anthology - I had a story longlisted almost a year ago - 'A widow with a bowl of wine and lipstick coming off'. This flash was inspired by seeing my dear stepfather in the funeral parlour in February 2015, the image still shocks me, though it was one of peace, but nothing about it was real, nothing.

I've not written much flash fiction, I've read more, but I think flash titles are very important, they act like a hinge for what's unfolding. I see flash fiction like fireworks - small with a beautiful punch - but still demanding time and energy in creating. Flash lends itself well to low energy writing. And as you tweak even 300 words,  you know more than ever, as you shift the words around in such a small space, how arbitrary it all is.  The story was accepted by an online literary journal at the same time as it was longlisted and I had to decide where I wanted it placed. I look forward to seeing my words - which with time passing now seem 'remote'  - see the light of day.

Wednesday, 7 December 2016


This is great news from Griffiths University in Australia: the National Centre For Neuroimmunology and Emerging Diseases (NCNED) has been awarded $4 million dollars to research ME. In this short clip, Professor Staines says: Exercise should be contra-indicated in Chronic Fatigue Syndrome as it worsens the clinical condition of the patient and should be avoided.

This, of course,  has been corroborated by patient testimony (though largely ignored) for decades. As my fictional character Helen Fleet, who has burning muscles at the drop of  hat, says: 'she has too much lactic acid in her legs'.

There is very fine research afoot -  the report from  the IACFSME last month in Florida.

And this: five teams of scientists awarded funds by Ramsay Award Programme.

This too: a great blog on the ethical failures of the treatment of ME/CFS in BMJ from Dr Charlotte Blease and Dr Keith Geraghty (a researcher who himself has ME). I love the term 'a caste system of illness' - I often speak of the 'casual racism' towards ME patients as if you can say what you want - any minor jab or slight is 'allowed' - because you don't really mean it (and also have no idea what you are talking about).

And Berkeley journalist/academic David Tuller, who has done so much to expose the PACE circus, is now illuminating FITNET in all its flawed and awful glory (Prof Esther Crawley's FITNET was excessively and misleadingly - unsurprisingly - reported in UK media a few weeks ago as it it were a cure for cancer).

In my early fifties, ill now for thirty-three years, I find myself even more hurt and angry at what people with ME have had to endure because of wilful ignorance. I hope with all my heart that the next generation of ill, young people will not have to suffer the insults we did and have effective treatments too if not an actual cure. (It beggars belief that in 1984, when my own diagnosis was confirmed with abnormal muscle biopsy and EMG, we had the nuts and bolts, right there, to build upon, but research was wholly hijacked in UK and taken in completely the wrong direction by 'belief-led' psychiatrists, one in particular, at the end of the 1980s).

I seem to collect inflammatory responses. After a cough from hell in August/September, I now have costochondritis, which is inflammation of the rib cage. One of the drugs I have tried is Nefopam but it cloaks me with nausea and makes me totally out of it  (I got on the wrong bus a couple of weeks ago and have probably now bumped into every 'obstacle' in my flat). I had never heard of costochondritis but it's interesting that those with fibromyalgia seem to be prone.

And something beautiful and cheering, a cat on a radiator, an iPad painting by David Hockney.

Friday, 18 November 2016

The world is fucked and books are all we have

The world is fucked and books are all we have. When things are tough, I look for illumination in poetry, nothing has helped, but then a few days ago someone tweeted 'Apes' (1990) by Adam Zagajewski.


One day apes made their grab for power.
Gold seal-rings,
starched shirts,
aromatic Havanas,
feet squashed into patent leather.
Deeply involved in our other pursuits,
we didn’t notice: someone read Aristotle,
someone else was wholly in love.
Rulers’ speeches became somewhat more chaotic,
they even gibbered, but still,
when did we ever really listen? Music was better.
Wars: ever more savage; prisons:
stinking worse than before.
Apes, it seems, made their grab for power.

Poem by Adam Zagajewski, from Without End


On my bedside table just now are these:

Last weekend, I read Claudia Rankine's prose-poem Citizen, which is startling and unsettling (for me, more prose than poem, but well worth reading). I often stop books for no good reason and take weeks/months to go back, it may be a concentration thing. This summer, I stopped The Vegetarian a third of the way through and started a thriller (Apple Tree  Yard by Louise Doughty, which I loved). I will go back to The Vegetarian soon (I also really liked the story behind the translation). The Blue Devils of Nada by Albert Murray is a gorgeous dipping-in book of essays and there are some gems there. I will also, of course, go back to James Baldwin (started and stopped for no good reason). Jackie Kay's Trumpet is a secondhand book passed on to me, which I look forward to.


The Goldfinch painting by Carel Fabritius has come to Edinburgh (how sad he died aged 32), which prompted me to start my Kindle version of Donna Tartt's Pulitzer-winning novel - I've had it for two years, unread. I'm 100 pages in and love the plot, but the style is too wordy for my liking. The micro-details clutter the prose, which is exhausting to read. I recall mixed reviews at the time. Julie Myerson was not too keen. Not sure I can stay the course. I think it would make a great film though.


A couple of weeks ago, I watched John Berger and Susan Sontag discussing the process of reading and writing in 'To Tell a Story' on Channel 4 in 1983. The discussion was part of a series called VOICES (I don't remember VOICES, Channel 4 had just started and I was at the beginning of the nightmare of what turned out to be ME). Berger and Sontag are so compelling, you agree with both of them even when they have opposing views. Their earnestness almost seems quaint now, but I was struck by their respectful disagreement with one another. They are mesmerising to watch and listen to.

And I have just discovered Scottish doctor, filmmaker and  poet Margaret Tait (1918-1999), what a remarkable woman. (‘Emily’: ‘Emily Dickinson shut herself in a room / And wrote about her pain. / She wrote too about joy’.) You can hear a recording of Margaret Tait reading 'Emily' and other poems  here on the Scottish Poetry Library website.


And Leonard Cohen is dead, that is hard to know. Since 1980, I have loved his poetry and his music and his beauty. He was old-ish, I guess, 82, but I have so many folded-up memories that his songs unfold again. 'Suzanne' is mentioned in my novel. ('...and she feeds you tea and oranges that come all the way from China' has to be one of the most beautiful lines ever).
I cried last Wednesday morning when I learned Trump was elected and I cried again two days later when I learned that Leonard  had died.