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Big Pharma, 1899: Deadly Cure

24 Monday Jun 2019

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Review: Deadly Cure, by Lawrence Goldstone
Pegasus, 2017. 295 pp. $26

As the nineteenth century lurches to a gaudy, jingoistic close, Brooklyn physician Noah Whitestone has much to hope for. He has a busy, satisfying medical practice in partnership with his father, a fiancée as intelligent and independent-minded as she is devoted to him, and a cause to inspire him: preaching against patent medicines, which kill as often as cure, usually through appallingly large doses of opiates.

Still, Noah carries the scars from the death of his stillborn son and first wife, and worries that though he admires his fiancée, he feels no passion for her, beautiful and vivacious though she is. He’s also piqued that his father and he have to run themselves ragged to earn a living, while Noah’s hoity-toity neighbors consult Dr. Arnold Frias, an unctuous glad-hander far more gifted at politics than medicine.

That envy causes Noah no end of trouble, for when Dr. Frias is busy hobnobbing with Admiral Dewey and other military heroes recently returned from the Spanish-American War, one of said hoity-toity neighbors sends for Noah. Her five-year-old son, just getting over a cough, has taken a sharp turn for the worse. Dr. Whitestone suspects opiate poisoning, but he must stabilize the child’s respiratory difficulties first, and does so with two drops of laudanum, a dose too low to hurt the boy. When Noah returns a few hours later, however, the child is dying, beyond help.

Noah’s convinced that Frias must have prescribed too much dope to cure the boy’s cough; or someone else was concurrently dosing the lad with patent medicines; or both. But such is Frias’s social position that Noah’s left holding the bag. He’ll be lucky not to face prosecution for murder, while revocation of his medical license seems likely.

Papaver somniferum, the opium poppy, as it appeared in Dr. Otto Wilhelm Thomé, Flora von Deutschland, Österreich und der Schweiz [Flora of Germany, Austria, and Switzerland] 1885, Gera, Germany (courtesy Wikimedia Commons)

Moreover, a reporter for a radical newspaper buttonholes him and claims that the boy’s death is one of many such, victim of experimentation by unscrupulous doctors testing the effects of heroin, a new morphine derivative. Noah finds that hard to believe, and the reporter’s general political outlook, highly critical of American military atrocities in the Philippines, leaves him skeptical as to motive. But as the trail to discover what killed the boy leads to German drug companies and the deaths of whistleblowers, the good doctor doesn’t know whom to trust.

Having recently read Lucy Inglis’s Milk of Paradise, a rambling, informative history of opium, I learned that the German chemist credited with deriving heroin from morphine was looking for a cough suppressant powerful enough to help even consumptives, yet would not be addictive. Medical science believed that he had succeeded, a persistent, misguided theory that matters here. So does the chemist’s other claim to fame, the synthesis of acetylsalicylic acid, soon to be known as aspirin (a discovery he made the same week as that of heroin, by the way).

The political and medical contexts of these two drugs therefore shape the narrative, with patents and royalties as a possible motive for mayhem. But Noah, who falls easy prey to moral certainties, learns that with lives and money at stake, right and wrong become more difficult to distinguish, so that he winds up doubting himself, his father, and cherished beliefs. The potential involvement of Big Pharma in nefarious activities could be today’s headlines, as could the debate over American behavior in a colonial war.

Goldstone excels at period detail, especially that of medical science, and his authorial voice carries authority. When he writes that Frias’s Benz automobile, specially brought over from Germany, costs a thousand dollars, I’m sure it does, and that it looks exactly as described. Some authors might suggest rather than state, saving themselves the trouble of knowing absolutely everything, but Goldstone sweats these details. When two doctors discuss a diagnosis, for instance, they’re utterly believable as medical colleagues — to this layman, at least. The only slip I noticed was talk about allergies, a word that hadn’t yet entered the language. But overall, he creates a pretty impressive effect.

At times, that zeal for minutiae leads to information dumps, but mostly, the atmosphere keeps you turning the pages — that, and the “no — and furthermore.” Whether it’s new evidence that challenges Noah’s perceptions of truth, or unexpected obstacles that make him stumble, the path to the resolution remains properly bumpy until the very end. Along the way, Goldstone offers priceless dialogue, especially for Maribeth, Noah’s fiancée, and her brother, a medical colleague of his whose iconoclasm made me laugh.

Where Deadly Cure falls short is the absolutely improbable derring-do of the last few chapters, the cartoon villains, and the melodrama that results. Sometimes, when a writer is so convincing about the troubles the protagonist faces, there’s no believable solution. But if you can suspend your doubts, Deadly Cure is an entertaining thriller and a reminder that controversies involving industrial medicine go back a long way.

Disclaimer: I obtained my reading copy of this book from the public library.

Playing Favorites: The Wartime Sisters

17 Monday Jun 2019

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Review: The Wartime Sisters, by Lynda Cohen Loigman
St. Martins, 2019. 285 pp. $28

Talk about sibling rivalry. From the moment Ruth Kaplan’s younger sister, Millie, first breathes oxygen, the older girl ceases to exist. No one sees her, pays attention, listens, or thinks she has any talents a girl needs. Oh, sure, she’s bright, bookish, and well organized, but since when have those qualities attracted a husband? Not in Brooklyn in the late 1930s, at any rate, when Ruth comes of age, as a serious young woman studying accounting at college. And not so long as thoroughly modern Millie’s around, cheerful, pretty in a way that turns heads, and easygoing.

Do Mama and Papa Kaplan try to balance the rivalry or combat it in any way? On the contrary; they do their best to create and perpetuate it:

Though Ruth’s tiny transgressions were few and far between, they never seemed to escape her mother’s notice. Any misstep Ruth made was a short, shallow wrinkle on an otherwise smooth and pristine tablecloth. Millie’s slipups, by contrast, were like a full glass of burgundy tipped over onto clean white damask. To their mother’s discerning eye, Ruth’s wrinkles were conspicuous. But her sister’s stains were overlooked and hastily covered — anything so that the meal could continue being served.

What a chilly portrait Loigman has created, a premise so simply elegant, with so few moving parts, that there should be no heavy machinery required to create power, poignancy, or depth. Ruth escapes Brooklyn, marrying Arthur, a decent guy, supposedly as dull and plodding as herself, a whiz kid who, in the war years, gets posted to the federal armory in Springfield, Massachusetts, to do weapons research. Millie’s no-good boyfriend, handsome and dashing but worthless to all eyes but hers, marries her and enlists after Pearl Harbor, also leaving behind a young son, Michael.

The Springfield Armory’s experimental workshop, 1923. In the right background, wearing a lab coat, stands John Garand, inventor of the rifle that became standard army issue in World War II (courtesy National Park Service via Wikimedia Commons)

I like this part of the story best. Told in flashback, the narrative shows how the sisters’ estrangement only hardens with time. Kaplan mère is quite a piece of work, vicious and controlling. Love is sweet, she says, but it tastes better with bread, and she preaches to Millie the unalterable fantasy that the girl will marry a fabulously rich man who takes care of all her wants, every single second, smitten by her beauty and charm. My grandmother’s version was, “It’s just as easy to marry a rich girl as a poor one,” which led her to campaign, hard, against my father choosing my mother. So I’m right there with Loigman in all this.

Indeed, when Loigman lets character drive her narrative, which she does until about the halfway point, The Wartime Sisters packs a punch. After that, however, the contrived story takes over. The sibling rivalry, though still essential, gets diluted by the presence of too many other voices, and the narrative descends into predictable melodrama. Loigman might have redeemed this had the sisters confronted one another properly, with a knockdown, drag-out fight that’s been brewing all their lives. Instead, when their obligatory battle arrives, it peters out much too soon — and, even worse, I get the impression that the author has played favorites, tipping the scales. One sister apologizes; one doesn’t, pleading that she wasn’t responsible. Baloney. It takes two to tango.

The prose style reads almost like nonfiction, practically devoid of metaphor. However, I like the dialogue very much, and the author uses it to create short, powerful scenes. The best concern the sisters and, later, Lillian, wife of the commanding officer at the armory, whose upbringing was even more harrowing than theirs and forms a point of comparison. But too many characters seem vacant, whether Ruth’s daughters, the nasty, bigoted busybody wife that probably every military installation must have, or the caricature of Mama Kaplan, a dreadful person with no apparent redeeming features.

Strangely, The Wartime Sisters might have worked had Loigman merely let the sisters slug it out. But once a subplot takes over, the sisters have no chance to get at one another, and the narrative follows the expected route. Ironically, making those extra pieces fit probably demands more work, when filling out the characters already present might have sufficed. It’s too bad; The Wartime Sisters has its moments. I just wish there were more of them.

Disclaimer: I obtained my reading copy of this book from the public library.

St. Peter, Don’t You Call Me… : The Widows

01 Monday Apr 2019

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Review: The Widows, by Jess Montgomery
Minotaur, 2018. 317 pp. $27

When Lily Ross’s husband, Daniel, sheriff of Bronwyn County, Ohio, is shot to death in March 1925 under circumstances that beg for investigation, the widow undertakes to learn the truth. Though the bereaved spouse/lover detective is by now a trope, you couldn’t ask for a more compelling premise than Montgomery provides. Not only does Lily quickly learn that Daniel led a secret life with another woman — again, something we’ve heard before — but that woman, Marvena, is recently widowed herself and a union organizer. Bronwyn County is coal country, and the mine owners’ exploitative practices loom large — wages paid in scrip instead of cash, the company store, yellow-dog contracts, Pinkerton thugs; the whole nine yards.

“Keeping Warm,” a cartoon appearing in the Los Angeles Times in November 1919, reveals a common attitude of that time about mine labor disputes (courtesy Wikimedia Commons; public domain)

The miners’ cause lends potent substance and background to Daniel’s death and Lily’s investigation, not least because Daniel’s half-brother, Luther, owns the mines. Accordingly, the story involves many more deaths, beatings, and threats of violence, whether from mobs or individuals, authentic to labor history in the coalfields. Montgomery makes Daniel a violent man too, an erstwhile prizefighter capable of great rages. Lily’s least pleasant discoveries concern aspects of his past that show how he hid his violent side from her.

Much of this she learns from Marvena, who shares the narrative point of view. Though the story wouldn’t work without her, Marvena’s a weak link. She’s an admirable person who has suffered for her beliefs, but maybe that’s the problem — either she’s too earnest, or Montgomery was in creating her. Marvena plays two notes, over and over — whom can I trust? how can I keep the miners together when the union-busters have all the power? — and you can’t argue, but she needs more. Marvena’s emotional world feels too narrow, despite a passage or two about what her two daughters mean to her. What the miners endure is absolutely heartbreaking, and the way management maintains power at all costs reads like a combination of serfdom and three-card Monte. Nevertheless, to me, Marvena remains a symbol, an icon of resistance, rather than a complete person, and if she had a flaw other than the suspicious nature she has honestly earned, I’d believe her more readily.

Lily needs flaws as well. Men call her stubborn and foolhardy, but they would. Though she suffers from Daniel’s silences when he’s alive, she never regrets having married him, and though she briefly resents him for having died, that doesn’t stick. Why the whitewash? Even so, she comes across more fully than Marvena, particularly in passages like the following, a flashback to her courtship of Daniel — in a delightful switch, she’s the aggressor — when she spies on him training for a fight:

She took in every bit of him with her gaze — the bow of his head as if he worshiped at the swing of the bag, the pull and stretch of his muscles with each wrathful thrum, thrum, thrum of his fists against the bag. She felt in that beating rhythm his intention to keep going until mind and memory and muscle all melted to mere spoonfuls of sopping grayness.

Montgomery writes well, if unevenly— occasionally, her dialogue dumps information — but I wish she had more confidence in her skill. I want especially to see more emotional moments like the one quoted above, in which her protagonists’ inner lives expand to take in what they love, hate, or dream of. Instead, the author focuses on action-reaction moments, in which Lily or Marvena take in what they’ve learned or experienced and wrestle with it, often posing rhetorical questions, a device that easily wears thin. They’re strong women, and they have dreams, so why are they so tightly bound to what’s in front of them?

That approach may result because of the many, many plot twists, which, though they keep the reader guessing, hurt the narrative in the long run. It’s not that Montgomery ignores her characters’ inner journeys, exactly, but she seems less sure of herself with them, which leads me to suspect that she’s more comfortable twisting the story. But that’s not where real tension lies, and the plot turns sometimes seem improbable; more than a couple ooze melodrama. Likewise, had the villains occupied fuller characters than plain villainy, they would have felt truer to life.

All the same, I like The Widows, which features two female protagonists who don’t wait for men to rescue them, a feminist perspective that remains consistent. And as the grandson of a staunch union man, I applaud this narrative, a reminder of an ugly chapter in our nation’s history.

Disclaimer: I obtained my reading copy of this book from the public library.

East African Gothic: Leopard at the Door

06 Monday Mar 2017

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Review: Leopard at the Door, by Jennifer McVeigh
Putnam, 2016. 385 pp. $26

Ever since her mother died, and her father sent her to live with her grandparents in England, Rachel Fullsmith has dreamed of returning to Kenya, where she was born. Now, at age eighteen, against her father’s advice, she has spent her meager savings for her passage to Mombasa. As Rachel quickly learns, she finds hostility rather than fond memories of what she loved as a child.

That hostility comes in two forms, personal and political. The year is 1952, and the independence movement known as Mau Mau has been gathering force. Thus far, the Mau Mau have refrained from attacking white residents, though they have murdered and mutilated Africans who refuse to swear their loyalty oath. But as the violence and British countermeasures ratchet up, Rachel will have excruciating choices to make.

A detachment of the King's African Rifles, on patrol against Mau Mau forces, ca. 1952-56 (courtesy Imperial War Museum, London, via Wikimedia Commons; public domain)

A detachment of the King’s African Rifles, on patrol against Mau Mau forces, ca. 1952-56 (courtesy Imperial War Museum, London, via Wikimedia Commons; public domain)

As the opening scenes make clear, the instincts her mother taught her stress compassion toward fellow humans over race loyalty and its inherent prejudice. Right off the boat, she’s delighted to realize that she still speaks good Swahili, and that the port of Mombasa looks and feels like heaven, despite the filth and bad smells. Her father’s Kikuyu foreman, who meets her and drives her upcountry, calls her Aleela (“she cries”), a pet name she had as a child, which touches her. But her father hasn’t come to greet her, and when Rachel reaches the farm, she sees another woman there, Sara, whom he never mentioned in his letters. It takes no time for Sara to let Rachel know that she shares her father’s bed, runs everything (including him), and plans to marry him. And rather than ease the shock, Sara takes the first chance to ask Rachel privately, “Why did you come?” Aleela will be doing a lot of crying, it seems.

I love McVeigh’s premise and the way she sets it up, with potent economy and subtlety. She knows how to spin a riveting narrative so that the tension never flags, and she devotes this skill to advance her political themes, embodied in Sara, who grew up in Nairobi, hates rural Kenya, which she calls “barren,” and holds herself distant from and superior to anything African. That makes her as different as she could be from Rachel’s mother, and the young woman pays the price, both in what she’s lost and her putative stepmother’s authoritarian regime. Sara forbids her to spend so much time outdoors on the land, urges her to dress in a more “feminine” way, and openly questions whether Rachel’s absence of fear or hatred for Africans means she’s been spoiled or tainted. McVeigh wants you to see that colonialism exists because of people like Sara.

Since I’ve spent time in Africa myself, though never had the good fortune to visit Kenya, I was delighted to read descriptions like this, of Rachel’s impressions of Mombasa:

Bougainvillea tumble over white walls, purple, orange, crimson red, amidst the trumpets of white datura flowers and clusters of pink hibiscus. Dhow captains spread their intricately woven carpets on the street for sale, beating out the dust in thick clouds. Porters in bare feet and white lunghis pad across the hot cobbles between piles of old newspaper and fish bones, past the Arab men dressed in white robes, who sit on low wooden stools drinking tea.

Despite all this brilliance, however, the characters ring false. Sara has no redeeming qualities whatsoever; at one point, Rachel even wonders why her father would have her around and ascribes it to sexual power. But that’s never developed enough to seem real. Moreover, making such a hateful, disagreeable person the mouthpiece for colonialism undermines takes the low road to simplicity and undermines what the author’s trying to say.

Ditto Steven Lockhart, the corrupt, abusive district officer who likes torturing Africans and warns Rachel that he’ll rape her one day. Of both Sara and Steven, I kept thinking, “They’re not really going to say or do that, will they?” only to slap my head when they really do. What’s more, for these characters to be as vicious as they are and get away with it requires Rachel and her father to be as passive as bricks. Not only don’t I believe that–each has taken bold steps in life–I find passivity uninteresting as a literary device.

What that means is that Leopard at the Door must sustain the tension via melodrama. I won’t go into the perils that McVeigh unleashes, which are truly terrifying. Even so, the novel’s Gothic aspects make it less powerful than it should be. That’s a terrible shame. As McVeigh notes in a postscript (and contrary to widely held belief), the facts suggest that the colonial administration wielded far more terror than the Mau Mau did, and in a manner flagrantly belying the rule of law the British pretended to uphold as a “civilizing” mission. I only wish this book had set the record straight in a more nuanced, three-dimensional manner.

Disclaimer: I obtained my reading copy of this book from the public library.

Cowboy Ethics: As Good As Gone

19 Monday Dec 2016

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Review: As Good As Gone, by Larry Watson
Algonquin, 2016. 341 pp. $27

To an outsider, it might seem as if little of the 1960s have touched Gladstone, Montana. But to Calvin Sidey, an aging, tough-minded cowboy who withdrew from the town years ago to live alone on its outskirts, the world of 1963 has taken over. Even on a brief drive through, he recognizes few landmarks, and mentioning the names of people he once knew raises puzzled looks or brings the news that this one has died, while the other lives in a nursing home.

Bozeman, Montana, city hall, fire station, and opera house, built 1890, demolished, 1966 (Courtesy Historic American Buildings Survey, National Park Service, via Wikimedia Commons)

Bozeman, Montana, city hall, fire station, and opera house, built 1890, demolished, 1966 (Courtesy Historic American Buildings Survey, National Park Service, via Wikimedia Commons)

Calvin wouldn’t have ventured into Gladstone at all, if his estranged son, Bill, hadn’t asked him to watch over the grandkids while Bill and his wife, Marjorie, go to Missoula so that she can have an operation. Nobody likes this arrangement. Bill resents Calvin for abandoning him and his sister after their mother died; Marjorie doesn’t trust Calvin to fulfill his responsibilities; and Calvin would rather bite the head off a rattlesnake than stay in Gladstone or, worse, have to talk to his son. Then again, Calvin hates talking to anybody.

Naturally, plenty will happen during Bill and Marjorie’s absence, putting Calvin and everyone around him under pressure. As Good As Gone would have been better had much less happened, but I like Watson’s premise, which gives his protagonist plenty of scope. I also believe the look and feel of Gladstone, from the dive bars to the stores, the weather, the cooking, the small-town atmosphere, and the social attitudes, the latter rendered with a light touch. The characters sense that they should be more tolerant, but they can’t bring themselves to act that way, and whatever’s happening in the world–civil rights marches, protests–is all Out There someplace, lurking on the edge of consciousness.

While Bill and Marjorie are away, Calvin charges at conflicts rather than step aside, because that’s who he is. When a neighbor’s dog gets into the garbage cans and strews litter all over–a chronic problem, he hears–Calvin tells the neighbor that if it happens again, he’ll shoot the dog. Such is his reputation that the neighbors pick up the trash and keep the dog leashed. Calvin also rushes into action when an irate tenant (Bill’s a real estate agent who owns rental property) barges into the Sidey home to scream about an eviction notice. I don’t have to tell you that the young man stalking Calvin’s beautiful, seventeen-year-old granddaughter, had better watch his step; that confrontation is set up almost from the get-go.

There’s more–the widow next door who takes a fancy to Calvin; his sensitive grandson, Will, bullied by his so-called friends; Marjorie’s operation (a hysterectomy), which goes wrong, or appears to; and Bill’s ache for the father who’s remained out of reach. Six narrators tell this story, of uneven range and strength; except for the widow, the women’s voices seem insubstantial. Moreover, the presence of six narrators implies many subplots to keep spinning, two of which have little or nothing to do with the main narrative.

The myriad threads obscure the fabric of what matters most: Calvin’s grief over his dead wife, which led him to abandon his kids, and how Bill feels about that. Part of the problem is that Watson can’t seem to decide which to focus on, Calvin’s character or Bill’s loss of him. But either way, though the narrative mentions what these men feel and describes them having the feelings, they abruptly leave off grappling with them, and each other. Rather, events represent emotions, and only in that way do the characters take them in.

For instance, Bill fears for Marjorie’s life, and that his mother’s death will be repeated. His fear is irrational, and he knows it, but that’s how deeply he’s been scarred. Life feels fragile to him, and everything he has can be swept away. Unfortunately, Watson fiddles with this very human paradox, as if he can’t bear to let a rational man have an irrational fear; my God, what will the reader think of him? So melodrama takes over: Marjorie slips into a brief coma, and it appears, for awhile, that she might actually die.

In fact, melodrama undoes much fine work in As Good As Gone, for many chapters end just before impending violence, a cliff-hanger technique that resembles the Westerns whose myths Watson wishes to debunk. Calvin’s courage and willingness to act are admirable, but his stubborn refusal to listen to anyone else, his code of vigilante justice, and the way he equates softer, human feelings with weakness leads to trouble. These are compelling themes, and as I read, I couldn’t help thinking of Lonely Are the Brave, a terrific 1962 film starring Kirk Douglas. I only wish that Watson had used his gift for economy to better effect, much as the movie did.

Disclaimer: I obtained my reading copy of this book from the public library.