Posts Tagged ‘Health’

I haven’t been blogging much, lately. I’ve wanted to at times – the ideas have been there, the impetus to say something – but I’ve bled it off in Twitter threads rather than coming here, because that’s felt easier. Blaming the pandemic is convenient insofar as it’s largely true, but it’s also not the whole story; I was already struggling to blog before it started, and once it did, there wasn’t much bandwidth for considering why. We’re still in the pandemic now, almost (god) three fucking years later, for a variety of reasons that make any sane person want to walk into the sea if considered too closely, and things are still bad, but they’re also a different, slightly more hopeful flavour of bad, or at least more resigned, by which I mean we can go outside now and see people and get vaccinated, but – well. Well.

Anyway, the point is that, pandemic aside, I’d been having a rough time of things re: mental and physical health since, oh, let’s say 2012, which timeline not-so-coincidentally lines up with getting pregnant and having a child, who is now five days off from turning nine (!) and is in every respect a wholly wonderful person. It’s just that, as boring and gross and as gauche as certain people think it is to mention What Pregnancy Does To The Body (and hence to the brain), it’s actually quite a lot, and when some of those people are doctors who think that discomfort and sadness are a sort of AFAB baseline to which giving birth should natively acclimate you, such that raising any medical issues without, in their eyes, an obvious cause is just a hypochondriac complaining, it’s hard to get those things diagnosed, let alone fixed.

So: let’s say you’re me, a genderqueer-leaning-slightly-more-masc-than-hitherto-realised person who, prior to pregnancy, has been keeping all those feelings in a careful mental box without ever quite acknowledging them. All of a sudden dysphoria is a Real Goddamn Thing, because even more than your body changing, you’re suddenly being publicly, consistently, insistently gendered in ways you never have been before, and you realise oh, I really don’t like that, but feeling sad and gross and confused is, again, considered a fairly normal part of pregnancy, so it takes a couple of years to sort that all out, and in the interim, you contract a nasty viral infection postpartum that leaves you feeling shitty for months – and again, you are not listened to, not about the tiredness, discomfort and not-rightness in your body and certainly not about the excruciating pain that comes with breastfeeding, except to be told that you must be doing something wrong and either way just to push through it – until you finally collapse in a fever and have to be hospitalised for a week on powerful IV antibiotics.

Eventually, on your own recognizance – because, again, no one is listening to you, or at least, no one who’s a doctor – you do some research and determine that, regarding breastfeeding, you have an atypical presentation of Raynaud’s Syndrome, which is why it feels like someone is slowly pulling a hot wire out of your nipple when you feed your child (breast is best, the nurses say repeatedly; just push through the pain, are you sure you’re latching him properly? no? well, just keep at it, don’t switch to formula). You take this finding to a doctor who, for a miracle, agrees to prescribe you the relevant medication, and the pain goes away for a blissful week before you get a plugged duct and are once more in agony, at which point you switch to formula and, finally, are able to relax.

But your body still doesn’t feel right. You’re fatigued, not just tired but bone-pressingly exhausted all the time, so that some days you can’t get out of bed; it feels like there’s a giant hand physically pressing into the mattress, insisting that you need to lie down even when you already are. Your back starts to hurt. You explain this to doctors, but the best they can do is shrug and suggest it’s purely a mental health issue, as though your depression is making you hurt and tired instead of your hurt and tiredness making you depressed, and you don’t think that’s right, but you have to try something. So you go on antidepressants – a mild dose, of a drug you later find out is being discontinued in places because of its many unpleasant side-effects, with which you soon become intimately acquainted. They help a little, but the fatigue remains. Everything is hard.

You do more research. After a while, you wonder if the viral infection fritzed your immune system on its way out, as sometimes happens, making you more prone to inflammation. Tentatively, you ask your doctor to prescribe some anti-inflammatory meds. The doctor obliges; you take one, and have more energy than you’ve had in the four years since your child was born. Briefly, beautifully, you think you’re cured. But still, the tiredness comes back, stronger and worse, and now your back is hurting all the time, and one day it just goes twang! and leaves you barely able to walk for a fortnight. You blame the terrible Ikea couch you’ve been working on and try to sit more at a desk, which is uncomfortable in a different way, and keep on doing your best.

By the time your child is six, you’ve moved from England to Scotland to Australia to America and are now thoroughly tired of being tired, to say nothing of having doctors in four countries all shrug at the apparent vagueness of your daily, life-inhibiting tiredness and say there’s nothing to be done, all while implying you’re making it up. You think, all right: either this is a weird autoimmune condition that I can’t do anything about, or it’s something really simple and obvious that we’ve somehow missed. You rack your brains and come up with a single possibility: perhaps the only dietary change you made since becoming a parent – drinking soda in place of alcohol while pregnant, which became drinking soda daily thereafter – might be responsible. It feels like a hail Mary – bourbon and coke was your go-to pub order for years; if soda was a problem, surely you’d have noticed before? – but there’s nothing else to try. So you go cold turkey on soda, have two days of dizzying withdrawl symptoms, and then –

The fatigue is gone. Absurdly, beautifully, completely, gone.

Dazed, you do some googling. Apparently, it’s relatively common for pregnancy, which has a big impact on the immune system, to leave you with new allergies that you never had before. You learn that a certain type of caffeine intolerance, while not really referred to as an allergy, nonetheless falls under this umbrella, and that it can cause fatigue, as your body no longer processes caffeine as a stimulant. You have been poisoning yourself into misery for six years without anyone realising. You are furious; you are vindicated, that it wasn’t all in your head. To celebrate your newfound energy, you spend the whole day cleaning the house, bend slightly to look out the window at the end of it, and slip a disc in your lower back. The next day, you can’t walk and have to be stretchered down from your third-floor bedroom to a waiting ambulance – stretchered upright, because the stairs are too narrow for you to lie down. The pain is worse than childbirth. You go straight to hospital. It’s a week before you can walk again.

Recovery is slow. There is physical therapy. Months pass. You’re in pain every day, but (you think) manageable pain. By the start of 2020, you’re ready to go to the gym again, and have just gotten into the habit of it when the pandemic hits. The pandemic is all-encompassing and terrible; your child is in first grade when virtual learning starts and in third grade before he returns to a physical classroom. In 2021, both you and your husband suffer the loss of a parent and are unable to travel to be with family because Australia’s borders are closed. You watch their funerals over zoom; both times, the internet briefly cuts out.

Near the end of 2021 and with a newfound awareness of your mortality, it occurs to you that, two years after slipping a disc and five years after starting antidepressants, you are still in daily physical pain, while your mental health is good. You did ask for a chiropractic referral a few months back, but the doctor wouldn’t give you one: physical therapy only, they said, but the physical therapist never returned your call. The doctor who prescribed the antidepressants is in another country, while your current doctor is hard to get an appointment with even when there isn’t a pandemic. You do some research about going off your particular brand of antidepressants: the side-effects you’ve been living with are becoming steadily more pronounced, more unpleasant, and the more you research, the harder it is to understand why you were put in this particular medication in the first place, given the seeming gulf between its designated purpose and your original symptoms. The depression itself was caused and exacerbated by the now-understood fatigue, which is no longer an issue, and your dose is small enough that tapering won’t be noticeably better than going cold turkey. You decide to take the risk.

You go off antidepressants, and you use the money inherited from your father’s passing to pay for a chiropractor.

Withdrawal symptoms last just under two weeks and are mostly manageable – weird, but manageable. You brace for your mental health to crash, but it never does. Instead, your body gets stronger and your head gets clearer, and as you start to read more quickly, easily and voraciously than you have in years, you realise suddenly, angrily, that this vital part of yourself – your ability to read, to focus on words – had been badly impacted by a medication you should never have been put on in the first place; were only really prescribed because nobody was willing to figure out the source of your actual problem.

And then you go to the chiropractor, who takes one look at your spine, x-rays you to be sure, and shows you how, when you were pregnant, your pelvis twisted within your body, tilting up and back like a crooked bow-tie, steadily imbalancing your whole body. This is why your lower back has been hurting for years; why you slipped a disc so badly; why, even though you did everything your physical therapist asked of you, the pain never went away. You almost break down in tears in the chiropractor’s office, but manage to save them for when you get home. You begin a schedule of adjustments to put your bones back where they should be.

A week into 2022 – a month before your son’s 9th birthday – you wake up without a lancing pain in your hip for the first time since 2019.

It’s been nearly a decade since I first fell pregnant. My health has been impacted by it every day since then, both mentally and physically. I’m coming out of it now, I think – I hope – but I’ve thought that before, and each time, there’s been some other issue lurking in the woodwork. I love my son dearly; I am furious at the broader medical establishment for leaving me to fumble around in the dark, alone, because my quality of life was not held to be important if the symptoms impacting it didn’t have a quick, obvious, commonplace solution. I have been reticent to talk about going off antidepressants on my own as a positive thing, because even when they’re working properly and perfectly prescribed, they can still have unpleasant side-effects, and it’s easy to think you’re better when you’re not, and it’s always better to consult a medical professional, and and and – but still, I was prescribed a medication for a condition I did not have, in lieu of trying to determine what I did have, and it briefly helped the symptoms without touching the cause, and made my life miserable and hard to an extent I’m only fully realising in its absence, and I can read again now, without feeling like I’m forcing my eyes through glue, and I need to be able to say so.

The fact that I achieved anything professionally during this period is, the more I think about it, miraculous, or perhaps a testament to my own bloody-minded reliance on fiction in general and fantasy in particular to carry me through life. I want to blog more, and hopefully will do so, but I find that I’m having to unlearn a habit of flinching from my own ambitions. For so long, I’ve had to curate specific conditions in which to read, to write, to work, because if I attempted to do so otherwise, I’d run up against a wall of exhaustion and fail, and that sense of failure – of wanting to do a thing I love, but finding myself unable to – has left me inhibited, like a crocodile stunted to fit the undersized pool in which it’s kept. There are so many books I’ve picked up and struggled to read in the last few years, not due to any fault in the writing, but because my brain has been lagging, muddled; I want to read them now, but still, there’s this terrible, paralysing fear whenever I reach for one that the fog will come back, an invisible wall to smack me out of my progress. I feel the same about writing, especially here – but I’m trying. I’m going to keep trying.

My next book is coming out this year – my first since 2017 – and I’m terrified. I love this book; it’s just that I’ve got all this leftover terror of being too tired, too far away, too not-enough, and that makes it hard to remember that somehow, amidst all the terrible everything of the last half-decade, I managed to not only write a thing that I love, but get it on track to be published. Part of me is paranoid it’ll all somehow be taken away before it ever hits shelves, which I know is irrational, but I’m working on that, too.

Anyway. This is all to say that, while I haven’t been blogging much for a while now, I’m still here, and I’m trying, and I’m hopefully getting better, which is really the most that any of us can aspire to. It’s about to be the lunar year of the tiger, which is my year and therefore exciting, and frankly at this point, I can use all the positive omens I can find, so I’m leaning into it, mentally. And whoever’s reading this, I hope you have – or are having – a good new year, too. We could all do with one.

Hypothesis:

We have, as a society, such a completely disordered, distorted perception of female bodies that the vast majority of people are incapable of recognising what “overweight” actually looks like on a woman, let alone “healthy”. As such, we’re now at a point where women are not only raised to hate their bodies as a matter of course, but are shown, from childhood, a wholly inaccurate picture of what they “should” look like – a narrow, nigh on impossible physical standard they are then punished, both socially and medically, for failing to attain.

I don’t say this lightly. I say it because this is the only conclusion supported by the facts.

Let’s examine the evidence, shall we?

1: BMI

Overwhelmingly, the measurement used to determine whether or not someone is a “healthy weight” is the BMI, or Body Mass Index. Most people are still taught it in schools; indeed, it’s commonly used by doctors and in medical underwriting for insurance purposes,  and is also used by the WHO and various other official bodies, including many universities. It is, however, flawed to the point of uselessness – a fact acknowledged by the man who popularised its usage, Ansel Keys, who explicitly stated that it shouldn’t be used as a tool for individual diagnosis.

There are several main reasons why our cultural reliance on the BMI as a means of assessing health, and particularly women’s health, is deeply problematic:

1. It doesn’t take into account the fact that muscle is denser than fat. As such, it frequently registers athletes and bodybuilders as being obese or overweight, despite their incredible fitness, just because their bodies have greater muscle density, a prejudice which extends to anyone with significant muscle-mass. This is why, for instance, a superfit bodybuilder, Anita Albrecht, was yesterday told by an NHS nurse that she was obese and ordered to go on a strict diet.

2. It doesn’t take height or bodytype into account with any degree of accuracy. Taller individuals will always have a higher BMI regardless of their actual weight, because of the way the measurement is constructed, while shorter people will always have a lower one. Having been originally developed in Europe, using European physical norms, in the 1800s, neither does it factor in ethnicity or metabolism, which is why a Yale University student, Frances Chan, is currently being pushed to develop an eating disorder by the college’s medical administrators, all of whom are so obsessed with her naturally low BMI that they’ve assumed she must be anorexic, and are forcing her to gain unnecessary weight or risk expulsion.

3. Although women are both shorter on average than men while naturally carrying more fat, the BMI calculation doesn’t take this into account, but uses the same measurement for both men and women. In fact, it was originally formulated based on studies of white male populations only – which means that BMI is fundamentally predicated on judging female bodies against male norms. As such, and as useless as the BMI is anyway in terms of individual diagnosis, it’s especially harmful to women and POC, whose morphology and metabolisms it was never meant to accommodate.

4. It doesn’t account for age, or any change in height that occurs with age. A teenager who hasn’t yet achieved their full growth or settled into their normal, adult weight is held to the same standards as someone old enough to have begun losing height

Combine these facts together, and you have a recipe for disaster. All over the world, women of all bodytypes, ages and ethnicities are being told by physicians, family members, universities and insurance companies to try and adhere to a single, “universal” notion of bodily health that is, in fact, predicated entirely on what was considered normal for white European men in the mid-1800s.

2. Clothing Sizes

Consider the women in these two photos, all of whom, despite their wildly differing bodytypes, weigh the Australian average of 70kg, or 154 pounds:

American women who all weigh 154 pounds Australian women all weighing the average 70kg

Clearly, these women all wear different size clothes for reasons that have absolutely nothing to do with their weight, and everything to do with height and bodytype. But because of the fashion industry’s obsession with tall, thin, white, ectomorphic models – women chosen, not because they’re a representative sample of the population, but so their minimal frames can better serve as coathangers for clothes that privilege a very specific aesthetic over function – we have learned to correlate small sizes with healthy bodies, the better to justify their primacy on the runway, in advertising and on screen as a healthy ideal. Never mind that modelling agencies have been known to recruit at eating disorder clinics, with store mannequins more closely resembling the bodies of anorexic girls than average women, models eating tissues to stay thin and rail-thin models photoshopped to hide their ill-health and prominent ribs: because “plus size” models – that is, women whose bodies are actually representative of the general population – are treated as a separate, exceptional category, the fiction persists that “plus size” is a synonym for “overweight”, “unhealthy” or “obese”: women too enormous to wear “normal” clothes, even though the norm in question is anything but. As such, plus-size models are frequently derided as fat, a joke, unhealthy and bad role models. Today, catwalk models weigh 23% less than the average woman, compared to 8% just twenty years ago – yet whenever this disparity is pointed out, the reaction of many is to just assume that average women must be overweight, and that using plus size mannequins will only encourage obesity. Throw in the fact that women’s clothing sizes aren’t standardised, but fluctuate  wildly from brand to brand – or within the same brand, even – and the idea of judging a woman’s health by what size jeans she wears becomes even more absurd.

For anyone still temped by the idea that the standards set by the fashion industry aren’t really that bad, and that the obesity epidemic is surely skewing statistics somewhat, let me put it bluntly: Eating disorders have the highest mortality rate of any mental disorder. Women aged 15-24 are twelve times more likely to die of anorexia than of anything else, while 20% of all anorexics die of their illness. So when I tell you that 20 to 40% of models are estimated to suffer from eating disorders, and that only 5% of American women naturally possess a model’s bodytype, I want you to comprehend my full meaning.

Think about that, the next time you’re tempted to call the girl in the size fourteen jeans overweight.

3. Fat Health

And here, we come to the nub of the problem: the ubiquitous conflation of slenderness with health. With all the statistics I’ve just listed, I shouldn’t have to point out that one can be fantastically thin – model thin, even – and still dangerously unhealthy: among their many other evils, for instance, eating disorders can lead to bone loss and heart complications, to say nothing of the mental health component. What’s much harder to convey, given the overwhelming social incentives to the contrary, is the idea that one can be fat – and I want to talk about that word more, in a moment – and still be physically healthy. Obviously, there are also health risks to being obese, and that’s still something worth discussing, especially given that 6% of deaths are attributable to obesity. But on a daily basis, our fear of this fact, when combined with myriad other social distortions – our obsession with an extremely narrow and largely unrealistic image of female beauty, the conflation of small clothing sizes with healthy bodies, our phobia of anything “plus size”, the false reporting of BMI as an indicator of female wellness – means we’ve lost the ability to tell what obesity actually looks like.

(One cannot help noticing that, while the WHO claims the number of obese persons has doubled since 1980, this statistical leap neatly parallels the adoption of BMI as standard by that same body, which also happened in the 1980’s. Given the appalling flaws of BMI as a system – flaws which not only lead to average-sized women being categorised as overweight or obese for failing to have male proportions, but which also award higher BMI’s to taller people at a time when the average person is getting taller – it’s hard not to wonder, therefore, if it’s not that we’re gaining weight in such massive numbers, but rather that the yardstick for obesity has radically shifted. At the very least, if actual obesity is on the rise, I sincerely doubt it’s rising as much or as quickly as scaremongers seem to think it is, given the undeniable skewing of data inherent to the BMI system.)

 

Particularly for women, possession of any visible body fat whatsoever is invariably conflated with being overweight or unhealthy, and while that’s true some of the time, what it means in a practical sense is that fat, as a concept, rather than being a simple bodily descriptor, has instead become pejorative, a warning that we need to amend our ways. We talk about fatness like it’s a single, static thing, rather than a relative term: as though, if you’re fatter than someone – anyone – you must also be fat absolutely. We don’t talk about degrees of fatness, or bodytype, or distribution of mass. We LOVE big breasts (provided they’re not saggy, of course, or possessed in the expectation that you’ll be able to buy affordable bras to put them in, which – surprise! – you can’t) and we talk, gingerly, about “curves”, but always in ways that serve to disconnect them from the type of bodies to which, more often than not, such attributes belong: fat ones. Because being fat isn’t the same as being overweight, or obese; it just means not thin, and if you think “overweight” and “not thin” are synonyms, then you haven’t been paying attention. Being called fat, in fact, is often just code for “not the ideal”, which can be down to any number of things – that you have wide hips, stomach rolls, thighs that touch (our obsession with the thigh gap is dangerous in and of itself; unless you have a naturally splayed pelvis, it’s only attainable via malnourishment). Our language is full of mocking, heavily gendered terms tied to particular bits of anatomy or pieces of clothing, all of them designed to police women’s bodies: cankles, cameltoe, muffin top, whale tail, tramp stamp, thunder thighs, junk in the trunk, saddlebags, child-bearing hips. As a teenager, I remember seeing a gossip magazine mock Jennifer Aniston for having “arm sausages” – little rolls of skin at the side of her armpits – and feeling physically sick as I realised I had them, too, and must therefore be fat.

Conclusion:

We need to stop reinforcing this idea that if you’re not thin, you’re obese. As a concept, it has absolutely nothing to do with health, and everything to do with justifying our demand for idealised female beauty by mocking anyone who doesn’t meet its impossible standards as overweight. We need to stop relying on BMI to tell us how healthy we are, or not – especially for women – and accept instead that “health” is too complex a concept to be boiled down to a single calculation. Especially given the horrific biases in the healthcare system against anyone seen to be overweight, using a single glib rule to determine the most likely cause of unwellness is not only counterproductive, but dangerous. We need to stop using “fat” as a pejorative, and we sure as hell need to stop the toxic culture of eating disorders, photoshopped images and outright malnutrition currently fuelling the fashion industry.

Because society deserves better. Women deserve better.

We deserve better.

 

 

 

 

 

 

Happy new year, internets! Isn’t it shiny and new? I feel like I ought to be peeling the sticker off and stripping away the plastic.

First up, here are my fictional rolemodels for 2012:

1. Cordelia Naismith Vorkosigan

To say I have fallen in love with Lois McMaster Bujold’s Vorkosigan saga is something of an understatement: I am in full-on literary lust. If it were legally possible for me to marry her brain, I would do so, but while this is in large part due to the awesomeness of Miles Vorkosigan and the Dendarii Free Mercenaries, the character that absolutely stole my soul is his mother, Cordelia. There is something raw and brutal and beautiful about her, a strength and courage that goes bone-deep. She is vulnerable and human, yes; but when terrible things happen to her – and they do happen – she overcomes them with a species of brilliance that is less about asskicking than it is about pureblooded victory: social, political, intellectual, emotional, feminist and military, written with all the hard and visceral joy of triumph over incredible adversity. Now and forever, she has catapulted herself to the top of my list of Favourite Literary Heroines, and for that, I honour her.

 

 

 

 

2. Helen Parr, aka Elastigirl 

Whenever I watch The Incredibles, I’m consistently blown away by the awesome of Helen Parr. So often in cinema – and particularly in cinema aimed at children – mothers are painted as either obedient housewives or icy harridans, with precious little leeway in between. And then we have Helen, who is not only a competent, caring mother, but a competent, kickass superhero. These aren’t two separate identities whose differences are played for laughs, either: instead, we get a character who argues with her husband and reprimands her children, but who isn’t just cast as a nag; a domestic woman who is neither trapped, ignorant nor passive, but who has chosen her life and is active and happy within in; a wife with emotional vulnerabilities in proportion to her strengths; a woman as ordinary as she is extraordinary. One of the most powerful scenes I’ve ever watched is the one in which Helen saves her children from a plane crash, and if you can watch the following clip without falling utterly in love with her, then I’d suggest that we can’t be friends:

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3. Florence Cathcart

By an order of magnitude, the best new film of 2011 was Nick Murphy’s The Awakening. Set in 1921, the story starts when Florence Cathcart, a debunker of hauntings and unmasker of charlatans, is called to investigate the death of a boy at a boarding school where all the students claim he was killed by a ghost. The resulting narrative is exquisitely balanced: not just Florence, but every character is in some way wounded by the first world war, and the action moves between emotional connections, romance, chilling mystery and genuine, grip-the-seats horror in a way that makes The Orphanage look like Scream. And then there’s Florence, who is hands down the best female character I’ve seen on the screen in years. Witty, bitingly intelligent, courageous and sensual, Florence stole my heart from minute one and has kept it ever since. Talking with writer/director Nick Murphy on Twitter, I asked him if she was based on any particular historical figure – I’d genuinely assumed she must be, because she’d felt so real. His reply? “She was based on the kind of girls I want my daughters to become.” Which, if you’re listening, Hollywood? Is the textbook definition of Doing It Right.

And now, my actual resolutions for 2012:

1. Read at least one non-fiction book per month.

Over the course of 2011, I read 136 new books, only four of which were properly non-fiction, and all of which I read in January. That’s… not a great ratio. I’ve reached a point now where I need to be reading more research material – more history, more philosophy, more culture and politics and feminism and ideas – and not just straight, delicious fiction. This is a modest goal, but one I’d be very happy to achieve. Ideally, I will actually read one NF book each month, but if I manage a minimum of twelve such works spread out across the year, then I’ll be equally pleased. Huzzah for learning!

2. Finish a novel by the end of February.

2011 was a very weird year for me, writing-wise, in that I didn’t actually finish anything. In fairness, I did write half of two new novels and close out the edits for The Key to Starveldt, which was published in October, but I’d nonetheless hoped to have at least a full version of either project ready by this point, and the fact that I don’t bothers me. But! As I have been editing, plotting and generally scheming with regard to the former of these two novels – which, at present, is going by the moniker An Accident of Stars – and know exactly what (I hope) to do with it; and as I ought to have a bit of free time in the next two months, I’ve set myself a completion date of 29 February 2012 by which to produce a viable first draft. Knowing me, this will either prove to be optimism of the highest order or a surprisingly workable timeframe. And boy, do I hope it’s the latter.

3. Get healthy.

I know. I know. OK? No, seriously: I KNOW. Stating this as a serious resolution is roughly the same as jinxing myself, or declaring that I want to achieve world peace by the end of June. Every year I and thousands of others make this our ambition, and every year we are, almost universally, undone by a leftover bottle of wine and the lure of cut-price chocolate before you can say knife. Nonetheless: I hereby pledge to give up drinking for at least the month of January, to try and run a couple of times a week, and to exercise self-control in the presence of chocolate, cheese and any foodstuff created with reference to frying. I also pledge that I shall try to eat smaller portions at main meals, snack judiciously on things I actually like (as opposed to anything that comes from the sweetie box in the work kitchen) and to otherwise comport myself like a sensible adult. I will not deny myself treats, but I will strive to ensure that they are treats, rather than impulses or habits. And so on until I no longer feel the need to unzip the top of my favourite skirt after dinner, amen.

2012 is here. Let the games begin!

 

Last night, I stayed up until 2am finishing my ARC of Water to Burn, the second Nola O’Grady novel by Katharine Kerr. Despite being set in San Francisco and following the exploits of Nola, a psychic employed by a secret government agency on the side of Harmony, it’s not quite accurate to describe the series as urban fantasy. For one thing, an ongoing plot point from book one, License to Ensorcell, focuses on the discovery and exploration of deviant world-levels – that is to say, alternate and parallel realities both similar and dissimilar to Earth – populated in some instances by doppelganger inhabitants raised under vastly different circumstances. This puts the flavour closer to SF than fantasy at times, raising questions about the setting’s scientific theories and contributing to a rich sense of narrative possibility. The series is also distinguished by its strong sense of Earth politics: Nola’s offsider, bodyguard and love-interest since book one, Ari Nathan, is a high-level operative with both Interpol and the Israeli government. While some writers might be tempted to mention this merely by way of exotic background detail, Kerr actively incorporates it into events, not only in terms of Ari and Nola’s respective efforts to balance duties and secrets with their personal relationship, but also as a source of cross-cultural commentary and plot relevance. Just as Nola’s character is defined in large part by her family ties, psychic gifts, religious upbringing and Irish-American heritage, so too is Ari defined by his family ties, martial gifts, religious upbringing  and Israeli heritage. Kerr has done her research, and if ever Nola lapses into forgetting that Ari, despite his perfect English, was raised in a different culture, neither she nor the reader is allowed to keep that ignorance for long.

Plot-wise, the events of Water to Burn follow closely on from the end of License to Ensorcell: the Chaos masters who orchestrated the events of book one are still at large, though their influence is being felt in difference ways. A twelve-year-old girl drowns when a freak wave seemingly pulls her from the shore; Reb Ezekiel, the self-professed prophet who ran the kibbutz where Ari spent his childhood, has been sighted in the city, despite having been thought dead for some years; and a shady businessmen appears to be blackmailing Nola’s affluent brother-in-law. Though seemingly disparate at first, these separate occurrences all begin to tie in with the mysterious Peacock Angel cult and its Chaotic adherents, increasing in intensity as Nola and Ari get closer to the truth.

There are several satisfying differences that set this series apart from other UF works. Firstly, the romance: though Nola and Ari flirted and danced around each other for a significant portion of License to Ensorcell, by novel’s end, they’d reconciled their attraction and embarked on an actual relationship. There is no mysterious third wheel waiting in the wings to try and turn things into a love triangle; nor did Water to Burn begin with either party calling things off, thereby restoring a default state of unresolved sexual tension. Instead, they look for a new apartment and move in together, while Nola wrestles internally with her fear that ‘picket-stakes of domesticity’  are dropping into place in her life, confronting her past issues with commitment and abandonment. Given the fact that her other novels have cheerfully featured romantic, sexual scenes, the fact that Nola and Ari’s encounters are always hidden by a cut-to-black suggests  that Kerr has made a conscious decision to differentiate the O’Grady books from the plethora of sexy, paranormal crime series already available. In this instance, the romance isn’t about wild, passionate tension, but rather about two defensive, similarly wounded people struggling to turn chemistry into love, with all the pitfalls, doubts and self-recriminations that involves.

The series also places a tremendous significance on family. Again, this runs counter to the usual intuitions about urban fantasy: Nola’s gifts are genetic and certainly contributed to her childhood woes, but she is neither an isolate orphan nor an only child. Instead, we’re  introduced to the loving-yet-complicated network of brothers, sisters, cousins, aunts and uncles – most of them similarly gifted, though in different ways – that make up Nola’s family. We know her mother is in deep denial about her own magical gifts, let alone everyone else’s, while her father, for reasons that are slowly being uncovered, was forced to leave his wife and children while they were still a young family, with consequences that are still being felt in the present. Nola has seven siblings, one of whom was murdered before the start of the first book; a strong relationship with her caring, religious Aunt Eileen; and a plethora of other such kinships, each one uniquely complicated in the way that only extended family can be. So far, we’ve only been allowed to glimpse Ari’s history, but his own upbringing has already proved crucial to the plot, and with Nola fixing to secretly contact his mother, it seems plain that sooner or later, his family secrets will be subject to just as much scrutiny as Nola’s.

Finally, there’s the issue of Nola’s eating habits. As the books are narrated almost exclusively from her POV, the fact that both Ari and her family members are concerned about her having an ‘eating disorder’ is brushed off in her thoughts as meddlesome paranoia. And yet, we also see exactly how much calorie-counting Nola really does: scrimping her portions, foregoing meals, declining various dishes at family gatherings, and generally keeping herself half-starved. It’s both a refreshing and a confronting move on Kerr’s part: refreshing, in the sense that so many heroines are described as meeting society’s physical ideals without any conscious effort on their part or narrative criticism about the value of said ideals, and confronting, because by the end of Water to Burn, we’re left in no doubt that Nola really does have a problem. Happily, our heroine seems to understand this, too, but issues of esteem are never easy to overcome, and we’re left with the knowledge that Nola has a long road yet to travel.

Water to Burn is an immensely satisfying second installment in the Nola O’Grady series. Rather than relying on sexual tension and violence as the backbone of her series, Kerr has instead built a rich, original, complicated world of politics both real and magical, parallel worlds, family ties, cultural clashes and work-in-progress relationships that cannot help but suck the reader in – and I can’t wait to read book three.