4/5 stars
What’s it about? A medical student recounts her training as a doctor, meditating on her path to medicine, the failures of modern care, and the mystery of existence. DeForest plays with truth and perception in this odd, dark novel that lingers.
How’d I find it? I had read a review of this book in the New York Times last year and came across it at Enoch Pratt Free Library. I enjoyed this enough to want to buy my own copy to flip through again later.
Who will enjoy this book? The tone, length, and bending of reality in A History of Present Illness reminded me of Fever Dream by Samanta Schweblin, but its ennui shares much with Jenny Offill’s Weather.
What stood out? Every dreary, dreamy book on existence brings something a touch different to the table, and A History of Present Illness serves up the jaded view of a physician reckoning with death, all the more convincing since DeForest is a neurologist herself. I loved how our narrator tells the reader little lies throughout, manipulating and editing her story as she goes. She’s a challenging character through which to experience medical school and residency, and it makes for compelling reading.
Which line made me feel something? “Remember looking in the mirror as a child, saying your name? This face, you’d think, these hands. This house and yard and mother, going to bed without dinner on cabbage night, jumping from the roof of the shed. The bravery of it all, the obvious import. But this is how it ends: surrounded by strangers, your clothes cut off with shears, cold blue hands, and gone then, with your body humiliated and left alone to stiffen.”