Archive for the 'Arts and culture' Category

Why blood cells count

This is the first in a series of postings related to my cancer treatment. The aim is to talk about the personal experience of illness in a broadly analytical way.

I am starting with blood: what it is made of, and how that affects our very being.

Blood and its qualities have long served as powerful metaphors for the human condition. And people spend a lot of time putting things into the bloodstream to alter their mental state. In the case of medical treatments, the alterations are less voluntary.

In the case of chemotherapy, you are also taking something away from the blood’s basic composition, rather than adding to it. Chemo works by killing off cells that divide and grow rapidly. This targets cancer but also catches other, more useful, cells like hair and the bone marrow, which produces red and white blood cells. So the patient feels worse during the long treatment, not better.

What is it like to receive a dose of chemo? It is like being in a pool, and someone throws you a boulder. The boulder drags you down into the water, until you shake free and float back up to the surface. In the body, the chemicals feel heavy, like an unmoved meal. They are heavy – body weight goes up by several kilos immediately after a dose, before coming down again a day or two later. 

Medicine worries a good deal about the effect of chemo on the body; specifically about the blood cell count, because a deficiency in red cells causes anaemia, and in white cells leaves you vulnerable to infection. Medicine doesn’t worry so much about the effect on the mind. (The mind, that is, as a complex process of thought and feeling, rather than a disembodied, Cartesian object.) But even when there is no physical emergency, the lack of white cells has an impact. Without those cells, you literally have no ‘fight’; no defence against a threat to existence. And this state exists at the level of feelings, not just as a physical fact.

At the lowest point in the chemo dose’s three-week cycle, it feels humanly hard to go on living. Not because you are depressed, but because you lack the basic bodily ingredients, which we otherwise take for granted, that make living possible. And in a long course of treatment this happens not just once but over and over again, leading to an accumulated feeling of precariousness. It is this specific effect, I believe, that makes chemotherapy the dreadful experience that everyone acknowledges it to be.

Future postings will look at the business of being a ‘patient’; attitudes to risk and mortality; and the impact of serious illness on our relations with others.

Any feedback on these themes, or any others that you think I should consider, is very welcome.

Reports from the cell face

Back in April, I posted something here about the unexpected depilatory effects of chemotherapy, and asked readers if they thought there was a place for the personal in the Prospect blog. More generally, I asked, what makes writing about illness interesting to others?

The response was encouraging, both on the comments board and in private messages. To sum up, people appreciate having a clear description of things that don’t usually get noticed – sheer reporting from the cell face – and a level of analysis that can connect the particular to the general.

I started scoping out some themes right away for a series of postings, but got distracted by treatment and other major life difficulties. Now I am back. The aim is to find a language to talk about the body that is neither personal nor impersonal. It’s about a particular experience, but not “my story” in narrative. That old literary form, the personal essay, delivered by blog.

The first in the series will focus on blood: how the composition of what is flowing through our veins can affect the mind, and our existence generally.

Others will look at being a patient; the way one learns to assess risk and mortality; and the impact of serious illness on our relations with other people.

Any feedback on these themes, or indeed others that you think I should consider, is very welcome.

 

Saudi Sinatra rocks the casbah

The 10,000 crowd at the Fez festival of world sacred music were ecstatic—some literally so—when Mohamed Abdou (left) took centre stage on 15th June. The Saudi Sinatra is virtually unknown in the west, but in the middle east he is a multimillion-selling superstar. Backed by the magnificent syncopated strings of Abderarahim Mountassir, with a full mixed choir and desert percussion, the white-robed crooner rocked the casbah, or, more accurately, the magnificent gates of Bab Makina, surely one of the world’s most exotic venues, with a selection of hits old and new. His repertoire deals poetically with the poetry of the desert, sand, night and palms, but mostly Allah.

Non-believers were thin on the ground, perhaps because the event was unhelpfully billed as “Monotonous Chants of Heijaz,” but Prospect contributor and world music expert Joe Boyd and myself were converted. File under “you had to be there,” but George W needs to know that Islam has some of the best tunes.

My “Glastonbury moment”

This year’s Glastonbury reminded me why I first fell in love with the festival. I have been one of the faithful, having slogged my way through the last five Glastonburys, even declaring 2007’s Helm’s Deep of slush and sewage to be a success. But this year was faultless. The intricacies of on-site weather meant that Thursday’s downpour was in fact a blessing, preventing the site turning into a dustball in the ensuing three days of sunshine. Jay-Z was predictably brilliant. Neil Diamond was unpredictably brilliant.

But there was more to the experience than enjoying good weather and seeing good acts. For this year, I was one of those acts. Having played in bands since I was 18, I was asked to fill out a friend’s alt–country/folk outfit. We were due to play the Park stage at 11am on Friday, a small beer tent later that evening, then an even smaller green tea trading tent in the healing fields on Saturday afternoon. The first of the three gigs was great—four or five hundred people sitting down, enjoying breakfast, then kindly standing for an ovation, of sorts. The other two were fun, relatively low key, and pleasantly experienced through the warm fuzz of organic cider.

But the most intriguing thing about playing at Glastonbury is the strangely relaxed perspective it grants. A combination of soundchecks and gear-lugging means that instead of the endless walking involved in being a punter, racing from stage to stage, you’re coerced into drinking with a bearded sound engineer who has worked at the tiny tea tent every year for the past 15, and who in all that time has never even seen the Pyramid stage. Our gig in the healing fields, an area devoted almost entirely to alternative medicine, was watched by no more than 30 people, all of them happily drinking herbal tea. Yet, when we finished, the proprietor of the bar forced a plate of lentil curry in our hands, leaving me with the feeling that I had had a definitive “Glastonbury moment.”

Of course, I’m not suggesting that such experiences are reserved for the likes of Jack White and Amy Winehouse, just as I am in now way comparing my own foray onto the stage with theirs. It’s merely that in previous years I have been guilty of wanting to ‘make the most’ of the festival, by squeezing in as many bands as possible. This year I saw fewer than ever, and at the risk of sounding like an old hippie, experienced more than ever. And the backstage toilets were clean. Let’s not forget that.

The pendulum

Catch it while you can: Prospect contributor Alexander Fiske-Harrison can be found at the Jermyn Street Theatre until the end of this month starring in his new play The Pendulum. A historical drama set in 1900s Vienna, Fiske-Harrison takes the lead as one lieutenant Friedrich von Leiben, a soldier whose marriage to a young artist of Jewish ancestry is threatened by a climate of increasing suspicion and prejudice, as well as by his own jealousy.

The play has received good notices thus far, although there have also been some slightly consternated notes struck about how “relevant” its tale is to the present day. The Guardian, for example, muses that “if there are contemporary parallels, they are not obvious.” It’s a question the author may well be glad people are struggling to answer. As he put it to me:

I wanted to write something better than the drear recycled themes parading themselves as relevance so that I could act in something with some genuine drama. “Blood and sperm on the stage, darling,” as someone once said to me.

What with press deadlines, I haven’t made it to Jermyn Street yet myself, but I’m looking forward to a slice of modern drama that won’t include soliloquies which could have been taken from the leader pages of the Independent. Although I hope the author has been restrained enough to interpret his interlocutor’s advice figuratively…

In praise of Jay-Z

After the promotional giant Mean Fiddler took over organisation of the Glastonbury festival in 2004, cynics argued that the move was symbolic of the demise of music festivals in general: once a bastion of anti-establishment sentiment, Glastonbury had become complacent, corporate and disingenuous. The fact that Glastonbury’s organiser, Michael Eavis (now succeeded by his daughter Emily), pioneered the very concept of a music festival has, if anything, worked against him. How could a man responsible for capturing so much revolutionary spirit concede to the pressures of sponsorship and security? Critics branded the new Glastonbury as an overpriced, cocaine-fuelled blowout for thirtysomething media types, proclaiming its originality while slipping into bland homogeneity.

So Emily Eavis’s decision this year to book rapper Jay-Z as the Saturday night headliner should have been greeted with the respect such progression deserves. For me, the most enjoyable part of Glastonbury has always been the sense of discovery and surprise which wandering around the site grants you. Avoid the main stages and you’ll come across anything from a capella hip hop to comedy groups. By booking Jay-Z, Eavis junior has extended that element of surprise, displaying the type of innovation that made Glastonbury famous in the first place. Yet many commentators have blamed the Jay-Z booking for the festival’s sluggish ticket sales—they’re still available a month and half after going on sale, compared with last year when they sold out in an hour and a half.

Continue reading ‘In praise of Jay-Z’

The pigs of Hay

Some delightful blogging from comic author and sometime musician Julian Gough at the Hay festival, in which he reports on his (successful) mission to steal Will Self’s pig in protest at a literary prize seemingly determined before the announcement of its shortlist. The video alone makes essential viewing, as much for the dapper cut of its protagonist’s suit as any porcine poaching. But should we credit Gough’s impressively well-documented claims? According to the Times, festival organizers have reported that “Will Self’s pig is safe and secure in a secret location”—although the Telegraph blog contents itself with noting that “this is almost certainly the world’s first literary prize pig ransom video.” I have my doubts. Then again, the very prospect of trying to move a pig against its will strikes terror into me.

This is probably because Hay is the location of my own worst ever pig experience. During an extremely damp walking tour of the Brecon Beacons last year, I found myself strolling beside a farmyard, and paused to admire a couple of piglets playing in a pen. At this point, their mother—a sow of similar dimensions to an adolescent hippopotamus—lumbered into view and began to take a keen interest in my presence. I backed off along the path, in response to which the sow lowered her head, inserted it beneath a large steel five-bar gate, wrenched said gate off its hinges with a flick of her neck, and began to charge towards me. Suddenly recalling some kind of nature programme in which a farmer had boasted that pig-bites are among the most painful wounds known to man, I hurled myself over a fence into a small river, where I remained for some time.

Will Self may have had a lucky escape.

Movies made me

Since its birth just over a century ago, cinema has perhaps changed the way we see the world, and ourselves within it, more than any other art. In his essay this month, Prospect’s film columnist Mark Cousins takes a long look at what cinema has meant to him throughout his life, and the innumerable ways in which it touches our society.

Movies, Cousins argues, shape our aspirations and desires. We live through them, we seek structures and emblems for our lives within them; and—as with all art—we are challenged and jarred by their friction with the world. Most movies aren’t great art, of course; and much movie-making is about money, plain and simple. But, as Cousins traces the course of his own cinephilia, he finds that film does matter; and that, throughout its mixed, imperfect lifetime, it has dramatised certain kinds of human hope and struggle as nothing else has managed.

Short story glory

Thanks to all who took part in the inaugural Prospect/Franco-British Council prize for a short story of under 1,000 words inspired by France, which was awarded in May by an illustrious jury including Julian Barnes, Ian Rankin, Bonnie Greer and our own ex-deputy editor, William Skidelsky.

Congratulations, in particular, to the two winners: Sarah Collier of the University of Salford (in the undergraduate category) for “The Face,” and Caitlin Hart of St Paul’s Girls’ School (sixth form category) for “Heat.” The standard of writing was, Barnes noted, “very high,” with entries “creating believable and quirky characters—a real achievement in under 1,000 words.” All the stories can be read for free on our website, and are divided into two sections for the undergraduates and sixth formers respectively. The other prizewinners were Daniel Bird, Kitty Wheater and Rachael Allen (second and third-equal places, undergraduate category) and Edith Sinyard and James Gibson (second and third places, sixth form category).

Prospect are delighted to say that we will continue to support the prize next year. Full details of the winners, entry conditions and the future of the competition can be found here. As ever, your comments and feedback are very welcome on this blog.

The irrelevance of toff-bashing

The government is hoping that the electorate will reject the Conservative party on the basis that they are a bunch of toffs. But it is not at all obvious that the British hold their traditional elites in all that much disdain. The question, I suspect, is how we interpret the cultural politics of the 1990s.

In terms of cultural sociology, John Major’s period in office was arguably the most interesting in Britain since the 1970s. It was circa 1990-97 that working class identity went from being a source of political and economic antagonism, to becoming a form of cultural capital that could be exported and plundered for profit. Britpop, Lad culture, football and a re-remembering of Britain’s 1960s as a mod decade (working class) rather than a hippy one (middle class) enabled Britain to reinvent class as a cultural division—and therefore a more fluid one—rather than an economic one.

There was a sunny six-year period (between the launch of Loaded magazine and the emergence of the word ‘chav’ ) in which men with shaved heads and trainers suddenly appeared appealing to the liberal middle class, comfortingly local yet foreign at the same time. When Jarvis Cocker muttered in 1995 “take your Year in Provence and shove it up your ass” he no doubt inadvertently spoke for many middle class men as well. To this day, the number of people bracketed as ‘working class’ by sociologists is falling, while the number identifying as such is rising.

While this was going on, John Major’s government looked like an old guard who’d had their day. The disappearance of an antagonistic working class surely reduced many voters’ psychological attachment to elderly men in pin-striped suits, just as the end of the cold war meant that Americans were less inclined to have a protective father (i.e. Republican) in the White House.

But we have to be wary of granting these cultural phenomena too much political weight or historical permanence. Would things really have been any different if the Tories had removed their ties or talked football? Moreover, once class becomes understood in cultural terms as opposed to economic ones, no class is ever doomed to the historical dustbin, but can wax and wane over the years. Some variant of toff culture can quite easily make a comeback, if only due to the vagaries of fashion.

Staffed by wonks, New Labour retains a more economic notion of class than most of the British electorate, and is acutely conscious of the contrasting backgrounds of the Cabinet and the Shadow Cabinet. The former believe in meritocracy because they see themselves as examples of it, while painting the Camerons as examples of aristocracy. But how much does that distinction resonate with the British public? Aristocrats are no richer than meritocrats in 2008, in fact the reverse is often the case (as John Hutton has crudely celebrated). There is nothing intrinsically more ‘normal’ about Ed Balls spending his youth poring over economics books than Cameron quaffing expensive wine. To claim otherwise is the narcissism of small differences. If Britain has anything like Australia’s ‘tall poppy syndrome’, it may even be more hostile to social climbers (that is, meritocrats) than to lucky hedonists (aristocrats). If the latter confess to being a bit lazy but up for a bit of fun, then they may already be speaking the same language as many voters. Just ask George W Bush.

What is most galling about New Labour’s attack on toffs is that it trivialises and pastiches the sense of economic injustice that many on the Left have expressed, but which the government has steadfastly refused to acknowledge. Fierce inequalities in capital ownership (underpinned by the housing boom), in educational attainment, and even in health are suddenly being obscured by the suggestion that Eton College is the biggest threat to social justice today. The strategy is unlikely to succeed, and doesn’t deserve to.