Still Alice, Lisa Genova

I freely admit that a large part of my identity is defined by my not inconsiderable smarts.  When I was in elementary school, I was the stereotypical teacher's pet.  I easily comprehended the lessons, I always finished my work before everyone else, and I frequently had my nose buried in a book.  This caused me to be teased by the other students quite a bit (fourth grade was particularly brutal), and I was often alone.  In my moments of hurt and anger, I often comforted myself by telling myself that the other kids might be bigger and meaner, but I was smarter!  That defense mechanism from elementary school has lasted into adulthood.  No one is picking on me for being smart and loving to read and learn, but the ability to do all of those things has remained central to my own perception of who I am.

But imagine that the intelligence and knowledge that has become such a central part of my identity were suddenly fading, not because of old age or a freak accident, but slowly and inexorably due to early-onset Alzheimer's Disease.  This is exactly the fate that befalls the main character in the novel Still Alice by Lisa Genova.  Alice Howland is a 50ish Harvard psychology professor, ironically an expert in linguistics and the acquisition of language, when she begins having lapses in memory.  She chalks it up to stress and overwork-until the day that she gets lost three blocks from home.  She consults a neurologist, who gives the stunning and completely unexpected diagnosis of early-onset Alzheimer's disease.  Alice is completely taken aback-what will become of her teaching, her research, her speaking engagements?  As she and her family struggle to make sense of her diagnosis, she designs a daily test for herself.  She will ask herself five questions, and the day that she has trouble remembering the answers will be the day that she ends her life.  But with her memory fading fast and her family taking care of her, will she be able to keep her dignity and make her own choice?

Genova did a good job creating the character of Alice.  Using first person narrative allowed the reader to go along on the journey with her, and frankly it was terrifying.  Alice goes through the stereotypical stages of grief-denial, anger, depression, bargaining, and acceptance-and at each stage I was able to imagine myself in her shoes.  The way that Alice is written evoke empathy and not just sympathy in the reader, which in this particular kind of story is more important than a cerebral analysis. 

Genova also used Alice and her situation to highlight certain issues releated to Alzheimer's disease.  She makes a point to bring forward the genetic nature of the disease, and in fact Alice and her children are tested for the defective gene, only to discover that her daughter Anne, currently in her late 20s, is sure to develop the disease.  Alice, released from her responsilibities at Harvard and at a loss for what to do next, realizes there is a need for a support group not just for the caregivers of people with Alzheimer's, but for the sufferers themselves.  She even makes an impassioned speech at an Alzheimer's conference about remembering the humanity of the person behind the symptoms.

While this book packed a great deal of emotional punch, it is not exactly subtle in its theme-people who have Alzheimers are still people, and they know what is happening to them (at least for a while), and they should be treated in such a way that their dignity and pride is preserved.  Alice's suicide plan creates an interesting point for discussion, which makes it a decent book club selection.  That said, when I finished reading I felt a little bit like, "All that build-up for THAT!"  I was not a fan of the ending, but that didn't really take away from my enjoyment of the novel as a whole.  If you don't mind being sad on your vacation, this would actually make a decent spring break or summer read-it's easy and fast, but still has substance.

The Law of Similars, by Chris Bohjelian

The first Chris Bohjelian book I ever read was Midwives, in 1997.  It's the story of a well-trained modern midwife who performs and emergency cesarean section on a woman she believes has died of a stroke during childbirth.  But what if the woman she thought was dead wasn't, and she herself caused the fatal injury?  The novel examines the debate over alternative medicine through a gripping personal account of tragedy.  I devoured this book, and developed an instant love for the author.  I would have read the phone book if he wrote it!

Fast forward a few years and I am thrilled to find a copy of Bohjelian's The Law of Similars on GoodReads.  By this point I've read several of Bohjelian's books, and loved each and every one.  The Law of Similars was sure to be another home run for Bohjelian, as far as I was concerned.  I didn't even know the plot line, but it didn't matter-I wanted it!

Well, here's what it's about.  The patient of a homeopath named Carissa Lake dies after eating a nut to which he knew he was allergic.  His wife believes that Carissa told him to do it, and she tries to get the District Attorney's office to file murder charges against Lake.  An assistant DA, Leland Fowler, widower and single father, is first assigned to hear the story from the dead man's wife, but there is a problem.  He's been seeing Carissa Lake-both as a homeopathy patient and as a date.  His feelings for her cause an ethical dilemma that will challenge everything.

Alternative medicine?  Patient dies?  Malpractice?  Sound familiar?

Apparently, there is a belief in homeopathy that taking a small amount of something that causes the same symptoms you have will actually make the symptoms stop by jump starting your body's own healing processes.  It's called the law of similars-and provided a very apt title for this book.  I was stunned that the story was so similar to Midwives.  I've read books by this author on transgenderism, foster parenting, gun control, and sexual assault.  Bohjelian is not a one trick pony, telling only one story over and over again.  What happened here?  And The Law of Similars, published in 1999, wasn't even written that long after Midwives.  If I thought the two stories were pretty much the same after 13 years, surely after only two years the author himself must have noticed what was happening. 

I will say, the book itself was interesting and well-written, as always.  Bohjelian's characters are always so well-written.  Even when I don't agree with their motives I find myself understanding their perspective.  I learned a lot about homeopathy from this novel, and while I'm still not sure how I feel about it at least I have some insight into the underlying philosophy.  Leland's character especially moved me-a single father who lost his wife to a car accident, the scenes with his daughter were so tender, and the fact that he was so obviously at a loss about how to move on from the tragedy made him imminently sympathetic.  I can't say that I dislike the book-I devoured it just like Bohjelian's other books-but why two books with such similar topics?  I suppose only he can answer that question.

Rainbow Boys, by Alex Sanchez

Title:  Rainbow Boys
Author: Alex Sanchez
Publisher:  Simon & Schuster
Pages:  233
Genre:  Realistic Fiction
Age Level:  9th Grade and Up





Plot Summary:
Rainbow Boys tells the story of Nelson, Kyle and Jason.  Nelson is the stereotypical gay male-a little swishy, with multiple piercings and multi-colored hair.  Kyle is a quiet, sweet boy, a swimmer on the high school swim team.  Jason is a popular jock, deeply in the closet.  When the novel begins, Nelson is completely out to everyone, including his very liberal mother who is the chairperson of the local chapter of Parents and Friends of Lesbians and Gays (PFLAG).  Kyle is out to Nelson and the other teens in their GLBT support group, but not to his family.  He also is deeply infatuated with Jason, looking at his picture in the yearbook so often the page is fading.  Jason is dating Debra, and trying with all of his might to pretend that he is not having feelings for other boys.  When the other guys make gay jokes, or harass Nelson (whom they call Nelly), he laughs or turns away.  Finally he gets up the courage to go to a meeting of the support group, and is horrified to find Kyle and Nelson there.  When he runs, Kyle follows him.  The two boys strike up a friendship when Kyle agrees to help him with his math.  Slowly, as Jason spend more time with Kyle, he breaks up with his girlfriend and comes to terms with his true orientation.  Nelson, meanwhile, has decided that he is in love with Kyle, and tries to put the moves on him.  When that doesn't work, he descends into depression, binging and purging and having unprotected sex with an older man he met on the internet.  Afraid he may have contracted HIV, he sinks even lower, refusing to go to school.  Turns out that Nelson, who is so open about his sexual orientation, doesn't really know any more about how to go about this whole dating business than anyone else.  An act of gay bashing makes Jason realize that it is too dangerous not to stand up for himself and his friends, and leads to him finally coming out to his family.

Review:
If the above summary reminds you of a soap opera, you are not far wrong.  There are a lot of issues tackled in this book, from sexual orientation to gay bashing to bulimia to alcoholism.  Despite the somewhat soapish nature of the plot, the subjects are all handled in an honest way, without any sensationalism or gratuitous detail.  

Each of the boys comes from a very different family.  Nelson lives with his mother, and has almost no contact with his father.  Nelson's mother is the epitome of what gay-accepting parents should be.  She stands up for her son and his right to be who he is, and is actively involved in working for gay rights.  Kyle's parents are well-meaning, though his dad is constantly pushing him into sports.  That's the only reason Kyle joined the swim team, though he finds that swimming is something that helps him clear his head.  When he comes out to his parents, they are taken aback, and both of them struggle to understand how he became the way he is.  When push comes to shove, however, and they find out that he is being harassed at school, they stand up for him.  Jason's dad is an alcoholic-a violent one at that.  He found Jason and another boy experimenting when they were 10, and ever since he has called him pansy or faggot.  It is only after Jason brings Nelson and Kyle back to his house after they were jumped on the street, and his dad starts in on them, that he is able to stand up to him and tell him his deepest secret.  There's no storybook ending here-Dad does not suddenyl decide to go to AA and become a PFLAG member.  He leaves the family and disowns Jason.

It is this authenticity and honesty that makes the book so appealing.  Each of the boys could represent someone I know, or should I say that I know someone who went through what each of these boys did.  The characters are well-developed, and you feel sympathy for each of them.  The plot is well-paced, and the events feel real.  When Kyle's mom finds his gay porno mag, you wince right along with him.  When Nelson gets so depressed he can't get out of bed, you remember what being 17 was like yourself,  how intensely teens feel everything.  Sadly, the boys harassing Kyle and Nelson are also completely believable.  The book was written in 2001, but even with all of the advances in gay rights and awareness that have happened in our country since there are still too many boys like them in our schools.

Sanchez does an excellent job of balancing the personal stories of the boys and some heavily debated societal issues.  When the boys want to start a Gay Straight Alliance at their school, there is the expected opposition from religious groups.  The teachers ignoring the harassment the boys are getting, and in fact blaming them for it because they can't act more "normal", is something that is still true.  Parental acceptance of gay youth differs, though I like to think that more parents are supportive than there used to be.  Overall, this novel brings home the issues that gay teens face every day in a very accessible, personal way.