Showing posts with label medical. Show all posts
Showing posts with label medical. Show all posts

Monday, May 15, 2017

LGBTQ-Inclusive Hospice Palliative Care by Kimberly D Acquaviva


Rating: WORTHY!

This review is based on an advance review copy for which I thank the publisher.

This amazingly-named author is a tenured associate professor at the George Washington University School of Nursing, and evidently knows her stuff. I'm not a health-care professional, but I have worked closely with nurses in two different hospital environments, so I was familiar with the kinds of things she discusses here, and the importance of getting them right. She's also a doctor - of the PhD variety (in Human Sexuality Education) rather than the MD variety - and has a master's in Social Work and a BA in sociology (all from UPenn). She's also been a Fulbright scholar, so clearly she's on top of her game when it comes to the material she goes into here, and she pretty much covers the gamut of required learning when it comes to the treatment (in the broadest sense) of people from the LGBTQIA community.

The chapters cover these topics:
Self-Awareness and Communication
Sex, Gender, Sexual Orientation, Behavior, and Health
Understanding Attitudes and Access to Care
The History and Physical Examination
Shared Decision Making and Family Dynamics
Care Planning and Coordination
Ethical and Legal issues
Patient and Family Education and Advocacy
Psychosocial and Spiritual issues
Ensuring Institutional Inclusiveness
But what was really impressive was how often the author steps outside the box to point out areas you might never even have considered might be relevant or important. She's definitely given this topic some considerable thought, and I doubt there are many questions you could come up with which aren't at least touched on here.

The book is written for academics, but it's very accessible and straight-forward throughout. It contains a glossary, references, and an index. Overall I recommend it. If I had a reservation about any of this, it was that, as usual, this type of book seems to have been written solely with a print version in mind, and the e-version coming in a poor second, so while I am sure the presentation and formatting of the print version is excellent, the e-version which I got left a lot to be desired! I am hoping, as I write this, that the advance review copy I had was a quick and dirty conversion for reviewers, and that if there is to be a ebook, it will be a lot better than this, because frankly the e-version was awful!

The errors and poor formatting of the e-version made for a really irritating read. You may call me a prima donna if you wish, since I don't care what you think of me, but my expectations are low when it comes to the quality of e-versions of ARCs. Even so, there really is no excuse for a sloppy review copy like this. Reviewers aside, it's an insult to the LGBTQIA community, and any reviewer would be perfectly justified in failing a book in this condition. I know Amazon offers a truly crappy Kindle app, but even it can do better than this would lead you to believe!

I'm not a professional reviewer despite the shields with which Net Galley has honored me, and I realize that we amateurs can't expect to be treated like professional reviewers and get a pristine copy, much less a print copy, but we do deserve a certain minimum level of respect, especially if we're expected to enjoy a book and be persuaded to feel inclined to review it favorably! personally, I ditched Smashwords as a publishing platform because they're insanely anal and too-often inconsistent for my taste, but I have to agree in principle with their approach to pristine ebooks, because it does matter!

However, for me what's most important is the overall book - not the cover, the gloss, the blurb, or the hype, but the interior, and what it says (or what the author clearly intended it to convey in the version they worked on!). What saved this book for me was that it's far too important to fly off the handle over poor formatting in review copy, so while I recommend it, I am going to point out examples of the main flaws I saw here for the record in the hopes that they will be fixed before any e-version is published.

Tables are not represented well in this version. Some of them appear right in the middle of the text with no separation, such as table 1.1 in the self-disclosure section. The result of this is that the table appears as though it's a part of the text, causing some sentences to end right in the middle, and then resume later, such as "...wife, though her eyes were dry..." in Chapter I step 5. There was a really bad example at location 593: "If you notice the patient appearing agitated or impatient each time a family My dad moved in with me over the Christmas holiday in 2012." 'Family' was completed three paragraphs later with 'member'. The 'My dad' portion was evidently an insert for a side bar or something like that.

There were also other oddball mixtures, such as Location 679 where there was a book reference and copyright notice to this book and author right in the middle of the text with what looked like a page number (38), but it's hard to tell what that was since there are no easily discernible page numbers in this e-version of the book. I don't read introductions (or prologues, prefaces, etc). I think they're antiquated, but as I was swiping past the intro to get to chapter one, I noticed that the lower case Roman numerals for the page numbers were in the middle of the screen rather than at the top or bottom. Some text was randomly in red "ink" such as " What are your goals related to the treatment and prevention of adverse effects of treatment?"

So, while I was disappointed that the presentation was not better, I was delighted with this book, which from my non-professional, but not uninformed PoV, looks to be an invaluable addition to resources any health care professional can call upon to enable them to do a better, more empathetic, and more caring job. The rainbow can only get brighter.


Friday, February 17, 2017

How to Catch the Tooth Fairy by Adam Wallace, Andy Elkerton


Rating: WORTHY!

Gorgeously illustrated by Andy Elkerton, this was a riotous book about a cocky and adventurous little tyke who people are evidently trying to catch to take all her quarters, but she gives no quarter! She's too smart for them and knows all their tricks. It also dispenses sneaky teeth health advice along the way.

Written in rhyme, we learn of this pink haired tooth fairy who collects an average of 300,000 teeth in a night. She wears old time aviator clothes and rides a toothbrush! And she's very fast. I can't predict whether your kid will like this or not, but I loved it!


Thursday, January 28, 2016

A Cure for Madness by Jodi McIsaac


Rating: WORTHY!

Erratum:
"...take it to my Rob." should be "...take it to my Uncle Rob." maybe?

This novel was a roller-coaster of "Do I like it?" or "Do I not?" I started out liking it, started going sour on it around 40%, and then came back to it, so despite several issues (which are not easy to discuss without giving away too many spoilers) I decided, overall, that this is definitely a worthy read. Let's talk!

This was an advance review copy, for which I am grateful, and it’s in first person PoV which is typically horrible for me. 1Pov is so full of self-importance and self-aggrandizement, and it’s 'all me all the time', which can be sickening to read. It limits the story to the narrator's PoV, which is too restrictive, plus it gives a huge spoiler away - you know for a fact that no matter what happens, the narrator isn’t going to come to any serious harm because they're telling the story and they wouldn't be able to, had they died during it, so all suspense in that regard is lost. In this case, the author managed to carry this PoV without nauseating me, so I'm also grateful for that, but I felt that this caused a problem with the ending, which is rather hard to discuss without giving things away that I don’t want to spoil. I'll try to discuss it briefly later.

The basic story is told by Clare, who is living happily insulated (by the entire width of the continental USA!) from her family and the town in which she grew up on the east coast. The sudden shooting death of her parents drives her back. She is now the legal guardian of her brother Wes, who has some serious mental issues very much tied to Biblical matters, in particular, angels versus demons. This is not, however, a paranormal story; it's a sci-fi one with some elements of dystopia tossed into the mix.

This business of guardianship was my first issue because it made no sense. Clare is in her thirties (nice ot get a sotry abotu an older woman, so kudos for that!), and as such is a responsible adult, but Wes is also an adult, and he's being discharged and is planning on moving into his own apartment, so I don’t get why he has a guardian, and nothing in the text made this clear to me. He's either fit to live his own life or he isn’t. This was further confused by the fact that Wes's uncle lives right there in town, so why is he not the guardian? Clare has made it perfectly clear that she wants nothing to do with her hometown and hasn’t been back there in a decade or more. To me it made no sense, not even as a ploy to bring Clare back to town; she's coming back for the funeral anyway!

Yes, the funeral! Clare discovers that her mom and dad were shot by a family friend, who also then shot himself. When she flies back for the funeral, and to take charge of Wes, she encounters some bizarre behavior among the patients at the hospital and pretty soon it becomes clear what's going on. A prion disease hilariously named Gaspereau has sprung up, and is very dangerous. It makes people behave psychotically. Why Gaspereau? I have no idea. I found it hilarious because I kept thinking of The Tale of Despereaux, so I couldn’t take the name seriously. Couldn’t it have been named something else? Please?! This disease made little sense because it supposedly wasn't airborne (although prions can go that route), yet it was spreading ridiculously fast - too fast to be credible for the vector it took.

The real issue for Clare however (apart from her backstory secret which explained a lot), was that Wes appeared to be immune, and so his presence was forcefully demanded back at the hospital so they could use him to find a cure, or at least a vaccine. This was the second thing which made no sense to me. Clare shared the same genes that Wes did, yet absolutely no interest was shown in her. As desperate as these people were to get a quick fix for this epidemic, it made no sense that Clare would not have been considered. This leads me to my third problem, which is that Clare wasn't very smart, and was, frankly, a bit juvenile for her age and rather selfish. I did manage to explain away the latter two problems - to my satisfaction anyway! - when I learned her back-story, but the first was harder to excuse.

I don’t demand a genius in my female main character, but I do require that they're not painfully dumb, or if they start out dumb, that they smarten-up over the course of the story. Clare never really did, although she came through for me in other ways, which is one reason I am rating this positively. Clare wasn't the only dumb cluck. Not even the trained medical staff considered every option. I've worked with medical staff and this was a bit of a stretcher for me to swallow; however, I enjoyed the overall story so much that I was willing to overlook these issues, even the one with the 'fluffybunnies' password!

Yes, the password was hilarious, but Clare didn’t even ask if it had any capital letters or number substitutions for letters. When the password appears in print, you can see what it is, but when it’s merely spoken to you, you have no idea about punctuation or the fine details. Clare should have asked since she was not reading this novel! Or Kenneth ought to have explained it was "all one word, all lower case." It’s a minor point, but too many such points can spoil the credibility of a novel.

The ending was a bit abrupt. I would have liked more, but maybe short and to the point was better. I had ot read it twice to make sure I got it, and I gather i am not the only reviewer who was in this position. That said, I have to refer back to my problems with first person PoV. I think it was the wrong choice here. I freely admit that I typically think it's the wrong choice, but it can work. Here though, I think third person would have been a better approach, because a first person story-teller made little sense given the ending. That's all I'm going to say on that topic!

The funny thing about the ebook - which, by the way had no horrible formatting issues, thankfully - was that it announced on my phone's Kindle app that there were 4133 locations, but it would not let me swipe past location 4129. Wait - there are four secret locations? Is this evidence that there really is a government conspiracy? What are they keeping from me about this novel?! LOL! It was an amusing 'end' to a very readable story. When all is said and done, I recommend this as a worthy read.


Wednesday, November 25, 2015

Of Better Blood by Susan Moger


Rating: WORTHY!

"Four times a day I drop the baby." That's about as powerful a first sentence for a novel as you can get. This is the kind of novel (of which I read an advance review copy) that makes it worth plowing through a host of drab and sub-standard ones. This one took me to a new place, and that's what it's all about. Set in 1922, sixteen-year-old Rowan Collier immediately takes the stage - and quite literally. She's an actor in a "play" designed for the sole purpose of promoting eugenics. Note that while I loved this novel, I never said it was easy to read, or that there were no horrible things in it. Be warned.

The novel is historical fiction, but it is historical. The main elements of the tale told here are fictional, but the Aryan roots running through it were not only a tragic fact that led right into Nazi pogroms, those same dangerous, unscientific, and idiotic beliefs run through a certain segment of society today, hidden only under a thin veneer of civilization.

This is yet another first person PoV novel - and with flashbacks, to boot! Normally I don't like either of these, but in this case it worked. It wasn't intrusive. It didn't keep reminding me that I was reading a novel, and I'm grateful to the author for that. The novel was not only readable, it was captivating. The two main characters, Rowan and Dorchy are illuminated with the consummate artistry of a medieval scribe. You cannot help but want to know everything that happens to them. I would pick this novel up intending to read a quick chapter, and find myself still sitting there, glued to the screen, five chapters on.

Rowan first appears as an actor, after a fashion, and dropping the baby doll is her job. She has to show to the audience how incompetent and inept - how unfit - she is as a human being, but this is not how life began for her. Rowan began life without any handicap, not even poverty, but now she has one, thanks to polio, so naturally she plays a teenage handicapped girl in this play performed at a fair. Even today religious ignorance would have children prevented from being vaccinated against this this scourge with the same horrific results Rowan endured.

There's no sympathy for her condition, or for the condition of the character she plays, Ruthie-who-drops-a-baby. Even off the stage the people she's with think of her as thirteen-year-old incompetent Ruthie. The play is titled "Unfit Family" and is clearly written by an ardent fan of the eugenics movement. Just as things were getting interesting, though, I was suddenly snapped back to 1914, which I resented! The seesaw whiplash effect pervaded the first few chapters, but soon, and surprisingly, I grew used to it. It takes quite a bit to have a first person PoV novel, with flashbacks, and make me like it, so this was a good sign!

Despite the crippling scars polio left her with, or more accurately, precisely because of these scars, Rowan is an exhibit of the New England betterment Council, of which her sister Julia is an avid member, as was her dad, who has not been home since he went off to fight World War One. The problem is, she's not a member in good standing, and that isn't meant as a sick pun. She's really a possession, now. In her father's absence, which might be better described as his non-benign neglect, and her sibling's cold indifference to her kid sister's plight, Rowan ended up not staying at the hospital where she had been slowly making a recovery, but at a cruel and sick home for "the crippled" where the only treatment she got was maltreatment. Being a prime exhibit of what's wrong with humanity was, therefore, actually a step-up from that, for Rowan.

Rowan's real recovery begins when she meets Dorchy, a feisty carny girl, who brings Rowan out of her shell and the two become firm and fast friends. But the deck is stacked against these two, and life hasn't done dealing them spades yet. Their story continues and seems to be downhill until a remarkable turn-around enters, stage right, engineered solely by the girls and some friends. This is both a heartening and a heart-breaking read, but I think this - or something like it - ought to be made as compulsory as sterilization was for those "unfit" children. They who cannot remember the past are condemned to repeat it.

Eugenics had some surprising adherents, such as Thomas Edison, Winston Churchill, Margaret Sanger, Linus Pauling, Marie Stopes, Robert Heinlein, HG Wells, Theodore Roosevelt, Nikola Tesla, Alexander Graham Bell, Woodrow Wilson, and George Bernard Shaw, and some not so surprising, such as Adolf Hitler. By the time this pogrom had been curtailed in the USA - and not until the 1970s, believe it or not - some 60,000 people had been sterilized. This is an engrossing way to learn a little about those pernicious and self-serving attitudes, even if it is fiction.

The real story here though is young adult power. Rowan and Dorchy are their own law and their own powerhouse. Refreshingly, the author seems to have instinctively understood this and left them to it, and it worked. They didn't need some guy to validate them or fix them or save them. There were some guys, and one was even named Jack, but they were friends, and that's all they needed to be. This story was about Rowan's strength, and about her admirably taking charge of her own destiny, and anything that buried her in a romance would have destroyed the power of this story. I whole-heartedly recommend this as a worthy read.


Sunday, June 28, 2015

Ghost Boy by Martin Pistorius with Megan Lloyd-Davies


Title: Ghost Boy
Author: Martin Pistorius with Megan Lloyd-Davies
Publisher: Thomas Nelson
Rating: WARTY!

Martin Pistorius might have chosen a better title for his autobiographical book. Ghost boy is a very common title (B&N lists at least half a dozen), and that's not even Martin's face on the cover as far as I can tell. Why isn't his picture there? Why not a before and after kind of cover? I know that writers don't get a say in their covers unless they self-publish, but you'd think a publisher might have more clue than this.

The book was co-written by novelist and ghost-writer Megan Lloyd-Davies, so it's one of those novels where it's really hard to be sure who said what and whether that description or turn of phrase was really the author's - it was really something he honestly felt, or endured or experienced, or whether the ghost writer simply chose to dramatize it that way. It was an interesting read in parts, and no one in their right mind can deny the horrors through which this author went, but in the end, I can't rate it a worthy read and I am not sure I can properly explain why.

It didn't feel like a satisfying read to me even though it starts out horribly and has a happy ending. Indeed, it feels very much like a fairy-tale, except that it's true. That said, the book seemed a bit jumbled, and it jumped around way too much for me instead of giving me a smooth narrative, and a clear idea of what was happening and how things were regressing or progressing. I was never quite sure where I was in the story or which Martin I was reading about at any given time unless there were obvious indicators in the narrative. It was too easy to lose track of time period, and this negatively impacted the impact, as it were.

There were things in it which bored me and which I skimmed, and there were other things which I felt were not discussed, or were discussed inadequately and glossed over instead. There were some commendably harsh and cruel truths in these pages too, humbling truths; truths which make you doubt the decency of humanity, but in the end I felt like I didn't read a satisfying story. I didn't know this guy, and didn't really have a good idea of his life, or of him. Despite what it did deliver, it felt shallow and superficial to me, and this is why I can't say this was a worthy read, and I'm sorry for that because people need to read books like this, in order to know what horrors can come - and the biggest of these wasn't even his condition, it was the way he was treated when he had it. A story like this deserved a better telling.


Wednesday, October 15, 2014

Chump by Rusty Reeves


Title: Chump
Author: Rusty Reeves (website not found)
Publisher: Reeves (website not found)
Rating: WARTY!


DISCLOSURE: Unlike the majority of reviews in this blog, I've neither bought this book nor borrowed it from the library. This is a "galley" copy ebook, supplied by Net Galley. I'm not receiving (nor will I expect to receive or accept) remuneration for this review. The chance to read a new novel is reward aplenty!

Not to be confused with author Rusty van Reeves, the author of this novel is a forensic psychiatrist, and the novel is about a fictional Texan, Beauregard Peebles, who was educated at Princeton and is now in his third year at medical school. Beau decides to take up the so-called white man's burden and save the black community from itself, one family at a time. The amount of arrogance and sheer gall it takes to do this ought to be no surprise at all to anyone who's met a senior med student or two. Nurses worship them almost as much as they worship doctors.

He is laboring under the delusion that he will be honoring Princeton's motto: Princeton in the nation's service and in the service of all nations, and after a really educational introduction to Ob-Gyn and L&D, he decides he can salvage them poor black folks and turn around the impoverished African American community which serves up the kind of female patients he's recently been dissing and making racists comments about behind their back. In short, he;s a chump, and worse than that, he;s a moron.

His "in" to the locals is a friend - after a fashion - whom he met playing basketball, a black kid named Tyranius Roosevelt. "Doctor" Peebles wants to see if he can bring about a change for the better in the life of his young drug-dealing friend and his family. He fails and learns nothing from his disastrous interference in their lives.

I found it hilariously hypocritical when the author has his main character say, on page 218, "Rule number two, no insults or name-calling. That's hurtful and solves nothing." This is his advice to the family when they all have a show-down, and this comes from the monumentally hypocritical "doctor" who has, throughout the novel, routinely and shamelessly embraced grotesquely disparaging comments about African Americans (although not directly to them, and mostly under his breath or in his own deranged mind). I had never actually liked the Chump, but at this point I started actively disliking him, which is never a good sentiment with which to imbue your readers.

Chapter 29 p244 starts in some weird-ass form of "Ebonics" which took this story - which was already heading seriously downhill - way over the edge for me. I wasn't about to start reading that. It went one for two whole chapters. I couldn't even begin to get back into it after that, not even in the hope that there might be some point to this drivel. It simply wasn’t remotely interesting. I did finally understand the title, though: I'm a chump for even reading this.


Monday, September 15, 2014

The Face Transplant by R Arundel


Title: The Face Transplant
Author: R Arundel
Publisher: Publisher unspecified
Rating: WARTY!


DISCLOSURE: Unlike the majority of reviews in this blog, I've neither bought this book nor borrowed it from the library. This is a "galley" copy ebook, supplied by Net Galley. I'm not receiving (nor will I expect to receive or accept) remuneration for this review. The chance to read a new novel is reward aplenty!

I had the hardest time ever getting into this. From the first paragraph on page one, it made no sense. Indeed, it really began with the title which indicates one special event, but in this novel, face transplantation was pretty much production-line. Inside, I found the text to be extraordinarily dense and uninformative, which was paradoxical because there was virtually no conversation, only huge amounts of info-dump. Despite this, and after many pages, I hadn't the first clue what was going on here or what this novel was actually about.

Yeah, it was about face transplants being performed under guard, about identities and conspiracies. It was about a face being stolen in a canister, but apart from this loss of face, what was happening here? I have no idea. Whose face was it? I had no idea. Was it the president's face? A celebrity's? An important politician's or a leader of industry or a criminal's? I had no idea.

Why were face transplants being routinely performed? I had no idea. I kept trying to focus on what the text was saying, but it kept blowing me off, and while I'm sure I missed something in that thicket of prose, I have no idea what it was, and I really don't care.

Why was it so critical that this particular face was missing? I had no idea, and worse? I didn't care about that either. I didn't care about any of the characters or about what was going on, and I had no interest in reading on through this dense undergrowth of wild text to find out. I just wasn't interested in these confused and confusing, running, frantic people or in their problems.

This was bad, bad writing if it can't command my attention even for a few chapters. There was one paragraph which went on unbroken for the span of four screens on my Kindle, and I have no idea what it was supposed to be telling me! Take a look at the blurb, which is of the same nature - one long uninterrupted paragraph.

I gave up on the novel after about ten percent because this was all work, with no reward. If I want to work this hard for my entertainment, I'll play a sport. You should not have to work-up a sweat to be pleased by a novel - not a good one anyway - and life is too short to waste on a story which refuses to give you a thing, or which only begrudgingly gives, in return for your willingness to try reading it.

In some ways, this novel borrows heavily from the movie Face Off, and it makes the same mistakes that movie made: it's a lot harder to combat rejection and graft versus host disease than the stories pretend, and it's not just the face. It's arguably much more the bone structure underlying the face which gives the face its appearance than ever it is the face alone. You can't just slap person A's face onto person B and have B look and act exactly like A did, and have the face look normal and work perfectly from the off! Nor would having a robot helping you do the work have any effect on the biology and micro-chemistry of the transplant.

So why did I pick this up? Well, I liked the movie Face Off which obviously inspired this novel, and I actually knew a health-care-giver named Sarah Larssonn (the one I knew was a different spelling, and she wasn't an anesthesiologist; she was a nurse who married one!), so I was interested despite the density of the blurb. I didn't realize that the novel would be written exactly like the blurb, or that it would give so little in return for my reading it. I can't recommend this one.

Update one year later!

This is a weird one. I first got this as an advance review copy from Net Galley, and reviewed it negatively back in May 2015. Then I completely forgot all about it. It was worked on some more by the author and I picked it up for free on Amazon, not realizing I had already read this! Net Galley says it's been completely re-written and if we liked the earlier version, we will love this. I'm sorry but that "logic" simply doesn't work! I did read it, coming into it like it was a new novel (since I'd forgotten it), and I had just as many problems this time as last time. It's still not a worthy read!

One of my initial problems was the info dump, which has gone, but now the novel is completely stripped bare of virtually all description - it's largely a series of conversations, often long enough that you lose track of who is saying what. Moreover, the plot isn't any better. This business of face transplanting (for the purpose of having people become unrecognizable spies) still makes zero sense. Unless they have a DNA transplant, they're still the same person, will still need the same anti-rejection meds, and a simple sampling of facial and body DNA will reveal the ruse.

On top of this there were numerous formatting issues in the Kindle app version of this novel on my phone. Lines ended midway across the screen and continued on the next line - or the next line but one. Speech from different characters was mixed on the same line as is evident in these examples cut and pasted directly from the Kindle app version:

Matthew looks at Liam's smooth narrow face. "You have my vote.""You don't have a vote. You're not on university council.""Well, you know what I mean."

"ALS, Lou Gehrig's disease. I just can't believe it. Look at you. Beautiful, strong . . . I can't believe it." Sarah, "I don't look like a person with a progressive neuro-muscular disease.""Exactly.""I don't feel like one either, not at this point." Liam finally speaks.

"Dr. Tom Grabowski, one of the best research surgeons of his era, has died of a heart attack.""Where?"

The voice is that of a young woman. It is calm, confident, and reassuring. Without skipping a beat, Matthew says, "Hi, what should I call you?""I am Alice.""Hi, Alice." Kofi says, "I did all the computer programming. Alice has some facial recognition and voice commands."

The medical knowledge is still poor and too deus ex machina to be believable. At one point, when a legitimate partial face transplant patient has tissue dying because of poor circulation, the doctor says, "I'm not sure it will survive. I'll start antibiotics." If the tissue is all but dead from poor circulation, what's the point of antibiotics which are way over-used anyway? There has been no suggestion that there's an infection, just that the tissue is dying! Antibiotics are not going to help, and are contra-indicated if there is no evidence that infection is playing a part. If the dying tissue is to be excised, then perhaps we can allow that the doctor started prophylactic antibiotics in prep for surgery, but this isn't what's implied in the context of this statement.

The novel is written in the present third person tense which makes it sound weird to me, but that's okay. The problem was that the author sometimes forgot, and used past tense, such as around 10% in, where there was a bit of a flashback, but when we come back to the present, the past tense was still briefly employed.

One last problem is a pet peeve of mine - that every female character is described as beautiful (or as some variant of that word). We get, "Celerie is stunning." (yes, there's a character named Celerie). Another example is, " She is thirty-four, but doesn't look a day over thirty". I found this kind of thing uncomfortably often. It's a form of objectification - as though a women who isn't explicitly beautiful is an ugly hag and not worth our time. I resent that approach and I see it disturbingly often from writers - even from female writers. It needs to stop.

Unless the character's beauty (and indeed physical appearance in general) plays an important part in the story, it's really irrelevant what he or she looks like. Naturally writers put in a description for the benefit of readers, but if you think about it, it's really not necessary. Readers can and ought to be allowed to make up their own mind about how a given character looks. A smart writer will put in a hint or two and leave the rest to the reader. Anything more is a form of telling rather than showing, and I'm surprised that more reviewers don't pick up on it. There's nothing wrong with offering some sort of a description if you feel you must, but I think it's better to be vague. At least, let's agree to cut it out with the 'stunning' and 'beautiful' crap.

In short, I still don't consider this novel to be a worthy read.