DABANNER 1

E S Thomson delivers a tale of Gothick horror, which features a young medical apothecary trying to find who killed the senior physician at a gloomy and grotesque hospital for the mentally ill in Victorian London. Jem Flockhart is not what he seems, however. Mr Flockhart is actually a Miss, as he was born female, a surviving twin. For reasons that are not immediately clear, her father switched her with the stillborn brother at birth – a birth which was so traumatic that it killed the mother. Now an adult, helped by her lack of obvious feminine sexual characteristics, she has carved out for herself a persona as a respected medical gentleman and herbalist, a position which, given the prevailing nineteenth century attitude towards women in the medical profession, would have otherwise been unattainable.

Jem, and her companion Will Quartermain – who is unequivocally male – are summoned to view the body of Doctor Rutherford who is found with his ears cut off and stuffed in his mouth, a surgical implement jammed fatally into his brain, and his lips and eyes sewn shut with crudely executed surgical stitches. Amid the carnage, there is no shortage of suspects. The other doctors attached to the asylum are jealous of Rutherford’s eminence, but scathing about his obsession that phrenology – the study of the contours of the skull – is the only true means of understanding mental illness.

DAAs I got further into the book, I was beginning to wonder just what the point was of having Jem Flockhart cross-dressing, as it didn’t seem to have any real bearing on events. Just at the point when I was about to dismiss the idea as a conceit, Thomson delivered a beautifully written scene which made sense of Flockhart’s subterfuge, and added extra poignancy to the relationship between Jem and Will.

We learn that Jem has a disfiguring strawberry birthmark on her face, and Thomson writes with conviction on this issue, as her postscript to the story tells of how she suffered a temporary disfigurement herself, and how she came to be acutely aware of how people looked at her. I can say that this was a gripping read which drew me in to the extent that I finished the book in just a few sessions. The smells, sensations, sounds and social sensitivities of 1850s London are dramatically recreated, and provide much of the novel’s punch. Thomson has an eye for visceral horror and disease that David Cronenberg would approve of, and every time Jem Flockhart takes us into the room of one of the poorer denizens of London, we are inclined to hold our noses and be very careful where we put our feet.

Subtle, the book is not, but it is a dazzling, whirling, swirling riotous melodrama, which leaves little to the imagination. We have, in no particular order, people buried alive, heads being boiled in cauldrons, the shrieking, gibbering and cackling of the insane, a lunatic who keeps cockroaches as pets, the stench and degradation of prison transport ships, club-footed mad-women and the ghastly nineteenth century version of Britain’s Got Talent – the public execution.

Thomson also brings us some larger-than-life characters, none larger than the monstrous Dr Mothersole:

“His face was as smooth as a pebble, his mouth a crimson rosebud between porcelain cheeks. His head had not a single hair upon it and his lashes and brows were entirely absent, giving him a curious appearance, doll-like, and yet half complete….”

Also, very much to her credit, Thomson occasionally has her tongue firmly in her cheek. Why else would the dreadful and bestial Bedlam where most of the action takes place be called Angel Meadow, and what better name for a brothel keeper than Mrs Roseplucker? And what else are we to make of two of the charities patronised by Dr Mothersole, The Truss Society for the Relief of the Ruptured Poor, and The Limbless Costermongers Benevolent Fund ? I loved every page of this book. It is hugely entertaining and, unless something extraordinary happens, will be in the running for one of my books of the year. It is out now, and published by Constable.

DABANNER 2

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