Edel Grace

Programmer, Developer, Enthusiast

Book Review: Vital Signs by Tessa McWatt

Jun 19, 2017 | Comments

After thirty years of marriage, producing three now-grown children, Mike and Anna have settled into entrenched domesticity. She is skillful and poised and still beautiful, an instructor of English at the city college. He is a successful graphic artist on the verge of retirement, his awards and ambitions and accomplishments largely behind him. Though the couple’s erotic life has dimmed somewhat, he still considers her ravishing.

But their apparent balance is thrown asunder when Anna breaks the normal silence of their breakfast table with uncontrollable babble about hummingbirds. After an emergency consultation with a neurologist, they have a diagnosis: confabulation, or the scrambling of time, memories and language due to a dangerous aneurysm in Anna’s brain that could burst at any moment.

Not knowing how much time they have left with the beloved Anna, Mike and the kids rally together to support her through the terror of her disintegrating mind. But the unbearable strain of the situation is worsened by another worry that is haunting Mike: he suspects that his two eldest children, Charlotte and Fred, know of his past infidelity.

Several years ago, Anna and Mike took a trip to Egypt, hoping the shared adventure would thwart their mid-life marriage blues. Instead, the trip deepened the chasm, his sexual jealousy and insecurities swamping her attempts at intimacy. Their estrangement worsened when they returned home to discover that their youngest daughter, Sasha, was in hospital, having overdosed on drugs. Anna was furious with Mike for his cool response at the time, which she interpreted as unfeeling.

Two weeks later Mike began his affair, with a much younger woman dissimilar to Anna in all respects. He persisted in the romance for three years, feeling young and vital and once again in control, at least for a time.

The affair is long over but today, as Anna disappears into a terrifying collapse of time and language, Mike is wracked by his dilemma: should he keep his silence about the affair and spare his family more pain, or should he seize the opportunity to be wholly honest with the woman he loves, possibly in the last days of her life? Perhaps the answer lies in his drawings, the means of communication with which he is most comfortable. Can he codify his emotions into pictures? Can he articulate his love and regret and sorrow to his wife – and to himself – without having to say the heart-rending words out loud?

Narrated by a terrified male protagonist whose deep yearning for forgiveness might only be granted by a woman in the grips of dementia, Tessa McWatt’s Vital Signs is a thought-provoking and mesmerizing literary accomplishment – a compassionate and visceral study of a marriage at the brink of catastrophe.

I received this ARC copy of this book from First Reads back in like 2011 and I am completely glad I did. This book was the first First Reads books that I so desperately and truly wanted to win. I read the summary and immediately felt that this seemed like a book that I would love to pieces. I’m glad that my first instinct wasn’t wrong.

Around four hours ago, I looked into the mail and saw the package waiting for me. Immediately, I took it inside and opened it. Ever since then, I’ve been reading it, taking a few breaks to write down what I thought about it as I read.

The very first few pages were emotional to me, and I knew how much of a ride I was in for. I fell completely in love with McWatt’s writing. Everything was so beautifully written and captured me.

Every single one of the characters were incredibly real. Their feelings were real as well. It was heartbreaking to read but at the same time, some scenes were just so beautiful and touching.

I was incredibly moved by this novel. My only complaint however, are the pictures. I understand that the pictures serve an important part to the story, but they also distracted me from the story. They seemed very abrupt, and I didn’t really like their placement. But, they were very well done. I just wish it didn’t interrupt the flow as much. I did love the very last drawing though. It took me a while to figure out the meaning, but I came to love it.

Vital Signs is definitely a short and bittersweet read. I will have to make sure to buy it once it comes out. Spoiler alert, I eventually did years later under the impression that I never read it in the first place. Interesting how fate works. I re-read it and it was all extremely fresh to me. I am a little hurt that the book didn’t leave an impact that would last over six years. However, I’m glad I got to experience it again with a blank mind with little to no expectations.


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My name is Edel Grace Altares. My programming interests include full stack development and back end development. My languages of choice are Python and Java. Outside of programming I enjoy crocheting, video games, cats, historical fiction, and reading.