We can't pretend history didn't happen. A review of Say Anarcha.

 I read a lot of fictional horror, but the real horrors in the world are the things people do to each other. After reading Say Anarcha, I'm almost speechless. Fortunately, author J.C. Hallman found the words because this is an important part of the history of racism, patriarchy, surgery, and women's rights. Thankfully, the afterword is hopeful, or I'd finish this book really depressed.

Dr. Sims did experimental surgery for fistula on enslaved women. He didn't make any attempt at anesthesia beyond telling the suffering women that they'd be punished if they cried or screamed. Anarcha had 30 or more experimental operations, with no painkillers. All the operations failed. Never-the-less, Dr. Sims wrote articles and gave speeches claiming success.   HIs ultimate goal wasn't curing as much as it was getting wealthy off of rich white women who also needed surgery for fistula. (Fistula is the tearing of the vagina during difficult pregnancies allowing feces and urine to escape through the birth canal.)

Anarcha and the other enslaved women learned to assist during the surgeries and proved to be better at providing aftercare than the doctors. What did they get for their heroism and hard work? Nothing but being sent back to plantations to be overworked and unpaid. Plus, Sims pretended he didn't know Anarcha because he didn't want the rich women to know his surgeries on her failed. How's that for gratitude to the woman he experimented on more than 30 times?

This book also includes a lot about the history of the times. Included are biographies of the various surgeons. Much of the thoughts and feelings of Anarch are conjecture because her history before and after her surgeries wasn't recorded. Though she was a fine doctor herself to the enslaved on the plantations, and to the white families in the big house, she was never taught to read or write. Anarcha delivered countless babies and had a deep knowledge of medicinal herbs from the forests.

As I mentioned, if it wasn't for the optimistic afterword about the care of fistula today, this is an emotionally difficult book to read. There is horrible abuse of the enslaved, very sexist treatment of all women, and the descriptions of experimental and cruel surgeries on women and animals.

It's an important story, though. I learned much about the history of slavery, medicine, and attitudes of the past. Thank you to Netgalley and Henry Holt publishers for allowing me to read and review Say Anarcha.