A few years ago, I heard Andrew McGuinness read a story at the University of Kent. It was a funny tale, and his delivery owed much to stand-up comedy. McGuinness taught creative writing at the university, and at Christchurch, the other university in Canterbury. I saw him at many events, reading his own work, interviewing writers and hosting panels. And then I didn’t.

Anatomised coverLike Jack Mann (a stand-up comedian and the protagonist of Andrew McGuinness’s new novel, Anatomised), Andrew McGuinness was struck with a mysterious illness. I don’t like to assume that all of Jack Mann’s experiences reflect those of Andrew McGuinness. This is a work of fiction. However, my guess is that the research that has gone into Anatomised is borne of hard personal experience. The medical details, the intricacies of test results, and the psychological effects of having a life-changing illness that no-one can explain. Jack Mann is thrown from a comfortable life (albeit with family and bereavement issues in his background), having just relocated to the Kent coast, to a Kafkaesque nightmare of weird symptoms, hospital admissions and doctors who can’t see beyond their own specialties – stroke, MS – to alternative therapists who advocate positive thinking when the tinctures they give Mann don’t work.

I nearly stopped reading Anatomised, as Jack Mann’s experiences reflect some of my own as a person misdiagnosed, mistreated, disbelieved and ignored, both in the early days of my own chronic illness, and even several years on. The falling away of friends and relatives, the isolation, the unexplainedness of it all, the grief, the suicidal thoughts. Jack Mann, in a darkly comic scene, fails to throw himself on the right railway track, watching the train (which he has timed from hearing it pass at the end of his garden) speed past on the opposite track as he lays there, awaiting oblivion. My own (lack of) attempts were less dramatic. I walked by the river Medway several times a week, past some steps that descended into the water. I imagined stepping down and down to a watery grave. I never even took the first step down, but my dreams, when they came amidst years of barely sleeping, were of drowning, then a hand pulling me out at the last moment.

This isn’t a review. More of a reflection on lives that once were, altered forever – mine, Jack Mann’s, and Andrew McGuinness’s. And how writers can process their experience through fiction rather than memoir. McGuinness’s novel is not perfect – I felt the author’s anger at his mistreatment channelled through Jack Mann and his wife Alice. It was a little too noticeable at times. Would a reader who doesn’t know McGuinness’s story notice this as much as I did? Or a reader who hasn’t been through that kind of anger themselves, sometimes channelling it through poems and stories, which would have been better left until some of that anger had subsided? Perhaps a fictionalised account is the best one can do, given the closeness of the material, the pain. It gives the writer a distance from the awfulness of it all.

Anatomised has stayed with me, and given me a great deal of cause for thought. I read a lot, but needed a week before beginning another book, to process Jack Mann’s story, Andrew McGuinness’s personal story, and my own. I thought of it as I walked with my husband Bob on a recent holiday. Bob has only known me with my illness, as we met when I was some seven years into it. On this holiday, as I do in my daily life, I could only manage a couple of hours out everyday, then I slept and rested for the remainder of the day. ‘I’d understand if you wanted a wife who could walk further,’ I said, as I took Bob’s arm, struggling to walk back to the house where we were staying. ‘Nah,’ he said, ‘Think of all the bother of divorcing you.’ We laughed, but I thought of how holidays used to be, before all these years of illness; a third of my life lived like this.

I’m glad I didn’t take that walk down the steps into the river, because life is good, in spite of my limitations. I’m glad that Andrew McGuinness was able to recover enough, to fight enough, to give us Anatomised. It is lyrical and thought-provoking. I would particularly recommend the last few chapters, where … but I don’t want to give the game away.

Anatomised by A.F. McGuinness is published by  Red Sail Press and costs £12.99. A proportion of income from sales of the book will go to Lyme Disease charities.