We return to Victorian era Edinburgh with Ambrose Parry, aka the husband and wife writers, Chris Brookmyre and Marisa Haetzman, in this superb sequel to The Way of All Flesh. Will Raven has been expanding his horizons in Europe, increasing his medical knowledge and experience in Paris, Vienna, Leipzig and in Berlin where he and Henry are seriously assaulted at night. Now a qualified medic, he is looking forward to returning to Edinburgh and Sarah Fisher, as he accepts a position as assistant to his mentor, Dr James Young Simpson, much lauded after his discovery of the medical applications of chloroform. He expects nothing to have changed but he is to be rudely surprised, the biggest shock that Sarah is no longer a housemaid, but assisting Simpson, no longer living at the house, and has moved on from Will. Even though he had judged Sarah as an unsuitable woman for a man looking to secure a career as an established doctor, he is bereft at the loss of Sarah.
Simpson's reputation is being tarnished by some in the profession, blaming him for the death of a patient. Sarah wants Will to help her to challenge those impugning Simpson's reputation but Will refuses initially, not wanting to endanger his career. In the city, swathes of patients are dying at the hands of a mass murderer, with not a suspicion being raised. At first, Will labours under the misapprehension that a new malady is the source of the deaths but it is Sarah who begins to have the first inkling of the more horrifying truth, but an ambitious Will refuses to grant any credence to her theory. Sarah is facing challenging circumstances in her personal life, and a courageous, independent, dying female patient opens her eyes to the writings of Mary Wollstonecraft, equality for women, as she still dreams of training as a doctor. The conservative medical establishment is riddled with jealousies, rivalries, seething ambitious men, and slow to accept innovatory new practices, whilst refusing to countenance any thoughts of women becoming doctors. Will slowly begins to become aware that he is robbing himself of the life he ought to have if he lets his fears hold him back.
In an atmospheric narrative, Edinburgh itself holds centre stage as a main character, with its class distinctions and inequalities, the squalid conditions and dangers faced by the poor, the dark criminal underbelly, policing, the position of women, and the state of medical knowledge and practices of the era. The authors engage in skilful character development when it comes to both Will and Sarah, both of whom face major challenges in their lives, with major shifts in the way they think, for Sarah as she begins to envisage a future that she never would have entertained before and Will understanding that he should accept all that he is, as urged by Sarah and Gabriela. This is excellent and intelligent historical fiction, so well written, impressively researched with its rich authentic details and real life characters from the time, and above all else, it is such a gripping read. Highly recommended! Many thanks to Canongate for an ARC.