A very personal account of confronting a life-threatening illness and its impact on physical and psychological health. A powerful narrative that many people will be able to identify with attention to detail from the patient’s perspective. The patient journey with all its frustrations, mis-communication and uncertainty. This is balanced with the importance of a positive therapeutic relationship as highlighted with interactions with the empathetic nurse Alivia.
The kindness of strangers in a person’s most vulnerable state. Highly recommended for all healthcare professionals.

A traumatic but tender love story of a poet, struck down with a torn aorta, who has to succumb to the medical world.
As an ex nurse - and also a patient recovering from an almost fatal car accident- I totally understood how the minutaie of hospital life - is explored in this novel.
His acceptance as a patient and the growing institutionalisation of being inside a hospital was well described.
Small Rain is a n apt title for often when it seemed there was hope - disaster and often fear of death - rained on his parade.
It also showed clearly the way American healthcare works - with its insurance policies first and foremost before even a diagnosis.
Not totally what I wanted to read but it drew me into that ward, that bed, that body of suffering but eventual survival.

Garth Greenwell’s Small Rain is a profound exploration of intimacy and vulnerability, showcasing the author’s remarkable talent for capturing the human experience. The narrative follows an unnamed narrator, a poet and teacher in Iowa City, who grapples with a sudden, debilitating pain that leads him to confront a life-threatening medical issue. As he navigates the complexities of the American healthcare system during the COVID-19 pandemic, Greenwell skillfully delves into the narrator’s fears and uncertainties, highlighting his deep internal reflections and observations. Moments of beauty emerge, such as when the narrator sees a sparrow outside his window, prompting thoughts of a cherished poem that resonate with his emotional turmoil.

The relationship between the narrator and his partner, “L,” adds an intimate layer to the story, illustrating the profound care they share amidst their challenges. As they navigate the stress of new homeownership, the echoes of their struggles serve as a poignant reminder of the unknowns they face together. Small Rain is a deeply moving work that will resonate with readers familiar with Greenwell's previous novels. This latest offering reaffirms his status as a masterful writer, and I eagerly await his future projects.

Greenwell’s prose is so beautiful and lyrical, I often had to stop reading and consider how it was possible that these emotions were put to paper with such truthful simplicity. With this comes a devastating and at times uncomfortable read, but a life changing experience.

Happy publication day to Small Rain, and thanks to Picador, Garth Greenwell and NetGalley for the ARC. I really liked What Belongs to You, Greenwell's first novel, but this one is on another level. The story of a man who experiences a serious midlife health crisis, it's superb, easily one of the best books I've read this year.

The unnamed narrator is a poet living in the mid-west of America with his husband L when he suffers a sudden, agonising pain in his stomach that lasts for eight hours. The combination of a deep-seated suspicion of doctors and the fact that we're in the early months of the pandemic means that he doesn't go to hospital for several days, by which time, his situation is critical. Over the course of his time in hospital, he narrates how he feels, his treatment, and his thoughts on his life.

Small Rain reminded me most of Mike McCormack's Solar Bones (in which a man narrates his life story over the course of an hour). As with that book, Greenwell manages to convey a full sense of his narrator's experience in a way that feels quite natural, with one thought triggering another in such a way that the story of the narrator's existence is gradually revealed. The style also reminded me of what Marina Warner, writing of WG Sebald and Javier Marias described as "consciousness in flux". As befits a health crisis, however, the narrative is much more embodied than either of those writers and always comes back to the narrator's physical experience. The writing is beautiful, and much more readable than some attempts to render conscious thought, so this would be a good starting place if you want to try a stream of consciousness narrative.

Overall, I think this is a near-perfect novel and I can't praise it highly enough. The situations and characters feel true to life, and Greenwell captures the feelings of helplessness, frustration and waiting that characterise a health crisis, and the eerie separation of life during Covid perfectly. I would definitely recommend if you like thoughtful, moving novels about the big questions and big moments in life.

In "Small Rain", Garth Greenwell is so precise about what happens to an unnamed narrator who experiences a life-threatening medical condition. Greenwell painstakingly catalogues how his body becomes a slab of meat for the medical professionals to poke at, cut into, weigh, examine, etc. The narrator becomes a collection of body parts that need repaired. Since he suffers from something unusual for his age (I'm being vague as not to spoil it), the hospital staff sees him as a circuslike attraction. Anyone who has been hospitalised will understand this feeling; your body no longer belongs to you as the only physical touch you get is from the medical staff giving you another test, taking your blood, operating on you, etc.

Greenwell tells this story through the lens of the Covid pandemic where hospitals were often the worst place you would want to be when you were ill or in pain. It's not that long ago, but it feels like another lifetime when you relive what the narrator goes through to get better. As the narrator starts to process what is happening to him, he reflects back on his family life, his relationship with L (his partner he refuses to marry even though he would have to pay less for insurance premiums), their writing, etc. I found the book a compelling read because of the specificity of the details, and how Greenwell highlights how your mind drifts when you're trapped in a hospital bed. You go from subject to subject because the fear can almost too intense to bear.

With that said, the novel is a tad too long at over 300 pages. It could have lost about 25 pages and been just as effective. Leaving that aside, the novel is compelling and another first-rate work from Garth Greenwell.

I have no idea why I have not read American author Garth Greenwell up to now. I’ve been interested enough to buy his two previous novels as soon as they came out in paperback but they are still unread on my shelves. With this new title being one of the highlights of Picador Book’s Autumn release schedule in the UK I thought this was a good place to start. I’m so glad I did.
Reading a brief synopsis I wasn’t sure how this would appeal to me. A man in his forties gets suddenly seriously ill of something other than Covid at the time of the pandemic. Much of this book is his experience in hospital. Latent hypochondria and general medical squeamishness would suggest this book is not the best match for me, but I was drawn in right from the outset and it never loosened its grip. It’s meticulously detailed, in fact, it’s hard to believe it’s a novel. I don’t know whether the author has experienced anything similar but this level of observation certainly makes it feel autobiographical, although I’m not sure that many of us, in the character’s situation would be able to focus so closely on the procedures carried out and the care he is receiving. In his hospital bed he becomes increasingly insular- only one daily visitor for a short period and there is little to do than focus on his health. There is a distinct Proustian feel as events trigger things from his life before his health emergency and as the novel progresses we get to know more about him in a way which feels totally convincing.
There’s a strong literary and poetic feel to this work. Both the main character and his partner, referred only to as L, are poets and some of the digressions away from the medical involve the work of poets which got a little technical for me in places but fits in well with the work as a whole.
I think that this is one of those books that will linger on (I think if at any time in the future, should I have a medical procedure, or God forbid, a hospital stay, it will certainly come back to mind). It is life-affirming and full of hope, even when situations seem terrifying or desperate. It also underlines again, just how difficult things were during that strange period. It will reward re-reading.
All in all, a book I thought I might struggle with from a bare description and its setting has proved to be a tremendous reading experience and will certainly encourage me to get those two other novels by this author off my shelves as soon as possible.

In Small Rain, Garth Greenwell’s unnamed narrator recounts the beginning of his illness and treatment in hospital in Iowa during the pandemic, drip-feeding biography as he goes. That may not sound appealing but it is: I read the first (longish) chapter in one go, one breath almost. Small episodes in the hospital narrative act as well-timed springboards to reminiscences of past events.
Despite the 2020 setting, this isn’t a pandemic-heavy novel (his illness is not Covid-related): it’s referenced with a light touch and to provide a contrast to, and yearning for, earlier times. The close-up view of the workings of the hospital, though, is compelling. There are such differences in approach by the nurses: some are all brisk efficiency, others, notably Alivia, taking the time to explain the routines and oddities of life in the ICU. No matter how good the medical knowledge and facilities are, it’s bedside manner and kindness that make the difference.
Small Rain also contains meditation on poetry, the natural world, love and family; there is a beautiful analysis of a poem. It’s perfectly timed; we learn almost nothing of his mother until he finally lets her know he’s ill. One of the things I love about fiction is the opportunity to experience a different slice of life. Ostensibly I have almost nothing in common with the narrator but I was happy to spend time with him and you might be too.

Small Rain is a beautiful and quiet novel about one man’s sudden critical illness and subsequent hospital stay. This takes place during the early-ish days of Covid so if that’s something you’d rather not read about I’d maybe skip this one for now? I did not find it reduced my enjoyment at all.

The unnamed narrator admits himself to hospital with wrenching pain & quickly becomes an exciting patient to the staff due to his rare illness. During his stay he ruminates on his life with his partner L as well as the poetry & art that is so central to his being.

I thought this was utterly gorgeous. The highlight for me was the relationship between the narrator and L. The love they have for each other could be felt through the pages. Obviously this is a heavy topic but it never tipped into the macabre. Wonderfully done and what an introduction to Greenwell’s work for me!

A writer’s life is turned inside out by a sudden, wrenching pain that brings him to his knees, and eventually to the ICU.

An absolutely incredible, thought-provoking work covering themes like health, death, love and so much more. The writing was so captivating and there were so many interesting stylistic choices that kept me so hooked all throughout the story. I feel like it lost me a little in the second half, but I still enjoyed a lot overall. It captured and brought out so many emotions, and it will definitely stick with me for a while.

Many thanks to Pan Macmillan & NetGalley for the eARC. All opinions are my own.

This stands out from almost everything I have read. I doesn’t read like a novel and yet i can’t quite put my finger on why. This gripped me in so many ways, and brought of ALL the feelings in ways I just wasn’t expecting or ready for. This should be on any book lovers radar. Just wow.
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Thanks to the publisher for the early copy!!

I am quite speechless after finishing this book. It might’ve been one of the most beautiful books I’ve read in a while. Small rain is a simple story following a middle aged man over several days during a sudden medical crisis. We’re thrown into the chaos of pain, long ER wait, hospital stay and uncertain diagnosis as experienced by the narrator. It’s not only an incredibly detailed depiction of what happens to a patient showing up to ER and a few hours later landing in an ICU but most importantly the human reaction to it. The depiction of fear, uncertainty, loneliness and facing one’s mortality is really intimate making it easy to empathise with. The events are taking place during the second wave of Covid in the US and Small Rain might be one of the better books written about that era of the pandemic. It’s not trying to judge it, it just adds a bit more nuance to the terrifying nature of the health event and the loneliness experienced by the narrator. The structure of the book beautifully follows his state of mind, dipping in and out of pain meds haze, from absolute awareness of the surroundings to recollecting special memories or past events. It is a book that feels very human, there is so much vulnerability, the simple beauty of human interactions based around care and kindness. The longer the narrator stays in the hospital in a still very uncertain situation the more he retreats into his memories and meditations on art and poetry which reveals to us more about his past and his relationships. But with all of that the novel is quite fast paced since the reason for this health event is unknown so the treatment plan is unfolding as the doctors are scrambling to find the cause. I have thoroughly enjoyed this read and it will definitely land as one of my favourite books of this year. A little cherry on top was the ending scene which involved dogs and it was also one of the most beautiful descriptions of a human-dog interaction I’ve read in a book. It just couldn’t end better.

Thank you to Pan Macmillan and NetGalley for the eARC!

Firstly, the company must be congratulated on this cover art. Not my cup of tea otherwise unfortunately.

🌧️ REVIEW 🌧️

Small Rain by Garth Greenwell
Release date: 19th September

⭐️⭐️⭐️⭐️⭐️/5

📝 - A poet’s life is turned inside out by a sudden, wrenching pain. The pain brings him to his knees, and eventually to the ICU. Confined to bed, plunged into the dysfunctional American healthcare system, he struggles to understand what is happening to his body, as someone who has lived for many years in his mind.

💭 - As you can tell by the rating, I adored this one. The writing style was brilliant, almost like a stream of consciousness as the protagonist spends his time in hospital, processing what is happening, as well as reflecting back on important things in his life. I felt like I could relate so much to the thought processes going on, and they were so much like how I’d feel in his situation, it just felt so raw and candid. This is one of those books that reminded me quite why I love reading so much. Really brilliant, I’ll be looking up Greenwell’s previous works for sure. Highly recommend you keep your eye out for this one in a few weeks time…

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Although Greenwell’s exceptionally-accomplished novel has autobiographical underpinnings, he’s adamant it be regarded as fiction, not autofiction – a genre he views as suspect perhaps because, for him, it blurs the boundaries between personal experience and the transfiguration of experience through art. Greenwell’s story's narrated by an unnamed man in the throes of a medical emergency, heralded by sudden, previously-unimaginable pain. But this emergency’s unfolding in the early days of the Covid pandemic, and the narrator’s more concerned with avoiding overflowing hospitals than seeking treatment. But when it’s clear this pain’s not going away, he’s forced to act. After hours in a dingy, crowded emergency room, it transpires the narrator’s aorta’s so damaged it’s a miracle he’s still alive, let alone still standing. But the explanation for his condition eludes him and his doctors. He’s an enigma that gives him near-celebrity status for the team of professionals rushing to his bedside.

And so, the narrator’s transplanted from the world of the living into a liminal space, the otherworldly realm of the sick. The pandemic means hospital visitors are restricted, so human contact’s primarily with medical staff: the outside’s only glimpsed through windows, so that a sighting of a sparrow perched near his window becomes something marvellous. Isolation stirs a series of reflections: some based in memory, others in thoughts about a self the narrator can no longer take for granted. Outside, he’s a poet slowly building a reputation in literary circles, a southerner now living in Iowa City. A choice founded in his relationship with fellow poet L. who teaches there – L.’s character mirrors aspects of Greenwell’s own partner, poet Luis Muñoz. The bond between narrator and L., albeit shifting from earlier passion to comfortable domesticity, highlights the strangeness of being assigned a new identity as patient rather than person; subjected to intimate acts ‘stripped of intimacy,’ scrutinised, handled and assessed by a succession of strangers. Strangers in turn evaluated by the narrator: those who might provisionally act as friends; those who appear caring; those who seem closer to callous. All underlining the narrator’s incredible vulnerability: reduced to a mass of arteries, organs, and limbs that operate as junctions between his body and the machinery he now needs to function.

The narrator’s time’s punctuated by hospital routines and procedures with brief intervals created by L.’s daily visits. As time passes, the narrator retreats into meditations on the art and literature important to him. Small incidents set off fertile chains of association, as his doctors mentally dissect and parse his body, the narrator parses and dissects his favourite poems – the incomprehensible language of medicine countered by the known of literature. Two separate realms which first clash then slowly intersect - unlike the ongoing clashes between hospitals battling Covid and swathes of American society refusing to admit to its existence. A situation that angers and baffles the narrator whose analysis of his situation mingles with concerns about his society, a culture of distinctly ‘American unreason.’ The sense of being undone by his body parallels impressions of America as a ‘coming-apart country’ rife with conflict and falsities: racist policing; climate denial in the face of ongoing ecological devastation. So that Greenwell’s remarkably-convincing portrait of a body in crisis broadens into a compelling examination of contemporary America’s ills.

Although the narrator here clearly connects to the ones featured in Greenwell’s earlier novels, this works perfectly as a standalone piece. Greenwell’s influences are wide-ranging drawing on the so-called literature of illness including Virginia Woolf’s discussions of living with pain. For me there were echoes too of Mark Doty, Anne Boyer’s writings on cancer and capitalism, and Denton Welch grappling with hospitalisation after a catastrophic accident. Greenwell’s prose is disciplined, measured yet strangely hypnotic – as is his meticulously detailed account of his narrator’s medical treatments. But this is also a book about what might console and sustain in the face of overwhelming precarity: tenderness, the recognition, acceptance, and celebration of love. Greenwell’s dubbed it as above all a message to his partner Luis. Yet Greenwell’s narrative steers admirably clear of sentimentality, it’s fluid, gripping, relatable and, in its early stages, sometimes close to unbearably tense.

I've read all of Garth Greenwell's novels, and this one has to be the most accomplished yet. By a strange coincidence, since the narrator of Greenwell's novel suffers from an arterial rupture of unknown cause, the novel is best read alongside Annemarie Mol's The Body Multiple: Ontology in Medical Practice, an ethnography of atherosclerosis. In Greenwell's case, the body multiple is also enacted through a series of references to art, poetry, music-the poet's body is constituted by his memories and experiences as well as by medical, nursing, and pharmacological practices. And also by care (Mol's The logic of care can again be a companion text). The novel offers a detailed phenomenology not only of the (multiple) body in pain (another companion: The Body in Pain: The Making and Unmaking of the World), but also of the infrastructures of care, whom they support and and how. On a very personal level, while I'm terrible at reading poetry, those few pages on Oppen almost convinced me to give it another chance.

Profound story about a poet who unexpectedly faces his own mortality. This was the first book I read by this author and found his writing style unusual. The story very readable, often viscerally uncomfortable and sometimes frightening, so it hit the mark. Thanks to NetGalley and the publisher for the advance copy.

This was a tense read at times, the narrator's experience of sudden pain and weeks spent in hospital as the doctors tried to find a reason for his symptoms was harrowing. His vulnerability as he relied on the medical staff for every aspect of his life was actually quite terrifying.
Beautifully written, I enjoyed the parts about his illness, his relationship with his partner and his family, but I found I was skimming over some of the other parts of the book which I didn't find so interesting.
I did enjoy most of this book but it wasn't something which held my interest at all times.

This was a free copy from NetGalley in exchange for an honest review.

This was a fascinating and raw account of what it was like to be admitted to hospital during Covid times, this account is based upon something that Greenwell went through in his life however as said by the author himself, it is a piece of fiction.

The writing was a little challenging in that there were no speech marks and quite often I would be faced with a wall of text when I turned the page making it slightly easier for me to skim read at times. This is what - for me - stops it being a 5 star read.

However despite this the story was fascinating and gripping, it was interesting to see this from a patient’s point of view as I am often on the other side of situations like this.
I enjoyed the poignancy that he saw human life with, the appreciation that came from a kind word or a gentle touch and the difference that it made to his relationship after going through something traumatic and life-altering.

The descriptions of the house development were interestingly spaced out, almost as though they were being used as a metaphor for his health: the damaged parts that needed almost entirely replaced while he was at the beginning of his hospital journey, the disastrous tree incident when the pain returned, the not quite perfect but patched up house when he finally got home after a prolonged hospital stay. I hope that this was intentional and knowing Greenwell’s writing, I imagine it was.

Enjoyably but difficult to read when he strayed off the subject. Read another poets novel and found it difficult to read as well, maybe it's the change in writing.