Small Rain by Garth Greenwell

Small Rain is a novel about a fortysomething man facing a sudden health crisis, and what such an event can lead someone to think and feel. The unnamed narrator has a pain out of nowhere and his partner, L, encourages him to go to the hospital. Once there, it turns out his pain is something serious, something he’d never known of before, and now he’s stuck in a hospital bed, experiencing the American healthcare system.

Having read Greenwell’s earlier novels, I chose to read this one despite the blurb not being the sort of thing I would usually go for. The focus on hospitals and illness isn’t something I’d usually pick up a novel about, not out of squeamishness but more health anxiety and the horrible realities of healthcare, but Small Rain explores someone suddenly in hospital when they weren’t expecting to be, and the disorienting effects of assuming your own health and then being told otherwise. Essentially, the story that the novel has—of the time the narrator spends in the hospital—is a way of meditating on ideas of health, life, love, and art, and how the narrator thinks about these things in this context (as the story seems to be autobiographical, presumably some of these things Greenwell also thought about in that context).

The writing style is beautiful, but also picks up on the kinds of routines and details of medicine and healthcare. The narrative has many reflective digressions by the narrator, which mostly add to the portrait and the story, though even as a poet who likes to read and think about poetry I found the one analysing poetry a bit too long and digressive. Generally, I found the novel quite unlike other things I’ve read, including Greenwell’s other novels, in the way that it confronts something so terrifying and mundane in a literary way, exploring some of the complexities of human life and love through this lens. This is not a novel to go into unprepared: it is about being in hospital during the Covid-19 pandemic due to a different health issue, with vivid descriptions of needles going in and other elements that people might find hard to read. I found it full of tenderness and real snippets of emotion; even if it doesn’t sound like something you might usually read, it’s worth giving it a go.