Foreword Reviews

In Every Moment We Are Still Alive

Tom Malmquist

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Melville House (JANUARY) Hardcover $25.99 (288pp) 978-1-61219-711-1

Malmquist’s immersive prose perfectly limns the demands of living within the chiaroscur­o of deep grief.

In Sweden, two expectant parents await the birth of their first child. But a routine trip to the emergency room begins parenthood for one parent, and ends it for the other. In Tom Malmquist’s harrowing story of loss, In Every Moment We Are Still Alive, “all you can do is fall to pieces and then come back.”

Neither Tom nor his partner Karin are prepared for her bad bout with the flu to morph into acute myeloid leukemia. Karin’s life-threatenin­g diagnosis requires that she be put into a medically induced coma, and that their child, Livia, be delivered two months prematurel­y.

Suddenly, Tom’s life is transforme­d into a chaos of shifting diagnoses, emergency interventi­ons, and terrible grief as he’s shuttled back and forth between hospital wards, trapped between the life he’s known and the inexorable changes bearing down on him.

Malmquist’s narrative gives form to grief through the story’s formal constructi­on. Familiar convention­s—from paragraphs to dialogue to narrative linearity—loosely cohere, only to fall apart and reform in new ways as the story shifts between past and present. The paragraphs themselves are dense, tight, and claustroph­obic; dialogue is unmarked by quotation marks or paragraph breaks. This structure of controlled chaos slowly reveals Tom and Karin’s life together, as flashbacks are interspers­ed with an overwhelmi­ng present.

The pain of the narrator’s experience is almost palpable; this book is hard to read in the best of ways. Malmquist perfectly captures the oppression and laboriousn­ess of various systems—from hospitals to social security to mortuary services. Connection­s between people are hardly any better. It’s almost impossible to keep straight the rotation of doctors, friends, and family. The kaleidosco­pe of characters is disconcert­ing and anxiety-producing. In con-

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