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Small Great Things: A Novel Hardcover – October 11, 2016

by Jodi Picoult (Author)

4.6 94,254 ratings

Editors' pick Best Literature & Fiction

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#1 NEW YORK TIMES BESTSELLER • With richly layered characters and a gripping moral dilemma that will lead readers to question everything they know about privilege, power, and race, Small Great Things is the stunning new page-turner from Jodi Picoult.

SOON TO BE A MAJOR MOTION PICTURE

“[Picoult] offers a thought-provoking examination of racism in America today, both overt and subtle. Her many readers will find much to discuss in the pages of this topical, moving book.”—Booklist (starred review)

Ruth Jefferson is a labor and delivery nurse at a Connecticut hospital with more than twenty years’ experience. During her shift, Ruth begins a routine checkup on a newborn, only to be told a few minutes later that she’s been reassigned to another patient. The parents are white supremacists and don’t want Ruth, who is African American, to touch their child. The hospital complies with their request, but the next day, the baby goes into cardiac distress while Ruth is alone in the nursery. Does she obey orders or does she intervene?

Ruth hesitates before performing CPR and, as a result, is charged with a serious crime. Kennedy McQuarrie, a white public defender, takes her case but gives unexpected advice: Kennedy insists that mentioning race in the courtroom is not a winning strategy. Conflicted by Kennedy’s counsel, Ruth tries to keep life as normal as possible for her family—especially her teenage son—as the case becomes a media sensation. As the trial moves forward, Ruth and Kennedy must gain each other’s trust, and come to see that what they’ve been taught their whole lives about others—and themselves—might be wrong.

With incredible empathy, intelligence, and candor, Jodi Picoult tackles race, privilege, prejudice, justice, and compassion—and doesn’t offer easy answers. Small Great Things is a remarkable achievement from a writer at the top of her game.

Praise for Small Great Things

“Small Great Things is the most important novel Jodi Picoult has ever written. . . . It will challenge her readers . . . [and] expand our cultural conversation about race and prejudice.”—The Washington Post

“A novel that puts its finger on the very pulse of the nation that we live in today . . . a fantastic read from beginning to end, as can always be expected from Picoult, this novel maintains a steady, page-turning pace that makes it hard for readers to put down.”—San Francisco Book Review

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Popular Highlights in this book

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It just goes to show you: every baby is born beautiful. It’s what we project on them that makes them ugly.
Highlighted by 5,955 Kindle readers
Pride is an evil dragon; it sleeps underneath your heart and then roars when you need silence.
Highlighted by 4,964 Kindle readers
Now I know: adulthood is a line drawn in the sand. At some point, your child will be standing on the other side.
Highlighted by 4,224 Kindle readers

Editorial Reviews

Amazon.com Review

An Amazon Best Book of October 2016: Jodi Picoult’s Small Great Things is about racism, choice, fear, and hope. The novel is based on the true story of a labor and delivery nurse who was prohibited from caring for a newborn because the father requested that no African-American nurses tend to his baby. In the fictional version, Ruth, the African-American nurse in question, finds herself on trial for events related to the same request made by a white supremacist father. Using the narratives of Ruth, the baby’s father, and the female public defender who takes Ruth’s case, Picoult examines multiple facets of racism. The topic of race in America is difficult to talk about, but in in an honest and revealing way Picoult allows readers to draw their own conclusions about how we see ourselves and others in the world. Small Great Things is an important and thought-provoking novel about power and prejudice that deserves to be read, digested, and shared with others. --Seira Wilson, The Amazon Book Review

Review

“Small Great Things is the most important novel Jodi Picoult has ever written. . . . It will challenge her readers . . . [and] expand our cultural conversation about race and prejudice.”—The Washington Post

“A novel that puts its finger on the very pulse of the nation that we live in today . . . a fantastic read from beginning to end, as can always be expected from Picoult, this novel maintains a steady, page-turning pace that makes it hard for readers to put down. It also allows for conversations to be had and for people to sit back and look at their lives, actions (past and present) and wonder how they will move forward. This is a fantastic book not only because it addresses something that happens in America and around the world every day, but it also shows us that change is possible too.”—San Francisco Book Review

“A gripping courtroom drama . . . Given the current political climate it is quite prescient and worthwhile. . . . This is a writer who understands her characters inside and out.”—Roxane Gay, The New York Times Book Review

“Small Great Things embraces . . . empathy, hope and humility.”—Newsday

“[An] author at the top of her heart-rending game.”—The National

“A gripping read about an issue of urgency.”—The Vancouver Sun

“A book that needs to be read.”—The Detroit News

“Exciting and fast-paced.”—New York Journal of Books

“[Picoult] offers a thought-provoking examination of racism in America today, both overt and subtle. Her many readers will find much to discuss in the pages of this topical, moving book.”—Booklist (starred review)

“Powerful . . . revelations abound.”—The Free Lance-Star

“Picoult has outdone herself.”—St. Louis Post-Dispatch

“A courageous and important work.”—Minneapolis Star Tribune

“I couldn’t put it down. Her best yet!”—New York Times bestselling author Alice Hoffman

“A compelling, can’t-put-it-down drama with a trademark [Jodi] Picoult twist.”—Good Housekeeping

“It’s Jodi Picoult, the prime provider of literary soul food. This riveting drama is sure to be supremely satisfying and a bravely thought-provoking tale on the dangers of prejudice.”—Redbook

“Jodi Picoult is never afraid to take on hot topics, and in Small Great Things, she tackles race and discrimination in a way that will grab hold of you and refuse to let you go. . . . This page-turner is perfect for book clubs.”—Popsugar

About the Author

Jodi Picoult is the #1 New York Times bestsellingauthor of twenty-five novels, including Small Great Things, Leaving Time, The Storyteller, Lone Wolf, Sing You Home, House Rules, Handle with Care, Change of Heart, Nineteen Minutes, and My Sister’s Keeper. She is also the author, with daughter Samantha van Leer, of two young adult novels, Between the Lines and Off the Page. Picoult lives in New Hampshire with her husband and three children.

Excerpt. © Reprinted by permission. All rights reserved.

Stage One: Early Labor

Justice will not be served until those who are unaffected are as outraged as those who are.
—Benjamin Franklin

Ruth

The miracle happened on West Seventy-fourth Street, in the home where Mama worked. It was a big brownstone encircled by a wrought-iron fence, and overlooking either side of the ornate door were gargoyles, their granite faces carved from my nightmares. They terrified me, so I didn’t mind the fact that we always entered through the less impressive side door, whose keys Mama kept on a ribbon in her purse.

Mama had been working for Sam Hallowell and his family since before my sister and I were born. You may not have recognized his name, but you would have known him the minute he said hello. He had been the unmistakable voice in the mid-1960s who announced before every show: The following program is brought to you in living color on NBC! In 1976, when the miracle happened, he was the network’s head of programming. The doorbell beneath those gargoyles was the famously pitched three-note chime everyone associates with NBC. Sometimes, when I came to work with my mother, I’d sneak outside and push the button and hum along.

The reason we were with Mama that day was because it was a snow day. School was canceled, but we were too little to stay alone in our apartment while Mama went to work—which she did, through snow and sleet and probably also earthquakes and Armageddon. She muttered, stuffing us into our snowsuits and boots, that it didn’t matter if she had to cross a blizzard to do it, but God forbid Ms. Mina had to spread the peanut butter on her own sandwich bread. In fact the only time I remember Mama taking time off work was twenty-five years later, when she had a double hip replacement, generously paid for by the Hallowells. She stayed home for a week, and even after that, when it didn’t quite heal right and she insisted on returning to work, Mina found her tasks to do that kept her off her feet. But when I was little, during school vacations and bouts of fever and snow days like this one, Mama would take us with her on the B train downtown.

Mr. Hallowell was away in California that week, which happened often, and which meant that Ms. Mina and Christina needed Mama even more. So did Rachel and I, but we were better at taking care of ourselves, I suppose, than Ms. Mina was.

When we finally emerged at Seventy-second Street, the world was white. It was not just that Central Park was caught in a snow globe. The faces of the men and women shuddering through the storm to get to work looked nothing like mine, or like my cousins’ or neighbors’.

I had not been into any Manhattan homes except for the Hallowells’, so I didn’t know how extraordinary it was for one family to live, alone, in this huge building. But I remember thinking it made no sense that Rachel and I had to put our snowsuits and boots into the tiny, cramped closet in the kitchen, when there were plenty of empty hooks and open spaces in the main entry, where Christina’s and Ms. Mina’s coats were hanging. Mama tucked away her coat, too, and her lucky scarf—the soft one that smelled like her, and that Rachel and I fought to wear around our house because it felt like petting a guinea pig or a bunny under your fingers. I waited for Mama to move through the dark rooms like Tinker Bell, alighting on a switch or a handle or a knob so that the sleeping beast of a house was gradually brought to life. “You two be quiet,” Mama told us, “and I’ll make you some of Ms. Mina’s hot chocolate.”

It was imported from Paris, and it tasted like heaven. So as Mama tied on her white apron, I took a piece of paper from a kitchen drawer and a packet of crayons I’d brought from home and silently started to sketch. I made a house as big as this one. I put a family inside: me, Mama, Rachel. I tried to draw snow, but I couldn’t. The flakes I’d made with the white crayon were invisible on the paper. The only way to see them was to tilt the paper sideways toward the chandelier light, so I could make out the shimmer where the crayon had been.

“Can we play with Christina?” Rachel asked. Christina was six, falling neatly between the ages of Rachel and me. Christina had the biggest bedroom I had ever seen and more toys than anyone I knew. When she was home and we came to work with our mother, we played school with her and her teddy bears, drank water out of real miniature china teacups, and braided the corn-silk hair of her dolls. Unless she had a friend over, in which case we stayed in the kitchen and colored.

But before Mama could answer, there was a scream so piercing and so ragged that it stabbed me in the chest. I knew it did the same to Mama, because she nearly dropped the pot of water she was carrying to the sink. “Stay here,” she said, her voice already trailing behind her as she ran upstairs.

Rachel was the first one out of her chair; she wasn’t one to follow instructions. I was drawn in her wake, a balloon tied to her wrist. My hand skimmed over the banister of the curved staircase, not touching.

Ms. Mina’s bedroom door was wide open, and she was twisting on the bed in a sinkhole of satin sheets. The round of her belly rose like a moon; the shining whites of her eyes made me think of merry-go-round horses, frozen in flight. “It’s too early, Lou,” she gasped.

“Tell that to this baby,” Mama replied. She was holding the telephone receiver. Ms. Mina held her other hand in a death grip. “You stop pushing, now,” she said. “The ambulance’ll be here any minute.” I wondered how fast an ambulance could get here in all that snow.

“Mommy?”

It wasn’t until I heard Christina’s voice that I realized the noise had woken her up. She stood between Rachel and me. “You three, go to Miss Christina’s room,” Mama ordered, with steel in her voice. “Now.” But we remained rooted to the spot as Mama quickly forgot about us, lost in a world made of Ms. Mina’s pain and fear, trying to be the map that she could follow out of it. I watched the cords stand out on Ms. Mina’s neck as she groaned; I saw Mama kneel on the bed between her legs and push her gown over her knees. I watched the pink lips between Ms. Mina’s legs purse and swell and part. There was the round knob of a head, a knot of shoulder, a gush of blood and fluid, and suddenly, a baby was cradled in Mama’s palms.

“Look at you,” she said, with love written over her face. “Weren’t you in a hurry to get into this world?”

Two things happened at once: the doorbell rang, and Christina started to cry. “Oh, honey,” Ms. Mina crooned, not scary anymore but still sweaty and red-faced. She held out her hand, but Christina was too terrified by what she had seen, and instead she burrowed closer to me. Rachel, ever practical, went to answer the front door. She returned with two paramedics, who swooped in and took over, so that what Mama had done for Ms. Mina became like everything else she did for the Hallowells: seamless and invisible.

The Hallowells named the baby Louis, after Mama. He was fine, even though he was almost a full month early, a casualty of the barometric pressure dropping with the storm, which caused a PROM—a premature rupture of membranes. Of course, I didn’t know that back then. I only knew that on a snowy day in Manhattan I had seen the very start of someone. I’d been with that baby before anyone or anything in this world had a chance to disappoint him.

The experience of watching Louis being born affected us all differently. Christina had her baby via surrogate. Rachel had five. Me, I became a labor and delivery nurse.

When I tell people this story, they assume the miracle I am referring to during that long-ago blizzard was the birth of a baby. True, that was astonishing. But that day I witnessed a greater wonder. As Christina held my hand and Ms. Mina held Mama’s, there was a moment— one heartbeat, one breath—where all the differences in schooling and money and skin color evaporated like mirages in a desert. Where everyone was equal, and it was just one woman, helping another.

That miracle, I’ve spent thirty-nine years waiting to see again.

Product details

Publisher ‏ : ‎ Ballantine Books; 1st edition (October 11, 2016)
Language ‏ : ‎ English
Hardcover ‏ : ‎ 480 pages
ISBN-10 ‏ : ‎ 0345544951
ISBN-13 ‏ : ‎ 978-0345544957
Lexile measure ‏ : ‎ HL800L
Item Weight ‏ : ‎ 1.68 pounds
Dimensions ‏ : ‎ 6.41 x 1.45 x 9.63 inches

Best Sellers Rank: #75,076 in Books (See Top 100 in Books)
- #2,599 in Women's Domestic Life Fiction
- #3,128 in Contemporary Women Fiction
- #5,735 in Literary Fiction (Books)

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Jodi Picoult

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Jodi Picoult is the #1 New York Times bestselling author of twenty-eight novels, including Wish You Were Here, The Book of Two Ways, A Spark of Light, Small Great Things, Leaving Time, and My Sister's Keeper, and, with daughter Samantha van Leer, two young adult novels, Between the Lines and Off the Page. Picoult lives in New Hampshire.

Her next novel, Mad Honey, co-written with Jennifer Finney Boylan, is available on October 11th.

Follow Jodi Picoult on Intagram, Twitter, and Facebook: @jodipicoult

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Jen

Wow

Reviewed in the United States on April 8, 2024

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I love Piccoult and I collect her books when I see them on sale or in a used book shop. I am a person of color, 100% Latina but my dad is afro Latino (african latino) to be specific. I thought each character was very intensive and thought of. I of course related more to Ruth and there were scenes that made me go, "that's happened to me". Racism still very much exists and even when white people try to make me feel better by including me in their girls night outs, play dates, work meetings, discussions etc, I hear their bias loud and clear when they think I can just afford to buy a house out of the blue or ask me why my car isn't the newest or I'm asked if my daughter is mine (she's fairer skinned then me) or tell me how beautiful she is with her blue eyes.

Piccolt did a wonderful job as always of doing her research and making sure she puts out a beautiful work of art in the form of literature instead of being lazy and putting out trash as a money grab. I will be recommending this book to all my friends, no matter what color their skin is.

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Kristin B.

Jodi Picoult is at the Top of Her Game!

Reviewed in the United States on October 16, 2016

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About 12 years ago, I was introduced to Jodi Picoult's novels and, once I started reading them, I couldn't stop! I purchased all of her novels that were published at the time and quickly devoured them because I felt they were some of the most well-written, amazing books I had ever read. I remember giving many of my family members her books as gifts and they ended up enjoying them as well. A couple years after I started reading her books, I had one of the most exciting days of my life at the time when I met Jodi Picoult in person! I was pretty much hyperventilating when I met her and I loved listening to her talk about her books. I met her a couple other times after that and would actually skip going with everyone to sporting events just so I could hear her talk. Now, many years later, I have many of her books signed and I've read and loved all of her books, some more than others. I've found as she has grown as an author, her books become more thoughtful, her characters more complex, and the storylines told from multiple characters are woven together so well that, by the end of the novel, my jaw is hanging on the ground.

"If I cannot do great things, I can do small things in a great way."

The above quotation by Reverend Dr. Martin Luther King, Jr. was the inspiration for the title of this novel and I feel it is very appropriate given the subject matter and story within the pages of this novel. "Small Great Things" is the story of Ruth Jefferson, a veteran labor and delivery nurse at a hospital in New Haven, Connecticut. Ruth worked hard to get to where she is and her boss and coworkers consider her to be the best and most knowledgeable nurse on staff. One day she is performing her job when she is told she is no longer able to provide care for a newborn because the parents are white supremacists and she is African American. The next day, the baby goes into cardiac arrest when she is alone with him in the nursery. Within just a few moments, she wrestles over if she should follow her boss's orders or fulfill her duty as a nurse to help care for the newborn.

As always with Jodi Picoult's novels, "Small Great Things" is told from multiple viewpoints which help make this an extremely complex and deeply-layered novel. This novel is told from three viewpoints: Ruth, Turke Bauer, the white supremacist father, and Kennedy McQuarrie, a public defender who has never taken a case like this. These protagonists, as well as the supporting characters, are portrayed as individuals whom anyone could see out in public and they are all very well-developed. We see them as they go about their everyday business both at work and at home, as they experience highs and lows, and as they are confronted with one another. As a former English Literature major, I love analyzing novels and "Small Great Things" was great to do just that and I enjoyed seeing the brilliant character development and the thought processes within these three main characters.

In summary, I loved this novel and had a hard time putting it down. Many of the chapters end in cliffhangers and I simply couldn't stop reading! Jodi Picoult is a wonderful storyteller and one of my favorite authors. I've enjoyed all of her books, some more than others, and I would rate "Small Great Things" up there as one of my favorites. I feel she tackles the topic of race well and paints beautiful portraits of all the individuals involved. This novel has been a work-in-progress for Jodi Picoult for about two decades as she put extensive research into it and wanted to make sure she portrayed her characters as accurately as possible. If you decide to read this novel, which I very highly recommend, I suggest reading the Author's Note at the end because she describes the development of this novel. Jodi Picoult's novels are always extremely well-researched, intelligently-written, and very thought-provoking and "Small Great Things" is an amazing work of fiction that deserves to be read.

6 people found this helpful

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Marce

So timely, hard to read on race relations

Reviewed in the United States on January 9, 2017

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From my blog 4 1/2 stars

Small Great Things is the hardest, most disturbing book I have read. Race relations is not a topic I read about or discuss and I think this was Jodi Picoults goal, well done, it will be memorable. I initially was going to give it a 4 but the fact that she will get people talking including myself, I give it 4 1/2 stars. I have read a few of her books in the past, really enjoyed or not at all, I actually said I was done with her books and then she released this one which made you think about the present, how real this premise is, absolutely timely.

Justice will not be served until those who are unaffected are as outraged as those who are. - Benjamin Franklin Kindle 1%

I really enjoyed how the chapters were done. Early birth through to afterbirth and the story was told between Ruth, Turk and Kennedy. There were times I had to walk away from the book, just emotional. Within the last year I have questioned my reality but I have realized that everyone reacts differently to history and the legacy of family life. Small Great Things tries to get you understand all the different sides of why we think and react the way we do.

Bad things happen to good people all the time and everyone's response or perception is different. The heartbreaking part of this book is that the baby still died. There is nothing that can bring him back. The back stories were amazing and uncomfortable to read. I personally couldn't relate to any characters but could see this happening. Once I reached 50% the court case started, I felt like I can breathe again. I have been a juror before and this kind of thing would give me nightmares.

There is no such thing as a fact. There is only how you saw the act, in a given moment. How you reported the fact. How your brain processed that fact. There is no extrication of the story teller from the story. Kindle 73%

A quote used with the title.

"You're destined to do small great things," she told me. "Just like Dr. King said. " She was referring to one of her favorite quotes: If I cannot do great things, I can do small things in a great way..... Kindle 37%

I thought it was a nice touch that the white supremacist had a black lawyer and Ruth had a white lawyer. We might not realize it but color is noticed in many scenarios. Both lawyers didn't want to play the race game in court. "I don't think about being white. I told you the first time we sat down - I don't see color." (Ruth) "Not all of us have that privilege." Kindle 51%

Sure, I know that racism exists and that people like Turk Bauer are waving that banner, but I don't judge all white folks by the historical actions of a few. Kindle 25%

There was only part in the book that just didn't ring true to me but it did for a colleague. It amazes me but history truly repeats itself. And this is a very scary thought. If we think of all the terrorists attacks, Trump becoming President, the turmoil in our own countries, race all plays a part which is sad. How do we become a part of the change?

I work in an hospital and I can see a Manager requesting for a staff member to not be on a patients case from their request but I don't think it will be formal and in the charts. So I did believe this could happen. Also, when difficult decisions need to be made, people are thrown under the bus, integrity is what we strive for but I think it forgotten at times.

There were many surprising moments in this book. Shocking moments. Overall this will be a memorable book with great characters. Even if you try to guess the outcome, there are so many layers you will never guess them all.

One person found this helpful

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Robin L Demers

amazing read

Reviewed in the United States on April 27, 2024

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A true page turner. Just when you think you know what is going to happen… you are surprised. Lessons to be learned … thought provoking… happy … sad … angry … hurt … so many emotions. Well worth the read. HIGHLY RECOMMEND

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luciana Murakami

Great novel

Reviewed in Brazil on July 9, 2022

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Easy and fast reading. Interesting novel

Rock&Ecc

I’m speechless!!!!!

Reviewed in the United Kingdom on March 7, 2024

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What an amazing book!!! So beautifully written and so touching!!!! So much to think about! While I’m disgusted with anyone who feels superior to anyone else this was a real eye opener!!! I love that this book exists and I love all that went into it x thanks for the story and characters who will stay with me for a long time to come!!!!

Sudhakar kadiyala

Extrordinary

Reviewed in India on January 4, 2023

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The author role modelled herself into the character of Ruth(Black woman) so much that her every heartbeat, every thought ,action etc was reflected as it goes consciously & subconscious in the mind of a victim.Thanks to my friend for her suggestion and congratulations to Jodi Picoult for a fine writeup.Started seeing greatness in small things. ❤️

Enrique Lopez

Small Great Things by Jodi Picoult

Reviewed in Mexico on December 11, 2020

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"Small Great Things" is an excellent story, magisterially narrated by Jodi Picoult. Unfortunately, racism exists. It has existed since the human being appeared in our planet. The subject is intense, alluring. Through the pages of the book, I lived the drama of the different characters, and understood their motivations, though not always approved them. I am glad I read Jodi Picoult for the first time. I will surely read other books by the author.
Congratulations to Jodi Picoult !

Cliente Amazon

Small Great Things / edizione in lingua inglese

Reviewed in Italy on August 19, 2022

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Ruth lavora da vent'anni come infermeria del reparto maternità di un ospedale del Connecticut, apprezzata e stimata per la sua competenza e professionalità da superiori e colleghe. Durante uno dei suoi turni, Ruth inizia un check-up di routine su di un neonato, ma dopo pochi minuti le viene detto che i genitori sono suprematisti bianchi e che non vogliono che Ruth, che è afro-americana, tocchi il bambino. L'ospedale accetta la richiesta ( pur sapendo trattarsi di atteggiamento razzista nei suoi confronti) ed assegna Ruth ad un altro paziente. Il giorno dopo però, il neonato va in arresto cardiaco mentre leì è l'unica infermiera presente nella nursery, in quanto la collega è stata chiamata per un'emergenza e le ha chiesto di sostituirla. Che fare? Ruth deve obbedire agli ordini ricevuti o deve intervenire? Non voglio svelare oltre della trama di questo romanzo, avvincente come tutti i romanzi della Picoult, la quale, con incredibile empatia ed intelligenza, affronta temi delicatissimi come la razza, i privilegi dell'essere "bianchi", il pregiudizio, la compassione e non offre risposte facili. Un libro per riflettere e, magari,perchè no, uscirne migliori. Assolutamente consigliato, ovviamente in lingua originale, per apprezzare la scrittura dell'autrice.

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