Little Earthquakes book cover

Little Earthquakes by Sarah Mandel Summary

Little Earthquakes
Sarah Mandel
4.18 (475 Reviews)
Psychology
Health
Inspiration
Overview
Key Takeaways
Author
FAQs

Overview of Little Earthquakes

Sarah Mandel's raw memoir chronicles her battle with Stage Four cancer while pregnant. Praised by author Hala Alyan for making readers "weep and laugh with delight," this intimate journey through trauma has readers asking: can narrative therapy transform our darkest moments into healing?

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Key takeaways

1

The Shattering: When Cancer Strikes the Unthinkable

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At thirty-six, pregnant with her second child and living what seemed like a charmed life, Sarah Mandel's world imploded with three devastating words: Stage IV cancer. What began as a small lump-a "pebble" that grew to a "gumball"-during her pregnancy transformed into a diagnosis that left her body "like a leopard," spotted with cancer from neck to thigh. With a 73 percent chance of dying within five years, her normal existence vanished overnight. The shock came in waves. First, the breast cancer diagnosis itself. Then, just one week after giving birth to her daughter Siena, the crushing revelation that the cancer had metastasized throughout her bones and liver. Her treatment goal shifted from "CURE" to "TREAT," with the understanding that she would need immunotherapy indefinitely. Suddenly, Sarah found herself navigating an alien landscape of PET scans, chemotherapy, and bone fractures so severe she needed a walker to move around her apartment. In these early days, Sarah's coping mechanism was organization-purchasing a perfect binder to contain her medical chaos, a familiar strategy from her student days. The binder represented control in an uncontrollable situation. Meanwhile, her bedroom transformed into her cancer-fighting room, with her husband Derek bringing in their TV and compiling 1980s movies to watch together. Though physically frail, her determination remained unbroken. What makes trauma truly traumatic isn't just the event itself but the shattering of our fundamental assumptions: that the world is basically safe, that extremely bad things happen to other people, not us. Sarah's story reminds us that life can change in an instant, and none of us are immune.

2

The Body Betrayed: When Your Own Cells Turn Against You

3

The Fog Descends: Dissociation and the Numbed Mind

4

The Weight of Living: Survivor's Guilt and Privilege

5

The Awakening: When Life Returns in Fragments

6

The Resilient Body: Finding Strength Through Movement

7

Little Earthquakes: Embracing Life's Uncertainty

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@Chloe, Solo founder, LA
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"Perfect balance between learning and entertainment. Finished ‘Thinking, Fast and Slow’ on my commute this week."

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"Crazy how much I learned while walking the dog. BeFreed = small habits → big gains."

@Matt, YC alum
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"Reading used to feel like a chore. Now it’s just part of my lifestyle."

@Erin, Investment Banking Associate , NYC
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"Feels effortless compared to reading. I’ve finished 6 books this month already."

@djmikemoore
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"BeFreed turned my guilty doomscrolling into something that feels productive and inspiring."

@Pitiful
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"BeFreed turned my commute into learning time. 20-min podcasts are perfect for finishing books I never had time for."

@SofiaP
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"BeFreed replaced my podcast queue. Imagine Spotify for books — that’s it. 🙌"

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"It is great for me to learn something from the book without reading it."

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@Moemenn
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"I never knew where to start with nonfiction—BeFreed’s book lists turned into podcasts gave me a clear path."

@Chloe, Solo founder, LA
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likes
117

"Perfect balance between learning and entertainment. Finished ‘Thinking, Fast and Slow’ on my commute this week."

@Raaaaaachelw
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"Crazy how much I learned while walking the dog. BeFreed = small habits → big gains."

@Matt, YC alum
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12
likes
108

"Reading used to feel like a chore. Now it’s just part of my lifestyle."

@Erin, Investment Banking Associate , NYC
platform
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254
likes
17

"Feels effortless compared to reading. I’ve finished 6 books this month already."

@djmikemoore
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"BeFreed turned my guilty doomscrolling into something that feels productive and inspiring."

@Pitiful
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"BeFreed turned my commute into learning time. 20-min podcasts are perfect for finishing books I never had time for."

@SofiaP
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"BeFreed replaced my podcast queue. Imagine Spotify for books — that’s it. 🙌"

@Jaded_Falcon
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"It is great for me to learn something from the book without reading it."

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"The themed book list podcasts help me connect ideas across authors—like a guided audio journey."

@Leo, Law Student, UPenn
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"Makes me feel smarter every time before going to work"

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