“Failure to thrive” is the medical term used for the slow development of an infant due to a lack of nutrients. Babies who receive this diagnosis will often have developmental delays later in life. This condition can be the result of an internal, chromosomal issue or the environment around the child. In either case, death is imminent unless there is interference.
Meghan Lamb’s debut novel, Failure to Thrive captures that slow process and the inability to thrive in settings that produce nothing but death and decay. The story takes place in a Pennsylvania coal town poisoned by an underground fire. Divided into three sections, it centers around three families: a young couple struggling to raise a neurodivergent daughter, a woman caring for a dying parent and dealing with the after-effects of her past substance abuse, and a young man dealing with memory loss after a catastrophic accident. Lamb uses genre-bending prose, vivid imagery, and subtle characterization to highlight the major themes of her novel.