"In 1995, when Rome Prize — winning poet and fiction writer Manguso (Siste Viator) was a junior at Harvard, she suffered the first attack of a rare autoimmune disease called CIDP, which would turn her body against itself. CIDP attacks the myelin coating of the peripheral nerves. The result is increasing numbness, followed by paralysis spreading from the extremities inward, until the sufferer can no longer control his or her breathing, and dies. In short, lyrical chapters — the book free-associates between memories, while sticking to a rough chronological order — Manguso recounts the harrowing indignities of her treatments, frequent relapses, descents into steroid-induced clinical depression, crucial college sexual experiences had and missed, and trips back and forth between schools, hospitals and her parents' Massachusetts home. What makes this lightning-quick book extraordinary is not just Manguso's deadpan delivery of often unthinkable details, nor her poet's struggle with the damaging metaphors of disease, but the compassion she acquires as she comes to understand her pain in relation to the pain of others: 'suffering, however much and whatever type, shrinks or swells to fit the shape and size of a life.' (June)" Publishers Weekly (Starred Review) (Copyright Reed Business Information, Inc.)

"Here is a beautiful, brave memoir that takes us into the heart of a young woman's illness, its pains and terrors and mysteries, yet leads us somehow into brightness. For all its clinical precision of the physical, The Two Kinds of Decay is one of the most movingly humane books I have read in a long time; it is a hard-earned vision of life, every word grounded in both body and soul. Sarah Manguso is a brilliantly talented writer, and this is a book not to be missed."John Burnham Schwartz  

“If art can be described as the paths one takes toward some form of compassion, this distilled and luminous book offers us one such a map. An exploration of a body at a particular moment in its history, narrated by an unsparing yet appealing consciousness, The Two Kinds of Decay brings the reader to a place of grace and compassion that is absolutely breathtaking.” Nick Flynn

“At the white-hot center of this book burns the intelligence and wit of Sarah Manguso, one of the most brilliantly talented writers at work today. She is a clear-eyed visionary, a connoisseur of the penetrating declarative, an unsentimental chronicler of the horrifying insult of illness and of the desires that drive us headlong into adulthood. With a poet's brevity, with riveting narrative energy, with searing insight and compassion, Manguso leads us into hell and back again; every step of the way, there's the thrill of knowing we're in the hands of a new literary master.” Julie Orringer, author of How to Breathe Underwater"In The Two Kinds of Decay, Sarah Manguso has miraculously elevated the act of memory.  She has found honesty, fear, longing and beauty in every moment of her young life, giving this book an intensity found nowhere else.  You put it down panting with wonder and grief, but never with pity.  A breakthrough in the memoir, and in writing." Andrew Sean Greer

At 21, Manguso was faced with a wildly unpredictable disease that appeared suddenly, paralyzing her for weeks at a time. In this captivating story, she recalls her nine-year struggle with arduous blood cleansings, collapsed veins, multiple chest catheters, addiction, and depression.