As he works his way through his medical training, Ike Anya’s grandmother reassures him, ‘Everything worthwhile is achieved small by small.’ Small by Small charts the triumphs and failures of Ike’s student days through to his first demanding year as a house officer. A medical memoir unlike any from the West, this is filled with the colour and vibrancy of tempestuous 1990s Nigeria, where political unrest, social change and a worsening economy make a doctor’s life particularly challenging. Full of compassion and insight, often humorous and always moving, this is a unique doctor’s journey.