The Last Patient

I received an advanced review copy of this book from Librarything's Early Reviewer's Club. The book was published in February 2025. It is set both in post WWII Romania and modern day Romania. 

The publisher's summary:  

THE LAST PATIENT is a sweeping historical novel that captures one family’s struggle for love, survival, and identity under the grip of Communism in Romania. Spanning fifty years of political upheaval, this saga explores how ordinary lives are shaped—and sometimes shattered—by extraordinary times.

Kostea and Clara meet and fall in love shortly before World War II. As they get married, build careers, and raise a son, the world around them changes rapidly—and often violently. From the two-bedroom apartment they are “patriotically” forced to share with another family, to Bucharest’s rampant food shortages, Romania’s Cold War history plays out in their day-to-day lives.

Kostea, a charming yet domineering surgeon, craves control in a place where party loyalists hold the reins of power. His pursuit of respect and authority threatens his promising medical career and his relationships at home, risking Clara’s love. While the temptation to break through the Iron Curtain is omnipresent, defection to the West comes with its own uncertainties. Ultimately, The Last Patient is a poignant exploration of the eternal tension between personal aspirations and love.

This book grabbed me from the start and pulled me in. I fell in love with Clara and Kostea's family. Both of them were polite and helpful to each other as a married couple should be. Clara’s mother Ina and their son Alexander, nicknamed Toddy, were adorable as well. They are the type of people who follow all the rules. They obeyed the rules set by their country's communist government and respected societal rules governing relationships between men and women. The only activity the communists were angry with them was over Clara and Kostea having their son Toddy baptized in church. The Party was opposed to all religions. Both Clara and Kostea are doctors so they were held in high esteem by the government and by their local neighbors. 

The communist ideology of Romania was the setting of the novel. While the family lived in Bucharest there wasn't much of a description of the architecture, foods and customs other than the depths to which the characters had to go go in order to get housing and groceries. Lying on housing applications was the norm so that when one family member no longer needed their apartment, another family member could move in without upsetting the communists. Standing in line for hours just to buy bread or other groceries was also a norm. Clara frequently became too tired to cook dinner after a full day at work and then hours in line for food. They were lucky that Clara’s mother Ina lived with them and helped out. Kostea easily did favors for his superiors and received perks in return. He was lucky to travel throughout Europe as he attended medical conferences. Even though the family had to daily deal with new rules set by the communists, they were privileged.

I loved this family saga. Historical fiction fans will enjoy this new setting for the genre. 5 out of 5 stars.