A child's grade level and reading ability are two different things. That's why a Lexile® measures the child's ability based on reading comprehension, not grade level. A Lexile (for example, 850L) is the most widely adopted measure of reading ability and text difficulty. Lexile measures are valuable tools that help teachers, librarians, parents and children select books that will provide the right level of challenge for the child's reading ability—not too difficult to be frustrating, but difficult enough to encourage reading growth. A child typically receives a Lexile measure by taking a test of reading comprehension, such as the Scholastic Reading Inventory, the Iowa Tests, and many end-of-grade state assessments. The Lexile measure of a book is based on word frequency and sentence length, and is displayed on Barnes & Noble.com product pages. The higher the Lexile measure, the more difficult the text is likely to comprehend.
To learn if Lexile measures are available in your area, contact your school district or state department of education. For more information on Lexile measures, visit www.Lexile.com.
Please note: A Lexile measures text difficulty only. It does not address the subject matter or quality of the text, age-appropriateness of the content, or the reader's interests. Parents are encouraged to preview all reading materials.
What is a Lexile Code?
Sometimes a Lexile measure does not supply enough information to select a particular book for a particular reader. Because we want children's reading experiences to be positive and successful, we try to give parents and educators as much information as they need to make informed choices about books. When a Lexile measure does not provide a complete picture, some books are assigned an additional two letter code to provide supplemental data about developmental appropriateness, reading difficulty, and common or intended usage.
Guide to Lexile Codes
AD (Adult Directed): The book is generally intended to be read aloud to a child, rather than for the child to read it for the first time independently. Many picture books have been assigned the AD code.
BR (Beginning Reading): The book has a Lexile measure of 0L or below and is appropriate for a beginning reader. The Lexile measure is shown only as BR, without a zero or negative number.
GN (Graphic Novel): The book is a graphic novel or comic book.
HL (High-Low): The book has a Lexile measure much lower than the average reading ability of the intended age range of its readers. HL books include content of a high interest level, but are written in a style that is easier for a struggling reader.
IG (Illustrated Guide): The book consists of independent pieces or sections of text, such as in an encyclopedia or glossary.
NC (Non-Conforming): The book has a Lexile measure that is markedly higher than is typical for the publisher's intended audience or designated developmental level of the book. NC books are good choices for high-ability readers.
NP (Non-Prose): The book contains more than 50% of non-standard or non-conforming prose, such as poems, plays, songs and recipes. NP books do not receive a Lexile measure.
Jodi Picoult received an AB in creative writing from Princeton and a master’s degree in education from Harvard. The recipient of the 2003 New England Book Award for her entire body of work, she is the author of twenty-six novels, including the #1 New York Times bestsellers House Rules, Handle With Care, Change of Heart, and My Sister’s Keeper, for which she received the American Library Association’s Margaret Alexander Edwards Award. She lives in New Hampshire with her husband and three children. Visit her website at JodiPicoult.com.
Brief Biography
Hometown:
Hanover, New Hampshire
Date of Birth:
May 19, 1966
Place of Birth:
Nesconset, Long Island, NY
Education:
A.B. in Creative Writing, Princeton University; M.A. in Education, Harvard University
When I was little, the great mystery to me wasn't how babies were made, but why. The mechanics I understood - my older brother Jesse had filled me in - although at the time I was sure he'd heard half of it wrong. Other kids my age were busy looking up the words penis and vagina in the classroom dictionary when the teacher had her back turned, but I paid attention to different details. Like why some mothers only had one child, while other families seemed to multiply before your eyes. Or how the new girl in school, Sedona, told anyone who'd listen that she was named for the place where her parents were vacationing when they made her ("Good thing they weren't staying in Jersey City," my father used to say).
Now that I am thirteen, these distinctions are only more complicated: the eighth-grader who dropped out of school because she got into trouble; a neighbor who got herself pregnant in the hopes it would keep her husband from filing for divorce. I'm telling you, if aliens landed on earth today and took a good hard look at why babies get born, they'd conclude that most people have children by accident, or because they drink too much on a certain night, or because birth control isn't one hundred percent, or for a thousand other reasons that really aren't very flattering.
On the other hand, I was born for a very specific purpose. I wasn't the result of a cheap bottle of wine or a full moon or the heat of the moment. I was born because a scientist managed to hook up my mother's eggs and my father's sperm to create a specific combination of precious genetic material. In fact, when Jesse told me how babies get made and I, the great disbeliever, decided to ask my parents the truth, I got more than I bargained for. They sat me down and told me all the usual stuff, of course - but they also explained that they chose little embryonic me, specifically, because I could save my sister, Kate. "We loved you even more," my mother made sure to say, "because we knew what exactly we were getting."
It made me wonder, though, what would have happened if Kate had been healthy. Chances are, I'd still be floating up in Heaven or wherever, waiting to be attached to a body to spend some time on Earth. Certainly I would not be part of this family. See, unlike the rest of the free world, I didn't get here by accident. And if your parents have you for a reason, then that reason better exist. Because once it's gone, so are you.
Pawnshops may be full of junk, but they're also a breeding ground for stories, if you ask me, not that you did. What happened to make a person trade in the Never Before Worn Diamond Solitaire? Who needed money so badly they'd sell a teddy bear missing an eye? As I walk up to the counter, I wonder if someone will look at the locket I'm about to give up, and ask these same questions.
The man at the cash register has a nose the shape of a turnip, and eyes sunk so deep I can't imagine how he sees well enough to go about his business. "Need something?" he asks.
It's all I can do to not turn around and walk out the door, pretend I've come in by mistake. The only thing that keeps me steady is knowing I am not the first person to stand in front of this counter holding the one item in the world I never thought I'd part with.
"I have something to sell," I tell him.
"Am I supposed to guess what it is?"
"Oh." Swallowing, I pull the locket out of the pocket of my jeans. The heart falls on the glass counter in a pool of its own chain. "It's fourteen-karat gold," I pitch. "Hardly ever worn." This is a lie; until this morning, I haven't taken it off in seven years. My father gave it to me when I was six after the bone marrow harvest, because he said anyone who was giving her sister such a major present deserved one of her own. Seeing it there, on the counter, my neck feels shivery and naked.
The owner puts a loop up to his eye, which makes it seem almost normal size. "I'll give you twenty."
"Dollars?"
"No, pesos. What did you think?"
"It's worth five times that!" I'm guessing.
The owner shrugs. "I'm not the one who needs the money."
I pick up the locket, resigned to sealing the deal, and the strangest thing happens - my hand, it just clamps shut like the Jaws of Life. My face goes red with the effort to peel apart my fingers. It takes what seems like an hour for that locket to spill into the owner's outstretched palm. His eyes stay on my face, softer now. "Tell them you lost it," he offers, advice tossed in for free.
If Mr. Webster had decided to put the word freak in his dictionary, Anna Fitzgerald would be the best definition he could give. It's more than just the way I look: refugee-skinny with absolutely no chest to speak of, hair the color of dirt, connect-the-dot freckles on my cheeks that, let me tell you, do not fade with lemon juice or sunscreen or even, sadly, sandpaper. No, God was obviously in some kind of mood on my birthday, because he added to this fabulous physical combination the bigger picture - the household into which I was born.
My parents tried to make things normal, but that's a relative term. The truth is, I was never really a kid. To be honest, neither were Kate and Jesse. I guess maybe my brother had his moment in the sun for the four years he was alive before Kate got diagnosed, but ever since then, we've been too busy looking over our shoulders to run headlong into growing up. You know how most little kids think they're like cartoon characters - if an anvil drops on their heads they can peel themselves off the sidewalk and keep going? Well, I never once believed that. How could I, when we practically set a place for Death at the dinner table?
Kate has acute promyelocytic leukemia. Actually, that's not quite true - right now she doesn't have it, but it's hibernating under her skin like a bear, until it decides to roar again. She was diagnosed when she was two; she's sixteen now. Molecular relapse and granulocyte and portacath - these words are part of my vocabulary, even though I'll never find them on any SAT. I'm an allogeneic donor - a perfect sibling match. When Kate needs leukocytes or stem cells or bone marrow to fool her body into thinking it's healthy, I'm the one who provides them. Nearly every time Kate's hospitalized, I wind up there, too.
None of which means anything, except that you shouldn't believe what you hear about me, least of all that which I tell you myself.
As I am coming up the stairs, my mother comes out of her room wearing another ball gown. "Ah," she says, turning her back to me. "Just the girl I wanted to see."
I zip it up and watch her twirl. My mother could be beautiful, if she were parachuted into someone else's life. She has long dark hair and the fine collarbones of a princess, but the corners of her mouth turn down, like she's swallowed bitter news. She doesn't have much free time, since a calendar is something that can change drastically if my sister develops a bruise or a nosebleed, but what she does have she spends at Bluefly.com, ordering ridiculously fancy evening dresses for places she is never going to go. "What do you think?" she asks.
The gown is all the colors of a sunset, and made out of material that swishes when she moves. It's strapless, what a star might wear sashaying down a red carpet - totally not the dress code for a suburban house in Upper Darby, RI. My mother twists her hair into a knot and holds it in place. On her bed are three other dresses - one slinky and black, one bugle-beaded, one that seems impossibly small. "You look ..."
Tired. The word bubbles right under my lips.
My mother goes perfectly still, and I wonder if I've said it without meaning to. She holds up a hand, shushing me, her ear cocked to the open doorway. "Did you hear that?"
"Hear what?"
"Kate."
"I didn't hear anything."
But she doesn't take my word for it, because when it comes to Kate she doesn't take anybody's word for it. She marches upstairs and opens up our bedroom door to find my sister hysterical on her bed, and just like that the world collapses again. My father, a closet astronomer, has tried to explain black holes to me, how they are so heavy they absorb everything, even light, right into their center. Moments like this are the same kind of vacuum; no matter what you cling to, you wind up being sucked in.
"Kate!" My mother sinks down to the floor, that stupid skirt a cloud around her. "Kate, honey, what hurts?"
Kate hugs a pillow to her stomach, and tears keep streaming down her face. Her pale hair is stuck to her face in damp streaks; her breathing's too tight. I stand frozen in the doorway of my own room, waiting for instructions: Call Daddy. Call 911. Call Dr. Chance. My mother goes so far as to shake a better explanation out of Kate. "It's Preston," she sobs. "He's leaving Serena for good."
That's when we notice the TV. On the screen, a blond hottie gives a longing look to a woman crying almost as hard as my sister, and then he slams the door. "But what hurts?" my mother asks, certain there has to be more to it than this.
"Oh my God," Kate says, sniffling. "Do you have any idea how much Serena and Preston have been through? Do you?"
That fist inside me relaxes, now that I know it's all right. Normal, in our house, is like a blanket too short for a bed - sometimes it covers you just fine, and other times it leaves you cold and shaking; and worst of all, you never know which of the two it's going to be. I sit down on the end of Kate's bed. Although I'm only thirteen, I'm taller than her and every now and then people mistakenly assume I'm the older sister. At different times this summer she has been crazy for Callahan, Wyatt, and Liam, the male leads on this soap. Now, I guess, it's all about Preston. "There was the kidnapping scare," I volunteer. I actually followed that story line; Kate made me tape the show during her dialysis sessions.
"And the time she almost married his twin by mistake," Kate adds.
"Don't forget when he died in the boat accident. For two months, anyway." My mother joins the conversation, and I remember that she used to watch this soap, too, sitting with Kate in the hospital.
For the first time, Kate seems to notice my mother's outfit. "What are you wearing?"
"Oh. Something I'm sending back." She stands up in front of me so that I can undo her zipper. This mail-order compulsion, for any other mother, would be a wake-up call for therapy; for my mom, it would probably be considered a healthy break. I wonder if it's putting on someone else's skin for a while that she likes so much, or if it's the option of being able to send back a circumstance that just doesn't suit you. She looks at Kate, hard. "You're sure nothing hurts?"
After my mother leaves, Kate sinks a little. That's the only way to describe it - how fast color drains from her face, how she disappears against the pillows. As she gets sicker, she fades a little more, until I am afraid one day I will wake up and not be able to see her at all. "Move," Kate orders. "You're blocking the picture."
So I go to sit on my own bed. "It's only the coming attractions."
"Well, if I die tonight I want to know what I'm missing."
I fluff my pillows up under my head. Kate, as usual, has swapped so that she has all the funchy ones that don't feel like rocks under your neck. She's supposed to deserve this, because she's three years older than me or because she's sick or because the moon is in Aquarius - there's always a reason. I squint at the television, wishing I could flip through the stations, knowing I don't have a prayer. "Preston looks like he's made out of plastic."
"Then why did I hear you whispering his name last night into your pillow?"
"Shut up," I say.
"You shut up." Then Kate smiles at me. "He probably is gay, though. Quite a waste, considering the Fitzgerald sisters are -" Wincing, she breaks off mid-sentence, and I roll toward her.
"Kate?"
She rubs her lower back. "It's nothing."
It's her kidneys. "Want me to get Mom?"
"Not yet." She reaches between our beds, which are just far apart enough for us to touch each other if we both try. I hold out my hand, too. When we were little we'd make this bridge and try to see how many Barbies we could get to balance on it.
Lately, I have been having nightmares, where I'm cut into so many pieces that there isn't enough of me to be put back together.
My father says that a fire will burn itself out, unless you open a window and give it fuel. I suppose that's what I'm doing, when you get right down to it; but then again, my dad also says that when flames are licking at your heels you've got to break a wall or two if you want to escape. So when Kate falls asleep from her meds I take the leather binder I keep between my mattress and box spring and go into the bathroom for privacy. I know Kate's been snooping - I rigged up a red thread between the zipper's teeth to let me know who was prying into my stuff without my permission, but even though the thread's been torn there's nothing missing inside. I turn on the water in the bathtub so it sounds like I'm in there for a reason, and sit down on the floor to count.
If you add in the twenty dollars from the pawnshop, I have $136.87. It's not going to be enough, but there's got to be a way around that. Jesse didn't have $2,900 when he bought his beat-up Jeep, and the bank gave him some kind of loan. Of course, my parents had to sign the papers, too, and I doubt they're going to be willing to do that for me, given the circumstances. I count the money a second time, just in case the bills have miraculously reproduced, but math is math and the total stays the same. And then I read the newspaper clippings.
Campbell Alexander. It's a stupid name, in my opinion. It sounds like a bar drink that costs too much, or a brokerage firm. But you can't deny the man's track record.
To reach my brother's room, you actually have to leave the house, which is exactly the way he likes it. When Jesse turned sixteen he moved into the attic over the garage - a perfect arrangement, since he didn't want my parents to see what he was doing and my parents didn't really want to see. Blocking the stairs to his place are four snow tires, a small wall of cartons, and an oak desk tipped onto its side. Sometimes I think Jesse sets up these obstacles himself, just to make getting to him more of a challenge.
I crawl over the mess and up the stairs, which vibrate with the bass from Jesse's stereo. It takes nearly five whole minutes before he hears me knocking. "What?" he snaps, opening the door a crack.
1) One of this novel's strengths is the way it skillfully demonstrates the subjectivity people bring to their interactions with others. The motivations of individual characters, the emotions that pull them one way or another, and the personal feelings that they inject into professional situations becomes achingly clear as we explore many different viewpoints. For example, despite Julia and Campbell's attempts to remain calm, unemotional and businesslike when they deal with one another, the past keeps seeping in, clouding their interaction. The same goes for the interaction between Sara and Anna during the trial. Is there such a thing as an objective decision in the world of this story? Is anyone capable of being totally rational, or do emotions always come into play?
2) What do you think of this story's representation of the justice system? What was your opinion of the final outcome of the trial?
3) What is your opinion of Sara? With her life focused on saving Kate, she sometimes neglects her other children. Jesse is rapidly becoming a juvenile delinquent, and Anna is invisible -- a fact that the little girl knows only too well. What does this say about Sara's role as a mother? What would you have done in her shoes? Has she unwittingly forgotten Jesse and Anna, or do you think she has consciously chosen to neglect them -- either as an attempt to save a little energy for herself, or as some kind of punishment? Does Sara resent her other children for being healthy? Did you find yourself criticizing Sara, empathizing with her, or both?
4) During a conversation about Kate, Zanne tells Sara, "No one has to be a martyr 24/7." When she mistakenly hears the word "mother" not "martyr" and is corrected by Zanne, Sara smiles and asks, "Is there a difference?" In what ways does this moment provide insight into Sara's state of mind? Do you think it strange that she sees no difference between motherhood and martyrhood?
5) Campbell is certainly a fascinating character: guarded, intelligent, caring and yet selfish at the same time. Due to these seemingly contradictory traits, it can be difficult to figure him out. As he himself admits, "motivations are not what they seem to be." At one point he states, "Out of necessity -- medical and emotional -- I have gotten rather skilled at being an escape artist." Why do you think Campbell feels that he needs to hide his illness? Is it significant that Anna is the first to break down his barriers and hear the truth? Why, for example, does he flippantly dismiss all questions regarding Judge with sarcastic remarks?
6) At one point, Campbell thinks to himself: "There are two reasons not to tell the truth -- because lying will get you what you want, and because lying will keep someone from getting hurt." With this kind of thinking, Campbell gives himself an amazingly wide berth; he effectively frees himself from speaking any semblance of the truth as long as the lie will somehow benefit himself or anyone else. Did it concern you that a lawyer would express an opinion like this? Do you think, by the end of the story, that Campbell still thinks this moral flexibility is okay? In what ways might this kind of thinking actually wind up hurting Campbell?
7) It is interesting that Campbell suffers seizures that only his dog can foresee. How might this unique relationship mirror some of the relationships between humans in this novel? In what ways does Judge introduce important ideas about loyalty and instinct?
8) On page 149, Brian is talking to Julia about astronomy and says, "Dark matter has a gravitational effect on other objects. You can't see it, you can't feel it, but you can watch something being pulled in its direction." How is this symbolic of Kate's illness? What might be a possible reason for Brian's fascination with astronomy?
9) Near the end of the novel, Anna describes "Ifspeak" -- the language that all children know, but abandon as they grow older -- remarking that "Kids think with their brains cracked wide open; becoming an adult, I've decided, is only a slow sewing shut." Do you believe this to be true? What might children teach the adults in this novel? Which adults need lessons most?
10) "It's more like we're astronauts, each wearing a separate helmet, each sustained by our own source of air." This quote comes from Anna, as she and her parents sit in silence in the hospital cafeteria. Besides being a powerful image of the family members' isolation, this observation shows Anna to be one of the wisest, most perceptive characters in this novel. Discuss the alienation affecting these characters. While it is obvious that Anna's decision to sue her parents increases that sense of alienation throughout the novel (especially for Anna herself), do you think that she has permanently harmed the family dynamic?
11) During the trial, when Dr. Campbell takes the stand, he describes the rules by which the medical ethics committee, of which he is a part, rules their cases. Out of these six principles (autonomy, veracity, fidelity, beneficence, non-maleficence, and justice), which apply to Anna's lawsuit? Moreover, which of these should be applied to Anna's home situation? In other words, do you think a parent might have anything to learn from the guidelines that the doctors follow? Are there family ethics that ought to be put into place to ensure positive family dynamics? I so, what should they be?
12) Early in the legal proceedings, Anna makes a striking observation as she watches her mother slip back into her lawyer role, noting, "It is hard to believe that my mother used to do this for a living. She used to be someone else, once. I suppose we all were." Discuss the concept of change as it is presented in this story. While most of the characters seem to undergo a metamorphosis of sorts -- either emotionally or even physically (in the case of Kate), some seem more adept at it than others. Who do you think is ultimately the most capable of undergoing change and why?
13) Discuss the symbolic role that Jesse's pyromania plays in this novel, keeping in mind the following quote from Brian: "How does someone go from thinking that if he cannot rescue, he must destroy?" Why is it significant that Jesse has, in many respects, become the polar opposite of his father? But despite this, why is Jesse often finding himself in the reluctant hero position (saving Rat, delivering the baby at boot camp)? Brian himself comes to realize, in the scene where he confronts Jesse, that he and his son aren't so different. Talk about the traits that they share and the new understanding that they gain for each other by the end of the story.
14) My Sister's Keeper explores the moral, practical and emotional complications of putting one human being in pain or in danger for the well being of another. Discuss the different kinds of ethical problems that Anna, as the "designer baby," presents in this story? Did your view change as the story progressed? Why or why not? Has this novel changed any of your opinions about other conflicts in bioethics like stem cell research or genetically manipulated offspring?
All orders for eligible items amounting to $25 or more qualify for Free Shipping within the U.S.
What do I have to do?
Place at least $25 of eligible items in your bag.
Proceed to Checkout; "Standard Delivery" and "Send everything in as few packages as possible" will be pre-selected.
Complete your Checkout.
What exclusions apply?
All items identified as eligible for Free Shipping will qualify for the Free Shipping program, subject to certain exceptions. There are a number of reasons why your order might not be eligible for Free Shipping.
Free Shipping applies to orders made at www.bn.com and shipped within the U.S. only.
The $25 minimum purchase for Non-Members is calculated after all other discounts (including organizational discounts, and/or coupons) are applied. Charges relating to shipping, handling, gift-wrapping, Magazines, downloading Digital Products such as eBooks, SparkNotes, Quamut Charts, Digital Magazines, other PDF files, and Audiobook MP3s, and taxes will not be included to meet the $25 minimum.
Your order contains items that are ineligible for free shipping - these include: Used & Out of Print Books from our Authorized Sellers, Gift Cards, Gift Certificates, Magazines, Digital Products such as eBooks, SparkNotes, Quamut Charts, Digital Magazines, other PDF files, and Audiobook MP3s, Barnes & Noble Membership, unusually sized or overweight items, or any other item not identified as eligible for Free Shipping.
You changed your shipping preference to something other than "Send everything in as few packages as possible."
The Free Shipping offer will not apply to any order where cancellations or returns reduce the amount of qualifying purchases to less than $25; Barnes & Noble.com reserves the right to charge applicable shipping and handling costs to any such orders.
When should I expect to receive my purchase?
We do our best to estimate delivery dates for your purchase. The total delivery time for your BN.com order to arrive is a combination of the shipping availability time and delivery time. The shipping availability time tells you how quickly products are expected to be ready to leave our warehouses; this shipping availability is provided on the BN.com product detail page. The Free Shipping delivery time of 2-6 business days is the time in transit once your package has left our warehouse. For example, when an item is marked "Usually ships within 24 hours," this means the order will leave our warehouse within 24 hours and will arrive within 2-6 business days of leaving our warehouse. Orders containing pre-ordered items will not ship until ALL items are in stock.
Business Days are Monday through Friday, excluding holidays observed by the Post Office and UPS, such as New Year's Day, Presidents' Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, and Christmas.
Delivery times are not guaranteed. Sometimes the availability of the items in your order may change while we are processing your order. In this event, you will receive an email notifying you of a delay, and the remaining eligible items in your order will be shipped as scheduled.
What if I'm a Barnes & Noble Member?
If you purchase a Barnes & Noble Membership, you will enjoy Free Shipping in 1-3 business days with no minimum purchase required. Click here to learn more about becoming a Barnes & Noble Member.
Can the Free Shipping Program be changed or discontinued?
Barnes & Noble.com may change or discontinue Free Shipping at any time in its sole discretion; however you shall receive Free Shipping for any eligible purchases made prior to any change to the Free Shipping Program.
Choose Expedited Delivery at checkout for delivery by.Monday, December 2
New York Times bestselling author Jodi Picoult is widely acclaimed for her keen insights into the hearts and minds of real people. Now she tells the emotionally riveting story of a family torn apart by conflicting needs and a passionate love that triumphs over human weakness.
Anna is not sick, but she might as well be. By age thirteen, she has undergone countless surgeries, transfusions, and shots so that her older sister, Kate, can somehow fight the leukemia that has plagued her since childhood. The product of preimplantation genetic diagnosis, Anna was conceived as a bone marrow match for Kate — a life and a role that she has never challenged...until now. Like most teenagers, Anna is beginning to question who she truly is. But unlike most teenagers, she has always been defined in terms of her sister — and so Anna makes a decision that for most would be unthinkable, a decision that will tear her family apart and have perhaps fatal consequences for the sister she loves.
My Sister's Keeper examines what it means to be a good parent, a good sister, a good person. Is it morally correct to do whatever it takes to save a child's life, even if that means infringing upon the rights of another? Is it worth trying to discover who you really are, if that quest makes you like yourself less? Should you follow your own heart, or let others lead you? Once again, in My Sister's Keeper, Jodi Picoult tackles a controversial real-life subject with grace, wisdom, and sensitivity.
Booklist (Starred Review) My Sister's Keeper is a beautiful, heartbreaking, controversial, and honest book.
People (Critic's Choice) [Second Glance] is a fast-paced, densely layered exploration of love, the pull of family and the power of both to transcend time.
Publishers Weekly (Starred Review) A spellbinding suspense novel.
USA Today Picoult's characters are so compelling that the reader hopes this won't be the last time we meet.
Washington Post Picoult has become a master — almost a clairvoyant — at targeting hot issues and writing highly readable page-turners about them....
The Boston Globe Picoult writes with a fine touch, a sharp eye for detail, and a firm grasp of the delicacy and complexity of human relationships.
bn.com
The Barnes & Noble Review Known for writing novels with provocative themes centered on family conflict and difficult moral choices, Jodi Picoult presents the story of a child whose sole reason for existence is to assure a genetic match for her terminally ill sibling.
Conceived in vitro, 13-year-old Anna Fitzgerald has decided to sue her parents to stop them from using her as "spare parts" for her older sister, Kate, who suffers from leukemia. After years of having her bone marrow and blood used to keep Kate alive, Anna now refuses to donate a kidney and strives for her own personal freedom. She hires lawyer Campbell Alexander to represent her, even as her own mother, a former civil defense attorney, fights her in court.
The complex and emotionally wrenching narrative unfolds from the alternating perspectives of a large cast of intriguing and likable characters. Picoult, who has handled such delicate topics as teen suicide and euthanasia in previous novels, proves equally adept with this sensitive and emotionally charged subject matter. The tragic circumstances of Anna's plight are made all the more poignant because it's clear from the onset how much she loves her family. In My Sister's Keeper, the author has crafted a compelling story that is heartbreaking and literate in equal measure.
The Washington Post
Picoult is at her best, and most moving, when writing from the perspective of Anna's mother, Sara. Exhausted by Kate's recurrent illness, Sara is often on edge and overwhelmed. But she is also focused: Her tenacity, her vigilance and her support during Kate's aggressive cancer treatments all give Kate a reason to live. Mothering takes on new meaning, and the mundane becomes surreal: Kate's goldfish, according to the oceanologist Sara consults in a desperate effort to save the pet's life, requires bottled water, and the mere thought of buying Jesse a new pair of soccer cleats after Kate relapses seems "downright obscene."
— Katherine Arie
Publishers Weekly
The difficult choices a family must make when a child is diagnosed with a serious disease are explored with pathos and understanding in this 11th novel by Picoult (Second Glance, etc.). The author, who has taken on such controversial subjects as euthanasia (Mercy), teen suicide (The Pact) and sterilization laws (Second Glance), turns her gaze on genetic planning, the prospect of creating babies for health purposes and the ethical and moral fallout that results. Kate Fitzgerald has a rare form of leukemia. Her sister, Anna, was conceived to provide a donor match for procedures that become increasingly invasive. At 13, Anna hires a lawyer so that she can sue her parents for the right to make her own decisions about how her body is used when a kidney transplant is planned. Meanwhile, Jesse, the neglected oldest child of the family, is out setting fires, which his firefighter father, Brian, inevitably puts out. Picoult uses multiple viewpoints to reveal each character's intentions and observations, but she doesn't manage her transitions as gracefully as usual; a series of flashbacks are abrupt. Nor is Sara, the children's mother, as well developed and three-dimensional as previous Picoult protagonists. Her devotion to Kate is understandable, but her complete lack of sympathy for Anna's predicament until the trial does not ring true, nor can we buy that Sara would dust off her law degree and represent herself in such a complicated case. Nevertheless, Picoult ably explores a complex subject with bravado and clarity, and comes up with a heart-wrenching, unexpected plot twist at the book's conclusion. (Apr.) Copyright 2004 Reed Business Information.
Booklist
(Starred Review)My Sister's Keeper is a beautiful, heartbreaking, controversial, and honest book.
People
(Critic's Choice)[Second Glance] is a fast-paced, densely layered exploration of love, the pull of family and the power of both to transcend time.
USA Today
Picoult's characters are so compelling that the reader hopes this won't be the last time we meet.
Washington Post
Picoult has become a master -- almost a clairvoyant -- at targeting hot issues and writing highly readable page-turners about them....
The Boston Globe
Picoult writes with a fine touch, a sharp eye for detail, and a firm grasp of the delicacy and complexity of human relationships.
Library Journal
Imagine that you were conceived to be the donor of bone marrow and platelets for your older sister, who has a rare form of cancer. Imagine what it would be like to grow up in a family where everyone is constantly aware of one child's deadly illness, so that all decisions must be filtered through what will work for her treatment or her most recent medical emergency. How can a 12-year-old decide against donating a kidney to her older sister? By having this story narrated by each character in turn, Picoult (Second Glance) shows readers the dilemmas facing everyone involved: from Anna, the child who sues her parents for medical emancipation; to Sara, the mother who loves all three of her children but must devote continual attention to the daughter with cancer; and to Jesse, the son who has abandoned hope of ever being noticed by his parents. Picoult's timely and compelling novel will appeal to anyone who has thought about the morality of medical decision making and any parent who must balance the needs of different children. Highly recommended.-Kim Uden Rutter, Lake Villa Dist. Lib., IL Copyright 2004 Reed Business Information.
Kirkus Reviews
Picoult's latest chronicle of family travail (Second Glance, 2003, etc.) highlights the consequences of deliberately conceiving a child genetically compatible with a mortally ill sibling. The author vividly evokes the physical and psychic toll a desperately sick child imposes on a family, even a close and loving one like the Fitzgeralds. Picoult's plotting, though, is less sure, as an inherently somber tale morphs into a melodrama with a too-neat twist. Anna Fitzgerald, the 13-year-old who begins the story, was conceived in vitro, and her embryo's genetic makeup closely matched that of her sister Kate. Now 16, Kate was diagnosed at 2 with acute promyelocytic leukemia. In the years that followed she has suffered numerous relapses, despite the infusion of Anna's platelets and bone marrow, even stem cells from her sister's umbilical cord. Their parents, Sara and Brian, now want Anna to give Kate one of her kidneys; compromised by her drastic treatments, Kate's organs are shutting down. Instead, Anna contacts attorney Campbell Alexander and asks him to represent her; she wants her parents to stop using her body to help Kate. Like elder brother Jesse, who's turned his angst into arson and general bad-boy behavior, she has spent her life in the shadow of her sister's illness-one year Kate had to be hospitalized on every holiday. Sara, who has made keeping Kate alive her life's mission, is very angry, but Brian initially takes Anna's side, feeling too much has been asked of her. A hearing is scheduled, though Anna is torn between her affection for Kate and what she feels must be done. As the hearing begins Kate is hospitalized, Jesse's arson is discovered, and Anna initially refuses to testify.There can be no easy outcomes in a tale about individual autonomy clashing with a sibling's right to life, but Picoult thwarts our expectations in unexpected ways. Despite overplotting, then, a telling portrait of a profoundly stressed family. Agent: Laura Gross
