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Richard & Judy Book Club
Book Club

WEEK 9 - Wednesday 16th March 2005

The ninth book to be reviewed in our 2005 Book Club was MY SISTER'S KEEPER by Jodi Picoult.

Talking about the book alongside Richard & Judy were our celebrity reviewers Amanda Donohoe and Dr John’s Marsden, plus this week's featured Book Group, the The Fertility Group from Shepherds Bush, London.

Book Club MORE ABOUT THE REVIEWERS!

Amanda Donohoe leapt to fame as the sexy CJ Lamb, giving the US it's first TV lesbian kiss. She last starred on our screens in the hit TV series Murder City, alondside Kris Marshall. She also got her kit off on stage following Jerry Hall in the theatre as Mrs Robinson in The Graduate!

Dr John Marsden is a behavioural psychologist with an interest in medical ethics. He is a chartered psychologist and Senior Lecturer in Addictive Behaviour at London's Institute of Psychiatry (IOP) and a senior member of the UK National Addiction Centre. He trained in psychology at University College London between 1981-1984 and his Ph.D studies were on the treatment of alcohol and other drug problems.

Book Club MORE ABOUT THE BOOK!

If you have one of your children to save the life of another, are you being a good mother – or a very bad one?

When Sara and Brian Fitzgerald’s two-year-old daughter, Kate, is diagnosed with acute promyelocytic leukaemia, the chances of her living longer are contingent upon her receiving a bone marrow transplant. But since their eldest child, Jesse, isn’t a match and a transplant from a matched, unrelated donor carries a greater risk of mortality, the oncologist intimates that a future sibling could be an ideal donor.

So, by genetically engineering an embryo to be a perfect match for Kate, which is then implanted in Sara through IVF, Anna the designer baby is born. During her pregnancy Sara admits: ‘Although I am nine months pregnant, although I have had plenty of time to dream, I have not really considered the specifics of this child. I have thought of this daughter only in terms of what she will be able to do for the daughter I already have.’

So the scene is set for a book that begins when Anna is thirteen years old. By this time she has undergone countless invasive surgeries. Umbilical cord blood was taken from Anna moments after her birth, the cells of which put Kate’s leukaemia into remission. Anna was five when Kate next relapsed and she donated lymphocytes three times over. When Kate got infections, Anna donated branulocytes; when she relapsed again, Anna donated peripheral blood stem cells; and, when other therapies became ineffective, she gave bone marrow for a transplant. In short, Anna is an ‘organ martyr’.

Kate, now 16, has had five years of remission before suffering a relapse. Her only hope this time is a kidney transplant. Sara is applying subtle pressure on her younger daughter to give consent for one of her kidneys to be taken and given to her sister. But Anna refuses. She has had enough. So she’s found a lawyer from the newspaper, and she’s going to persuade him to take on her case. She’s going to sue her parents for the rights to her own body.

Anna, who feels she grew up on a cancer ward, is finally given permission to voice her resentment at being designated her sister’s saviour. ‘In addition to the piece of me that’s always wanted Kate to live, there’s another horrible piece of me that sometimes wished I was free,’ she confesses.

The novel has some gut-wrenching descriptions of the pain that Kate undergoes and its terrible impact on her parents and siblings, it is a novel absolutely of our times. The story is told from multiple viewpoints: there’s Anna; her sister Kate; their brother, Jesse, a sensitive juvenile delinquent; Sara, their mother who gave up life as a practicing attorney to raise them; dad Brain, a fire-fighter; Campbell, Anna’s attorney; and Julia, Anna’s court-appointed guardian.

Sara and Brian are good, loving parents but the majority of their time and energy is taken up by Kate’s medical emergencies and treatments and, as a result, they tend to neglect the needs and desires of their other two children. Whenever a crisis arises, Anna and Jesse are dropped off at some neighbour’s house, promises are broken, appointments cancelled and opportunities missed.

Consequently, Jesse experiences feelings of worthlessness because he isn’t able to save his sister by being a donor and his drug problem, pyromania and other rebellious acts are clearly a way to get noticed. And when Anna files her lawsuit her parents are shocked that she’d sign her sister’s death sentence and wonder if this, too, is a cry for attention.

But in the weeks preceding the court hearing, Sara and Brian are forced to reflect on their past actions and how the sanctity of Kate’s existence has become completely intertwined with the quality of Anna’s life. And although the lawyer is still getting to know Anna and trying to understand what fuelled her to file the petition, he knows motivations are never what they seem to be.

Anna’s motivation is eventually revealed but more shocking is the ironic twist of fate that comes at the end of the story, proving that no matter how much you plan or how hard you try to control the future, life always has its own game plan.

Book Club MORE ABOUT THE AUTHOR!

Jodi Picoult was born and raised – happily – on Long Island something that she believed at first was a detriment to a girl who wanted to be a writer, ‘I had such an uneventful childhood that when I was taking writing classes at college, I called home and asked my mother if maybe there might have been a little incest or domestic abuse on the side that she’d forgotten about,’ she recalls. ‘It took me a while to realise that I already did have something to write about – that solid core of family, and the knotty tangle of relationships, which I keep coming back to in my books’.

Jodi studied creative writing at Princeton, and had two short stories published in Seventeen magazine while still a student. The first time the editor called Jodi to say she wanted to pay her for something she’d written, Jodi thought she’d made it. A quick telephone call to her mom brought her straight back to earth. ‘That’s great,’ her mom had said, ‘Who’s going to support you?’. Realism – and a profound desire to be able to pay the rent – led Jodi to a series of different jobs following her graduation: as a technical writer for a Wall Street brokerage firm, as a copywriter at an ad agency, as an editor at a textbook publisher, and as an 8th grade English teacher – before entering Harvard to pursue a master’s in education.

She married Tim Van Leer, whom she had known at Princeton, and it was while she was pregnant with her first child that she wrote her first novel, Songs of the Humpback Whale. Her struggle to balance motherhood and her own career formed, in part, the basis of her second novel, Harvesting the Heart. For the next few years, she was either delivering a book or a baby. Now, she’s happy to be prolific solely in her writing and describes herself as a mother who moonlights as a writer. ‘It took me a while to find the balance,’ she says, ‘but I’m a better mother because I have my writing… and I’m a better writer because of the experiences I’ve had as a parent that continually remind me how far we are willing to go for the people we love the most.’

Jodi is now an internationally popular author. My Sister’s Keeper is her eleventh novel and she appears regularly in the New York Times top ten. The sales of her 10 previous books have reached more than one million copies and in 2003 she was awarded the New England Bookseller Award for Fiction. However, before My Sister’s Keeper she had never been published in the UK.

Jodi is known for writing fictional page-turners that address controversial issues. She can rarely be found without a question on her mind, and that question usually is: ‘What would happen if…?’. Her novels mix elements of mystery, romance and the supernatural. But her recurring subject is the ambiguities of contemporary ethical issues. Her previous books have homed in on issues such as euthanasia, teen suicide and sterilisation laws. ‘If I come across a question that I can’t let go of,’ says Jodi, ‘and it’s still rolling around in my head three weeks later, that’s what leads me to want to write about it.’

Jodi says when she starts a book; she juggles a what-if question in her head, and pushes it and pushes it until she feels like she has a good story. ‘I figure out what I need to know and do my research, via the Internet or email or in some cases getting down and dirty… I start to write when I come up with an excellent first line. And then I keep going, chapter by chapter, exactly in the order in which you’re reading it. Often, about two-thirds of the way through, the characters will take over and move the book in a different direction. I can fight them, but usually when I do that the book isn’t as good as it could be. It sounds crazy, but the book really starts writing itself after a while. I often feel like I am just transcribing a film that’s being spooled in my head, and I have nothing to do with creating it. Certain scenes surprise me even after I have written them – I just stare at the computer screen, wondering how that happened.’

Jodi works at home in an attic office and has just completed her twelfth book, Vanishing Acts, about a woman raised by her father who discovers that rather than having a dead mother, she was kidnapped after a custody battle. After she wrote it, she says, three similar cases showed up in the news. She’s working now on a different kind of novel, to debut in 2006, about a comic book artist. His works, being drawn by a young man named Dustin Weaver, are part of the book. ‘It’s a picture book for adults,’ she says. Graphic novels, she says, are part of the future. ‘But I don’t think they’ll ever take over narrative fiction, because then I wouldn’t have a job.’

Jodi, Tim and their three children live in a 13-acre home in Hanover, New Hampshire with their Springer spaniel, Gus, a rabbit and two Jersey calves, Decalf and Coffee.

INSPIRATION FOR MY SISTER’S KEEPER:

As with Jodi’s other books, My Sister’s Keeper raises controversial what-if questions about issues that impact ordinary families. The book had multiple inspirations. Jodi started thinking about the ethics of genetics and stem cell research while writing Second Glance – in which an investigator of the paranormal stumbles upon a graveyard associated with the subjects of Vermont’s eugenics program. Jodi said that the information she learned during her research was so fascinating to her that she stuck it onto a separate file and turned it into a story all of its own.

Then, in 2000, she read about a Colorado couple who conceived a child so that baby’s umbilical cord blood stem cells could be harvested on behalf of his sister, who had leukaemia. The treatment worked. ‘I’ve been in touch with the mom,’ Jodi says, ‘and the little boy knows nothing. The cord blood stem cells worked. The sister knows. And they all love that little boy. If anything, they love him more.’ Although Jodi is personally pro-stem cell research, there were certain questions that haunted her: What would happen if the cord blood failed? If the sister died? If, when he grows up, the boy discovers his original purpose? Are parents who conceive to save the life of a sibling bad parents?

Picoult says that some parents who use PDG (pre-implantation genetic diagnosis) to create a saviour sibling in the US, where more than 6000 procedures have been carried out, are demonised. ‘They are parents who start this process because they love their children and it’s an odd Catch-22,’ she says. ‘We trust parents to make decisions in the best medical interests of the child but when there are two children’s interests, that breaks down.’ Picoult discovered that hospital medical ethics committees in the US, which are designated to regulate such decisions, were run on an ad-hoc basis by medics who all had full-time jobs elsewhere.

Then while she was writing the book, her middle child, now 10, was diagnosed with a very rare tumour, a cholesteatoma, which grows from the inside of the ear toward the brain. Jodi and Tim were faced with a very difficult decision over their own. The traditional way to deal with this type of cancer, Jodi says, involves destroying the ear canal, making the child deaf. Instead, she and Tim, decided to go a different route that would mean many more surgeries, 10 in all, but left their son able to hear. ‘We got very, very lucky,’ she says.

‘As you watch your child undergoing a general anaesthetic for the umpteenth time, you think, ‘Let me do it, let me have the surgery instead’,’ she says. ‘We had to turn to our other two kids and say many times, ‘Yes, you are going to have to change the date or your birthday party or holiday because your brother’s having surgery’.’ The experience inevitably changed her book, which was going to be told only from the 13-year-old’s perspective: ‘I understood the mom’s point of view. When you have a sick child, everything else takes a backseat. I needed to hear from everyone. I really felt like I was sewing a quilt together with all their voices.’

Book Club MORE ABOUT THE BOOK GROUP!

This week's featured book group charged with reviewing our ninth 2005 Book Club novel is the Fertility Group, from London.

This is a very individual book group that consists of seven mothers (although two of them are mothers-to be) who have all at one point or another been pregnant while in the reading group. The group started as a collection of like minded women who weren’t particularly confident, meeting via their children. Their ages range from 30 to 45 and they usually meet once every six weeks at various locations, usually a Pizza restaurant in Shepherds Bush. Normally they read books that have had a degree of media coverage and have been avidly following the Richard & Judy Book Club!

Here's what they thought...

“This book really moved me. It made me feel how fragile life is. No matter what we want to do, we can’t predict the future; it’s already planned for us.”

“I found the book presented a very interesting ethical and current debate. I enjoyed it very much. I found myself reading it from Anna’s point of view. It did make me think what I would do in that situation, would I put two children through that?”

“I really liked the book, to me, the most important thing it reflected was the strength of the family, I would definitely recommend it and I found it a very insightful read.”

“I liked the way the author portrayed believable characters and I particularly liked the way she structured the book.”

“Our reading group is made up of Mother’s with toddlers. I felt the book was very appropriate, it dealt with the issue of whether Sara was a good mother or not and that is a question that we frequently ask ourselves.”

“I really enjoyed this novel, very well written. Very difficult topic that was dealt with in an easy and fluent way.”

If you'd like to find other reading groups and events taking place in London's libraries visit the London Libraries website here

Book Club ABOUT THE PUBLISHER

Published by Hodder & Stoughton
(ISBN 034083546X)

Find out more about the books published by Hodder & Stoughton from their website >>here
 

Book Club RICHARD & JUDY'S BOOK CLUB

Find out more about all the other books in the Book Club >>here
 


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BOOK GROUPS! Book Club

If you're part of a book club or reading group, we'd like to hear what you think about the books in this year's Richard & Judy Book Club.

We can't wait to hear what you think of the books so Happy Reading and get in touch
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NATIONAL LIBRARY FOR THE BLIND NLB

Imagine not being able to get hold of the book all your friends are saying you must read. Newspapers, magazines and TV shows are telling you it’s one of the best books they’ve ever read, but you can’t read it, let alone express your views or vote for it.

Thankfully that is not the case with Richard & Judy’s Best Read! Once again, the National Library for the Blind (NLB) has worked closely alongside Richard & Judy to make sure blind people can take part in the Best Read and is producing the short-listed books in Braille to sit alongside each book club programme.

Find out more information on buying or borrowing these books, and more information about NLB
here...