About this ebook
Jodi Picoult is widely acclaimed for her keen insights into the hearts and minds of real people. Now she tells the emotionally powerful 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.
Jodi Picoult
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-seven 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 A. Edwards Award. She lives in New Hampshire with her husband and three children. Visit her website at JodiPicoult.com.
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Reviews for My Sister's Keeper
912 ratings57 reviews
What our readers think
Readers find this title to be an exceptional, great read with a touching storyline. The book explores a controversial subject and provokes thought. It is written from different perspectives, allowing readers to empathize with each character. While some found the ending tragic and sad, others appreciated its realism. The book is described as tear-jerking, emotional, and thought-provoking. Despite the heartbreaking nature of the story, readers have praised the author's ability to capture the mindset of the characters. Overall, this book is highly recommended and won't disappoint readers.
- Rating: 5 out of 5 stars5/5May 7, 2019 **spoiler alert** I loved this book. I was my first Jodi Picoult book. I have mentioned (many times teehee—I am sure many of you who know my reviews are letting out sighs of exasperation right now) that I love Greek tragedies, and therefore any story that follows loosely (even just parts) the format, I love. I’m talking about bad things happening to good people; the protagonists struggling not only with outside issues, but with inner demons; character not being perfect but having major flaws; not always being able to tell who the “bad guy” or the “good guy” is: the good characters do bad things and have ugly parts in them and the bad ones surprising you and showing the light in them, some of their actions being good/leading to good things even if it seems like they are wrong at the time; and don't even get me started on storybook endings. To quote one of my favorite movies “Happy endings are stories that haven’t finished yet”- Mr. & Mrs Smith.All of those things I described are basically one thing, in my opinion. Life. It isn’t perfect. The guy always doesn’t get the girl. The plane crash victims don’t always survive and wash up on an uncharted deserted island, then survive for months/years until they are randomly rescued (statistically highly improbable). The cop doesn’t take out a building full of armed men alone, barefoot with glass in his feet, and save all the hostages (although Die Hard is the best action movie ever— I don't care what anyone says).I am not saying I dont like to read happy books where everything works out. That is fun and a really great escape. But if you are going to write a book about a tragic thing like a little girl with cancer then I think it would defeat the point of a sad story to have every work out all their issues and the girl be cured and viola life is perfect.Which is why I love Jodi Picoult so much. She knows how to write life. She is amazing. In fact—this so rarely happens— one of her books was even too much for me and I couldn't finish it. Yes people, this is Leah “Iron Will” Murdoch talking. I was so upset after reading Wally Lamb. Not because of the reason you are thinking. It is because he has only written a few books. But then someone introduced me to Picoult. I was so happy! She is like reading an extension of him.One thing (this isn’t about the book, exactly): I hated the changed ending in the movie. If you have read the book and seen the movie, then read my review, I am sure you can infer why.
- Rating: 4 out of 5 stars4/5May 7, 2019 I love Jodi Picoult - she's got a way with topics that make you think, with characters that you both love and hate, bring you joy and pain, with twists that really nail you. Sister's Keeper is a perfect example of this. The plot is setup and proceeds the way you might expect - but not in a dull manner. It keeps you turning the page. One of those books you won't put down until the last breathless page.
- Rating: 4 out of 5 stars4/5May 7, 2019 This book is so completely depressing. I have the biggest headache from crying and I'm so freaking PISSED! There was absolutely no point, or I missed it if there was. It was well written and extremely emotional story, but I just lost it. I don't ever want to read another Jodi Picoult book again.
- Rating: 5 out of 5 stars5/5May 7, 2019 This was my favorite Picoult book. You hate the mother and have so much sympathy for the daughter who was born essentially to keep her sister alive. Shades of real life from a family in California (Azusa I believe) who's daughter had leukemia or something and they had another baby to help keep her alive.
- Rating: 3 out of 5 stars3/5May 7, 2019 I found this book compulsively readable but an ultimate letdown. I've only read a couple of Picoult's books; in fact, this is the second. The first was "Plain Truth," and I remember the exact same plot device of having the lawyers involved in a romance. In this book, it seemed unnecessary, and I'm not sure why it was included. I also didn't care for the ending: was this supposed to be some sort of poetic justice? This book is like a hamburger when your craving a steak. It just doesn't satisfy.
- Rating: 5 out of 5 stars5/5May 7, 2019 Tears, tears, and more tears !!
- Rating: 4 out of 5 stars4/5May 7, 2019 This was one of the most powerful books I have ever read, then ending will shock even the most keen reader and Picoult keeps you wanting more with every page.
- Rating: 4 out of 5 stars4/5May 7, 2019 i read this book because the movie was coming out.
 i don't think i cried so much in a book other than the harry potter series. just heart-wrenching.
 much better than the movie (they changed the ending..wasn't half as sad as the book ending)
- Rating: 4 out of 5 stars4/5May 7, 2019 Powerful and thought-provoking. Tries to answer "When is too much enough?" and "Can a parent love too much?" Flaws in storyline and character development - Jesse is incomplete, as is Campbell. And I think she villianizes the mother a bit too much. Still, the issues resulted in a good book discussion.
- Rating: 5 out of 5 stars5/5May 7, 2019 Amazing, emotional and complicated matter , about a girl who sues her parents because she does not want to be the donor of her sick sister. Hard to put down because everybody in the book has their own reasons why they are behaving and making decisions as they are.
- Rating: 4 out of 5 stars4/5May 7, 2019 Thought-provoking, sometimes moving, sometimes frustrating, and occasionally humorous. Written from several alternating points of view, this is fast-paced and full of interesting subplots as well as a primary ethical dilemma. Unfortunately, the ending was disappointing and rather let it down. Still, I'm glad I read it. I'd seen such mixed reviews that I'd been put off, and had worried that it would be over-morbid. It wasn't at all - it was very readable.
- Rating: 5 out of 5 stars5/5May 7, 2019 great read. A teenage girl, who was concieved to be a donor for her sister, sues her parent for medical emancipation. The story is told from the points of view of all family members and the lawyer.
- Rating: 4 out of 5 stars4/5May 7, 2019 Well written novel about an ill child and the impact on the rest of the family. Each chapter from a different viewpoint. Picoult specialises in writing about difficult topics, in this case of a mother - not surprisingly - giving more attention to her sick daughter than to the rest of her family including the daughter conceived to be a tissue match to help her big sister. Written with sympathy and not supplying any easy answers.
- Rating: 4 out of 5 stars4/5May 7, 2019 This is one of only two Picoult books I've liked. The story of a girl who is conceived as an donor for her cancer-stricken sister is fairly riveting; the girl's conflicting feelings are explored well. Many found the ending contrived, but I thought it a fitting end to a rather manipulative plot. The mother is a hard woman made so by hard choices and circumstances.
- Rating: 2 out of 5 stars2/5May 7, 2019 Jodi Picoult tends to skew pretty soap-opera-y, which isn't always bad, but not always my cup of tea either. This book was a nuanced look at medical ethics...but felt a little movie-of-the-week. Can you tell I'm on the fence here?
- Rating: 4 out of 5 stars4/5May 7, 2019 Loved the multiple perspectives on a current and relevant issue - genetically engineered children and medical donations. It´s sure to get you thinking about where you stand on the issue. The characters evoke strong reactions from the reader - you either are on their side and cheering them on or wondering how in the world anyone could make those decisions and take those actions. I had a difficult time reading the mother´s part of the story at the beginning but by the end I understood why I needed to hear it from her side. And what an ending! I can see why this book was chosen to become a movie! Although I still can´t decide how I feel about the way it ended, but perhaps a little cheated. It seems like the easy way out.
- Rating: 4 out of 5 stars4/5May 7, 2019 Interesting. My daughter has diabetes, so could potentially someday need a kidney transplant. Would I create a child to help Bella? I'm not sure, but if I did, I hope I would treat that child with just as much humanity as I do Bella, as opposed to the parents in this book. Great plot.
- Rating: 2 out of 5 stars2/5May 7, 2019 Not sure where to start with this one...The story, or its premise rather, were very interesting, and that’s why I finished the book. The battle between a daughter conceived to save her cancer-stricken sister through continuous donations and now deciding that enough is enough, and the parents (mainly mother) who have been making these medical decisions and are now asking her to donate a kidney as a last-chance solution is, in principle, fascinating.The problem I had, besides what I think is a cheap and manipulative ending, was mainly with how the story was told.1. The multiple point of view technique. An author has to have a very good ear for voices to pull this off, and in my opinion Ms Picoult doesn’t have it. Without the name headings for the various sections, it would be difficult to distinguish between the mother, the father, the lawyer, the social worker, the troubled teenaged son, and the thirteen-year-old girl at the center of the case. There are no visible differences in the first-person narrations, other than the use of swear words by a couple of the characters, and this is especially noticeable when considering the various ages and education levels involved here. It might have worked as a third-person omniscient point of view, that jumped from one character to the next, but not in first person.2. The constant digressions to make poetic analogies. These really need to be used sparsely, or they will break the flow of the story. I found it very distracting to have every few paragraphs interrupted by a pseudo-philosophical observations on life, the universe (many star descriptions), and everything. There’s always a memory lurking around the corner, and it becomes very tedious by the end of the book.3. Related to the previous point, the use of cliche-y expressions drove me up the wall, metaphorically speaking. Most are in the vein of “When [insert circumstance, real or metaphorical], you just have to [insert solution to said circumstance].” I found them trite and tiresome, and they distracted me from the reading.And, as I mentioned, I felt that the ending was a betrayal of sorts, an insult to the reader. Without giving it away, I will just say that the novel would have been much better off had it ended right after the trial. I know that things like this do happen, but in a novel like this it just seems set up, forcing the characters into an extra act of the drama. It felt cheap and lazy, an easy way out of the “what will happen now” that could have been a perfect ending, and a shameless manipulation of readers who have already had to make difficult decisions along with the characters.
- Rating: 5 out of 5 stars5/5May 7, 2019 This was better than I expected--thought it was going to be way depressing, and it was definitely sad, but it gave me more hope than I thought it would!
- Rating: 5 out of 5 stars5/5Feb 8, 2017 This is a heartbreaking story that will make you curl up and weep in bed, but you will never regret reading it. The author did a fantastic describing the mindset of so many different characters. The only thing that was rather difficult was keeping track of an ever changing timeline.
- Rating: 5 out of 5 stars5/5May 22, 2017 AMAZING, so well written and very heart wrenching. You won't regret reading it!
- Rating: 5 out of 5 stars5/5Sep 29, 2017 Uncommon plot and unpredictable ending. I really love the book and the way Picoult writes it from different perspectives of the characters. I don't like the ending, but that makes this book a great one.
- Rating: 4 out of 5 stars4/5Jun 19, 2016 Incredibly Heartbreaking. A shitty ending, to say the least. interesting all the same
- Rating: 5 out of 5 stars5/5Feb 1, 2016 Amazing book, one of my all time favourites! I loved the different point of views! It allowed you to see how different people can be impacted by a central issue. The writing allowed you to have empathy for each character and feel their pain. The movie adaptation of this was horrible, don't let that stop you from reading this fantastic book!
- Rating: 5 out of 5 stars5/5Jan 19, 2019 This is a very heavy book, but well written. At the end of each chapter I had to stop for a moment just to process how I was feeling about what was going on. You will most likely cry at least once during this book. At first I was angry at the author for how the book ended, but reflecting on it later, I think she made the right choice.
- Rating: 2 out of 5 stars2/5Mar 27, 2024 I don't even know how I was able to finish this book. The idea itself is what drew me in and that is why I wanted to see it to the end. Make no mistake, this isn't a good one.
- Rating: 5 out of 5 stars5/5Mar 15, 2023 I don't know if I've loved a book this much in a very long time. As a mom of 4 little ones, my reading is pretty scarce, but i picked this up on Saturday and finished it Monday, my eyes swollen with tears. ?
- Rating: 4 out of 5 stars4/5Dec 3, 2020 An interesting story written on a controversial subject. Thought provoking. Although I could foretell some story lines, the book held my interest. The ending did surprise me, but fits with the overall tragic, complicated and sad theme for story's family.
- Rating: 3 out of 5 stars3/5May 21, 2020 oh. when it started raining, you just knew.
- Rating: 5 out of 5 stars5/5Apr 27, 2020 Tear jerking, emotional rollercoaster. Couldn’t put down. As a mother it makes you really ponder what would you do? Whose side would you really be on?
Book preview
My Sister's Keeper - Jodi Picoult
MONDAY
Brother, I am fire
Surging under ocean floor.
I shall never meet you, brother—
Not for years, anyhow;
Maybe thousands of years, brother.
Then I will warm you,
Hold you close, wrap you in circles,
Use you and change you—
Maybe thousands of years, brother.
—CARL SANDBURG, Kin
 
ANNA
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 loupe 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. 
Can I come in?
 
He thinks twice, then steps back to let me enter. The room is a sea of dirty clothes and magazines and leftover Chinese take-out cartons; it smells like the sweaty tongue of a hockey skate. The only neat spot is the shelf where Jesse keeps his special collection—a Jaguar’s silver mascot, a Mercedes symbol, a Mustang’s horse—hood ornaments that he told me he just found lying around, although I’m not dumb enough to believe him.
Don’t get me wrong—it isn’t that my parents don’t care about Jesse or whatever trouble he’s gotten himself mixed up in. It’s just that they don’t really have time to care about it, because it’s a problem somewhere lower on the totem pole.
Jesse ignores me, going back to whatever he was doing on the far side of the mess. My attention is caught by a Crock-Pot—one that disappeared out of the kitchen a few months ago—which now sits on top of Jesse’s TV with a copper tube threaded out of its lid and down through a plastic milk jug filled with ice, emptying into a glass Mason jar. Jesse may be a borderline delinquent, but he’s brilliant. Just as I’m about to touch the contraption, Jesse turns around. Hey!
 He fairly flies over the couch to knock my hand away. You’ll screw up the condensing coil.
 
Is this what I think it is?
 
A nasty grin itches over his face. Depends on what you think it is.
 He jimmies out the Mason jar, so that liquid drips onto the carpet. Have a taste.
 
For a still made out of spit and glue, it produces pretty potent moonshine whiskey. An inferno races so fast through my belly and legs I fall back onto the couch. Disgusting,
 I gasp. 
Jesse laughs and takes a swig, too, although for him it goes down easier. So what do you want from me?
 
How do you know I want something?
 
Because no one comes up here on a social call,
 he says, sitting on the arm of the couch. And if it was something about Kate, you would’ve already told me.
 
"It is about Kate. Sort of." I press the newspaper clippings into my brother’s hand; they’ll do a better job explaining than I ever could. He scans them, then looks me right in the eye. His are the palest shade of silver, so surprising that sometimes when he stares at you, you can completely forget what you were planning to say.
Don’t mess with the system, Anna,
 he says bitterly. We’ve all got our scripts down pat. Kate plays the Martyr. I’m the Lost Cause. And you, you’re the Peacekeeper.
 
He thinks he knows me, but that goes both ways—and when it comes to friction, Jesse is an addict. I look right at him. Says who?
 
• • •
Jesse agrees to wait for me in the parking lot. It’s one of the few times I can recall him doing anything I tell him to do. I walk around to the front of the building, which has two gargoyles guarding its entrance.
Campbell Alexander, Esquire’s office is on the third floor. The walls are paneled with wood the color of a chestnut mare’s coat, and when I step onto the thick Oriental rug on the floor, my sneakers sink an inch. The secretary is wearing black pumps so shiny I can see my own face in them. I glance down at my cutoffs and the Keds that I tattooed last week with Magic Markers when I was bored.
The secretary has perfect skin and perfect eyebrows and honeybee lips, and she’s using them to scream bloody murder at whoever’s on the other end of the phone. "You cannot expect me to tell a judge that. Just because you don’t want to hear Kleman rant and rave doesn’t mean that I have to  . . . no, actually, that raise was for the exceptional job I do and the crap I put up with on a daily basis, and as a matter of fact, while we’re on— She holds the phone away from her ear; I can make out the buzz of disconnection. 
Bastard, she mutters, and then seems to realize I’m standing three feet away. 
Can I help you?" 
She looks me over from head to toe, rating me on a general scale of first impressions, and finding me severely lacking. I lift my chin and pretend to be far more cool than I actually am. I have an appointment with Mr. Alexander. At four o’clock.
 
Your voice,
 she says. On the phone, you didn’t sound quite so  . . .
 
Young?
She smiles uncomfortably. We don’t try juvenile cases, as a rule. If you’d like I can offer you the names of some practicing attorneys who—
 
I take a deep breath. Actually,
 I interrupt, "you’re wrong. Smith v. Whately, Edmunds v. Womens and Infants Hospital, and Jerome v. the Diocese of Providence all involved litigants under the age of eighteen. All three resulted in verdicts for Mr. Alexander’s clients. And those were just in the past year." 
The secretary blinks at me. Then a slow smile toasts her face, as if she’s decided she just might like me after all. Come to think of it, why don’t you just wait in his office?
 she suggests, and she stands up to show me the way. 
• • •
Even if I spend every minute of the rest of my life reading, I do not believe that I will ever manage to consume the sheer number of words routed high and low on the walls of Campbell Alexander, Esquire’s office. I do the math—if there are 400 words or so on every page, and each of those legal books are 400 pages, and there are twenty on a shelf and six shelves per bookcase—why, you’re pushing nineteen million words, and that’s only partway across the room.
I’m alone in the office long enough to note that his desk is so neat, you could play Chinese football on the blotter; that there is not a single photo of a wife or a kid or even himself; and that in spite of the fact that the room is spotless, there’s a mug full of water sitting on the floor.
I find myself making up explanations: it’s a swimming pool for an army of ants. It’s some kind of primitive humidifier. It’s a mirage.
I’ve nearly convinced myself about that last one, and am leaning over to touch it to see if it’s real, when the door bursts open. I practically fall out of my chair and that puts me eye to eye with an incoming German shepherd, which spears me with a look and then marches over to the mug and starts to drink.
Campbell Alexander comes in, too. He’s got black hair and he’s at least as tall as my dad—six feet—with a right-angle jaw and eyes that look frozen over. He shrugs out of a suit jacket and hangs it neatly on the back of the door, then yanks a file out of a cabinet before moving to his desk. He never makes eye contact with me, but he starts talking all the same. I don’t want any Girl Scout cookies,
 Campbell Alexander says. Although you do get Brownie points for tenacity. Ha.
 He smiles at his own joke. 
I’m not selling anything.
 
He glances at me curiously, then pushes a button on his phone. Kerri,
 he says when the secretary answers. What is this doing in my office?
 
I’m here to retain you,
 I say. 
The lawyer releases the intercom button. I don’t think so.
 
You don’t even know if I have a case.
 
I take a step forward; so does the dog. For the first time I realize it’s wearing one of those vests with a red cross on it, like a St. Bernard that might carry rum up a snowy mountain. I automatically reach out to pet him. Don’t,
 Alexander says. Judge is a service dog.
 
My hand goes back to my side. But you aren’t blind.
 
Thank you for pointing that out to me.
 
So what’s the matter with you?
 
The minute I say it, I want to take it back. Haven’t I watched Kate field this question from hundreds of rude people?
I have an iron lung,
 Campbell Alexander says curtly, and the dog keeps me from getting too close to magnets. Now, if you’d do me the exalted honor of leaving, my secretary can find you the name of someone who—
 
But I can’t go yet. Did you really sue God?
 I take out all the newspaper clippings, smooth them on the bare desk. 
A muscle tics in his cheek, and then he picks up the article lying on top. I sued the Diocese of Providence, on behalf of a kid in one of their orphanages who needed an experimental treatment involving fetal tissue, which they felt violated Vatican II. However, it makes a much better headline to say that a nine-year-old is suing God for being stuck with the short end of the straw in life.
 I just stare at him. Dylan Jerome,
 the lawyer admits, wanted to sue God for not caring enough about him.
 
A rainbow might as well have cracked down the middle of that big mahogany desk. Mr. Alexander,
 I say, my sister has leukemia.
 
I’m sorry to hear that. But even if I were willing to litigate against God again, which I’m not, you can’t bring a lawsuit on someone else’s behalf.
 
There is way too much to explain—my own blood seeping into my sister’s veins; the nurses holding me down to stick me for white cells Kate might borrow; the doctor saying they didn’t get enough the first time around. The bruises and the deep bone ache after I gave up my marrow; the shots that sparked more stem cells in me, so that there’d be extra for my sister. The fact that I’m not sick, but I might as well be. The fact that the only reason I was born was as a harvest crop for Kate. The fact that even now, a major decision about me is being made, and no one’s bothered to ask the one person who most deserves it to speak her opinion.
There’s way too much to explain, and so I do the best I can. It’s not God. Just my parents,
 I say. I want to sue them for the rights to my own body.
 
CAMPBELL
WHEN YOU ONLY HAVE A HAMMER, everything looks like a nail.
This is something my father, the first Campbell Alexander, used to say; it is also in my opinion the cornerstone of the American civil justice system. Simply put, people who have been backed into a corner will do anything to fight their way to the center again. For some, this means throwing punches. For others, it means instigating a lawsuit. And for that, I’m especially grateful.
On the periphery of my desk Kerri has arranged my messages the way I prefer—urgent ones written on green Post-its, less pressing matters on yellow ones, lined up in neat columns like a double game of solitaire. One phone number catches my eye, and I frown, moving the green Post-it to the yellow side instead. Your mother called four times!!! Kerri has written. On second thought, I rip the Post-it in half and send it sailing into the trash.
The girl sitting across from me waits for an answer, one I’m deliberately withholding. She says she wants to sue her parents, like every other teenager on the planet. But she wants to sue for the rights to her own body. It is exactly the kind of case I avoid like the Black Plague—one which requires far too much effort and client baby-sitting. With a sigh, I get up. What did you say your name was?
 
I didn’t.
 She sits a little straighter. It’s Anna Fitzgerald.
 
I open the door and bellow for my secretary. Kerri! Can you get the Planned Parenthood number for Ms. Fitzgerald?
 
What?
 When I turn around, the kid is standing. "Planned Parenthood?" 
Look, Anna, here’s a little advice. Instigating a lawsuit because your parents won’t let you get birth control pills or go to an abortion clinic is like using a sledgehammer to kill a mosquito. You can save your allowance money and go to Planned Parenthood; they’re far better equipped to deal with your problem.
 
For the first time since I’ve entered my office, I really, truly look at her. Anger glows around this kid like electricity. My sister is dying, and my mother wants me to donate one of my kidneys to her,
 she says hotly. Somehow I don’t think a handful of free condoms is going to take care of that.
 
You know how every now and then, you have a moment where your whole life stretches out ahead of you like a forked road, and even as you choose one gritty path you’ve got your eyes on the other the whole time, certain that you’re making a mistake? Kerri approaches, holding out a strip of paper with the number I’ve asked for, but I close the door without taking it and walk back to my desk. No one can make you donate an organ if you don’t want to.
 
Oh, really?
 She leans forward, counting off on her fingers. The first time I gave something to my sister, it was cord blood, and I was a newborn. She has leukemia—APL—and my cells put her into remission. The next time she relapsed, I was five and I had lymphocytes drawn from me, three times over, because the doctors never seemed to get enough of them the first time around. When that stopped working, they took bone marrow for a transplant. When Kate got infections, I had to donate granulocytes. When she relapsed again, I had to donate peripheral blood stem cells.
 
This girl’s medical vocabulary would put some of my paid experts to shame. I pull a legal pad out of a drawer. Obviously, you’ve agreed to be a donor for your sister before.
 
She hesitates, then shakes her head. Nobody ever asked.
 
Did you tell your parents you don’t want to donate a kidney?
 
They don’t listen to me.
 
They might, if you mentioned this.
 
She looks down, so that her hair covers her face. They don’t really pay attention to me, except when they need my blood or something. I wouldn’t even be alive, if it wasn’t for Kate being sick.
 
An heir and a spare: this was a custom that went back to my ancestors in England. It sounded callous—having a subsequent child just in case the first one happens to die—yet it had been eminently practical once. Being an afterthought might not sit well with this kid, but the truth is that children are conceived for less than admirable reasons every single day: to glue a bad marriage together; to keep the family name alive; to mold in a parent’s own image. They had me so that I could save Kate,
 the girl explains. They went to special doctors and everything, and picked the embryo that would be a perfect genetic match.
 
There had been ethics courses in law school, but they were generally regarded as either a gut or an oxymoron, and I usually skipped them. Still, anyone who tuned in periodically to CNN would know about the controversies of stem cell research. Spare-parts babies, designer infants, the science of tomorrow to save the children of today.
I tap my pen on the desk, and Judge—my dog—sidles closer. What happens if you don’t give your sister a kidney?
 
She’ll die.
 
And you’re okay with that?
 
Anna’s mouth sets in a thin line. I’m here, aren’t I?
 
Yes, you are. I’m just trying to figure out what made you want to put your foot down, after all this time.
 
She looks over at the bookshelf. Because,
 she says simply, it never stops.
 
Suddenly, something seems to jog her memory. She reaches into her pocket and puts a wad of crumpled bills and change onto my desk. You don’t have to worry about getting paid, either. That’s $136.87. I know it’s not enough, but I’ll figure out a way to get more.
 
I charge two hundred an hour.
 
Dollars?
 
Wampum doesn’t fit in the ATM deposit slot,
 I say. 
Maybe I could walk your dog, or something.
 
Service dogs get walked by their owners.
 I shrug. We’ll work something out.
 
You can’t be my lawyer for free,
 she insists. 
Fine, then. You can polish my doorknobs.
 It’s not that I’m a particularly charitable man, but rather that legally, this case is a lock: she doesn’t want to give a kidney; no court in its right mind would force her to give up a kidney; I don’t have to do any legal research; the parents will cave in before we go to trial, and that will be that. Plus, the case will generate a ton of publicity for me, and will jack up my pro bono for the whole damn decade. I’m going to file a petition for you in family court: legal emancipation for medical purposes,
 I say. 
Then what?
 
There will be a hearing, and the judge will appoint a guardian ad litem, which is—
 
—a person trained to work with kids in the family court, who determines what’s in the child’s best interests,
 Anna recites. Or in other words, just another grown-up deciding what happens to me.
 
"Well, that’s the way the law works, and you can’t get around it. But a GAL is theoretically only looking out for you, not your sister or your parents."
She watches me take out a legal pad and scrawl a few notes. Does it bother you that your name is backward?
 
What?
 I stop writing, and stare at her. 
Campbell Alexander. Your last name is a first name, and your first name is a last name.
 She pauses. Or a soup.
 
And how does that have any bearing on your case?
 
It doesn’t,
 Anna admits, "except that it was a pretty bad decision your parents made for you." 
I reach across my desk to hand her a card. If you have any questions, call me.
 
She takes it, and runs her fingers over the raised lettering of my name. My backward name. For the love of God. Then she leans across the desk, grabs my pad, and tears the bottom off the page. Borrowing my pen, she writes something down and hands it back to me. I glance down at the note in my hand:
Anna 555 3211
"If you have any questions," she says.
• • •
When I walk out to the reception area, Anna is gone and Kerri sits at her desk, a catalog spread-eagled across it. Did you know they used to use those L. L. Bean canvas bags to carry ice?
 
Yeah.
 And vodka and Bloody Mary mix. Toted from the cottage to the beach every Saturday morning. Which reminds me, my mother called. 
Kerri has an aunt who makes her living as a psychic, and every now and then this genetic predisposition rears its head. Or maybe she’s just been working for me long enough to know most of my secrets. At any rate, she knows what I am thinking. She says your father’s taken up with a seventeen-year-old and that discretion isn’t in his vocabulary and that she’s checking herself into The Pines unless you call her by  . . .
 Kerri glances at her watch. Oops.
 
How many times has she threatened to commit herself this week?
 
Only three,
 Kerri says. 
We’re still way below average.
 I lean over the desk and close the catalog. Time to earn a living, Ms. Donatelli.
 
What’s going on?
 
That girl, Anna Fitzgerald—
 
Planned Parenthood?
 
Not quite,
 I say. We’re representing her. I need to dictate a petition for medical emancipation, so that you can file it with the family court by tomorrow.
 
"Get out! You’re representing her?"
I put a hand over my heart. I’m wounded that you think so little of me.
 
Actually, I was thinking about your wallet. Do her parents know?
 
They will by tomorrow.
 
Are you a complete idiot?
 
Excuse me?
 
Kerri shakes her head. Where’s she going to live?
 
The comment stops me. In fact, I hadn’t really considered it. But a girl who brings a lawsuit against her parents will not be particularly comfortable residing under the same roof, once the papers are served.
Suddenly Judge is at my side, pushing against my thigh with his nose. I shake my head, annoyed. Timing is everything. Give me fifteen minutes,
 I tell Kerri. I’ll call you when I’m ready.
 
Campbell,
 Kerri presses, relentless, you can’t expect a kid to fend for herself.
 
I head back into my office. Judge follows, pausing just inside the threshold. It’s not my problem,
 I say; and then I close the door, lock it securely, and wait. 
SARA
1990
THE BRUISE IS THE SIZE AND SHAPE of a four-leaf clover, and sits square between Kate’s shoulder blades. Jesse is the one to find it, while they are both in the bathtub. Mommy,
 he asks, does that mean she’s lucky?
 
I try to rub it off first, assuming it’s dirt, without success. Kate, two, the subject of scrutiny, stares up at me with her china blue eyes. Does it hurt?
 I ask her, and she shakes her head. 
Somewhere in the hallway behind me, Brian is telling me about his day. He smells faintly of smoke. So the guy bought a case of expensive cigars,
 he says, and had them insured against fire for $15,000. Next thing you know, the insurance company gets a claim, saying all the cigars were lost in a series of small fires.
 
"He smoked them?" I say, washing the soap out of Jesse’s hair.
Brian leans against the threshold of the door. "Yeah. But the judge ruled that the company guaranteed the cigars as insurable against fire, without defining acceptable
