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HANDLE WITH CARE

Picoult’s strengths are evident in her exhaustively researched and gut-wrenching demonstration of OI’s devastating effects...

In another issue-driven novel, Picoult (Change of Heart, 2008, etc.) explores the impact of “wrongful birth” litigation on an ordinary New Hampshire family.

Charlotte O’Keefe, a prominent pastry chef, was thrilled when she conceived at age 38 without resorting to fertility treatments. Although she has a daughter, Amelia, by a previous relationship, she and her new husband, police officer Sean, wanted a child of their own. Charlotte’s best friend Piper unwisely agrees to be her OB-GYN. Eighteen weeks into the pregnancy, during a routine ultrasound, Piper, looking for signs of possible Down syndrome, discounts the import of the fetus’s unusually transparent cranium. At 27 weeks, another ultrasound reveals that Charlotte’s daughter has sustained several fractures in utero, a sign that she suffers from osteogenesis imperfecta (OI), a rare congenital defect that causes brittle bones and severe complications (including scoliosis, respiratory problems and years of costly orthopedic interventions). Now age six, Willow, still toddler-sized, cannot walk, play or even turn over in bed without risking a compound fracture. Charlotte abandoned her career to care for Willow 24/7. Although Willow is precocious intellectually and for the most part a joy to be around, her illness is, inarguably, a drain on family finances and emotions. After a vacation at Disney World goes horribly awry, the O’Keefes spiral apart. Charlotte decides to file a wrongful-birth lawsuit against Piper. The proceeds from the lawsuit, she rationalizes, would provide the quality of lifetime care Willow needs, even if suing amounts to betrayal. Sean is appalled by the implications of the lawsuit: that Willow should never have been born, and that Charlotte, if properly cautioned, would have contemplated abortion. Amelia, once a normal teen, becomes a bulimic, self-mutilating shoplifter.

Picoult’s strengths are evident in her exhaustively researched and gut-wrenching demonstration of OI’s devastating effects and the impact of a child’s disability on a sibling. However, too often characterization takes a back seat to polemic. Worse, the central moral quandary is undermined by an overly pat resolution.

Pub Date: March 3, 2009

ISBN: 978-0-7432-9641-0

Page Count: 480

Publisher: Atria

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Jan. 1, 2009

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A LITTLE LIFE

The phrase “tour de force” could have been invented for this audacious novel.

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Four men who meet as college roommates move to New York and spend the next three decades gaining renown in their professions—as an architect, painter, actor and lawyer—and struggling with demons in their intertwined personal lives.

Yanagihara (The People in the Trees, 2013) takes the still-bold leap of writing about characters who don’t share her background; in addition to being male, JB is African-American, Malcolm has a black father and white mother, Willem is white, and “Jude’s race was undetermined”—deserted at birth, he was raised in a monastery and had an unspeakably traumatic childhood that’s revealed slowly over the course of the book. Two of them are gay, one straight and one bisexual. There isn’t a single significant female character, and for a long novel, there isn’t much plot. There aren’t even many markers of what’s happening in the outside world; Jude moves to a loft in SoHo as a young man, but we don’t see the neighborhood change from gritty artists’ enclave to glitzy tourist destination. What we get instead is an intensely interior look at the friends’ psyches and relationships, and it’s utterly enthralling. The four men think about work and creativity and success and failure; they cook for each other, compete with each other and jostle for each other’s affection. JB bases his entire artistic career on painting portraits of his friends, while Malcolm takes care of them by designing their apartments and houses. When Jude, as an adult, is adopted by his favorite Harvard law professor, his friends join him for Thanksgiving in Cambridge every year. And when Willem becomes a movie star, they all bask in his glow. Eventually, the tone darkens and the story narrows to focus on Jude as the pain of his past cuts deep into his carefully constructed life.  

The phrase “tour de force” could have been invented for this audacious novel.

Pub Date: March 10, 2015

ISBN: 978-0-385-53925-8

Page Count: 720

Publisher: Doubleday

Review Posted Online: Dec. 21, 2014

Kirkus Reviews Issue: Jan. 1, 2015

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THE THINGS WE DO FOR LOVE

Heartfelt, yes, but pretty routine.

Life lessons.

Angie Malone, the youngest of a big, warm Italian-American family, returns to her Pacific Northwest hometown to wrestle with various midlife disappointments: her divorce, Papa’s death, a downturn in business at the family restaurant, and, above all, her childlessness. After several miscarriages, she, a successful ad exec, and husband Conlan, a reporter, befriended a pregnant young girl and planned to adopt her baby—and then the birth mother changed her mind. Angie and Conlan drifted apart and soon found they just didn’t love each other anymore. Metaphorically speaking, “her need for a child had been a high tide, an overwhelming force that drowned them. A year ago, she could have kicked to the surface but not now.” Sadder but wiser, Angie goes to work in the struggling family restaurant, bickering with Mama over updating the menu and replacing the ancient waitress. Soon, Angie befriends another young girl, Lauren Ribido, who’s eager to learn and desperately needs a job. Lauren’s family lives on the wrong side of the tracks, and her mother is a promiscuous alcoholic, but Angie knows nothing of this sad story and welcomes Lauren into the DeSaria family circle. The girl listens in, wide-eyed, as the sisters argue and make wisecracks and—gee-whiz—are actually nice to each other. Nothing at all like her relationship with her sluttish mother, who throws Lauren out when boyfriend David, en route to Stanford, gets her pregnant. Will Lauren, who’s just been accepted to USC, let Angie adopt her baby? Well, a bit of a twist at the end keeps things from becoming too predictable.

Heartfelt, yes, but pretty routine.

Pub Date: July 1, 2004

ISBN: 0-345-46750-7

Page Count: 400

Publisher: Ballantine

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: May 15, 2004

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