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My Sister's Keeper: A Novel [Hardcover]

Jodi Picoult
4.1 out of 5 stars  See all reviews (1,590 customer reviews)


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Book Description

April 6, 2004
"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.



Editorial Reviews

From 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.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

From School Library Journal

Adult/High School - Anna was genetically engineered to be a perfect match for her cancer-ridden older sister. Since birth, the 13-year-old has donated platelets, blood, her umbilical cord, and bone marrow as part of her family's struggle to lengthen Kate's life. Anna is now being considered as a kidney donor in a last-ditch attempt to save her 16-year-old sister. As this compelling story opens, Anna has hired a lawyer to represent her in a medical emancipation suit to allow her to have control over her own body. Picoult skillfully relates the ensuing drama from the points of view of the parents; Anna; Cambell, the self-absorbed lawyer; Julia, the court-appointed guardian ad litem; and Jesse, the troubled oldest child in the family. Everyone's quandary is explicated and each of the characters is fully developed. There seems to be no easy answer, and readers are likely to be sympathetic to all sides of the case. This is a real page-turner and frighteningly thought-provoking. The story shows evidence of thorough research and the unexpected twist at the end will surprise almost everyone. The novel does not answer many questions, but it sure raises some and will have teens thinking about possible answers long after they have finished the book. - Susan H. Woodcock, Fairfax County Public Library, Chantilly, VA
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

Product Details

  • Hardcover: 432 pages
  • Publisher: Atria Books; 1st Atria Books Hardcover Ed edition (April 6, 2004)
  • Language: English
  • ISBN-10: 0743454529
  • ISBN-13: 978-0743454520
  • Product Dimensions: 6.7 x 2.2 x 9.5 inches
  • Shipping Weight: 1.4 pounds
  • Average Customer Review: 4.1 out of 5 stars  See all reviews (1,590 customer reviews)
  • Amazon Best Sellers Rank: #330,164 in Books (See Top 100 in Books)

More About the Author

I grew up on Long Island with my parents and my little brother, the product of a ridiculously happy childhood. My mom says I've been writing as long as she remembers - my first masterpiece was "The Lobster That Was Misunderstood," at age 5. I honed my writing skills beyond that, one hopes, before I headed off to Princeton, where I wanted to work with living, breathing authors in their creative writing program. Mary Morris was my teacher/mentor, and I really do believe I wouldn't be where I am today if not for her guidance and expertise. I had two short stories published in SEVENTEEN magazine when I was in college. However, when I graduated, a desire to not eat ramen noodles exclusively and to be able to pay my rent led me to take a job on Wall Street (not a great idea, since I can't even balance my checkbook). When the stock market crashed in 1987, I moved to Massachusetts and over the course of two years, worked at a textbook publishing company, taught creative writing at a private school, became an ad copywriter, got a master's in education at Harvard, got married, taught at a public school, and had a baby. My first novel was published shortly after my son was born, and I've always said that the reason I kept writing is because it's so much easier than teaching English.

In fourteen years, I've published thirteen novels: Songs of the Humpback Whale, Harvesting the Heart, Picture Perfect, Mercy, The Pact, Keeping Faith, Plain Truth, Salem Falls, Perfect Match, Second Glance, My Sister's Keeper, Vanishing Acts, and the upcoming The Tenth Circle, this March. Two of my books (Plain Truth and The Pact) were made into Lifetime TV movies; Keeping Faith will be another. My Sister's Keeper is in development at New Line Cinema to be a feature film. And there isn't a single day that I don't stop and marvel at the fact that when I go to work, I get to do what I love the most.

My husband Tim and I live in Hanover, NH with our three kids, a dog, a rabbit, and the occasional donkey or cow.

Customer Reviews

Most Helpful Customer Reviews
232 of 257 people found the following review helpful
5.0 out of 5 stars Complex issues in a fascinating story April 29, 2004
Format:Hardcover
Jodi Picoult has masterfully covered yet another controversial topic in her novel "My Sister's Keeper." This time, young Kate is diagnosed with a severe form of leukemia. Her parents then have a baby, Anna, who is genetically selected to be a close donor match for Kate. From her birth onward into her early teens, Anna is called upon to undergo increasingly invasive and dangerous procedures to provide blood, bone marrow, and other tissues to sustain her older sister's life. Now, a kidney is needed, and Anna brings a lawsuit against her parents, claiming the right to her make own decision about what medical procedures can be performed on her. Anna's mother Sara, an attorney, decides to represent her own daughter Kate at the trial.

There are some very difficult questions raised in this story. Does Anna have the obligation to risk her own health to save her sister? Do her parents have the right to make the medical decisions about Anna's donor role, and where should their loyalties lie? Where is the fine line between what is legal and what is ethical in a situation like this? There seem to be no right or wrong answers here, and the ensuing trial recounts all the physical, moral, psychological, and familial struggles that are brought to bear on the issue. Picoult paints a powerfully emotional picture of a family in turmoil. She adds additional tension to the story through brother Jesse, whose drug taking and criminal tendencies add even more burdens to an already overwrought situation. The story also includes the love/hate relationship between Anna's lawyer and her legal guardian.

The narrative switches from character to character so that the reader hears the voices of each family member, as well as that of Anna's lawyer and of the legal guardian appointed to watch out for her interests. Sara's narrative includes flashbacks on the history of Kate's illness, Anna's role in providing medical support, and the toll that the constant threat of Kate's death takes on the family. There are several shocking twists to the plot that make the story even more riveting. This is Picoult's best book yet!

Eileen Rieback

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107 of 119 people found the following review helpful
By MJS
Dear God, how I hated the characters in this book.

I read My Sister's Keeper after reading a blurb about it. The topic fascinated me: what would a child conceived to "save" a sibling think as they grew older? Especially if the "saving" part went on and on and on.

The books starts with that child, Anna, going to a lawyer to get out of her role as genetic donor on call. So far, so good. It's a soapy, Lifetime movie idea but I've nothing against a soapy story. Middlemarch and War and Peace have their soapy elements too. The problem isn't the soapiness, it's that Picoult keeps adding the soap, piling on sub-plots and adding quirks to her characters until, frankly, I wanted to kill them myself. You'll rarely find a less likable group of characters than the adults on display in this book.

Campbell Alexander, the lawyer Anna hires, is standard issue "selfish, self-absorbed, morally questionable attorney who only wants to win." His quirk is that he has a service dog but HE ISN'T BLIND. Gee, I wonder what the reason could be. Seriously, is there anyone with half a brain who can't think of the one other reason an adult would have a service dog? There must be loads because Picoult treats this as a big mystery even though every chapter from Campbell's point of view has him telling someone that "Judge" (get it, a lawyer with a dog named "Judge"? Wow.) is a service dog. I wish that Judge's service job would have been to bite Campbell on the leg everytime Campbell said the words "service dog" or at least to chomp on him whenever he was a jerk but, alas, Judge just trots around witnessing this silliness.

Then there's Julia Romano, Anna's court appointed guardian and Campbell's old flame. What are the chances that these two would see each other again after he dumped her? Well, they do live in Rhode Island and both practice law in Providence so I guess the question really is how is it possible they haven't run into each other in the last 20 years? Julia is quirky too, she's a free spirit. I know this because Julia gives all her appliances names. Her refrigerator is called "Smilla." Yes, Julia is considered by a court to be responsible enough to look after the interests of a child despite the fact that she names inanimate objects and converses with them.

But once you've got a load of Anna's mother, Sara, you'll probably think even Smilla would be a better guardian. Sara is the least likable person in the book. Selfish, delusional, self-absorbed and self-enchanted, Sara ignores her son Jesse to the point that he becomes a pyromaniac, sees her daughter Anna as a walking donor and relentlessly insists on "saving" her daughter Kate without asking the teenager what she wants. Oh, and she orders designer gowns from BlueFly and returns them on a regular basis. Sara was a lawyer and when the courtroom scenes start, Sara decides to represent herself. And why not? It's smart, it's cheap, it's the sort of thing courts love and it just makes sense. Why should anyone else have the spotlight? I think Picoult meant Sara to be likable and slightly clueless about the impact of her actions. I wanted to throttle Sara.

Everyone in this book ruminates. About life. About death. About the stars. About their appliances. Instead of being thoughtful or deep it just grinds the story to a halt. It also made me wish these people would stop navel gazing and do something. Say what you will about Jesse and his little match-focused hobby, at least he gets out of the house once in a while.

It all comes down to a courtroom confrontation, just like in Perry Mason. Will Anna win her freedom? Will Sara make her see that she may feel guilty for letting Kate die? Will Kate ever stand up for herself? Will Campbell tell Julia the real reason he dumped her? Will someone, anyone, tell Sara to shut up?

Then there's the "twist" ending. I know some readers hated it so much it ruined the book for them. I was too far gone by then to think anything but "so this is what irony overload looks like." And that the RI DMV must have some interesting rules if Campbell can get a driver's license.

Picoult is capable of, and has written, much better. (See The Pact, for an example of Picoult on form.) She'd have done beter to have cut the story in half, dropped all the sub-plots and stuck to the main story. And had several characters slap Sara. Repeatedly.
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137 of 155 people found the following review helpful
1.0 out of 5 stars A good book that is RUINED by its horrible ending June 4, 2009
Format:Paperback
MASSIVE SPOILER ALERT! DO NOT READ THIS REVIEW IF YOU DO NOT WANT TO BE ENTIRELY SPOILED!

With the movie about to come out, I thought I should review this book to warn people about it. DON'T BOTHER!

I actually really enjoyed the book (even with the rather clunky writing and unsubtle characterizations), and then the ending comes and I start screaming "What? You've gotta be kidding me!" It betrayed the entire premise of the book. It betrayed the characters. It certainly betrayed the reader. I will never read another book by this purveyor of pulp, and I refuse to go see the movie unless I am assured beforehand that they have re-written the ending so it makes sense with the rest of the story.

Specifically, and these are spoilers: what I got from the book was that the mother was so determined to save her older daughter, Kate, that she had totally lost her moorings. Kate was suffering unbearably, and so were her other children and her husband. So Anna, the younger daughter, takes a stand on Kate's behalf, and says stop, Kate should decide when enough is enough and this is it. Kate has decided she has fought through ten years of misery just to take another breath, but that's not enough. She wants a quality of life that she just can't have. So she is going to step back, let her sister and her family live their lives, and accept her own lot in life. I thought that was a very moving and interesting perspective.

Then, the end of this stupid book happens. Anna and Kate win their court case. They get to make their own medical decisions. Except they don't. "Fate" intervenes. Anna is killed in a stupid, cheap car crash. And suddenly her kidney, which was the point of the whole book, is basically up for grabs. So Kate just takes it. Even though the whole point of her character throughout the book was that she was done with medical procedures, suddenly the fact that her sister is a dead donor, instead of a perfectly willing live donor, makes her change her whole philosophy. And she takes the kidney. And she lives. So, it turns out that the mother was right all along. The girls were just "acting out," I guess. If they had just accepted one more medical procedure, everything would have been rosy. The whole premise of the book as I understood it -- that sometimes adolescents can see things adults can't, and can earn the right to determine their own destiny -- was just total b.s. Mommy always knows best. Oh, I cannot begin to express how I hated this conclusion. It made me feel like the entire book was an ugly practical joke.
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Most Recent Customer Reviews
5.0 out of 5 stars Ok
I loved this book very much up until the end. Even though it wasn't what you'd expect I didn't think Anna should of died. It disappointing that Kate should of died in my mind
Published 18 hours ago by kim troy
5.0 out of 5 stars Excellent read
A well written story, looks at the ethics of conceiving and using siblings as donors for sick children. This novel draws you in till the very end.
Published 3 days ago by Alea Rose
3.0 out of 5 stars disappointed
So far disc 4 has scratches throughout the disc. I wish the narration used the same voices for the same people...gets confusing sometimes.
Published 6 days ago by LauraAnn1961
5.0 out of 5 stars Well...
I just really wanted to give this book five stars. I thought it was exceptional. Everyone should have a chance to learn from it.
Published 7 days ago by Lily Bell
2.0 out of 5 stars Disappointed
This book would have been great if I liked the author's writing style. The story is structured from the perspective of each character...chapter by chapter. Read more
Published 14 days ago by Teetee
5.0 out of 5 stars A brave story
Having recently been faced with the prospect of doing PGD due to infertility I was curious to read this book as I hate the term 'designer baby'. Read more
Published 22 days ago by Anne Marie Sorohan
5.0 out of 5 stars Strong, Beautiful & Tragic
Very few books as this has ever been written. My Sister's Keeper is an incredibly and wonderfully strong, beautiful and tragic story of a family with a child who has a rare form of... Read more
Published 22 days ago by Khamneithang Vaiphei
5.0 out of 5 stars Completely surprised
I understand the loss of someone dying from cancer. I lost my mother in 9 months and we didn't have options like Kate has had. Read more
Published 28 days ago by Amber
3.0 out of 5 stars Heart-breaking!
The only reason I read this book is because of my book club. This is not my usual subject to read about; not crazy about kids and cancer. Read more
Published 28 days ago by Kinx's Book Nook
5.0 out of 5 stars Caught unawares
I've read most of Picoult's books but this one REALLY caught me unawares. Unlike most of the developed world, I hadn't seen the movie so wasn't prepared for the deluge of sympathy... Read more
Published 29 days ago by Raukura51
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Welcome to the My Sister's Keeper forum
This is my first Picoult novel. However I like how the narrator changes with each chapter. It give insight into the way different people process Kate's battle against cancer depending on their individual role within the family.
Nov 13, 2005 by Gypsy Mom |  See all 27 posts
Such accurate details!
She may have her fact down when it comes to transplants, but Ms. Picoult shirked her duties when it comes to researching the details of life with epilepsy. In Rhode Island you must be seizure-free for eighteen months in ordder to drive a car. You do not put things in the mouth of an epileptic... Read more
Jan 16, 2009 by Joy Begbie |  See all 5 posts
Why such poor language?
ook, I'm all for using the King's English at most times, esp. throughout a novel. (Lots of dialogue) but you are looking at this line of tragic events through your own set of strict moral values. Are you quite aware that there are thousands of people who, while they have a wide vocabulary; while... Read more
Sep 8, 2009 by jules |  See all 2 posts
Couldn't put this book down!
I agree. I spent the afternoon reading this book. I couldn't stop. I will recommend this to everyone!
Sep 7, 2008 by Melissa Wyatt |  See all 12 posts
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