My Sister's Keeper
Encyclopedia
My Sister's Keeper is a 2004 novel written by New York Times Best Selling author Jodi Picoult
. It tells the story of 13-year-old Anna, who litigates her parents for medical emancipation when she is expected to donate a kidney
to her sister Kate, who is dying from leukemia.
in 2004. Anna Fitzgerald's older sister, Kate, suffers from acute promyelocytic leukemia
, a blood and bone marrow cancer. Anna was conceived as a savior sibling
, in order to harvest blood from her umbilical cord
to use in treatments to help save Kate's life. Although the treatment was initially successful, Kate relapsed; ever since, Anna, the only compatible family member, has been used as a donor for any other bodily substance needed to treat Kate, who continues to swing between remission and relapse as she grows up.
Anna is usually willing to donate whatever Kate needs, but when she is 13, she is told that she will have to donate one of her kidneys. The surgery required for both Kate and Anna would be major; it is not guaranteed to work, as the stress of the operation may well kill Kate anyway; and the loss of a kidney could have a serious impact on Anna's life. Anna petitions for medical emancipation with the help of lawyer Campbell Alexander, so that she will be able to make her own decisions regarding her medical treatment and the donation of her kidney.
Anna's mother, Sara, is an ex-lawyer and decides to represent herself and her husband in the lawsuit. Over the course of the novel, she tries on several occasions to make Anna drop the lawsuit. Anna refuses to do so, but the resulting tension between her and her mother result in her moving out of the house to live with her father Brian in the fire station where he works. This is done on the advice of Julia Romano, the court-appointed guardian ad litem whose job it is to decide what would be best for Anna. Julia was once romantically involved with Campbell when they went to school together, but Campbell broke her heart when he left her. Unbeknown to Julia, Campbell left her because he discovered he had epilepsy and thought she deserved better.
Meanwhile, Anna's brother Jesse, who has spent most of his life being ignored in favor of ill Kate or donor Anna, spends most of his time setting fire to abandoned buildings with home-made explosives and doing drugs. He is a self-confessed juvenile delinquent. One moment when his parents pay him any attention is when Brian discovers that it is Jesse who has been setting the fires. Brian forgives him, and by the end of the book, he has reformed and graduated from the police academy.
During the trial, it is revealed that Kate asked Anna to sue for emancipation because she did not want Anna to have to transplant, and because she believes that she will die anyway. The judge rules in Anna's favor, and grants Campbell medical power of attorney. However, as Campbell drives her home after the trial, their car is hit by an oncoming truck. Brian, the on-call firefighter who arrives at the scene, retrieves an unconscious and injured Anna from the wreckage of the crushed car and rushes her and Campbell to hospital. At the hospital, the doctor informs Sara and Brian that Anna is brain-dead, that the machines keeping her alive may as well be switched off, and asks them if they have considered organ donation. Campbell steps in, and declares that he has the power of attorney, and "there is a girl upstairs who needs that kidney." Kate is prepared for surgery, and Anna's kidney is successfully transplanted. Kate survives the surgery and remains in remission
for at least six years.
Kate believes that she survived because someone had to go, and Anna took her place. Six years later, she works as a dance instructor.
, Katherine Arie described some of the characters as unconvincing, such as Brian, who is "too good to be true", Jesse, "a poster child for self-destructive behavior", and Kate, who is "as weak and wispy on the page as she's supposed to be in life", but ultimately called the book "a thrill to read".
In 2009 the American Library Association (ALA) and the office for Intellectual Freedom named My Sister's Keeper the seventh most frequently challenged book in the US. Schools and Libraries attempted to ban the book for the following reasons: Sexism, Homosexuality, Sexual Explicity, Offensive Language, Religious Viewpoint, Unsuitability to Age Group, Drugs, Suicide, Violence.
adapted My Sister's Keeper into a feature film, which was directed by Nick Cassavetes and released on June 26, 2009. It starred Cameron Diaz
as Sara and Alec Baldwin
as Campbell. Kate and Anna were played respectively by Sofia Vassilieva
and Abigail Breslin
.
The film, with an alternate ending and more emphasis on certain subplots while entirely eliminating others, has significant differences from the novel.
Jodi Picoult
Jodi Lynn Picoult is an American author. She was awarded the New England Bookseller Award for fiction in 2003. Picoult currently has some 14 million copies of her books in print worldwide.-Early life and education:...
. It tells the story of 13-year-old Anna, who litigates her parents for medical emancipation when she is expected to donate a kidney
Kidney
The kidneys, organs with several functions, serve essential regulatory roles in most animals, including vertebrates and some invertebrates. They are essential in the urinary system and also serve homeostatic functions such as the regulation of electrolytes, maintenance of acid–base balance, and...
to her sister Kate, who is dying from leukemia.
Plot
The story takes place in Providence, Rhode IslandProvidence, Rhode Island
Providence is the capital and most populous city of Rhode Island and was one of the first cities established in the United States. Located in Providence County, it is the third largest city in the New England region...
in 2004. Anna Fitzgerald's older sister, Kate, suffers from acute promyelocytic leukemia
Acute promyelocytic leukemia
Acute promyelocytic leukemia is a subtype of acute myelogenous leukemia , a cancer of the blood and bone marrow. It is also known as acute progranulocytic leukemia; APL; AML with t, PML-RARA and variants; FAB subtype M3 and M3 variant.In APL, there is an abnormal accumulation of immature...
, a blood and bone marrow cancer. Anna was conceived as a savior sibling
Savior sibling
A savior sibling is a child who is born to provide an organ or cell transplant to a sibling that is affected with a fatal disease, such as cancer or Fanconi anemia, that can best be treated by hematopoietic stem cell transplantation....
, in order to harvest blood from her umbilical cord
Umbilical cord
In placental mammals, the umbilical cord is the connecting cord from the developing embryo or fetus to the placenta...
to use in treatments to help save Kate's life. Although the treatment was initially successful, Kate relapsed; ever since, Anna, the only compatible family member, has been used as a donor for any other bodily substance needed to treat Kate, who continues to swing between remission and relapse as she grows up.
Anna is usually willing to donate whatever Kate needs, but when she is 13, she is told that she will have to donate one of her kidneys. The surgery required for both Kate and Anna would be major; it is not guaranteed to work, as the stress of the operation may well kill Kate anyway; and the loss of a kidney could have a serious impact on Anna's life. Anna petitions for medical emancipation with the help of lawyer Campbell Alexander, so that she will be able to make her own decisions regarding her medical treatment and the donation of her kidney.
Anna's mother, Sara, is an ex-lawyer and decides to represent herself and her husband in the lawsuit. Over the course of the novel, she tries on several occasions to make Anna drop the lawsuit. Anna refuses to do so, but the resulting tension between her and her mother result in her moving out of the house to live with her father Brian in the fire station where he works. This is done on the advice of Julia Romano, the court-appointed guardian ad litem whose job it is to decide what would be best for Anna. Julia was once romantically involved with Campbell when they went to school together, but Campbell broke her heart when he left her. Unbeknown to Julia, Campbell left her because he discovered he had epilepsy and thought she deserved better.
Meanwhile, Anna's brother Jesse, who has spent most of his life being ignored in favor of ill Kate or donor Anna, spends most of his time setting fire to abandoned buildings with home-made explosives and doing drugs. He is a self-confessed juvenile delinquent. One moment when his parents pay him any attention is when Brian discovers that it is Jesse who has been setting the fires. Brian forgives him, and by the end of the book, he has reformed and graduated from the police academy.
During the trial, it is revealed that Kate asked Anna to sue for emancipation because she did not want Anna to have to transplant, and because she believes that she will die anyway. The judge rules in Anna's favor, and grants Campbell medical power of attorney. However, as Campbell drives her home after the trial, their car is hit by an oncoming truck. Brian, the on-call firefighter who arrives at the scene, retrieves an unconscious and injured Anna from the wreckage of the crushed car and rushes her and Campbell to hospital. At the hospital, the doctor informs Sara and Brian that Anna is brain-dead, that the machines keeping her alive may as well be switched off, and asks them if they have considered organ donation. Campbell steps in, and declares that he has the power of attorney, and "there is a girl upstairs who needs that kidney." Kate is prepared for surgery, and Anna's kidney is successfully transplanted. Kate survives the surgery and remains in remission
Remission
Remission may refer to:*Remission , the state of absence of disease activity in patients with a chronic illness, with the possibility of return of disease activity*Remission , the reflection or scattering of light by a material...
for at least six years.
Kate believes that she survived because someone had to go, and Anna took her place. Six years later, she works as a dance instructor.
Publication history
Picoult, Jodi. My Sister's Keeper. Atria Books: New York, 2004. ISBN 1416549178. ISBN 141654917X.Critical reception
In review for The Washington PostThe Washington Post
The Washington Post is Washington, D.C.'s largest newspaper and its oldest still-existing paper, founded in 1877. Located in the capital of the United States, The Post has a particular emphasis on national politics. D.C., Maryland, and Virginia editions are printed for daily circulation...
, Katherine Arie described some of the characters as unconvincing, such as Brian, who is "too good to be true", Jesse, "a poster child for self-destructive behavior", and Kate, who is "as weak and wispy on the page as she's supposed to be in life", but ultimately called the book "a thrill to read".
In 2009 the American Library Association (ALA) and the office for Intellectual Freedom named My Sister's Keeper the seventh most frequently challenged book in the US. Schools and Libraries attempted to ban the book for the following reasons: Sexism, Homosexuality, Sexual Explicity, Offensive Language, Religious Viewpoint, Unsuitability to Age Group, Drugs, Suicide, Violence.
Adaptations
New Line CinemaNew Line Cinema
New Line Cinema, often simply referred to as New Line, is an American film studio. It was founded in 1967 by Robert Shaye and Michael Lynne as a film distributor, later becoming an independent film studio. It became a subsidiary of Time Warner in 1996 and was merged with larger sister studio Warner...
adapted My Sister's Keeper into a feature film, which was directed by Nick Cassavetes and released on June 26, 2009. It starred Cameron Diaz
Cameron Diaz
Cameron Michelle Diaz is an American actress and former model. She became famous during the 1990s with roles in the movies The Mask, My Best Friend's Wedding, and There's Something About Mary. Other high-profile credits include the two Charlie's Angels films, voicing the character Princess Fiona...
as Sara and Alec Baldwin
Alec Baldwin
Alexander Rae "Alec" Baldwin III is an American actor who has appeared on film, stage, and television.Baldwin first gained recognition through television for his work in the soap opera Knots Landing in the role of Joshua Rush. He was a cast member for two seasons before his character was killed off...
as Campbell. Kate and Anna were played respectively by Sofia Vassilieva
Sofia Vassilieva
Sofia Vladimirovna Vassilieva is an American actress. She is best known for playing the children's book heroine Eloise, in two made-for-television movies, Ariel Dubois in the Emmy-winning TV series Medium, and the cancer patient Kate Fitzgerald in the 2009 film adaption of My Sister's Keeper by...
and Abigail Breslin
Abigail Breslin
Abigail Kathleen Breslin is an American teen actress. She is one of the youngest actresses ever to be nominated for an Academy Award....
.
The film, with an alternate ending and more emphasis on certain subplots while entirely eliminating others, has significant differences from the novel.