Cover of My Sister’s Keeper
    LiteraryLiterary FictionRelationshipYoung Adult

    My Sister’s Keeper

    by Picoult, Jodie
    “My Sister’s Keeper” by Jodie Picoult follows 13-year-old Anna Fitzgerald, who was conceived as a genetic match to donate organs and blood to her older sister Kate, who suffers from leukemia. When Anna is asked to donate a kidney, she sues her parents for medical emancipation, challenging the ethical boundaries of family obligation and bodily autonomy. The novel explores themes of sacrifice, moral dilemmas, and the complexities of love through multiple perspectives. Picoult’s narrative delves into the emotional and legal turmoil faced by the Fitzgerald family, raising profound questions about medical ethics and personal choice. The story is inspired by the real-life case of Anissa and Marissa Ayala.

    The chap­ter opens with Camp­bell Alexan­der, a sharp-wit­ted attor­ney, field­ing an ear­ly morn­ing call from his moth­er about his father’s alleged affair. Irri­tat­ed by her con­stant dra­ma, he deflects her con­cerns with dry humor and hangs up, reveal­ing his strained rela­tion­ship with his par­ents. His ser­vice dog, Judge, serves as both a com­pan­ion and a sym­bol­ic coun­ter­point to human fol­ly. Camp­bel­l’s lux­u­ri­ous but sparse­ly stocked apart­ment reflects his detached, fast-paced lifestyle, empha­siz­ing his pref­er­ence for din­ing out over domes­tic­i­ty. The scene estab­lish­es his sar­don­ic world­view and self-reliant nature.

    Camp­bel­l’s morn­ing rou­tine is dis­rupt­ed when he arrives at Rosie’s, his usu­al café, only to find his reg­u­lar table occu­pied by a stranger. The absence of Ophe­lia, a wait­ress he flirt­ed with, and her sud­den elope­ment with an eccen­tric artist fur­ther unset­tle him. A con­fronta­tion with a skep­ti­cal wait­er about Judge’s sta­tus as a ser­vice dog show­cas­es Camp­bel­l’s quick wit and dis­dain for soci­etal norms. Through the café win­dow, he spots a mys­te­ri­ous woman who momen­tar­i­ly cap­ti­vates him, hint­ing at a deep­er, unre­solved per­son­al his­to­ry before she dis­ap­pears from view.

    The nar­ra­tive shifts to Camp­bel­l’s law office, where he barks orders at his assis­tant, Ker­ri, dis­play­ing his pro­fes­sion­al inten­si­ty. Anna Fitzger­ald, a young client, sur­pris­es him by pol­ish­ing his doorknob—a task he sup­pos­ed­ly assigned her. Their inter­ac­tion is charged with ten­sion, espe­cial­ly when Camp­bell receives a call from Anna’s moth­er, Sara, who insists Anna is drop­ping her law­suit. Camp­bel­l’s skep­ti­cism and Anna’s eva­sive­ness sug­gest a con­flict between famil­ial pres­sure and per­son­al agency, leav­ing the legal out­come uncer­tain.

    The chap­ter clos­es with Camp­bell con­fronting Anna about her moth­er’s claims, expos­ing the dis­con­nect between Anna’s actions and her fam­i­ly’s expec­ta­tions. Anna’s non­cha­lant defi­ance and Ker­ri’s eaves­drop­ping add lay­ers of intrigue, set­ting the stage for a legal and emo­tion­al show­down. Camp­bel­l’s sharp dia­logue and Anna’s guard­ed respons­es high­light the themes of auton­o­my and manip­u­la­tion, leav­ing read­ers ques­tion­ing who tru­ly holds pow­er in their attor­ney-client rela­tion­ship.

    FAQs

    • 1. How does Campbell Alexander’s opening reflection about parental obligations set the tone for his character and relationships?

      Answer:
      Campbell’s opening monologue reveals his conflicted feelings about familial duty and establishes his cynical worldview. His exasperation with his mother’s frequent calls about his father’s affairs shows emotional detachment, while his wish for siblings to “share the burden” demonstrates a transactional view of relationships. This frames Campbell as someone who values independence over emotional connection, a trait reinforced by his minimalist apartment and preference for restaurant food—both symbols of his self-contained lifestyle. His comment about dogs severing contact with their mothers further underscores his desire for emotional distance from family.

      2. Analyze the significance of Campbell’s service dog, Judge, as both a practical tool and symbolic element in the narrative.

      Answer:
      Judge serves multiple functions: as a genuine service animal (though Campbell’s specific need isn’t disclosed), as comic relief through their banter (“putting a Judge in a crate”), and as Campbell’s only consistent emotional connection. Their seven-year bond contrasts sharply with Campbell’s transient human relationships. The dog’s name—a playful jab at Campbell’s legal profession—reveals his dark humor. Judge also acts as a social buffer, allowing Campbell to deflect personal questions (like the waiter’s intrusion about his disability) with sarcasm rather than vulnerability, showcasing his defensive communication style.

      3. What does the disrupted routine at Rosie’s café reveal about Campbell’s personality and foreshadow about upcoming events?

      Answer:
      Campbell’s irritation at losing his usual table and discovering Ophelia’s abrupt elopement highlights his need for control and predictability. His shock at these changes—including his visceral reaction to the mysterious woman outside—foreshadows upcoming disruptions to his ordered life. The café scene mirrors later professional disruptions when Anna Fitzgerald appears unexpectedly in his office. The “seven-thirty A.M., and already this day is a bust” line becomes ironic foreshadowing, as both personal and professional surprises converge to challenge Campbell’s carefully constructed detachment.

      4. How does the phone call from Sara Fitzgerald create dramatic irony in the scene with Anna?

      Answer:
      The call creates tension through dramatic irony—readers know Anna is present while her mother believes she’s “out for a run.” This deception suggests Anna’s growing autonomy from her family and aligns her with Campbell’s own strained parental relationships. Campbell’s pointed question (“Is there something you’d like to tell me?”) and sarcastic Flo Jo reference reveal his legal acumen in detecting discrepancies, while Anna’s nonchalant shrug shows she’s learning his defensive tactics. Their dynamic shifts from attorney-client to potential allies against parental figures, setting up future collaboration.

      5. Evaluate how Campbell’s physical environment (apartment, café, office) reflects his psychological state.

      Answer:
      Campbell’s spaces mirror his emotional guardedness and perfectionism. His apartment’s “sleek and minimalist” design with luxury items (Italian coffeemaker, signed first editions) shows curated control, while the barren fridge symbolizes emotional emptiness. The café’s usual predictability represents his comfort with superficial social scripts, disrupted by the morning’s chaos. His office—where he “barks orders”—is a domain of absolute authority, now invaded by Anna’s presence and her mother’s call. These environments collectively reveal Campbell’s struggle: maintaining impeccable external order while internal turmoil (symbolized by the mysterious woman’s fleeting appearance) threatens to surface.

    Quotes

    • 1. “WE ARE ALL, I SUPPOSE, beholden to our parents—the question is, how much?”

      This opening line sets the central theme of familial obligation and personal boundaries, introducing the protagonist’s conflicted relationship with his parents while posing a universal question about family ties.

      A poignant metaphor revealing Campbell’s cynical worldview about love and relationships, shaped by his parents’ dysfunctional marriage and his own romantic disappointments.

      3. “My apartment, it is a work of art. Sleek and minimalist, but what is there is the best that money can buy…”

      This description showcases Campbell’s meticulous control over his environment—a stark contrast to the chaos of his family life—and reveals his materialistic yet refined tastes.

      4. “I have SARS… He’s tallying the people I infect.”

      A sharp, sarcastic retort demonstrating Campbell’s quick wit and defensive humor when questioned about his service dog, revealing his tendency to deflect personal inquiries with dark comedy.

      5. “I stare at her daughter, polishing a mere five feet away… ‘You wouldn’t happen to know where she is?’”

      This tense exchange highlights the dramatic irony of Anna’s secret visit to Campbell’s office while her mother claims she’s elsewhere, setting up the central conflict about truth and deception in their legal case.

    Quotes

    1. “WE ARE ALL, I SUPPOSE, beholden to our parents—the question is, how much?”

    This opening line sets the central theme of familial obligation and personal boundaries, introducing the protagonist’s conflicted relationship with his parents while posing a universal question about family ties.

    A poignant metaphor revealing Campbell’s cynical worldview about love and relationships, shaped by his parents’ dysfunctional marriage and his own romantic disappointments.

    3. “My apartment, it is a work of art. Sleek and minimalist, but what is there is the best that money can buy…”

    This description showcases Campbell’s meticulous control over his environment—a stark contrast to the chaos of his family life—and reveals his materialistic yet refined tastes.

    4. “I have SARS… He’s tallying the people I infect.”

    A sharp, sarcastic retort demonstrating Campbell’s quick wit and defensive humor when questioned about his service dog, revealing his tendency to deflect personal inquiries with dark comedy.

    5. “I stare at her daughter, polishing a mere five feet away… ‘You wouldn’t happen to know where she is?’”

    This tense exchange highlights the dramatic irony of Anna’s secret visit to Campbell’s office while her mother claims she’s elsewhere, setting up the central conflict about truth and deception in their legal case.

    FAQs

    1. How does Campbell Alexander’s opening reflection about parental obligations set the tone for his character and relationships?

    Answer:
    Campbell’s opening monologue reveals his conflicted feelings about familial duty and establishes his cynical worldview. His exasperation with his mother’s frequent calls about his father’s affairs shows emotional detachment, while his wish for siblings to “share the burden” demonstrates a transactional view of relationships. This frames Campbell as someone who values independence over emotional connection, a trait reinforced by his minimalist apartment and preference for restaurant food—both symbols of his self-contained lifestyle. His comment about dogs severing contact with their mothers further underscores his desire for emotional distance from family.

    2. Analyze the significance of Campbell’s service dog, Judge, as both a practical tool and symbolic element in the narrative.

    Answer:
    Judge serves multiple functions: as a genuine service animal (though Campbell’s specific need isn’t disclosed), as comic relief through their banter (“putting a Judge in a crate”), and as Campbell’s only consistent emotional connection. Their seven-year bond contrasts sharply with Campbell’s transient human relationships. The dog’s name—a playful jab at Campbell’s legal profession—reveals his dark humor. Judge also acts as a social buffer, allowing Campbell to deflect personal questions (like the waiter’s intrusion about his disability) with sarcasm rather than vulnerability, showcasing his defensive communication style.

    3. What does the disrupted routine at Rosie’s café reveal about Campbell’s personality and foreshadow about upcoming events?

    Answer:
    Campbell’s irritation at losing his usual table and discovering Ophelia’s abrupt elopement highlights his need for control and predictability. His shock at these changes—including his visceral reaction to the mysterious woman outside—foreshadows upcoming disruptions to his ordered life. The café scene mirrors later professional disruptions when Anna Fitzgerald appears unexpectedly in his office. The “seven-thirty A.M., and already this day is a bust” line becomes ironic foreshadowing, as both personal and professional surprises converge to challenge Campbell’s carefully constructed detachment.

    4. How does the phone call from Sara Fitzgerald create dramatic irony in the scene with Anna?

    Answer:
    The call creates tension through dramatic irony—readers know Anna is present while her mother believes she’s “out for a run.” This deception suggests Anna’s growing autonomy from her family and aligns her with Campbell’s own strained parental relationships. Campbell’s pointed question (“Is there something you’d like to tell me?”) and sarcastic Flo Jo reference reveal his legal acumen in detecting discrepancies, while Anna’s nonchalant shrug shows she’s learning his defensive tactics. Their dynamic shifts from attorney-client to potential allies against parental figures, setting up future collaboration.

    5. Evaluate how Campbell’s physical environment (apartment, café, office) reflects his psychological state.

    Answer:
    Campbell’s spaces mirror his emotional guardedness and perfectionism. His apartment’s “sleek and minimalist” design with luxury items (Italian coffeemaker, signed first editions) shows curated control, while the barren fridge symbolizes emotional emptiness. The café’s usual predictability represents his comfort with superficial social scripts, disrupted by the morning’s chaos. His office—where he “barks orders”—is a domain of absolute authority, now invaded by Anna’s presence and her mother’s call. These environments collectively reveal Campbell’s struggle: maintaining impeccable external order while internal turmoil (symbolized by the mysterious woman’s fleeting appearance) threatens to surface.

    Note