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 Anna, a ten-year-old girl, ask­ing her par­ents, Bri­an and Sara, for $614.96 to buy hock­ey goalie equip­ment after reveal­ing she has secret­ly been prac­tic­ing with a boys’ team. Ini­tial­ly skep­ti­cal, her par­ents are sur­prised to learn she has been invit­ed to join the team as their first female play­er. Anna’s pas­sion for hock­ey and her nat­ur­al tal­ent become appar­ent, but the cost of the gear sparks a fam­i­ly dis­cus­sion about finances and the unex­pect­ed dis­cov­ery of their daugh­ter’s hid­den inter­est.

    Mean­while, Kate, Anna’s thir­teen-year-old sis­ter, strug­gles with graft-ver­sus-host dis­ease, a com­pli­ca­tion from her bone mar­row trans­plant. Her con­di­tion flares up, caus­ing a painful rash and swelling, but she reluc­tant­ly agrees to attend Anna’s hock­ey game after her moth­er insists. Sara helps Kate dis­guise her symp­toms with win­ter cloth­ing, high­light­ing the fam­i­ly’s bal­anc­ing act between sup­port­ing Anna’s mile­stones and accom­mo­dat­ing Kate’s health strug­gles. The scene under­scores the emo­tion­al toll of Kate’s ill­ness on her self-esteem and fam­i­ly dynam­ics.

    At the hock­ey game, Anna shines as the team’s goalie, impress­ing her fam­i­ly with her skill and con­fi­dence. Despite ini­tial reluc­tance, even Kate becomes engrossed in the game, and Bri­an mar­vels at Anna’s nat­ur­al tal­ent. The moment is bit­ter­sweet, as the fam­i­ly’s joy is over­shad­owed by the under­ly­ing ten­sion of Kate’s dete­ri­o­rat­ing health. The game serves as a rare respite from their ongo­ing med­ical strug­gles, empha­siz­ing Anna’s resilience and the fam­i­ly’s need for nor­mal­cy.

    The chap­ter takes a dark turn when Kate suf­fers a severe hem­or­rhag­ing episode lat­er that night, requir­ing emer­gency hos­pi­tal­iza­tion. Dr. Chance pro­pos­es an exper­i­men­tal arsenic treat­ment as a last resort, acknowl­edg­ing the grim prog­no­sis. Sara and Bri­an grap­ple with the weight of this deci­sion, con­fronting the pos­si­bil­i­ty of los­ing Kate after years of bat­tling her ill­ness. The chap­ter ends on a poignant note, leav­ing the fam­i­ly’s future uncer­tain as they face yet anoth­er med­ical cri­sis.

    FAQs

    • 1. What is Anna’s unexpected passion, and how does she reveal it to her parents?

      Answer:
      Anna reveals her unexpected passion for hockey goaltending after initially asking her parents for $614.96 to buy goalie leg pads on eBay. She explains that months earlier, she had filled in for a sick goalie during a hockey practice and discovered both talent and enjoyment in the position. The coach invited her to join the team officially, making her the first girl on it, but she needed her own equipment. This revelation surprises her parents, who were unaware of her hockey involvement, highlighting how Anna had been keeping this part of her life hidden from them.

      2. How does Kate’s graft-versus-host disease affect her daily life and self-perception?

      Answer:
      Kate’s graft-versus-host disease, a complication from her bone marrow transplant, causes symptoms like a red rash, moon face, and thickened skin, which flare up unpredictably. These physical changes make her extremely self-conscious, especially as a 13-year-old for whom appearance is important. The condition forces her to miss school during severe flare-ups and impacts her willingness to participate in family activities, such as attending Anna’s hockey game. Her reaction—hiding under a pillow and resisting going out—demonstrates the emotional toll of living with a chronic, visible illness.

      3. Analyze the contrast between Anna’s and Kate’s struggles in this chapter. How do their challenges reflect their personalities?

      Answer:
      Anna’s struggle revolves around pursuing her passion for hockey despite the financial and logistical barriers, showcasing her determination and independence. She takes initiative by negotiating with her parents and practicing secretly, reflecting her proactive nature. In contrast, Kate’s challenge is coping with the physical and emotional effects of her illness, which makes her withdraw and seek isolation. Her reluctance to be seen highlights her vulnerability and self-awareness. While Anna fights to be seen (as a hockey player), Kate fights to be hidden, illustrating their divergent responses to adversity.

      4. Why does the arsenic therapy proposed by Dr. Chance carry both hope and uncertainty for Kate’s family?

      Answer:
      The arsenic therapy represents hope because it is a novel treatment option after Kate has exhausted other therapies like chemotherapy, radiation, and transplants. However, it also carries significant uncertainty: Dr. Chance admits they haven’t yet achieved a cure with it, and there are no long-term survival data. The family must weigh the potential benefits against the likelihood that the hemorrhaging may still prove fatal. This dilemma forces them to confront the harsh reality of Kate’s condition while clinging to the slim possibility of a breakthrough.

      5. How does the author use the hockey game scene to symbolize Anna’s role in the family?

      Answer:
      The hockey game scene symbolizes Anna’s role as the family’s emotional “goalie”—someone who protects and saves. Just as she blocks shots on the ice, Anna provides a rare positive focus for the family amid Kate’s medical crises. Her talent and confidence on the rink contrast with Kate’s fragility, offering a moment of normalcy and pride. The description of Anna being “stuffed and trussed” in borrowed equipment also mirrors how she adapts to challenges, while her ability to anticipate the puck’s movement reflects her intuitive resilience, a trait her family relies on.

    Quotes

    • 1. “I’m the first girl on it, ever. But I have to have my own equipment.”

      This quote captures Anna’s quiet pride in breaking gender barriers in hockey, while also highlighting the practical challenges of pursuing an unexpected passion. It marks a turning point where her hidden dedication comes to light.

      2. “Bone marrow is an organ, and like a heart or a liver, a body can reject it. But sometimes, instead, the transplanted marrow begins to reject the body it’s been put in.”

      This medical explanation poignantly frames Kate’s ongoing health struggle, using vivid biological imagery to convey the paradoxical nature of her condition—where the cure itself becomes a source of suffering.

      3. “I respect her vanity, because there is so little of it.”

      A powerful observation about Kate’s rare moments of teenage self-consciousness amidst chronic illness. The narrator’s insight reveals how disease has stolen normal adolescent concerns from her daughter.

      4. “Anna saves, every time.”

      This simple statement carries double meaning—both describing Anna’s hockey skills and subtly contrasting her resilience with Kate’s deteriorating health. It encapsulates the chapter’s theme of unexpected strengths.

      5. “She’s lived ten years past what any of us would have expected.”

      Dr. Chance’s sobering assessment underscores the miracle and fragility of Kate’s survival. This quote represents the chapter’s emotional climax, where medical hope confronts harsh realities.

    Quotes

    1. “I’m the first girl on it, ever. But I have to have my own equipment.”

    This quote captures Anna’s quiet pride in breaking gender barriers in hockey, while also highlighting the practical challenges of pursuing an unexpected passion. It marks a turning point where her hidden dedication comes to light.

    2. “Bone marrow is an organ, and like a heart or a liver, a body can reject it. But sometimes, instead, the transplanted marrow begins to reject the body it’s been put in.”

    This medical explanation poignantly frames Kate’s ongoing health struggle, using vivid biological imagery to convey the paradoxical nature of her condition—where the cure itself becomes a source of suffering.

    3. “I respect her vanity, because there is so little of it.”

    A powerful observation about Kate’s rare moments of teenage self-consciousness amidst chronic illness. The narrator’s insight reveals how disease has stolen normal adolescent concerns from her daughter.

    4. “Anna saves, every time.”

    This simple statement carries double meaning—both describing Anna’s hockey skills and subtly contrasting her resilience with Kate’s deteriorating health. It encapsulates the chapter’s theme of unexpected strengths.

    5. “She’s lived ten years past what any of us would have expected.”

    Dr. Chance’s sobering assessment underscores the miracle and fragility of Kate’s survival. This quote represents the chapter’s emotional climax, where medical hope confronts harsh realities.

    FAQs

    1. What is Anna’s unexpected passion, and how does she reveal it to her parents?

    Answer:
    Anna reveals her unexpected passion for hockey goaltending after initially asking her parents for $614.96 to buy goalie leg pads on eBay. She explains that months earlier, she had filled in for a sick goalie during a hockey practice and discovered both talent and enjoyment in the position. The coach invited her to join the team officially, making her the first girl on it, but she needed her own equipment. This revelation surprises her parents, who were unaware of her hockey involvement, highlighting how Anna had been keeping this part of her life hidden from them.

    2. How does Kate’s graft-versus-host disease affect her daily life and self-perception?

    Answer:
    Kate’s graft-versus-host disease, a complication from her bone marrow transplant, causes symptoms like a red rash, moon face, and thickened skin, which flare up unpredictably. These physical changes make her extremely self-conscious, especially as a 13-year-old for whom appearance is important. The condition forces her to miss school during severe flare-ups and impacts her willingness to participate in family activities, such as attending Anna’s hockey game. Her reaction—hiding under a pillow and resisting going out—demonstrates the emotional toll of living with a chronic, visible illness.

    3. Analyze the contrast between Anna’s and Kate’s struggles in this chapter. How do their challenges reflect their personalities?

    Answer:
    Anna’s struggle revolves around pursuing her passion for hockey despite the financial and logistical barriers, showcasing her determination and independence. She takes initiative by negotiating with her parents and practicing secretly, reflecting her proactive nature. In contrast, Kate’s challenge is coping with the physical and emotional effects of her illness, which makes her withdraw and seek isolation. Her reluctance to be seen highlights her vulnerability and self-awareness. While Anna fights to be seen (as a hockey player), Kate fights to be hidden, illustrating their divergent responses to adversity.

    4. Why does the arsenic therapy proposed by Dr. Chance carry both hope and uncertainty for Kate’s family?

    Answer:
    The arsenic therapy represents hope because it is a novel treatment option after Kate has exhausted other therapies like chemotherapy, radiation, and transplants. However, it also carries significant uncertainty: Dr. Chance admits they haven’t yet achieved a cure with it, and there are no long-term survival data. The family must weigh the potential benefits against the likelihood that the hemorrhaging may still prove fatal. This dilemma forces them to confront the harsh reality of Kate’s condition while clinging to the slim possibility of a breakthrough.

    5. How does the author use the hockey game scene to symbolize Anna’s role in the family?

    Answer:
    The hockey game scene symbolizes Anna’s role as the family’s emotional “goalie”—someone who protects and saves. Just as she blocks shots on the ice, Anna provides a rare positive focus for the family amid Kate’s medical crises. Her talent and confidence on the rink contrast with Kate’s fragility, offering a moment of normalcy and pride. The description of Anna being “stuffed and trussed” in borrowed equipment also mirrors how she adapts to challenges, while her ability to anticipate the puck’s movement reflects her intuitive resilience, a trait her family relies on.

    Note