An affecting, deeply honest novel; at the same time, a lacerating indictment of our modern health care system.
After a woman’s son-in-law contracts amyotrophic lateral sclerosis, she tries to help the family, but the burdens of caregiving take her relationships to the breaking point.
Kindergarten teacher Colleen Gallagher, 53, is glad to help out when her daughter Sandy’s husband, Tony, gets a fatal diagnosis: ALS, aka Lou Gehrig’s disease. With a newborn, a toddler, a high-pressure job and Tony’s medical procedures to manage, Sandy needs all the help she can get. Colleen is all too familiar with being a young widow left to raise small children on her own; her husband died in a car accident when Sandy was 5. Though Tony’s family and friends start out with optimism and good intentions, tempers are soon frayed and patience worn out by the constant demands of caretaking. Sandy is often angry and resentful; Colleen feels like a slave. In the end, the survivors will have to go on with their lives. MacDonald (co-author: The Quiet Indoor Revolution, 1992) gives an unflinching portrait of dealing with a debilitating chronic illness: the expense, the logistics, the red tape, and especially the brutal, exhausting, undignified truths of nursing: “None of the caregivers’ manuals mentioned the orange shit that oozed out Tony’s rectum only half-way so that I had to dig out the rest as I wiped his butt.” The characters have a maddening way of making things more difficult for themselves; despite Tony’s wealthy parents, all the household DIY chores—scraping plaster, sewing drapes, cleaning gutters—for some reason fall to Colleen. But it’s really health care that doesn’t make sense. Tony’s doctor recommends a life-prolonging feeding tube. Why? “Because doctors love technology. Also, she doesn’t have to live here,” a nurse explains. Commenting on Tony’s feeding chair, she continues, “When I started in this profession, you never would have seen equipment like that in a home. It doesn’t belong here.” MacDonald saves her debut novel from being too didactic by her well-rounded characters and Colleen’s complex, thoughtful responses to the untenable situation.
An affecting, deeply honest novel; at the same time, a lacerating indictment of our modern health care system.Pub Date: Aug. 21, 2014
ISBN: 978-0990715818
Page Count: 318
Publisher: All Things That Matter Press
Review Posted Online: Dec. 8, 2014
Kirkus Reviews Issue: Jan. 15, 2015
Review Program: Kirkus Indie
BOOK REVIEW
BOOK REVIEW
This large, stately, and intensely powerful new novel by the author of Terms of Endearment and The Last Picture Show is constructed around a cattle drive—an epic journey from dry, hard-drinking south Texas, where a band of retired Texas Rangers has been living idly, to the last outpost and the last days of the old, unsettled West in rough Montana. The time is the 1880s. The characters are larger than life and shimmer: Captain Woodrow Call, who leads the drive, is the American type of an unrelentingly righteous man whose values are puritanical and pioneering and whose orders, which his men inevitably follow, lead, toward the end, to their deaths; talkative Gus McCrae, Call's best friend, learned, lenient, almost magically skilled in a crisis, who is one of those who dies; Newt, the unacknowledged 17-year-old son of Captain Call's one period of self-indulgence and the inheritor of what will become a new and kinder West; and whores, drivers, misplaced sheriffs and scattered settlers, all of whom are drawn sharply, engagingly, movingly. As the rag-tag band drives the cattle 3,000 miles northward, only Call fails to learn that his quest to conquer more new territories in the West is futile—it's a quest that perishes as men are killed by natural menaces that soon will be tamed and by half-starved renegades who soon will die at the hands of those less heroic than themselves. McMurtry shows that it is a quest misplaced in history, in a landscape that is bare of buffalo but still mythic; and it is only one of McMurtry's major accomplishments that he does it without forfeiting a grain of the characters' sympathetic power or of the book's considerable suspense. This is a masterly novel. It will appeal to all lovers of fiction of the first order.
Pub Date: June 1, 1985
ISBN: 068487122X
Page Count: 872
Publisher: Simon & Schuster
Review Posted Online: Sept. 30, 2011
Kirkus Reviews Issue: May 15, 1985
IN THE NEWS
SEEN & HEARD
Soft-focus story moves right along with few surprises. This time around, Hannah avoids the soap-opera complications of her...
Another middle-aged mom in a muddle.
After years of false starts and big hopes, Elizabeth’s ruggedly handsome husband Jack, a former football star, just landed a spot as a sportscaster on national news. He still loves her, even though much younger women are giving him come-hither looks. Heck, he doesn’t want to betray the love of his life after she helped him kick drugs and stuck by him even when he was a struggling has-been. And won’t it seem hypocritical if he fools around with his sexy assistant while he does in-depth reporting on a rape case involving a famous basketball center? Well, he fools around anyway. Elizabeth, nicknamed Birdie, knows nothing of this, but she withdraws from Jack when her hard-drinking, salt-of-the-earth father has a stroke and dies. Now no one will call her “sugar beet” ever again. Time to return home to Tennessee and contend with Anita, the sort-of-evil stepmother so trashy she wears pink puffy slippers all day long. Naturally, it turns out that Anita actually has a heart of gold and knows a few things about Birdie’s dead mother that were hushed up for years. Mom was an artist, just like Birdie, and an old scandal comes to light as Anita unrolls a vibrant canvas that portrays her secret lover. Perhaps, Birdie muses, her mother died of heartbreak, never having followed her true love or developed her talent. Has she, too, compromised everything she holds dear? Hoping to find out, Birdie joins a support group that promises to reconnect confused women with their passion. She and Jack separate, prompting a how-dare-you fit from their grown daughters. Will Birdie fly her empty nest? Will she go back to college for a degree in art? Will her brooding watercolors ever sell?
Soft-focus story moves right along with few surprises. This time around, Hannah avoids the soap-opera complications of her previous tales (Summer Island, 2001, etc.).Pub Date: July 1, 2002
ISBN: 0-345-45071-X
Page Count: 352
Publisher: Ballantine
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: May 15, 2002
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