Meilva Wulanda KomunaF21110260TELAAH PROSA Setting of My Sister Keeper 1. Physical Setting Place : Providence Hospital (page 45: we were at Providence hospital for three hours, and every minute that passes makes me more and more difficult to delude ourselves that dr. Wayne made a mistake. Jesse sleeping on plastic chairs and Kate has again undergone a terrible blood sampling, and chest X-ray. Fitzgerald family home (page 92: the at six the next morning, she opened the door. Kate walked to the bed even though I (Sarah) and Brian got up when he saw it) Court (page 110: in the clerk of the court being bombarded with questions by mother Anna Fitzgerald.) Page 113: when the judge get up and walked out from her office, we followed. Anna was sitting on a bench front room with his father. Time: Page 138-139 : I gave birth on New Years Eve. nurses who take care of me trying to distract from the pain of contraction. transplant preparation day she started the next morning after Anna was born. Anna did the first operation. Kate at the age of 2 years ( page 39 : kate who was two years old, and got us all curious bruises, looked at us with bright blue eyes. ) Page 53 : while working on the night shift, I had dinner twice. The first dinner early, adjustments made by my family so we sat together at the dinner table.
Page 76 : first, when Kate was eight years old and I (Anna) five years. we had a fight and decided that I did not want to share a room with her. Page 80 : that night, after Kate was asleep, I crept down from the bed and stood next to his bed. when I put my hand under his nose to see if he was still breathing, my hand struck hard blows air.Atmosphere: fear ( Page 72 : oh shit, I thought. My cheeks burned red, my heart pounding. I feel like when the principal sent a letter of reprimand because I draw Mrs. Toohey an enormous ass.) Page 75 : they are like strom hits. Kate try to see me recently before my Dad told me to go up to our rooms. she slammed her purse, and then approached the car kinci. "Well" he said, sounding very tense. "what happened?" I swallowed hard. "I have a lawyer" "clear". my mom took the phone and handed it to me. "Now get rid of the lawyer." it took a huge effort, but I managed to shake her head and dropped the phone on to the couch. father sounds like an ax. Our splitting sound, and makes us look. in this situation, Sara knew that her daughter Anna filed a freedom of her own will because Anna considers her only made as a donor for her sister. atmosphere of mourning when Anna died from an accident. page 514, I (Sara) and Brian stepped in, there Annas tiny body lay motionless in a hospital bed. mood sadness and loss ended the story in this novel
Social setting :This novel is set in the present. It shows what the world is becoming and the power humanbeings now have. Morality is an issue in the novel. Was it right to create a designer baby so Katecould live? Anna‟s body parts were being harvested so Kate could survive. Is that right? Scienceand technology are useful and a wonderful resource to have but can be abused and human beingscan take them to the extreme eg designer baby.To date only a handful of, so called, „saviour siblings‟ have been born worldwide. These children(the oldest is now 8 years old) were conceived by IVF and have been specially selected to betissue matches for an existing, ailing sibling. In general, these siblings suffer from incurable –though often treatable – anaemias or leukaemias, some of which have a genetic component.Their newborn siblings, as the term saviour suggests, are „designed‟ to save their lives. This isthe background to American author Jodi Picoult‟s 2004 novel My Sister‟s Keeper. The storyfollows sisters‟ Kate and Anna Fitzgerald as they, and their family, confront extraordinarycircumstances.Picoult (2004). "My Sisters Keeper". Hodder and Stoughton: London.Kate, 16, who suffers from Acute Promyelocytic Leukemia (APL) – a rare and aggressive formof cancer – is dying. Her younger sister, Anna, 13, was born to be her „saviour‟. Anna is anhuman leukocyte antigen (HLA) matched donor for Kate, and while in real cases it is onlyumbilical cord blood that has been donated, Picoult‟s novel imagines a situation in which muchmore is required. As Picoult‟s story progresses we learn that Kate did indeed receive atransfusion of cells taken from Anna‟s umbilical cord blood. This blood, rich in compatible stemcells, was intended to repopulate her bone marrow and effectively cure her leukaemia – atreatment which apparently worked. However, as is obvious from what, in the book, constitutesthe current situation, this was only a temporary phenomenon. Picoult‟s Kate suffers a relapse,which, following initial treatment with Anna‟s compatible platelets and ultimately her donatedbone marrow, locks them both into a seemingly endless cycle of, not only, operations andhospital visits, but also, responsibility, guilt, love and resentment.
Over the years Picoult describes the numerous procedures the character Anna goes through in herunchosen efforts to fulfil the role of „saviour‟. This culminates in the prospect of kidney donation– the book‟s present day. Faced with this Anna hires a lawyer, Campbell, and takes her parents tocourt in order to “petition for medical emancipation” (Picoult, 2004: 49). The book follows thebuild up to, conduct and aftermath of this action, through which Anna fights for the right torefuse this donation – an outcome, both she, and her family, know Kate will die without.As with many works of fiction, Picoult takes current science, imagines „what could be‟, andexplores some of the social, psychological, emotional and – in this case legal – consequencesthat might follow. As a work of fiction My Sister‟s Keeper seems a scarily realistic, though also,moving picture of a normal family under extreme pressure. However, as a source of insight intothe ethical dilemmas presented by the creation of „saviour siblings‟ it also has its value. Whilenot presenting arguments according to philosophical principles, this book functions as a veryeffective exploration of possible social implications and potential endpoints of the use of HLAtyping in this way. Below are just some of the common bioethical concerns about the creation ofsaviour siblings that My Sisters Keeper addresses (the page numbers given here refer toepisodes, conversations or interactions within the book that highlight each issue particularlywell):The welfare and best interests of the child to be born – pages 286-289 illustrate how the donationof umbilical cord blood may turn into a succession of more invasive and therefore more ethicallyproblematic donations, also how, in practice, the best interests of the saviour sibling may bebalanced against those of the child to be savedThe instrumentalisation of the child – pages 64-65 and the bathroom scene on page 25 sow theFitzgeralds as a complete family with Anna as an addition only to save Kate, while pages 53-54,196-197 and 405-407 show her as a loved and valued family member, just like any otherConsent – pages 20-21 and 292-296 provide a good illustration of how consent to non-therapeutic medical treatment (e.g. bone marrow or blood donation) is handled currently forminors
The long-term experience of the child – pages 1-2 and 89-90 are short but powerful examples ofhow Anna, at 13, experiences being a saviour sibling, and how that knowledge has become a partof her identity.These themes are explored in greater depth in the BioethicsBytes Extended Commentary thataccompanies this post. The commentary also highlights how Picoult‟s story emerged fromethical arguments around the creation of saviour siblings in reality, and how My Sister‟s Keeperelaborates some of these arguments through the multiple viewpoints of the characters and theirinteractions.