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59 pages 1 hour read

My Sister's Keeper

Fiction | Novel | Adult | Published in 2004

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Part 9Chapter Summaries & Analyses

Part 9: “Wednesday”

Part 9, Chapter 38 Summary: “Julia”

When Julia arrives at the courthouse, she catches Campbell and Anna fighting over whether or not Anna will testify. After Anna storms off, Campbell accuses Julia of planning to destroy his case with her final recommendation to Judge DeSalvo. Julia tells him that he doesn’t know what she’s going to say, and that he cannot influence her decision.

Part 9, Chapter 39 Summary: “Campbell”

The hearing begins, but instead of Campbell continuing his case, Sara asks permission to call a witness because the witness will not be available later. Sara calls Dr. Beata Neaux to the stand. Dr. Neaux is a child psychiatrist who testifies that Anna will be more traumatized by refusing to give Kate a kidney and watching her die than she would be by going through major surgery. When Campbell cross-examines Dr. Neaux, she says that Anna needs a responsible adult to make medical decisions for her, but Campbell points out that Sara is not capable of fulfilling this role because of her determination to save Kate at all costs.

Part 9, Chapter 40 Summary: “Julia”

Julia takes the stand next. Campbell asks for Julia’s recommendations, and she explains that she believes the entire Fitzgerald family has been influenced by Kate’s illness and none of them can make an unbiased decision as to whether or not Anna should donate a kidney. She also says she does not believe Anna is mature enough to make medical decisions for herself, but that she does not believe it would be in Anna’s best interest to donate a kidney.

Part 9, Chapter 41 Summary: “Campbell”

Judge DeSalvo asks Julia what her final recommendation is, and she says she cannot make one because making a decision in this case is like being the biblical Solomon and having to “split a family” (372). It is then that Anna tells Campbell she will testify.

Part 9, Chapter 42 Summary: “Anna”

As Anna takes the stand, she is nervous; however, she gets a good look at Campbell and focuses on him. Campbell’s dog Judge is alerting, but he chooses not to respond. Instead, he hushes the dog at the direction of Judge DeSalvo.

Anna recalls when Kate was diagnosed with kidney failure two months ago. The doctors didn’t know for certain what caused the kidney failure, but it became clear that Kate would die without a transplant. However, due to her medical history, she had to have a kidney that was a perfect match, discounting all donations other than Anna’s. Sara immediately asked Anna to donate, but once their parents left the room, Kate asked Anna not to do it. On the stand, Campbell asks Anna who convinced her to petition the court for medical emancipation. She tells him that Kate did. As she speaks, Campbell falls to the floor.

Part 9, Chapter 43 Summary: “Brian”

Brian rushes to treat Campbell as he experiences a grand mal seizure. Campbell is moved into Judge DeSalvo’s chambers, where Campbell regains consciousness. Embarrassed to have had a seizure in front of the courtroom, Campbell quickly begins to clean himself up, grateful to borrow a pair of Brian’s pants.

Part 9, Chapter 44 Summary: “Campbell”

Campbell takes the opportunity to explain to Julia that he’s been having seizures since a car accident on the last night they were together in high school. He explains that the doctors couldn’t figure out why the seizures began, and he didn’t want Julia to have to deal with his medical issues. Julia chastises Campbell for not allowing her to make her own decision regarding their relationship and insists she still wants to be with him.

Part 9, Chapter 45 Summary: “Anna”

Anna now understands why Campbell took her case: He knows what it feels like to not have control over his own body. Campbell puts Anna back on the stand. Anna describes a day when Kate attempted to die by suicide, but couldn’t go through with it. Kate told Anna that she was tired of waiting to die. She then asked her not to donate her kidney. When Sara cross-examines Anna, she argues that Kate didn’t truly mean she wanted to die; Anna insists she didn’t fabricate her story. Campbell redirects and asks Anna if she understands that Kate will die without a kidney. Anna admits she does, and that she doesn’t want her sister to die, but wants to honor Kate’s request. She says she told Kate that she was going to stop being her donor, and Kate thanked her.

Part 9, Chapter 46 Summary: “Sara”

Judge DeSalvo decides to speak to Kate directly. He speaks to Kate for a few minutes, then tells everyone that they can present their closing arguments first thing in the morning. Everyone goes home except for Sara, who plans to spend the night with Kate. Kate offers to explain herself to Sara, but Sara says it isn’t necessary.

Part 9 Analysis

As foreshadowed earlier in the novel, Anna’s mental health in regard to her donations to Kate is the focus of the hearing. Sara is the one to present a child psychiatrist as a witness, which is somewhat ironic considering Sara denies the idea that Anna’s psychological well-being might be negatively affected by her many medical procedures. The psychological impact of being a savior sibling is one of the ethical concerns of situations such as Kate and Anna’s. At this point, Picoult is validating everything Anna and Jesse have said about their childhoods—while Sara continues to assert that Anna doesn’t suffer long-term consequences from her procedures. Sara doesn’t want to think about Anna’s pain, as it would undermine her determination to save Kate at all costs. Not only that, but it would force Sara to acknowledge that caring for all her children has become too much to handle. For her, keeping her children’s well-being compartmentalized prevents her from falling apart.

There is tension in the courtroom when Julia presents her findings because no one knows what she will say, not even Campbell. However, Julia’s comments throughout the novel have foreshadowed her statements on the stand, revealing that she doesn’t believe anyone in the Fitzgerald family is capable of making an unbiased choice for Anna. This underscores Picoult’s presentation of the Fitzgeralds as a family faced with an impossible decision; there is no clear answer. Yet, Judge DeSalvo is expected to come to a decision, adding tension to the plot as the hearing continues.

Campbell has made a game of shrouding himself in mystery when it comes to his support dog Judge and medical disability. In the heat of battle, he refuses to listen to his dog and inadvertently reveals his secret to the courtroom when he has a seizure. This moment has been foreshadowed since Campbell’s introduction, and Judge is finally allowed to show off his talent. Campbell cites his seizures as the reason why he broke up with Julia, and is the unspoken reason why he is able to connect with Anna—he, too, does not have control over his own body. Still, Campbell takes great satisfaction in making up stories as to why he has a support dog, suggesting his lies weren’t out of shame, but an opportunity to be outrageous.

Anna’s testimony dramatically changes her character arc. Many have speculated as to what Anna’s motive is for filing her petition for medical emancipation, but the truth speaks to her courage and maturity. The idea that Kate wants to stop her medical treatments has been foreshadowed in earlier chapters, but the fact that Sara openly disregards this desire is surprising. Kate has been Sara’s sole focus for 14 years, therefore if Sara is going to listen to one of her children, one would suppose it would be Kate. Yet, when Anna reveals that Kate wants to die, Sara can’t accept it. Failure is not an option for Sara, and this includes listening to her own child’s wants. However, Sara seems to soften after learning the truth, perhaps believing Judge DeSalvo’s conversation with Kate will result in her favor.

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