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68 pages 2 hours read

Handle With Care

Fiction | Novel | Adult | Published in 2009

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Part 2Chapter Summaries & Analyses

Part 2, Chapter 8 Summary: “Charlotte, April 2007”

A recipe for Chocolate Raspberry Soufflé precedes this chapter.

Charlotte takes Willow to Boston for pamidronate infusions. They do this twice a year, and while pamidronate is not a cure for OI, it helps Willow be able to walk instead of using a wheelchair. While there, Charlotte finds herself wishing someone from the lawyer’s office would call. Willow’s doctor encourages Charlotte to think about rodding surgery for Willow’s femur, which will lessen the magnitude of any future femur breaks. Sean is against the surgery and sees it as unnecessary. They argue on the phone about whether the surgery is worth it, and Charlotte says she’s just trying to save Willow’s pain. She then calls Piper to complain about her husband.

Charlotte considers the implications of filing a lawsuit against Piper. She knows she will lose her best friend but could provide a better life for Willow. She calls Marin. She schedules a time to come into the office to meet with Marin when she and Willow get back from Boston.

Part 2, Chapter 9 Summary: “Piper”

Piper recalls meeting Charlotte at the skating rink eight years earlier. The two women bonded over their daughters, and Piper was impressed by Charlotte’s pastry career. They quickly became best friends.

Once a month, Charlotte and Piper go to a movie and then to a dive bar called Maxie’s Pad. On this month’s trip, Piper can tell something is wrong with Charlotte. Charlotte brings up an article she read about a family suing the hospital after their son was born with cystic fibrosis. Piper describes the lawsuit as frivolous and says that an obstetrician-gynecologist (OBGYN) would tell the couple, “They got a bad baby.’ It’s not a judgment call, it’s just a statement of fact” (84). Charlotte gets upset and asks if that’s how Piper feels about Willow. While Piper apologizes and tries to de-escalate the conversation, Charlotte leaves their date early.

Part 2, Chapter 10 Summary: “Amelia”

While in her school library with Emma, Amelia finds a magazine cover that features a woman with OI who went on to marry and have a child. The cover makes Amelia think about everything Willow will miss out on while Amelia continues to grow up. Emma encourages Amelia to steal the magazine to show Willow, and she does. However, instead of taking the magazine home to show Willow, Amelia tears it up and flushes it down the toilet. She wants to protect her sister from the “freak show” she sees in the photo.

Part 2, Chapter 11 Summary: “Marin”

Marin meets with Charlotte to discuss the lawsuit. When she asks if Sean will be joining them, Charlotte says he won’t. Marin emphasizes that Sean will need to join the lawsuit because any defendant would insist that a settlement include both parents (so that whichever parent doesn’t sue cannot come after the defendant a second time).

Marin tells Charlotte that she will face public scrutiny. Charlotte acknowledges that people will think she’s in the lawsuit for the money, but she’s just filing the lawsuit to protect Willow. Marin asks her how Willow will react to Charlotte saying in court that Willow should not have been born. Charlotte says she knows that Willow will not believe it.

Part 2, Chapter 12 Summary: “Sean”

While working a Saturday night patrol, Sean arrests Father Grady, his Catholic priest, for a charge of driving under the influence (DUI). Father Grady had just returned from a funeral for a 26-year-old man.

Sean insists the family go to church in the morning, primarily to see how Father Grady addresses the incident. They typically avoid going to church because people look at Willow with pity. The family goes to church but must leave early after Amelia and Sean play a game of hangman that spells out “        Satan” and Willow loudly guesses, embarrassing Charlotte. Outside the church, Charlotte confesses to Sean that she went back to see the lawyer. Sean is furious, and Charlotte reminds him that settlement money could help them provide for Willow in a way that Sean’s salary currently doesn’t let them. She additionally tells him that as a mother—and the person with Willow the most often—she feels Willow’s pains and challenges more than him.

Later that night, Charlotte catches a stomach bug, leaving Sean to take care of the girls himself, something with which he struggles. Both girls compare his parenting attempts negatively to their mother’s. When Sean climbs into bed with Charlotte, he assures her that she won’t lose everything in the lawsuit, ultimately deciding to join it with her.

Part 2, Chapter 13 Summary: “Charlotte, Late May 2007”

After four months, Willow’s spica cast is cut in half, and she can return to preschool. While Willow is much more advanced than her peers, the socialization is good for her. However, when Willow arrives at her preschool, the teacher pulls Charlotte aside to tell her the staff does not feel safe being responsible for Willow in her current condition. They are concerned about liability if Willow gets injured on the premises. Charlotte is furious at the teacher, but Willow lies and tells her it’s okay. When Charlotte takes her to the car, Willow drops a bag of rice her teacher gave her, breaking her shoulder.

While at the hospital for Willow’s shoulder injury, Charlotte learns that Willow has a previous fracture that is healing. Charlotte feels guilty that she didn’t notice her daughter’s previous injury.

Part 2, Chapter 14 Summary: “Sean”

Sean chases a kid spray-painting a dugout. He overreacts, almost choking the kid before letting him go. Amelia calls him, telling him that Charlotte never picked her up. He goes to get Amelia.

Charlotte soon arrives home from the hospital with Willow. Sean is upset that she did not call him to let him know that Willow was injured, but she says her phone died. The two begin to fight about the lawsuit. Charlotte argues that Sean couldn’t have left work to be with Willow because he would’ve lost out on pay. Sean takes her comment to mean that the lawsuit is primarily because he cannot pay for everything Willow needs. He angrily leaves the house.

Part 2, Chapter 15 Summary: “Amelia”

Following Sean and Charlotte’s fight, the family has a tense dinner together. Later, Willow asks Charlotte and Amelia why Charlotte and Sean are fighting so much. Amelia asks Charlotte when she is going to tell Willow about the lawsuit, which Charlotte resists doing. Amelia goes to the bathroom and throws up.

Part 2, Chapter 16 Summary: “Marin, June 2007”

A recipe for Sweet Pastry Dough and Apricot Tart precedes this chapter.

While on Facebook, Marin realizes her boyfriend has dumped her. She goes to confront him at his office, and he tells her that she doesn’t want to be in a relationship with him; she wants to be in a relationship with her biological mother.

Later that night, Marin calls her mother to talk. Marin asks if her mother would want Marin to find her biological parents and tells her mother she’s worried about hurting her feelings. Marin worries that her biological mother might not want to meet her, to which her mother says, “Who wouldn’t want you?” (130).

After joining several online support groups for people searching for their biological parents, Marin reaches out to a psychic. She meets with her the next day. The psychic gives her the name of a law firm that most likely handled her adoption and tells her a woman named Maisie has information. The psychic also says Marin’s father has something to do with the law.

Marin leaves and calls the law firm, but they hang up when she asks too many questions about her closed adoption. She then calls the Hillsborough Court House to speak to Maisie. Maisie offers to send Marin her adoption decree. As Maisie agrees, Marin thinks about what acts make someone a mother, and she thinks of Charlotte.

Part 2, Chapter 17 Summary: “Piper”

Piper reminisces about when she started seeing Charlotte as a patient. She typically doesn’t see patients she knows personally because she knows she cannot be objective when it came to their health. However, Charlotte argued that their close friendship would make Piper the perfect doctor for her: Piper wanted Charlotte to get pregnant just as badly as she and Sean wanted to. Piper agreed to be her doctor, primarily because she could not bring herself to deny Charlotte.

Piper found no medical reason for Charlotte’s infertility, and the two discussed fertility drugs before Charlotte got pregnant with Willow. During the 15th week of Charlotte’s pregnancy, Piper ran a blood test to see what Charlotte’s baby’s risks for Down syndrome and neural anomalies were. The results indicated that Charlotte had a higher than usual risk of having a baby with Down syndrome. Piper outlined Charlotte’s options: She could undergo an amniocentesis test to get further information, and she could terminate the pregnancy if the baby is diagnosed with Down syndrome. Charlotte, a devout Catholic, said she’d worked too hard for this baby and wouldn’t terminate the pregnancy.

The women agreed to wait for Charlotte’s upcoming ultrasound for more information. During that ultrasound, Janine, the ultrasound technician, didn’t see any indicators for Down syndrome outside of smaller-than-usual femurs. Janine mentioned that the image of the brain was extremely clear, which Piper chalked up to the machine being new. Piper told Charlotte the good news.

When Charlotte was 27 weeks pregnant, she came to pick Piper up to see a movie, but Piper was delayed by work. Charlotte hung out in Piper’s office until Piper finished delivering the baby. Piper suggested doing an ultrasound to find out the baby’s sex. Charlotte happily agreed. When Piper did the ultrasound, she saw multiple fractures and realized the baby had OI. Charlotte realized something was wrong and asked Piper what was the matter. Piper told her that her daughter was not okay.

Part 2, Chapter 18 Summary: “Sean”

Following the ultrasound where Piper discovered Willow’s OI, Sean searched OI on the internet, and he made sure to clear his search history so that Charlotte wouldn’t see any of the images he saw.

The next day, Charlotte and Sean went to meet with Dr. Del Sol. She explained the difference between Type III OI (causing serious disabilities) and Type II OI (almost always fatal at birth). She told them that there were still places where they could terminate the pregnancy, but Sean said they were not interested.

In the present, Charlotte asks Sean why he hasn’t signed on to the lawsuit yet, and he says he has a bad feeling about it. He worries that Willow will think they didn’t want her, but Charlotte argues that she’s so smart that she’ll know that they are only saying they didn’t want her to provide for her. Sean wants to make Charlotte understand the “sick knot” he feels and to punish her, so he rapes her. He gets out of bed, feeling guilty. He signs the papers, leaving a note apologizing for his actions next to it.

Part 2, Chapter 19 Summary: “Amelia, Late August 2007”

Amelia, Emma, Piper, Charlotte, and Willow go to Target for back-to-school shopping. Charlotte tried to get out of it but finally agreed to go, saying, “Last time,” implying that this would be the last time before she filed the lawsuit. Amelia is excited because Piper often buys her things that her mother cannot.

While Amelia and Emma shop, Piper and Charlotte talk, but Charlotte’s mind is elsewhere and she is not fully present for the conversation. Piper sees the clothes that Emma has picked out and remarks that some of the clothes look like they could be illegal. Amelia quickly says that Emma could hire a lawyer and that they know a good one. Charlotte is shocked and yells at her daughter. Her mother’s reaction makes Amelia realize that Piper doesn’t know about the lawsuit, and Amelia figures out that the doctor her parents are suing is Piper. This makes her feel sick, and she wanders through the store. Instead of throwing up, she steals a bra.

Part 2, Chapter 20 Summary: “Piper, September 2007”

After delivering a baby, Piper is served with the lawsuit. It is her first time being sued, and she is shocked when she realizes Sean and Charlotte are suing her. She was especially confused since she and Charlotte had just gone shopping the week before and Charlotte hadn’t said anything. She calls Charlotte for more information, but Charlotte says the lawsuit is about everything Piper “didn’t do” before hanging up. Piper picks up Charlotte’s medical file at her office before driving to Rob’s office.

After being comforted and encouraged by Rob, she opens Charlotte’s file to review it. She notes the first ultrasound scan that details Willow’s skull and realizes that the machine was not just new and that an abnormality was on the screen. She calls her medical malpractice lawyer, Guy Booker.

Piper cannot sleep that night, so she begins stripping the wallpaper in the bathroom. She decides to redo the bathroom after meeting with Guy the next day.

During her initial meeting with Guy, Piper admits that she thinks she missed something, based on the first ultrasound scan. Guy argues that the scan was taken too early to be a definitive marker for OI. He reminds her of Charlotte’s response to taking the amniocentesis test: She was going to have Willow regardless of the test’s results. Guy says that doesn’t sound like a wrongful birth suit.

Part 2, Chapter 21 Summary: “Charlotte”

Willow’s kindergarten teacher calls Charlotte and requests a meeting, saying there has been an incident and that Willow is upset. While playing pretend with two of her classmates, Willow became upset because they wanted her to be the baby, while they played the mom and dad. To get revenge, Willow tripped one of the girls.

When Charlotte chastises Willow in the car, Willow asks her not to get rid of her. Charlotte is shocked by what her daughter said. She pulls over the car and explains that the lawsuit is simply to get justice for Willow. Charlotte tells her that she is going to have to say things that might be hurtful but that Willow needs to know that she’s simply playing pretend and that she loves her.

Part 2, Chapter 22 Summary: “Marin, October 2007”

Marin prepares for the trial, taking depositions and reading over the witnesses’ interrogatories, which are questionnaires that allow lawyers to see a case’s strengths and weaknesses. During this period, Marin receives a letter from Maisie regarding her adoption. She doesn’t learn much information from the letter. She continues to wonder about her biological parents.

While reading Piper’s interrogatory, Marin is surprised to learn that Charlotte and Piper are best friends. She calls Charlotte to inquire about this, and Charlotte says she didn’t think the information was important. She’s also upset that Amelia could be called as a witness. Marin tells Charlotte that the fact she’s suing her best friend could look coldhearted to the jury. She reminds Charlotte that she will lose a lot in this lawsuit and makes Charlotte promise not to keep any more secrets.

Sean soon has to come in for his deposition. He is not happy to be there, and Marin tries to prepare him for the deposition, telling him to stay on guard while Guy questions him. As they walk into the room, Piper confronts Charlotte and Sean, asking how they could do this to her. Marin and Guy separate their respective clients and begin the deposition.

During the deposition, it comes out that Sean had previously sued Ford in 2003 for an issue with his cruiser’s seat. This is news to Marin, which frustrates her. Guy riles Sean up by implying that he didn’t ever want Willow to be born. Sean angrily walks out of the deposition, telling Charlotte he can’t be a part of the lawsuit. Charlotte and Marin follow him out. As she’s leaving, Marin receives a phone call from Maisie telling Marin that she has her biological mother’s address.

Part 2, Chapter 23 Summary: “Amelia”

Because of the lawsuit, Amelia and Emma are no longer friends. Additionally, Amelia realizes that all of her friends have been Emma’s friends all along, so she has no one to hang out with at school.

Eventually, the rest of the school learns about the lawsuit, and most take Emma’s side. After Emma and Amelia get into a fight over the lawsuit in math class, Amelia is sent to the principal’s office. She doesn’t go to the office and instead goes to CVS, where she steals a candy bar and a package of hair dye. She laments being seen as invisible and feeling unwanted by her parents.

Part 2, Chapter 24 Summary: “Charlotte”

Charlotte and Sean fight over the lawsuit. Charlotte says that if Sean really would do anything for Willow, he would join the lawsuit. He tells her that he loves Willow so much that he cannot join it. The two are surprised to see that Amelia has dyed her hair bright blue.

Charlotte reflects on her pregnancy, especially after she found out about Willow’s OI diagnosis. Struggling with her feelings, she remembered that one of her neighbors had terminated a pregnancy after her child was diagnosed with a severe birth defect. Charlotte went to visit the woman, telling her that something was wrong with her baby. The woman told her she wasn’t sure she did the right thing in terminating her pregnancy, and she wished that no one had given her a choice in the matter.

Part 2, Chapter 25 Summary: “Amelia”

Amelia lets Willow play with her newly dyed hair before tucking her into bed. Willow tells Amelia that she realizes that her future is limited because of her OI diagnosis and worries that her parents’ fighting is because of her. Willow laments that she can never compete in a beauty pageant because of her condition.

Amelia, upset, goes downstairs to get food from the kitchen. She hears her father moan on the couch and sees him sleeping there instead of in his bedroom upstairs. Amelia gets more upset and takes a carving knife and goes to her bathroom. She cuts herself on her arm for the first time and feels relief and pride.

Part 2 Analysis

The first recipe in Part 2, for Chocolate Raspberry Soufflé, introduces the technique of “folding,” which Charlotte compares to “a bad hand of poker, of an argument, of any situation where one party simply gives in” (71). This recipe introduces the fact that in refusing to “fold” and pursuing the lawsuit, Charlotte cannot keep her life intact; she has to let go of some aspects. Her friendship with Piper and her marriage with Sean are two things that begin to disintegrate.

In the second recipe, for Sweet Pastry Dough, Charlotte talks about the process of blind baking—“baking a pie crust without the filling” (123)—and how she enjoys baking that way because the pastry reminds her that “it is the things we have to bear that shape us” (123). This recipe comes after Amelia makes herself throw up, which highlights that her trauma is affecting her and shaping who she becomes. Additionally, the lawsuit has irrevocable effects on all the O’Keefes, Marin, and Piper, shaping—and reshaping—their characters.

The Power and Shortcomings of Motherhood and Maternal Love is explored primarily through Piper’s career and identity as a working mother. On her and Charlotte’s last date to Maxie’s Pad, she is unable to discuss medical malpractice without seeing it through the eyes of a physician: She explains that an obstetrician would describe a baby with CF as “bad.” Up until this moment, Piper has been empathetic to Charlotte’s situation; however, here she slips into a clinical mindset rather than a maternal one, which highlights how difficult it can be for her to balance her roles as both best friend and clinician. She experiences similar difficulty separating her professional judgment as a clinician from her feelings for Willow. As their daughters go off to skate, Charlotte yells out, “Break a leg!” (80). Piper admits to returning to that phrase multiple times, wondering: “Do I remember it because of the way you were born? Or were you born because of the way I remember it?” (80). Her questions imply that she is questioning both her memory and her perception, wondering how much complicity she has with Willow’s OI diagnosis.

Similarly, it is Piper’s work that creates the opportunity for Charlotte to find out about Willow’s OI in the first place. Piper’s office does “not advocate recreational ultrasounds—in layman’s terms, that means ultrasounds beyond those medically necessary” (141). However, because Piper’s work runs late, Charlotte is at her office waiting for her. Not wanting to disappoint her friend, Piper offers to do a recreational ultrasound, discovering Willow’s OI diagnosis in the process. While the recreational ultrasound reveals Willow’s diagnosis earlier than it would have been discovered otherwise, it does become a significant aspect of the lawsuit and eventually destroys not only Piper’s career, but also her life.

Ironically, it is Piper’s advice to Charlotte as a fellow mother that inspires her to file the lawsuit. When Emma feels uncomfortable because of a gym teacher’s touch, Piper and Charlotte discuss what to do. Before Charlotte can give Piper her thoughts, Piper concludes: “It’s my daughter [] If I don’t go in and open up my mouth, I may live to regret it” (77). Reflecting on this anecdote, Charlotte thinks, “I loved Piper Reece. But I would always love [Willow] more” (77). Motherhood and the maternal instinct to protect and provide for her child outweigh their close sisterhood, indicating that for Charlotte, non-familial sisterhoods are not as strong as the maternal bond.

Amelia and Willow’s discussion around beauty pageants explores the theme of Invisible and Visible Illnesses and Disabilities. While Willow has always been told she can be anything she wants to when she grows up, she realizes that society will always view her differently: “I couldn’t be Miss America  […] [because] You can’t wear leg braces in a pageant” (193). Willow recognizes that the visible manifestation of her condition—her leg braces—will always reveal her disability to the greater world, and she will be stereotyped as weak because of it. Amelia imagines her sister with various pageant sashes around her chest: “MISS UNDERSTOOD. MISS INFORMED. MISS STAKE” (193). While these all can be applied to how others perceive Willow, they can also be applied to how people see Amelia. However, because Amelia’s condition is not visible, she experiences it in silence. The thought of her sister being perceived this way makes Amelia’s “stomach hurt,” implying that she will turn to her invisible condition—bulimia—soon.

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