Publishers Weekly
Sibley's debut dissects the ethics of a patient's right to die with dignity as a family is torn by a decision to terminate life support. Neurosurgeon Matt Beaulieu finally marries the love of his life, astrophysicist Elle McClure, having known her since he was two years old. After several miscarriages, the couple give up on the idea of having a baby, but when Elle falls and suffers severe head trauma, Matt's life falls completely apart. He knows her biggest fear was to die on life support, as her mother did. During preparations to remove her from life support, it's discovered that she is pregnant and if she remains connected she could potentially carry the fetus to term. Matt decides her desire to have a child would supersede her fear of life support, but his own mother takes him to court as executor of Elle's living will. Jake Sutter, Matt's college roommate, takes the case, using Matt's personal dilemma to serve his own prolife political agenda. The family's anguish is agonizing, each member doing what they believe to be Elle's desire or in her best interest, and while the ending is predictable, the journey is heartrending and tragic. Agent: Laney Katz Becker, Markson Thoma Literary Agency. (Feb.)
Booklist
Sibley does a wonderful job of exploring a complex and controversial moral issue, skillfully giving both sides of the story…. This is a gripping, thoughtful, heart-wrenching, and well-written debut that would be a great discussion vehicle for certain book groups.
Library Journal
Elle is brain dead, and shattered husband Matt is about to pull the plug when he learns that she is pregnant. But Matt's own mother is ready to take him to court to assure that Elle is removed from life support, which she insists Elle would have wanted. Great book club choice; with a 100,000-copy first printing.
Kirkus Reviews
Personal tragedy becomes an ethical and legal quandary in Sibley's debut literary fiction. Dr. Matt Beaulieu is a Maine neurosurgeon. His college professor wife, Elle McClure, was once a hero astronaut. Matt and Elle grew up as neighbors, their two families intertwined into one. Now, they are best friends and blissfully in love, their marriage marred only by repeated miscarriages. One summer morning, Matt is off to work and Elle is off to help her acrophobic brother clean windows. She falls from a ladder and strikes her head. Emergency surgery reveals "subarachnoid bleeding and shearing." But then during a trauma work-up to declare brain death, which would allow the devastated Matt to cease extraordinary care, Elle is discovered to be pregnant. Realizing a piece of Elle might live on, Matt enters a legal whirlwind. It seems Matt's mother, Linney, holds Elle's advanced care directive. As a teen, Elle had signed the directive after her own mother died slowly and painfully from cancer. Linney, an obstetrical nurse, wants to follow Elle's directive to the letter. "It's just wrong to keep her in this state, as an incubator for something that isn't even a baby yet." Enter Jake Sutter, attorney, Matt's college roommate, and incidentally, a pro-life advocate. The media circus begins, growing even more twisted when another advanced care directive is brought forth by Dr. Adam Cunningham, a NASA scientist with whom Elle had lived when she and Matt were estranged. While the novel is a fictionalized Schiavo-like intrafamily moral war, Sibley ups the ethical stakes by interweaving pregnancy with end-of-life issues. Characters are well-drawn, although the arrogant vindictiveness of Cunningham may be overblown. While she does take the easy way out regarding the end-of-life question, Sibley translates medical and legal issues solidly, bringing both emotion and reason into an examination of our collective failure to agree upon when life begins and ends. A literate and incandescent Nicholas Sparks-like love story complicated by intense moral and ethical questions.
