A sharp, funny, and heartfelt memoir of losing both parents to cancer and the daring choices Gila Pfeffer made to avoid the same early demise

A sharp, funny, and heartfelt memoir of losing both parents to cancer and the daring choices Gila Pfeffer made to avoid the same early demise By the time she was thirty, Gila Pfeffer was the oldest living member of her family, having lost her mother to breast cancer and her father to colon cancer. A simple blood test confirmed she carried the BRCA1 gene—which put her at high risk of developing cancer herself. Determined to break the cycle of early death in her family, Gila decides to undergo an elective double mastectomy. This memoir follows her journey as she becomes a reluctant expert on how to sit shiva, grows up, falls in love, and enters motherhood, before her life is derailed yet again. Her double mastectomy reveals cancer already growing in one breast. After enduring eight rounds of chemo and the removal of her ovaries, she takes her last-ever dip in the mikvah waters as a bald, menopausal, thirty-five-year-old mother of four. With chutzpah honed over years of repeatedly surviving the worst, she manages to save her own life. Drenched in Gila’s dark humor, Nearly Departed is a story about thriving against the odds, committing to what’s important, and leaving a better legacy than the one you inherited.

Faced with the BRCA mutation—the so-called “breast cancer gene”—one woman must answer the question: When genetics can predict how we may die, how then do we decide to live? Eleven months after her mother succumbs to cancer, Jessica Queller has herself tested for the BRCA gene mutation. The results come back positive, putting her at a terrifyingly elevated risk of developing breast cancer before the age of fifty and ovarian cancer in her lifetime. Thirty-four, unattached, and yearning for marriage and a family of her own, Queller faces an agonizing choice: a lifetime of vigilant screenings and a commitment to fight the disease when caught, or its radical alternative—a prophylactic double mastectomy that would effectively restore life to her, even as it would challenge her most closely held beliefs about body image, identity, and sexuality. Superbly informed and armed with surprising wit and style, Queller takes us on an odyssey from the frontiers of science to the private interiors of a woman’s life. Pretty Is What Changes is an absorbing account of how she reaches her courageous decision and its physical, emotional, and philosophical consequences. It is also an incredibly moving story of what we inherit from our parents and how we fashion it into the stuff of our own lives, of mothers and daughters and sisters, and of the sisterhood that forms when women are united in battle against a common enemy. Without flinching, Jessica Queller answers a question we may one day face for ourselves: If genes can map our fates and their dark knowledge is offered to us, will we willingly trade innocence for the information that could save our lives? Praise for Pretty Is What Changes “By turns inspiring, sorrowful and profoundly moving. Queller’s sense of humor and grace transform the most harrowing of situations into a riveting and heartfelt memoir.”—Kirkus Reviews “Seamless and gripping. Readers will be rooting for Queller and her heroic decision to confront her genetic destiny.”—Publishers Weekly “Jessica Queller gives us a warm, chilling, unflinching look at her personal journey of survival with style. The ending will surprise you. Her prescience is astounding. Her courage is inspirational. Brava Jessica!”—Marisa Acocella Marchetto, author of Cancer Vixen

The author recounts her devastating medical diagnoses of Parkinson's disease and two lumps in her breast which required a mastectomy.

A New York Times Editors' Choice Pick! A Best Book of the Year for Time | NPR | The Guardian | Gizmodo| Portalist | New York Public Library A Most Anticipated Pick for USA Today | Bustle | Buzzfeed | Goodreads | Nerdist | io9 | WBUR | Polygon | The New Scientist Locus Award Finalist! Connecticut Book Award for Fiction winner! Dragon Award Finalist! Legacy Award Finalist! "In this ambitious novel, dense with perspectives and social commentary, Onyebuchi dreams up disparate lives in a crumbling future America—with gentrifiers returning to Earth from space colonies and laborers trying to make a precarious living—while leaving room for moments of beauty and humor."—The New York Times, Editors' Choice In his adult novel debut, Hugo, Nebula, Locus, and NAACP Image Award finalist and ALA Alex and New England Book Award winner Tochi Onyebuchi delivers a sweeping science fiction epic in the vein of Samuel R. Delany and Station Eleven. In the 2050s, Earth has begun to empty. Those with the means and the privilege have departed the great cities of the United States for the more comfortable confines of space colonies. Those left behind salvage what they can from the collapsing infrastructure. As they eke out an existence, their neighborhoods are being cannibalized. Brick by brick, their houses are sent to the colonies, what was once a home now a quaint reminder for the colonists of the world that they wrecked. A primal biblical epic flung into the future, Goliath weaves together disparate narratives—a space-dweller looking at New Haven, Connecticut as a chance to reconnect with his spiraling lover; a group of laborers attempting to renew the promises of Earth’s crumbling cities; a journalist attempting to capture the violence of the streets; a marshal trying to solve a kidnapping—into a richly urgent mosaic about race, class, gentrification, and who is allowed to be the hero of any history. At the Publisher's request, this title is being sold without Digital Rights Management Software (DRM) applied.

First published in 1996. This new book gives voice to an emerging consensus among bereavement scholars that our understanding of the grief process needs to be expanded. The dominant 20th century model holds that the function of grief and mourning is to cut bonds with the deceased, thereby freeing the survivor to reinvest in new relationships in the present. Pathological grief has been defined in terms of holding on to the deceased. Close examination reveals that this model is based more on the cultural values of modernity than on any substantial data of what people actually do. Presenting data from several populations, 22 authors - among the most respected in their fields - demonstrate that the health resolution of grief enables one to maintain a continuing bond with the deceased. Despite cultural disapproval and lack of validation by professionals, survivors find places for the dead in their on-going lives and even in their communities. Such bonds are not denial: the deceased can provide resources for enriched functioning in the present. Chapters examine widows and widowers, bereaved children, parents and siblings, and a population previously excluded from bereavement research: adoptees and their birth parents. Bereavement in Japanese culture is also discussed, as are meanings and implications of this new model of grief. Opening new areas of research and scholarly dialogue, this work provides the basis for significant developments in clinical practice in the field.