61 pages • 2-hour read
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Content Warning: This section of the guide includes discussion of illness and death, substance use, physical abuse, emotional abuse, gender discrimination, and suicidal ideation.
Miranda Fitch, the novel’s protagonist and narrator, is an assistant professor in the struggling Theater Department of a small New England college. She suffers from chronic pain in her hip, back, and legs, and one late afternoon, she lies on her office floor to try and relieve her pain. She watches a commercial for a drug that claims to treat nerve pain, and she scoffs at its portrayal of suffering before her laptop battery dies. Fauve, her colleague and an adjunct in the department, knocks on Miranda’s door, and Miranda stays quiet and hides until she leaves. She dislikes Fauve, believing she is vying for her job; also, she knows Fauve intends to remind her about play rehearsal she is supposed to be directing, and Miranda is in too much pain to do so. Shortly after, Grace, Miranda’s assistant director and a tenured professor in the department, arrives. Miranda likes Grace, and she recalls that the two of them used to be close. She notes that Grace always seems to be in the pink of health, in contrast with her own debilitating pain. She closes an open window in Miranda’s office—it was letting in snowflakes from the outside and Miranda couldn’t close it herself. Then, Grace shares a cigarette with Miranda and reminds her that her students are waiting for her.
Fauve reappears and offers to take over rehearsals for the day, but Miranda declines. After Fauve and Grace leave, Miranda struggles to stand and takes multiple painkillers and muscle relaxants. She considers dying by suicide by taking all her pills before deciding against it. Finally, she applies an herbal gel one of the many medical practitioners she sees suggested she try and heads to rehearsal.
Miranda arrives late to rehearsal to find her students waiting on the stage. All of them are holding copies of All’s Well That Ends Well, though Miranda notes they dislike the choice of play. Briana, who will play the lead role of Helen, seems especially displeased. Miranda dislikes the girl, who she thinks is a poor actor. She was forced to give her the role because her parents are major donors to the theater program. If it were up to Miranda, she would have Ellie, a mousy girl who is very talented, play Helen. The set designer, Hugo, walks in, and Miranda is suddenly unnerved because she is attracted to him. He works quietly at the back as she talks to her students about the play. Miranda feels unfocused from all her medication and struggles to stay on task.
Trevor, Briana’s boyfriend and the lead actor, confronts Miranda, challenging her choice of play. He criticizes the plot and characters and asks to change the production to Macbeth. Miranda tries to defend All’s Well That Ends Well, but she notes that Grace sits by quietly, offering no support.
Finally, Ellie speaks up in defense of Miranda’s choice, saying the uniqueness of All’s Well That Ends Well will give them an advantage at the Shakespeare play competition they will attend. Briana requests a warm-up exercise before they start rehearsals, but Miranda refuses because seeing her young students move easily and flexibly aggravates her. Grace steps in, offering to lead the warm-up herself. Miranda retreats to the wings and takes another pain pill.
After rehearsal, Miranda and Grace go to a pub called The Canny Man. They discuss the students’ behavior, but Grace is dismissive of Miranda’s concerns. She seems to agree with the students that All’s Well That Ends Well isn’t a good choice and that they should switch to Macbeth. However, Grace defers to Miranda’s choice as director and tells her not to worry too much about it. Miranda recalls how she and Grace used to be friends, with Grace driving Miranda to her doctor’s appointments and helping with chores. However, she once told Miranda that she thought Miranda’s pain was “all in [her] head” (34), and this caused a strain in their relationship.
Miranda stays to drink alone after Grace leaves. She isn’t supposed to be mixing alcohol with her painkillers, and she soon begins to question what she sees and hears. For instance, she wonders if the lights are really dimming or if only she perceives it that way. She has an urge to call her ex-husband Paul but fights it. She recalls how they met when she was young, healthy, and beautiful, with a successful career as an actor ahead of her. She was in Edinburgh, playing the role of Helen in a production of All’s Well That Ends Well, and Paul came to watch it every night.
As she sits at the bar, three men in dark suits join her: “One tall, one fat, one middling” (40). The middling man speaks to her, demonstrating a supernatural knowledge of her medical and personal history, including her name and occupation. She notices the fat man has stringy gray hair and red blotches on his skin, while the tall man is extremely handsome but stays on the edges of her line of sight. The middling man gives Miranda a silk handkerchief to wipe her tears and then offers her a drink he calls a “golden remedy.” Desperate, she drinks it and experiences immediate relief from her pain, though she senses the effect is temporary. He quotes a line from All’s Well That Ends Well: “Our remedies oft in ourselves do lie which we ascribe to heaven” (43). When Miranda asks him if he is in theater, he laughs and says everyone is.
The next day, Miranda attends an appointment at the SpineWorks rehabilitation center. She tells her physical therapist, Mark, that her pain has worsened. Recalling how his optimism about her case has faded, she endures his examination. He makes her perform backward bends, an exercise she knows will aggravate her condition. During her treatment, Miranda recalls how Paul encouraged her to apply for the assistant professor position at her college. After her injury, she stopped acting and spent all her time moping on their couch. The medication and treatments blunted her sexual desire. She still clung to Paul for emotional support but could sense him withdrawing.
As her pain intensifies, Mark dismisses her complaints. He uses a Graston tool and then dry needles on her back muscles. As his next patient arrives, Mark becomes detached, offering vague advice before ending the session. Miranda leaves feeling physically broken and emotionally invalidated.
The following afternoon, Miranda once again lies on her office floor in extreme pain. She recalls a phone call she made the previous night to Paul, who was dismissive of her suffering. She recalls how he used to support her unequivocally in the past, championing her acting. He used to remind her of her mother who died some years back; she, too, always supported Miranda, and she misses her. Now, Paul likes to remind Miranda that she left him, though Miranda only did that because she sensed he was tired of her.
Ellie arrives at Miranda’s office to warn her that the cast is filing a formal complaint with the dean to change the play. Ellie also senses Miranda is in pain and offers to make her a special healing mix for a bath, but Miranda declines.
Miranda ignores multiple calls from the dean, suspecting that Fauve is orchestrating a professional move against her. Later, she teaches her Playing Shakespeare class in a dissociated state and dismisses the students early. In the campus bathroom, she confronts her deteriorating appearance in the mirror, recalling how she took great care of her appearance before her injury.
Miranda arrives at the theater for rehearsal to find only Ellie present. She instructs Ellie to practice Helen’s soliloquy from the play since she is Briana’s understudy. Then, Miranda goes into the hallway to see if she can spot the other students or Grace, but she sees no one. Noticing the workshop door across the hall is open, Miranda enters and sees the half-finished sets for All’s Well That Ends Well. She spots Hugo and feels attracted to his strength and good looks. She recalls that he told her he studied Shakespeare when he was incarcerated. Hugo is excited to show her the maquette he has just built, and Miranda is shocked and disappointed to see that it is for Macbeth.
Hugo explains that Fauve informed him the dean had officially changed the play. He expresses surprise that Miranda had not been told first. Miranda flees the workshop.
The novel’s opening chapters establish The Gendering and Invisibility of Chronic Pain as the narrative’s foundational crisis as the world treats Miranda’s chronic suffering as a personal failing. This disbelief is systemic, manifesting in medical, professional, and personal spheres. Her interactions with the medical establishment portray a system that psychologizes her symptoms and dismisses her lived experience. For instance, her physical therapist Mark employs empty encouragements and vague platitudes, like “pain is information” and suggesting she try “whatever feels good” (57). He also seems detached from her suffering as he turns away mid-sentence to greet a new patient. As she leaves this appointment, Miranda imagines her pain as “blinking red webs” without a spider (58), thinking of it as an invisible network that traps women like her whose suffering is invisible and dismissed.
This institutional invalidation is mirrored in Miranda’s personal and professional life. Her colleague Fauve challenges the consistency of Miranda’s symptoms; when Miranda mentions that her leg hurts, Fauve’s question, “Oh. I thought it was your back?” (11), is laden with suspicion and is a challenge to Miranda’s credibility. Even Grace, once a close friend, has retreated into guarded skepticism since Miranda’s pain is chronic and undiagnosable. This pervasive disbelief isolates Miranda, forcing her into a defensive posture where she is aware that her suffering is being scrutinized for signs of deceit. The recurring image of the “bad actress” in a drug commercial encapsulates her internalized anxiety she is only performing pain and that no one—including herself—can fully believe her.
This environment of disbelief sets up the novel’s theme of The Blurring Lines Between Performance and Reality, using Shakespearean theater as the lens through which Miranda attempts to reclaim her life’s narrative. Her determination to direct All’s Well That Ends Well represents her desperate need for a miraculous resolution in her own life, akin to the play’s ending. When her student Trevor dismisses the play’s protagonist, Helen, as “sort of pathetic” (19), Miranda sees it as an undermining of her hope. The students’ push to stage Macbeth instead represents an overwriting of a tragic narrative for her. Macbeth’s vision of witchcraft and downfall opposes her desired happy ending and foreshadows the supernatural path she will take. Her struggle over the production becomes a battle to choose her own narrative for herself.
The novel renders Miranda’s subjective unraveling in an unreliable first-person perspective characterized by a fractured, non-linear perspective that collapses memory, fantasy, and real experiences. Her narrative often manifests as hallucination, such as the personification of her pain as a menacing figure, her sense of disorientation during conversations, and dreamlike sequences that bleed into one another. These narrative distortions and fragmented perceptions mirror the disorienting reality of living with chronic pain. Consequently, the introduction of the three mysterious men at the Canny Man feels like an extension of a consciousness already steeped in the surreal.
Their appearance also marks the novel’s pivot into the theme of The Morality of Reclaiming Power Through Vengeance as they present Miranda with a seductive shortcut to wellness. Notably, the traditional mechanics of a Faustian bargain are absent: They do not give Miranda a clear deal or terms to consider. Instead, their eerie knowledge of her history suggests that she is a target, and they hand her the drink in a moment of deep vulnerability, with no explicit consent or discussion. In contrast to the medical establishment, they acknowledge her pain and give her validation that her suffering is real. However, like her professional caregivers, they, too, seek to exploit her. The golden remedy they offer is a symbol of this dark pact: It is a magical, temporary cure that implies an unspoken cost. The transaction is sealed when one of the men quotes Helen’s soliloquy from All’s Well That Ends Well, stating that “[o]ur remedies oft in ourselves do lie” (43). This link between their offer and Miranda’s artistic obsession confirms they are answering her deepest desire—not just for relief, but for the power to enact her own remedies and seize control of her fate.



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