52 pages 1-hour read

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Fiction | Novel | Adult | Published in 1996

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Chapters 7-12Chapter Summaries & Analyses

Content Warning: This section of the guide contains discussion of illness or death, pregnancy loss or termination, bullying, emotional abuse, child abuse, substance use, and addiction.

Chapter 7 Summary

Angel dwells on his lifelong guilt and jealousy toward his brother, Francis. Madelaine enters the room and gives him a piece of paper with Francis’s phone number. She admits that she has lied about Angel’s psychological fitness for the transplant so that he can be considered eligible. Angel assumes she and Francis are a couple and are allied against him.


Madelaine is called to the ICU, where she resuscitates a patient. Afterward, she calls Francis and asks him to pick up Lina from school. In the car, Lina tells Francis that her mother promised to contact her father. Alone in his hospital room, Angel flashes back to being 17 and hospitalized with myocarditis, a virus that affects the heart. He recalls meeting Madelaine, a volunteer candy striper, seeing a copy of Heartbeat magazine, and watching his brother gravitate toward her. Angel deliberately pursued Madelaine until she chose him over Francis.

Chapter 8 Summary

On Saturday morning, Madelaine’s attempt to connect with Lina over breakfast fails when she admits she hasn’t yet contacted Lina’s father. She promises again that she will. Feeling dismissed, Lina visits Francis’s for answers. Francis refuses to reveal her father’s identity out of loyalty to Madelaine. Lina storms out, feeling betrayed by them both. Hurt and angry, Lina walks to a drugstore and steals a tube of mascara. A store detective stops her as she tries to leave.

Chapter 9 Summary

Francis gives last rites to a dying parishioner, Ilya Fiorelli, who tells him people only regret what they fail to do. Her words resonate, making him think of Madelaine and the time he offered to marry her when she was pregnant; she had refused, asking him to be her best friend instead. At the hospital, Angel feels his health declining and leaves a message for Francis.


When Francis arrives, their reunion is tense. They argue over Madelaine, and Francis reveals he is a priest. He admits he still loves Madelaine and warns Angel not to hurt her again. As he prepares to leave for a retreat, Angel quietly apologizes, unable to bridge the distance between them.

Chapter 10 Summary

That evening, Madelaine learns the police have detained Lina for shoplifting. She declines Francis’s offer of help, determined to handle it alone. At Juvenile Hall, a social worker advises her to set and enforce clear consequences. After Lina is released, Madelaine makes her apologize to the store manager. Back home, Madelaine overhears Lina laughing about the arrest on the phone. She grounds Lina and confiscates her phone and bike, prompting Lina to again demand her father’s identity. Pushing past a lifelong fear of confrontation which is rooted in her relationship with her own father, Madelaine tells Lina she has kept the secret because she fears Lina’s father will break her heart.

Chapter 11 Summary

The next morning, inspired by blunt parenting advice from a patient’s wife, Madelaine enforces firm new rules with Lina. Lina is surprised by her mother’s refusals to give into her demands and tantrums, as she has always been able to get whatever she wanted by crying. 


At the hospital, Madelaine finds Angel with a tequila bottle and a cigarette. She confronts him, and he breaks down, admitting he is terrified and does not know how to change. Dr. Allenford pages Madelaine about a potential donor heart for Angel. As the team preps him for surgery, Angel apologizes for leaving her years ago. Another message arrives: The donor heart is not viable. As Madelaine delivers the news, Angel goes into cardiac arrest, and she begins resuscitation.

Chapter 12 Summary

The next day, Madelaine sits with an unconscious Angel. When he wakes, he asks if he is going to die. Believing he needs a sense of purpose, she tells him he has a daughter. He reacts first with anger, then regret. She shows him a photograph of Lina and explains that after he left, her father tried to force Madelaine to terminate the pregnancy, but Francis intervened and helped her. They talk kindly together and Madelaine tells him their daughter is called Angelina Francesca Hillyard. Angel refuses to meet Lina, convinced he would only hurt her.


Meanwhile, Francis arrives late for a couples’ retreat at a lodge in Oregon. Being asked to give the couples family-based advice makes him feel like a fraud because, as a priest, he is unmarried, celibate, and childless. He feels his faith shaken and is distracted by thoughts of his life in Seattle.

Chapters 7-12 Analysis

These chapters progress the plot and dramatic tension by establishing a network of internal crises, using parallel character arcs to explore the consequences of unresolved history. The theme of The Tension Between Public Persona and Private Identity is developed through the juxtaposition of professional competence and personal failure. Madelaine continues to exemplify this split; she is a decisive, life-saving cardiologist, yet she feels powerless in her relationship with Lina. Her professional identity as Dr. Hillyard is a facade that masks her parental insecurity and fear of confrontation, a defense mechanism shown to be rooted in her relationship with her own father. Similarly, Angel’s celebrity persona—arrogant and hedonistic—serves as a shield for his deep-seated self-loathing. His internal monologue reveals a man who believes he has a “puncture in his soul” (86), a void he has tried to fill with fame. This conflict culminates when, faced with his own mortality, he admits to Madelaine, “I don’t know how to change” (142). Lina also adopts a persona; her rebellious attitude and delinquent acts are a performance designed to elicit a response from adults she feels have betrayed her with silence. Her shoplifting is framed as an act of self-sabotage intended to force a confrontation. For each of these characters, the gap between their external presentation and internal reality continues to be a source of profound isolation through these chapters.


The novel’s presentation of multiple perspectives and internal/external juxtapositions emphasizes secrets and lies as a corrosive force that undermines relationships. Madelaine’s promise to contact Lina’s father, followed by her evasion, becomes the catalyst for Lina’s desperation. This lie of omission is born of fear that Angel will reject Lina just as he rejected her. The consequence, however, is Lina’s feeling of betrayal by her mother and by Francis, her surrogate father. His refusal to name her biological father, an act of loyalty to Madelaine, is perceived by Lina as a conspiracy of silence. This web of deceit creates a fractured, unstable version of family, playing into the theme of the Traditional Family and Home as the Location of Personal Fulfilment. Francis’s visit with the dying Ilya Fiorelli provides a thematic counterpoint. As Ilya faces death, her primary concern is truth, forcing Francis to confront his complicity in the lies that bind Madelaine and Lina. Ilya’s wisdom, that “you only regret what you didn’t do” (114), highlights that the protection offered by secrets ultimately prevents the formation of an authentic, trusting family unit.


The sibling rivalry between Angel and Francis serves as a foundational conflict, exploring jealousy, guilt, and the effects of childhood trauma on adult identity. A flashback reveals that Angel’s pursuit of Madelaine was initially an act of competitive spite, a desire to win something his brother wanted. This act creates a rift that 17 years have not healed. Their hospital reunion is a continuation of their lifelong dynamic: Angel is defensive, while Francis is patient yet judgmental. Angel’s bitterness stems from an inferiority complex; he resents Francis for possessing a natural goodness he feels he lacks. Francis, in turn, is trapped by his role as the morally superior brother and his unrequited love for Madelaine. Their fraught exchange reveals that neither has moved past the roles they adopted in childhood, demonstrating how unresolved familial conflicts can arrest emotional development. That this interaction is the only one shown between the adult brothers creates poignancy around Francis’s death in the next section, anticipating the fraternal heart transplant which will become central to The Power of Forgiveness and Second Chances.


This theme is also developed in a more positive way, through the progression of Madelaine and Angel’s relationship towards reconciliation. Madelaine’s revelation that Angel has a daughter is the ultimate offer of a second chance at life and human connection. Angel’s reaction charts the emotional trajectory of someone confronting a redemption they feel they do not deserve. His initial anger at Madelaine gives way to a fear of his own inadequacy. His declaration, “I’ll break her heart, Mad. […] either way, I’ll let her down,” is a moment of brutal honesty (157). This establishes the novel’s core argument about redemption: a second chance is meaningless unless the recipient can forgive themselves enough to accept it. Angel’s journey through transplant survival is paralleled by his emotional arc, overcoming the conviction that he is unworthy of the life and family being offered to him.

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