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The novel’s four section titles are “Red,” “Brown,” “Blue,” and “Black.” What do these colors symbolize in the novel? Why do you think the author chose them?
Describe Julia’s relationship with Bridie. How does Julia’s opinion of Bridie change over the course of the story?
What are Dr. Lynn’s political views? What major political debates are taking place in Ireland at the time, and how do various characters view these issues?
The author describes several medical procedures in detail, especially those involving childbirth. Why do you think the author chose to do this? What effect did it have on you as a reader?
Why do you think the author chose the title The Pull of the Stars? What do stars symbolize in the novel?
How do most of the doctors treat Julia? How does her professional relationship with Dr. Lynn differ, and why?
Describe Julia’s brother, Tim. How did his time serving in World War I affect him? What the effects did World War I have on many young veterans in Ireland?
Because of the unprecedented circumstances in 1918, the hospital abandons many regulations and protocols. What are some examples? To what extent does Julia benefit or suffer from the lax rules?
How does Julia’s impression of Groyne change and what prompts this change?
Why does Julia take Barnabas home at the end of the novel?



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