A very moving, well-written story, especially considering this is his first novel. It tracks the life of a girl, Eileen Tumulty, growing up in an Irish family in New York and her subsequent adult married life. It is a story about early-onset Alzheimers. It is a story about the reactions of friends and family to the devastating diagnosis, of the challenges of continuing to try to live as normal a life as possible as the disease takes hold, of the struggles of negotiating the American health system, the difficulties of juggling job and carer responsibilities, the self-centredness of youth, the challenging relationship between parents and son. All of these things are woven into the timeline of the progressing illness.
The book is long: 101 chapters, though many of them are just a few pages long. However, I found it gripping from the start. The characters are well depicted, with empathy but without making them flawless. We see Eileen’s dedication and her tendency to be spendthrift. We see her husband Ed’s intelligence as well as his obsessive personality. We see their son’s slow realisation of how much his parents have done for him, after years of being an ingrate.
It is a terrific book about a difficult subject; a subject many of us worry about whenever we forget where we put the keys or can’t recall the name of a famous actor. Well worth reading.