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I first heard of Lisa Genova in 2015, when Still Alice was made into a movie. I never saw the movie, but got the book as soon as I could. It sounded intriguing. However, I started the book but never got far into it. I got Left Neglected sometime in 2017, but never finished that either. I still intend to finish both. Then late last year, I heard of Every Note Played. I never even got that book, but it got me interested in checking out Lisa Genova again. This is how I found Inside the O’Briens. I was impressed. I had read a young adult novel called Rules for 50/50 Chances, about a girl whose mother has Huntington’s Disease, a few years back. That book had been grippling and hard to put down. I don’t know what it is about Huntington’s over Alzheimer’s or ALS that drew me to this book. I read this book and this time, I actually finished it. Here are my thoughts.

Synopsis

Joe O’Brien is a forty-four-year-old police officer from the Irish Catholic neighborhood of Charlestown, Massachusetts. A devoted husband, proud father of four children in their twenties, and respected officer, Joe begins experiencing bouts of disorganized thinking, uncharacteristic temper outbursts, and strange, involuntary movements. He initially attributes these episodes to the stress of his job, but as these symptoms worsen, he agrees to see a neurologist and is handed a diagnosis that will change his and his family’s lives forever: Huntington’s Disease.

Huntington’s is a lethal neurodegenerative disease with no treatment and no cure. Each of Joe’s four children has a 50 percent chance of inheriting their father’s disease, and a simple blood test can reveal their genetic fate. While watching her potential future in her father’s escalating symptoms, twenty-one-year-old daughter Katie struggles with the questions this test imposes on her young adult life. Does she want to know? What if she’s gene positive? Can she live with the constant anxiety of not knowing?

My Review

The book starts off with a rather grippling scene in which then 36-year-old Joe recognizes his mother in himself. Then, the book quickly skips over the next seven years and details Joe’s work as a police officer. As a reader, I got clues that something was amiss from the beginning and kept wondering when Joe would finally see it himself. Of course, I knew the reason from the book synopsis and Joe had probably never heard of Huntington’s. When Joe finally causes a riot control drill to be prolonged due to his inability to stay in line, his friend and coworker gets his wife involved. This is when they finally go to the doctor.

Once Joe finds out he has Huntington’s Disease, his four children face the question of whether to get tested for the gene themselves. They each have a 50/50 chance of having the gene too, in which case they’ll get the disease. I knew as much from Rules for 50/50 Chances, which centered on this chance. It was very intriguing to follow each child’s steps towards accepting their father’s fate and making a choice about knowing or not knowing their own.

Genova chooses to focus her attention on Katie, Joe’s youngest daughter. She is only 21 and as such, not much older than the main character in Rules for 50/50 Chances. However, Inside the O’Briens is clearly a novel intended for adults and not young people. This is clear when reading from Katie’s perspective too. I must say here that I generally prefer young adult to mature fiction, but this was truly a great read. It’s also not really fair to compare this book to a young adult book by a different author when their only similarity is Huntington’s.

I loved the detail with which Genova describes the scenes and her characters. Each character is truly well-rounded in a way I don’t see often. This book is about so much more than Huntington’s. It’s also about police work, because Joe is a police officer. That may’ve been another thing drawing me into this book rather than Genova’s other books: I just so love learning about cops’ lives.

Book Details

Title: Inside the O’Briens
Author: Lisa Genova
Publisher: Gallery Books
Publication Date: April 7, 2015