The Memory Keeper's Daughter by Kim Edwards.
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Some Information about the book:
(Taken from the litlovers website)
"A few months after my story collection, The Secrets of a Fire King, was published, one of the pastors of the Presbyterian church I'd recently joined said she had a story to give me," Kim Edwards explained in an interview on the Penguin Group web site. "It was just a few sentences, about a man who'd discovered late in life that his brother had been born with Down syndrome, placed in an institution at birth, and kept a secret from his family, even from his own mother, all his life. He'd died in that institution, unknown. I remember being struck by the story even as she told it, and thinking right away that it really would make a good novel. It was the secret at the center of the family that intrigued me. Still, in the very next heartbeat, I thought: Of course, I'll never write that book."
Despite Edwards' quick dismissal of the idea, it would not unhand her. She let several years slip by without going to work on the story, but she never forgot it. When she was invited to run a writing workshop for mentally disabled adults, the experience affected Edwards so profoundly that she started mulling over the pastor's story more seriously. It would be another year before Edwards actually began working on The Memory Keeper's Daughter, but once she did, she found that it came quickly and surprisingly well-developed.
In The Memory Keeper's Daughter, a man named David discovers that his newly born son is in fine health, but the child's twin sister is stricken with Down Syndrome. So, the distraught father, who harbors painful memories of his own sister's chronic illness, makes a quick but incredibly difficult decision: he asks the attending nurse to take his daughter to an institution where she might receive better care. Although he tells his wife that the child was stillborn, David's decision goes on to affect the lives of himself and his wife for the following 25 years.
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