Inside the O'Briens

Inside the O’Briens by Lisa Genova

Gallery Books

April 7, 2015

352 pages

$26.00

A preview copy of this novel was provided by NetGalley and Gallery Books in exchange for an honest review. All opinions are my own.

Prepare yourself for an emotional wild ride when reading Lisa Genova’s novel about a family coping with the devastating affects of Huntington’s Disease in Inside the O’Briens.

Joe O’Brien is an officer on the Boston PD, a third generation Irish “Townie” of the Charlestown neighborhood in Boston, and a die-hard Boston Red Sox fan. Fearing that he will end up like his mother Ruth, who was rumored to have driven herself to drink and the nuthouse, and who died when Joe was only twelve years old, Joe never allows himself more than two beers. Except, of course, on St. Patrick’s Day.

Joe and his wife Rosie have four children in their twenties. All of the children live in the family home — a “triple decker” — with three separate units. Katie and Meghan occupy the top floor as roommates, JJ and his wife Colleen live in the middle, and Patrick still has a room in his parents’ home on the first floor. The close-knit Catholic family gathers in Joe and Rosie’s kitchen each week for Sunday night dinners.

As a police officer, Joe is always “on”; aware of his surroundings, activity in the home and Charlestown, and always in control of his emotions. Very slowly, Joe seems to be losing some of that control. He begins to misplace items, including his service firearm, finds it difficult to write reports at work, becomes confused and clumsy, and experiences involuntary body movements that he doesn’t notice. He begins to make mistakes at work, and loses his temper at home.

Finally, he agrees to see a doctor about his symptoms, and is referred to a specialist in movement disorders. Joe’s diagnosis is devastating. Joe O’Brien has Huntington’s Disease. Inherited from a parent, Huntington’s Disease is a rare illness that usually starts in the prime of life, slowly killing a person by their mid-fifties. The worst news — each of Joe and Rosie’s children have a fifty percent chance of already having the disease.

Genova’s novel delves into each of the family members’ reactions to the diagnosis of their father, and their individual struggles whether or not to be tested for the presence of the disease in themselves.

JJ is a firefighter and his wife is expecting their first baby. Is he affected, and if so, what about his unborn child? Patrick is a bartender, and still trying to find his way in life. A positive diagnosis for Meghan, a dancer with the Boston Ballet, could end her dream career, and yoga instructor Katie has just fallen in love.

Even the most hardened of readers will have a difficult time not tearing up or outright sobbing at the challenges and decisions the family members face. Genova’s ability to evoke such strong emotions in her readers is masterful. Inside the O’Briens not only tells the story of a family, but deftly and simply educates the reader about Huntington’s Disease. Lisa Genova’s novel is a fantastic book and is exceptional on all levels. She has definitely hit a grand slam with this book.

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