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The Memory Keeper's Daughter by Kim Edwards 

Book Description (see Amazon or Librarything for customer reviews etc):

A brilliantly-crafted, stunning debut, The Memory Keeper's Daughter, explores the way life takes unexpected turns, and how the mysterious ties that hold a family together help us survive the heartache that occurs when long-buried secrets burst into the open. During a snowstorm on a winter night in 1964, David's young wife, Norah, goes into labor prematurely. When the storm prevents her obstetrician from attending the birth, David and his nurse, Caroline, must handle it themselves. Caroline puts Norah to sleep a standard practice then and David delivers an unanticipated set of twins. His son, born first, is perfectly healthy. Yet when his daughter is born, he sees immediately that she has Down's syndrome. Haunted by the memory of growing up with a chronically ill sister and rationalizing it as a need to protect Norah, his wife, David makes a split-second decision that will alter all of their lives forever. He asks Caroline to take his infant daughter to an institution and never to ... read more

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