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60 pages 2 hours read

Lisa Genova

Left Neglected

Lisa GenovaFiction | Novel | Adult | Published in 2011

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Chapters 35-39Chapter Summaries & Analyses

Chapter 35 Summary

As he drives, Bob argues all the reasons they cannot move to Vermont, the things they will miss. Sarah notices that he is searching for something on his phone and she yells for him to stop. Bob slams on the brakes. Sarah demands that Bob refrain from using his phone in the car.

Bob says that he just needs to make a quick call. Sarah asks if he wants to end up like her. Bob thinks she is being overly dramatic, but Sarah is firm. Lucy and Charlie chant “no phones, no phones” in the back seat.

Bob insists that it will be a quick call and that he is not doing anything at the moment. Sarah retorts that he is driving. She asks him to wait until they reach the restaurant to make his call. Bob agrees, then is silent for the rest of the ride.

Sarah worries that Bob does not understand the serious nature of using the phone while driving. She becomes angry that Bob does not understand why she does not want him to phone while driving, why she does not want to return to Berkeley, and why she wants to live in Vermont. 

Chapter 36 Summary

Sarah and Helen are in the Welmont Toy Shop with Linus, waiting for Lucy’s dance class to finish. Linus is obsessed with the Thomas train table and Sarah dreads when they will have to leave the store.

Helen says they should go so she can pick up her prescription. Sarah tells her that she and Linus will wait there, assuring Helen that they will be fine.

Sarah browses the toys, then sees that Linus is not at the train table. Sarah frantically searches, but he is not anywhere in the store. Sarah heads outside, scanning the road, unable to breathe.

Helen calls out to Sarah. Sarah cannot see her mother, then turns to her left and sees her coming down the sidewalk with Linus on her hip. Helen says that as she came out of the pharmacy, she saw Linus about to wander into the road. Sarah bursts into tears, overcome with what might have happened.

Later that night, Sarah gets out of bed and goes into Linus’s room. She watches him sleep. Sarah thanks God for keeping Linus safe, then goes to the sunroom.

Sarah finds Helen crying in her bed. She tells Sarah that her heart could not have taken it if anything happened to Linus. Sarah realizes that the incident was not just about Linus for her mother.

Helen cries harder and tells Sarah she is sorry she was not there for her for so many years. Sarah hugs her and says that she forgives her. She thanks her mother for being there now.

Chapter 37 Summary

Heidi finally opens the bottle of wine she gave Sarah on her last day at Baldwin. She watches Sarah walk back to her living room, complimenting her on the improvement in her walk. Sarah is surprised, since she had not noticed.

Heidi toasts to Sarah’s continued recovery, and Sarah thinks that Heidi seems to be the only health professional who still thinks it possible for her to recover further.

Sarah asks Heidi how things are going at Baldwin. Heidi replies that they have a new patient with Left Neglect, who refuses to believe that she has the condition. Sarah understands this feeling, since she herself sometimes forgets, though not out of an unconscious unawareness, as in the beginning. She feels healthy, like there is nothing wrong with her.

Heidi compliments Sarah’s house and asks about the director of development job with NEHSA. She agrees with Sarah that it sounds perfect. Sarah says that she wants to accept, but Bob needs to feel confident that he can find a job in Vermont.

Sarah tells Heidi that her mother loves Vermont as well and that Mike’s niece could nanny for them during the summer. Heidi comments that all the details seem lined up, except for Bob.

Chapter 38 Summary

It is the last weekend in March and Sarah is enjoying the Forever Winter Festival in Cortland with Bob, Charlie, and Lucy. Helen and Linus are at the house. Sarah feels tired, so Bob drives her back.

As they drive, Bob teases Sarah about different jobs he could do in Vermont, like being an ice cream man. Sarah is glad that he is at least entertaining the idea of looking there.

Sarah walks into the house and hears a whistling sound. Helen is asleep on the couch and Linus must be upstairs in his room. Sarah checks to see if the whistling is coming from a toy but does not see anything.

Sarah goes into the kitchen, but does not see anything amiss. Then she remembers to scan left and sees that the tea kettle is whistling on the stove, with her mother’s mug and tea bag next to it. Sarah gets a bad feeling in her stomach and turns the burner off.

In the quiet of the living room, Sarah knows that her mother is not really sleeping.

Chapter 39 Summary

Sarah narrates this chapter. The family sold their Welmont house and moved to Vermont in June. Sarah went to her mother’s house on Cape Cod, thinking of all the plans she had had about going to visit her mother there.

Bob found a job he loves at a young company that develops plans for converting clients to renewable energy sources. He has a traffic-free commute.

Sarah and Bob love the children’s new school, which has a snowboarding team. Charlie’s special education teachers are excellent and Lucy has made new friends.

Sarah loves her new job, the people, the hours, and the work itself. She has not cried once and believes that she never will. She loves having time to play with her children in the afternoons, to help with homework, to attend soccer games, to have dinner with her family every evening.

Sarah still misses her old life in many ways. She misses her job and conquering the challenges of her impossible days. She does not miss the stress. Sarah does miss Heidi and misses the independence of driving. She misses being able to do simple tasks easily. Most of all, she misses her mother.

Now it is November. Bob and Sarah are having dinner to celebrate the anniversary of her surviving her accident. Bob gives her a new charm for her bracelet, a silver hat to remind her of her mother. They toast to a full life, Sarah’s glass in her left hand.

Sarah dreams of being on the ski lift, her mother beside her. Her mother does not wear ski clothes, but she is there to enjoy the ride with Sarah.

The end of the lift approaches and Helen reminds Sarah to look left. Sarah sees her father and Nate there. She asks where they came from and her father replies that they have been there the whole time.

Sarah slides down the ramp and her parents and Nate board another lift. She watches them ascend. She turns her head to the left and Bob is there, with their children. They were all waiting for her. Sliding down the hill, Sarah feels whole.

Chapters 35-39 Analysis

The final chapters show the change and personal growth that Sarah has undergone as a result of her Left Neglect. Prior to her accident, she took many things for granted, such as how seemingly minor actions can result in great consequences. When Bob starts to make a call in the car, Sarah firmly tells him to put his phone away. She herself had been a chronic phone user while driving, until she discovered how a split second of inattention can change one’s life. Paying attention and being present in the moment has become important to Sarah, who sees the danger in sentiments like “it’s just for a second” or “I’m just driving.”

Sarah has always been a hard worker, but now she understands that overcoming obstacles requires more than just hard work. When Sarah gets together with Heidi, she sees that friendship and hope are important as well. Heidi hopes that Sarah can make a full recovery, which Sarah finds more valuable than the dispassionate assessments by the doctors and therapists she has seen.

When Sarah “loses” Linus at a shop and experiences the terror that he might have been injured or killed, she understands with all her heart the guilt and despair that her mother went through after Nate’s death. “There aren’t enough tissues for the sorrow she’s been living with. I reach around her neck with my right hand and hug her into me” (306). This is the last step in healing and forgiveness that Sarah feels towards her mother. Sarah’s bitterness has healed and she feels nothing but love and gratitude towards her mother.

When Helen passes away, Sarah instinctively knows that she is gone. There had been clues that Helen had a medical condition that she chose not to share with Sarah. She takes undisclosed medication, she is often tired, and her left arm bothers her. Sarah reflects that one of the positive outcomes from her accident is that it prompted her mother to return to her life. “What if I hadn’t needed her help? What if she hadn’t offered it to me? I’m so grateful that I had the chance to know and love her before she died” (319).

Sarah integrates elements of her old life and her new life into her new job as director of development with the NEHSA. “All the business skills I’ve accumulated at HBS and Berkley give me the ability to do the job well. And my disability gives me the empathy and experience as someone who has benefited from NEHSA to do the job with passion” (310). The job offers great flexibility in hours and Sarah can work many of them from her couch at home when she does not feel up to coming into the office. Her coworkers understand and accept her needs and even help her by picking up Linus from daycare. The salary is far less than she made at Berkeley, but one of the greatest lessons that Sarah has gained from her experiences is that there are more important things to life than chasing more money. Sarah’s life is in far better balance now.

In the last chapter, it has been a year since Sarah’s accident. Immediately following her accident, Sarah had focused on what she lost. Choosing to refocus on what she has gained has made her, and her entire family, happier, healthier, and more grounded.

Sarah is particularly thankful that Bob has adapted to the changes in her and in their lives. Bob had also been living a life dominated by stress and worry, neglecting their family life and his own health. Sarah’s accident forced Bob to change in ways for the better as well. “I smile, loving him for changing with me, for going where my Neglect has taken us, for getting the new me” (320).

The novel ends with another dream, but this time it is not a sign of Sarah’s subconscious angst. It shows her newfound happiness and contentment, finding resolution with her past and hopefulness for her future.

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