This is a book written for, and best suited to, a niche market, that of women dealing with breast cancer (the most common form of cancer for women in the USA). Anglo Protestants will be most comfortable with it; it contains some anti-Catholic references that will leave any Catholic woman who is content with her religion squirming.
Before I go further, I should tell you that this book came to me courtesy of a Goodreads.com giveaway, and Gwen herself sent me a first edition of this lovely little book. Curious, I went online and Googled "breast cancer"+"memoir". This led me to an Amazon.com page that listed a lot of cancer memoirs. I counted eleven for breast cancer, and these did not include the other two I knew of, The Dog Lived (and So Will I) or the late great Gilda Radner's It's Always Something.
But there's something unique here, because no one else who was not famous had the courage to put her face right on the front of the memoir. It's a very brave thing to do. Rosha Anderson was told repeatedly (and to her frustration, and more on that) that "you're so young!" Far too young to leave the job market, she continues to work as a teacher, and thus, putting her face on the book and telling her students about her illness (and even going so far as to have a contest for which class could see her remove her wig and look at her post-chemo head!) is especially gutsy. I admire that.
I also wonder whether it made her memoir bland. The book addresses her lumpectomy, double mastectomy, and divorce, yet the rage is completely missing, merely showing up as occasional irritation. Toward the dead end of the memoir, she mentions this, and that it is time to get mad. There's an opportunity here to build toward the kind of crescendo that one expects in any story, whether it's fictional or personal, a rising and falling action that satisfies. Yet she leaves it dangling. I wonder whether fear of disapproval by her colleagues, students, and other people in her daily life have caused her to hold back, to inoculate her feelings during this turbulent time into something less than they really were.
I think that having cancer so early in life, though it may have contributed to her survival (the young being more likely to heal) also threw off the progress that she, and all young people go through in building a life. Most who get breast cancer, do so when they already have their whole house in order, so to speak. I've known a number of such women. They have a spouse or children who can be counted on to take them to appointments and look after them; Gwen ends up on her mother's sofa. Most women who deal with this have either a secure career or are retired; Gwen is still on a tenure track at school, and is forced to miss an entire semester for treatment, though she tries hard to avoid doing so. And most women have already invented their personalities, and are not dealing with the question she faces, though not squarely or dramatically enough in print, IMO, of "Who am I, and why am I here?"
There is a lot that could be done with this memoir to make it a good general read. Published in the original journal format she used, it lifts whole entries posted at CaringBridge.org, which sounds like a cancer support network, but it doesn't clean up the grammar, abbreviations, or mistaken punctuation. There is no effort to build the story to a climax; there is a photograph of her on the back of the book with a man and child, her new family, and the guy gets half a page at the end. The child is not mentioned at all. This is where it disappoints. Mostly, it is not an entirely honest read. On page 156, in the midst of all the cancer treatment and further planning, "I ended up vomiting in the bathroom". She is afraid she might be getting fat; she is a "former bulimic".
Really? Say what? Oh, no you didn't just drop that in there! What's up with that? Either talk to us about it as part of the whole story, or log back onto your computer and pull it out. She takes us through the in's and out's of the marriage (to an immature young man she was better off without; when he wanted to leave and she begged him to stay, I wanted to tell her, as the staff members at her school more or less did, to offer him a rookie card of some famous athlete if he'll run along and get out of her hair). She takes us through the roller coaster of her dating life, except for the one who really matters. And halfway through the read, we find out that she is throwing up in the potty on purpose? I think not!
For those dealing with breast cancer on a personal level, this is a valuable resource. She shares (and this is a teacher word that means "tells") a number of great sources of information at the end of the memoir, but the memoir itself is also a painstakingly clear record of blood levels, medications, and even the quacks in Mexico that she is smart enough to deflect when a controlling boyfriend attempts to coerce her away from chemotherapy and toward the Third World's solution.
There is gold to be mined here for breast cancer patients, and a lot survivors will likely be interested in and relate to it. This is her primary audience, and the book says as much on the cover.
Gwen's three lumps are gone, and she's still here. If you are facing the challenges that she has lived through, this book can give you both information and strength.