Thirteen-year-old Anna Fitzgerald tells how she learned she was conceived in a lab to save her sickly sister 16-year-old Kate, who has acute promyelocytic leukemia. Anna says Kate is in remission. Anna has been Kate's allergenic donor or a perfect sibling match. She has given Kate leukocytes, stem cells, and bone marrow. She goes to a pawnshop to sell a necklace. The pawn dealer gives her less than it is worth. She lets it go with regret, and the dealer tells her to pretend she misplaced it.
One day their mother, Sara, hears a noise coming from Kate's room. She is crying, and Sara thinks Kate is sick. She is crying over a soap opera. When Kate and Anna are alone, they talk about the soap opera. Anna blocks the television set that Kate wants.....
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