This book follows a year in Mull's life, in which her mother becomes ill and is bedridden, is hospitalised and then dies of cancer. Mull, at 16-years-old, takes over running the family, but this has its ups-and-downs. Her father and youngest brother are heavily involved in a Christian fundamentalist church, which Mull and her older brother, Steven, do not agree with. As her mother comes closer to death, Mull's father becomes more involved in the parenting of the family, eventually taking over after the death, and Mull's breakdown over all the work and expectations placed upon her.
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