After dinner was served (takeout Thai for my family and Kim mentioned making supreme nachos) – we had a wonderful discussion with Carol Cassella. I received several emails after the discussion expressing how much the readers enjoyed listening to the author. Thank you to everyone for taking time from your family and busy lives to discuss the book with us.
Let’s get right to it!
Carol is married with two sets of twins, is an anesthesiologist and finds a way to fit writing into her schedule. She starting writing as a hobby but did mention she has always wanted to write a novel and drew upon her life to build aspects of the book. There are two main characters, Marie is a woman with no family and focused on her career and her sister who’s life focuses on family (they are opposites).
The plot twist comes from the fear doctors have, they do not want to harm their patient. She also wanted to write about issues with malpractice and decided to write about her own worst nightmare and what happens when a doctor loses control.
Here are some questions for you, the reader:
- What was your overall view of the book? Did you enjoy it?
- Did you have a favorite character (include why you liked the character)?
- Did you have a favorite part in the book?
- How did your opinion of Marie change from the beginning of the book to the end?
- We didn’t talk about the men in Marie’s life, on the call but I wonder what you thought of Joe.
- Let’s talk about Jolene’s mom. Did you like her as a character?
- Lastly, do you have any questions for the author? If yes, leave them here and I will send a list to Carol.
The following recap is in my own words.
How would the anesthesiologists protocol change if the patient has an existing relationship with the doctor, versus coming to the hospital via ER? It varies depending on the situation (some surgeries take longer, we are not selected by a doctor or patient). They don’t always have a lot of time to establish a relationship and trust is the most important, the first five minutes are critical.
How did you come up with the plot for the book? Did you start with the characters or the idea of the story? When she started the book Carole mentioned that she thought she knew the characters well but they changed with each revision of the novel (as the plot was tweaked). At some degree every character can be a reflection of an author. The more history you give a character the more they can make decisions on their own.
One reader mentioned getting angry at Marie for taking the blame – why was she the only one? Is that what happens in real life? The author reminded us that this is a work of fiction but it is a realistic scenario. With no bleeding, and no obvious place to cast blame it is common for the anesthesiologist to take the blame since they give the go ahead.
Jolene’s medical issue (defect) wasn’t laid out nor did the author include an autopsy in the first draft. Her editor reminded her that readers want answers, they need a conclusion.
How long did it take you to write Oxygen? It took 3 ½ years. Her goal was to write a book for her children. She did get an agent quickly and when the book wasn’t sold she told us that she started burning copies of the book - on a whim sent it to one more agency. A few months later they called, and it was sold within weeks.
Did her family/friends participate in the editing? How did she take their input? While it’s important to get an outside view but hard to take sometimes. Be selective, find someone who is honest and objective – as a writer you have to have a tough skin.
With the death of a child in the book we had to remind some people reading with us (MMBC) to push through this part of the book. When people pushed through Jolene’s death we did learn the book wasn’t centered around this. Was this intentional? She wasn’t sure she wanted to have the patient be a child but it was more realistic with drug doses. Children are vulnerable, our medical system is not fair. She wanted to show this in the beginning and then move from this aspect of the story.
Are you working on a second novel? Her second novel was going to be about human trafficking – when she did the research she couldn’t write about this topic.
Her second novel, out Summer 2010, and is about a woman completing her medical residency (she is married and learns she is pregnant). Flash forward 14 years - she doesn’t finish her residency and ends up working in the medical field with a focus on the financial situation of a family and helping those in need.
What are you reading? Olive Kitteridge
Carol is a member of the Seattle Seven – a group of writers who support each other and are working to raise money for children’s literacy.
The feedback she has received has been so moving. She mentioned a letter from a mother who lost a child during surgery – it broke her heart. The author would love to hear from anyone who has a question or would like to comment on the book. You can visit her website to reach her.
She was off to a piano recital for three of her daughters. Thank you Carol to talking with us this week!
A few of us stayed on after the call to share what we are reading:
- I’m reading The Woman who named God
- Robin is reading People (she’s in book club for the wine)
- Kim just started Brooklyn and is enjoying it
- Sharon French women don’t get Fat (tip: swap OJ for champagne for breakfast!)
Thank you for Visiting
This book club provided an opportunity to discuss books with authors from 2009 - 2013. I like to think we were a group of daughters, sisters, wives, mothers, well... women finding time to meet while juggling daily life.
I hope you enjoy exploring The Manic Mommies Book Club Archives. We read 46 books over the years, with audio or written author discussions for each book read documented on this blog.
Note: The audio archives are no longer available on iTunes.
~ with kindness & gratitude, Mari
Jan 20 Book Selection: April and Oliver
Manic Mommies Book Club Selection: January 2010
I'm pleased to announce that we will be discussing this book with the author on Jan 20 at 7PM central. Watch for details as we get closer to the date.
If you would like to enter the book drawing for one of 24 copies, watch for details on the Manic Mommies website (details should be up in the next week).
Synopsis: The story of April and Oliver, two inseparable childhood friends whose existences again collide with the sudden death of April's younger brother
Author Q&A:
Tell us a little about yourself: The Nuts and Bolts Answer: I grew up on Long Island, but have lived many places within the United States and abroad. I am married with two children, and teach writing to middle school students. My work has appeared in The New York Times Magazine, Boston College Magazine, Cottonwood, Stylus Anthology, Newsday, and elsewhere through syndication. An excerpt of April & Oliver was published in Agni and subsequently nominated for the Pushcart Prize. I have a Masters in Education from SUNY Buffalo and an MFA in Fiction from Bennington College.
The Amorphous Answer: I enjoy noticing the way light from a window patiently traverses a room over the course of a day. Clouds capture my attention, as well as bird songs, swaying branches, and gusts of wind. My propensity to stop and notice makes me an oddball. At the same time, I live a life teeming with deadlines, appointments, and responsibilities. How do I manage? Not very well! Every day, life gives me ample opportunity to laugh at myself.
Do you write daily? When I am in the momentum of a project, I write daily. I like being swept up by a story and surrendering to it. When I have that kind of relationship with a piece, hours pass like minutes. As a mother and teacher, however, I don’t often have hours at a time. Sometimes schoolwork and other responsibilities take over, in which case I write in snatches.
What was it like getting your first book published? It took time for me to hone my skills as a writer. At some point, I gave up on the idea of publishing and decided to focus on teaching. Nevertheless, I kept writing because it is what I do. I worked on April & Oliver on and off for years, periodically stuffing it in a drawer for long stretches. It was my good friend, novelist Sasha Troyan, who encouraged me to haul the manuscript out one more time. Having been away from it for so long, I reread the manuscript with a blend of satisfaction and horror. Because so much time had passed, and because I myself had changed, (the stretching effect of parenthood), I could clearly see what rang true and what did not. It was as if I was reading someone else’s manuscript, and knew precisely what to fix. When I was satisfied, I sent it to an agent, and promptly forgot about it. Six months later, the agent called, asking to represent it. Two days later, the book was sold. I feel very grateful for my good fortune.
What do you think of kindle? Electronic publishing makes particular sense for subject areas where content is constantly being updated, such as science textbooks. It can also help spare our kids’ spines, not to mention a tree or two. Personally, I do not enjoy reading novels electronically. I like the tactile experience of reading, dog-earing, underlining, and hearing the whisk of each page as I turn it. However, I think people should enjoy books in whatever format is easiest for them. Currently, I spend hours in the car driving my kids to school, travel soccer, etcetera, and have taken to listening to books on tape. Given the demands of my life at the moment, if I were not listening to audio books, I would not be doing much reading at all. Therefore, I think people should enjoy books in whatever format is most accessible to them, whether kindle, audio, or old fashioned paper.
What is one tip you can share with aspiring writers? At the Squaw Valley Writer’s Conference some years ago, I had the privilege of working with the late Ted Solotaroff. He said in a lecture that during his tenure as founder and editor of The New American Review, he saw many gifted writers come and go. The ones who went on to become accomplished authors were not necessarily those who showed the greatest natural talent, but those who simply did not give up. My main advice is to keep at it, and always trust your own deepest instincts.
What are you reading now? I recently finished Unaccustomed Earth by Jhumpa Lahiri, The Road by Cormac McCarthy, and Out Stealing Horses by Per Petterson. Presently, I am in the middle of a reread of Pride and Prejudice by Jane Austen. Next in the queue is Herzog by Saul Bellow. The last paragraph of The Road left me so astonished that I am still having dreams about it.
Name some of your all time favorite novels, excluding classics: Love in the Time of Cholera by Gabriel García Márquez; Remains of the Day by Kazuo Ishiguro; The English Patient by Michael Ondaatje; The Shipping News by E. Annie Proulx
I'm pleased to announce that we will be discussing this book with the author on Jan 20 at 7PM central. Watch for details as we get closer to the date.
If you would like to enter the book drawing for one of 24 copies, watch for details on the Manic Mommies website (details should be up in the next week).
Synopsis: The story of April and Oliver, two inseparable childhood friends whose existences again collide with the sudden death of April's younger brother
Author Q&A:
Tell us a little about yourself: The Nuts and Bolts Answer: I grew up on Long Island, but have lived many places within the United States and abroad. I am married with two children, and teach writing to middle school students. My work has appeared in The New York Times Magazine, Boston College Magazine, Cottonwood, Stylus Anthology, Newsday, and elsewhere through syndication. An excerpt of April & Oliver was published in Agni and subsequently nominated for the Pushcart Prize. I have a Masters in Education from SUNY Buffalo and an MFA in Fiction from Bennington College.
The Amorphous Answer: I enjoy noticing the way light from a window patiently traverses a room over the course of a day. Clouds capture my attention, as well as bird songs, swaying branches, and gusts of wind. My propensity to stop and notice makes me an oddball. At the same time, I live a life teeming with deadlines, appointments, and responsibilities. How do I manage? Not very well! Every day, life gives me ample opportunity to laugh at myself.
Do you write daily? When I am in the momentum of a project, I write daily. I like being swept up by a story and surrendering to it. When I have that kind of relationship with a piece, hours pass like minutes. As a mother and teacher, however, I don’t often have hours at a time. Sometimes schoolwork and other responsibilities take over, in which case I write in snatches.
What was it like getting your first book published? It took time for me to hone my skills as a writer. At some point, I gave up on the idea of publishing and decided to focus on teaching. Nevertheless, I kept writing because it is what I do. I worked on April & Oliver on and off for years, periodically stuffing it in a drawer for long stretches. It was my good friend, novelist Sasha Troyan, who encouraged me to haul the manuscript out one more time. Having been away from it for so long, I reread the manuscript with a blend of satisfaction and horror. Because so much time had passed, and because I myself had changed, (the stretching effect of parenthood), I could clearly see what rang true and what did not. It was as if I was reading someone else’s manuscript, and knew precisely what to fix. When I was satisfied, I sent it to an agent, and promptly forgot about it. Six months later, the agent called, asking to represent it. Two days later, the book was sold. I feel very grateful for my good fortune.
What do you think of kindle? Electronic publishing makes particular sense for subject areas where content is constantly being updated, such as science textbooks. It can also help spare our kids’ spines, not to mention a tree or two. Personally, I do not enjoy reading novels electronically. I like the tactile experience of reading, dog-earing, underlining, and hearing the whisk of each page as I turn it. However, I think people should enjoy books in whatever format is easiest for them. Currently, I spend hours in the car driving my kids to school, travel soccer, etcetera, and have taken to listening to books on tape. Given the demands of my life at the moment, if I were not listening to audio books, I would not be doing much reading at all. Therefore, I think people should enjoy books in whatever format is most accessible to them, whether kindle, audio, or old fashioned paper.
What is one tip you can share with aspiring writers? At the Squaw Valley Writer’s Conference some years ago, I had the privilege of working with the late Ted Solotaroff. He said in a lecture that during his tenure as founder and editor of The New American Review, he saw many gifted writers come and go. The ones who went on to become accomplished authors were not necessarily those who showed the greatest natural talent, but those who simply did not give up. My main advice is to keep at it, and always trust your own deepest instincts.
What are you reading now? I recently finished Unaccustomed Earth by Jhumpa Lahiri, The Road by Cormac McCarthy, and Out Stealing Horses by Per Petterson. Presently, I am in the middle of a reread of Pride and Prejudice by Jane Austen. Next in the queue is Herzog by Saul Bellow. The last paragraph of The Road left me so astonished that I am still having dreams about it.
Name some of your all time favorite novels, excluding classics: Love in the Time of Cholera by Gabriel García Márquez; Remains of the Day by Kazuo Ishiguro; The English Patient by Michael Ondaatje; The Shipping News by E. Annie Proulx
Upcoming Book Club Selections
I'm pleased to announce our book club selections through July 2010!
- Watch for book giveaways on Manic Mommies the first week of each month (ie: early Dec we will hold the book drawing for the Jan selection)
- We will be speaking to each author to discuss the book for 30-40 minutes
- In addition to the author discussion we will host an online discussion for those unable to joining the call and want to participate with us
- Watch for an author Q&A as a companion to the book giveaway each month.
Hot-blooded Rose Mae escapes from under Ro's perky compliance and emerges with a gun and a plan to beat the hand she's been dealt. Following messages that her long-missing mother has left hidden for her in graffiti and behind paintings, Rose and her dog Gretel set out from Amarillo, Texas back to her hometown of Fruiton, Alabama, and then on to California, unearthing a host of family secrets as she goes. Running for her life, she realizes that she must face her past in order to overcome her fate - death by marriage - and become a woman who is strong enough to save herself from the one who loves her best.
- Watch for book giveaways on Manic Mommies the first week of each month (ie: early Dec we will hold the book drawing for the Jan selection)
- We will be speaking to each author to discuss the book for 30-40 minutes
- In addition to the author discussion we will host an online discussion for those unable to joining the call and want to participate with us
- Watch for an author Q&A as a companion to the book giveaway each month.
Jan 20: April and Oliver, by Tess Callahan
The story of April and Oliver, two inseparable childhood friends whose existences again collide with the sudden death of April's younger brother
Feb 17: The Wife’s Tale by Lori Lansens
With sharp humor and delicate grace, The Wife’s Tale follows Mary Gooch – morbidly obese and living in denial – as she pursues her husband across the country.
March 17: Why Is My Mother Getting A Tattoo?, by Jancee Dunn
Despite her forty years and a successful career as a rock journalist, Jancee Dunn still feels like a teenager, especially around her parents and sisters. Looking around, Dunn realizes that she’s not alone in this regression: Her friends, all with successful jobs, marriages, and families of their own, still feel like kids around their moms and dads, too. That gets Dunn to thinking: Do we ever really grow up?
April 21: THE YELLOW HOUSE by Patricia Falvey
The story of a young woman fighting to reunite her family and reclaim their ancestral home during the war for Irish Independence.
May 19: LOVE IN MID AIR by Kim Wright
As she approaches forty, a woman struggles to find a new kind of happiness in this sexy and surprising debut novel.
June 16: HOW CLARISSA BURDEN LEARNED TO FLY by Connie May Fowler
How Clarissa Burden Learned to Fly is the story of a woman in her mid thirties as she tracks one day in her life during which she ultimately transcends the quagmire of her middle-aged existence and leaves her husband.
July 21: BACKSEAT SAINTS by Joshilyn Jackson
Synopsis: Rose Mae Lolley's past is littered with bad men. From her earliest intimate relationship with her father's fists to the string of bad news boyfriends she dated and ditched after leaving home, she has always courted trouble. As "Mrs. Ro Grandee," she's managed to tamp down the fierce and dirty girl Rose Mae once was under flowery skirts and bow-trimmed ballet flats and lunches cooked for the church bazaar. Trapped in a marriage thick with love and sick with abuse, Ro performs her role of dutiful wife perfectly in her new home in rural Texas, gracefully working in her husband's daddy's gun store in between making eggs, ironing shirts, and taking her punches. She seems doomed to spend the rest of her life battered on the outside by her husband and on the inside by her former self, until fate throws her in the path of an airport gypsy - one who shares her past and knows her future. The tarot cards foretell that Rose's beautiful, abusive husband is going to kill her. Unless she kills him first.
MMBC: Oxygen (Dec 16, 7PM Central)
We held the book drawing of twelve free copies of Oxygen a few weeks ago. Congratulations to: Connie, Elizabeth, Sharon, Jill, Tara, Theresa, Natasha, Jennifer, Jessica, Tracie, Trisha and Jennifer - the books are in the mail!
If you didn't win a copy of the book and are interested in discussing the book with the author on Dec 16, please send me an email with your contact information.
I plan to use Talkshoe.com to host the call, which will let each of us select our communication method (Cell, Lan line or Skype).
I will post more details a week before the call is scheduled.
If you didn't win a copy of the book and are interested in discussing the book with the author on Dec 16, please send me an email with your contact information.
I plan to use Talkshoe.com to host the call, which will let each of us select our communication method (Cell, Lan line or Skype).
I will post more details a week before the call is scheduled.
MMBC10: Oxygen

Oxygen is our tenth selection for the MMBC. We will be discussing the book on December 16th with author Carol Cassella. Watch for details for a book giveaway this week on the Manic Mommies website.
BN.com reviewers give this book 4.5/5 stars! I have read the book and will post my review separately, it’s a page turner!
BN Review: This story is truly a page turner. It is the story of an anesthesiologist, Dr. Marie Heaton, and gives a graphic, realistic read of her daily life and one day, a tragedy. It is centered in Seattle, a place that I've visited often, and it's description of the area and places is right on the money. It's also not "just" a medical read, it gives romance and a wonderful mystery/twist. It doesn't hurt that the author is, really, an anesthesiologist! Would love to find another book by the author someday. Soon!
BN.com reviewers give this book 4.5/5 stars! I have read the book and will post my review separately, it’s a page turner!
BN Review: This story is truly a page turner. It is the story of an anesthesiologist, Dr. Marie Heaton, and gives a graphic, realistic read of her daily life and one day, a tragedy. It is centered in Seattle, a place that I've visited often, and it's description of the area and places is right on the money. It's also not "just" a medical read, it gives romance and a wonderful mystery/twist. It doesn't hurt that the author is, really, an anesthesiologist! Would love to find another book by the author someday. Soon!
A conversation with Carol:
Tell us a little about yourself: I am currently wearing lots of hats, so where do I start? I am first and foremost a mother. My husband and I have two sets of twins (I’ll go ahead and answer the question you’re asking—yes they are natural! Set two was quite the surprise!) That alone has made for an interesting life. I’m also a doctor. I started my medical career as an internist, but I wanted a bit more time at home with my family and changed specialties to become an anesthesiologist. I really do love my work, and I’ve never regretted making that change. Anesthesia is challenging, intense, creative, FUN (often) and still does give me lots of patient contact.
Then there is the writer. That was actually my mission in life from the time I was very young, but I kept getting involved in other things (medicine, babies) and never devoted the time and dedication that serious writing takes until I was in my forties. That’s not to say I wasn’t writing—I have drawers of partially finished manuscripts and I worked as a science writer for a few years. But it took a completely different level of commitment to finish a novel. It was much harder than I expected, but also much more rewarding. Other details? I grew up in Texas, lived in the Northeast for few years and then discovered the beautiful Pacific Northwest. Hard to think I’ll ever leave!
Do you write daily? I can’t write daily. Until my children are grown and I work less at the hospital , I’m afraid that will be impossible. But I highly advise all writers to try. Writing fiction, and probably non-fiction as well, is a bit like maintaining a dream while awake. Much as a dream can feel tangible and unforgettable right after you open your eyes, it’s often forgotten by the time you brush your teeth. I try to remember that whatever I would have written today will never make it onto the page unless I make time to put it there. What I write tomorrow may be just as good, but it won’t be the same.
What was it like getting your first novel published? Nothing short of awesome! I had no expectations of being published when I started Oxygen, though I certainly poured my soul into it. I think my path was easier than many new writers, and for that I am very grateful. I found a wonderful agent early in the game and they were able to sell my novel quickly. Still, there is as much work that lies on the other side of the ‘published’ wall as there is leading up to it. Promoting, marketing, learning a whole new industry, and still keeping your next book alive and growing. That has been a huge challenge for me.
What do you think of the electronic book (kindles and such)? Although I would secretly love to own one, they scare me. I worry that the electronic model may drive our wonderful, critically important independent bookstores out of business, and they contribute so much to the variety and vitality of what is published and made available to the reading public. Regardless, electronic books are here to stay, so we need to hope that they will eventually open avenues for smaller presses and less commercial writers. But we really have to find a model that works economically. If digital publications drive publishers under, many brilliant voices will never make it into any kind of print. We need to pay for books if we want books to survive. I’m a huge fan of libraries, too, but I know so many starving writers who are not getting their second or third books published because their publisher lost money on their earlier work. Support the arts!
What is one tip that you can share with aspiring writers? Don’t give up!! Reading is easy and fun, so it is natural to fall prey to the myth that writing should always be easy and fun. That makes no more sense than believing a musician can make music without long hours of practice. Also, read carefully. When you discover a great book, take a paragraph or two and crawl inside it. Figure out what makes it work. Ask not only why the author put those particular words on the page, but why did he or she NOT choose other words, or a different point of view or a different voice. The beauty of writing is that there is always more to learn, always room to improve.
What are you reading now? The Little Stranger by Sara Waters. Really enjoying it! Also, Sing Them Home, by Stephanie Kallos, and a lovely book that hasn’t been published yet—Lies of the Heart by Michelle Boyajian.
Lastly, share one or two of your all time favorite novels read, excluding classics: Excluding classics? Does All the Pretty Horses by Cormac McCarthy count—it may be a classic by now. I think it’s my favorite book of all time, though I have never been one for having favorites. Tomorrow I might say something different! I also love A Fine Balance, by Rohinton Mistry, and I think Alice Munro is brilliant.
Just for fun:
Favorite Season: Fall! I’m looking at some gorgeous leaves right now. But ask me again in spring when the flowers are blooming.
Morning or night: I love early morning, but absolutely hate getting up early, so I miss too many, unless I’m running to work.
Favorite ice cream flavor: Mint chocolate chip.
If you could visit anywhere in the world, where would you go: India. I have always wanted to see it!
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