The secret at the heart of 'The Memory Keeper's Daughter' is something everybody, except for some of the characters, knows in Chapter 1. Some of the narrative tension comes from that distance between what the readers know and what the characters know.

My first job was in a nursing home - a terrible place in retrospect. It was in an old house, and the residents were so lonely. People rarely visited them. I only stayed there a couple of months, but it made a strong impression on me.

The way we behave, our views and outlooks really have their sources some place. They come from somewhere. Sometimes we don't even know what they are, and yet they're very powerful in our lives.

Many Lexington natives believe they live in a special place, one impossible to leave. I'm not so sure about that - or it's more accurate to say I think a more general truth exists beneath it: the place you first call home stays with you always, whether you remain or go.