Sickened: The True Story of a Lost Childhood [NOOK Book]

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Overview

A young girl is perched on the cold chrome of yet another doctor’s examining table, missing yet another day of school. Just twelve, she’s tall, skinny, and weak. It’s four o’clock, and she hasn’t been allowed to eat anything all day. Her mother, on the other hand, seems curiously excited. She's about to suggest open-heart surgery on her child to "get to the bottom of this." She checks her teeth for lipstick and, as the doctor enters, shoots the girl a warning glance. This child will not ruin her plans.

Sickened

From early childhood, Julie Gregory was continually X-rayed, medicated, ...
See more details below

Overview

A young girl is perched on the cold chrome of yet another doctor’s examining table, missing yet another day of school. Just twelve, she’s tall, skinny, and weak. It’s four o’clock, and she hasn’t been allowed to eat anything all day. Her mother, on the other hand, seems curiously excited. She's about to suggest open-heart surgery on her child to "get to the bottom of this." She checks her teeth for lipstick and, as the doctor enters, shoots the girl a warning glance. This child will not ruin her plans.

Sickened

From early childhood, Julie Gregory was continually X-rayed, medicated, and operated on—in the vain pursuit of an illness that was created in her mother’s mind. Munchausen by proxy (MBP) is the world’s most hidden and dangerous form of child abuse, in which the caretaker—almost always the mother—invents or induces symptoms in her child because she craves the attention of medical professionals. Many MBP children die, but Julie Gregory not only survived, she escaped the powerful orbit of her mother's madness and rebuilt her identity as a vibrant, healthy young woman.

Sickened is a remarkable memoir that speaks in an original and distinctive Midwestern voice, rising to indelible scenes in prose of scathing beauty and fierce humor. Punctuated with Julie's actual medical records, it re-creates the bizarre cocoon of her family's isolated double-wide trailer, their wild shopping sprees and gun-waving confrontations, the astonishing naïveté of medical professionals and social workers. It also exposes the twisted bonds of terror and love that roped Julie's family together—including the love that made a child willing to sacrifice herself to win her mother's happiness.

The realization that the sickness lay in her mother, not in herself, would not come to Julie until adulthood. But when it did, it would strike like lightning. Through her painful metamorphosis, she discovered the courage to save her own life—and, ultimately, the life of the girl her mother had found to replace her. Sickened takes us to new places in the human heart and spirit. It is an unforgettable story, unforgettably told.


From the Hardcover edition.

Editorial Reviews

From Barnes & Noble
The Barnes & Noble Review
In the hands of a less skillful writer, Sickened might have turned into one of those childhood memoirs, filled with stomach-churning images of unspeakable abuse, that has spawned a genre of their own. As it is, Julie Gregory's story, lyrically narrated in the pitch-perfect cadence of bewildered youth, soars above its difficult subject matter: growing up as a victim of a bizarre disorder called Munchausen by proxy.

Perpetrators of MBP (usually mothers) satisfy their need for attention by faking or inducing illness in their children. For years, Sandy Gregory (herself a victim of incest, rape, and child abuse) subjected her daughter to endless doctor's visits, tests, and unnecessary medical procedures. Julie's astonishing ordeal begins with matchstick "lollypop" poisonings. From there, she is routinely starved, her nose is surgically broken to correct an imaginary deviated septum, she is denied treatment for a broken wrist, and she undergoes an excruciating heart catheterization -- which, to Sandy's great disappointment, does not indicate the need for further surgery!

Betrayed by every adult in her life -- from her passive, complicit father to the battalion of teachers, doctors, and nurses who blindly buy her mother's act -- Julie is, nonetheless, shackled to Sandy by a powerful bond of codependent love. She manages to escape her crazy home, but she is an adult before she learns the truth behind her bizarre upbringing and begins a painful journey back to physical and mental health. It is Gregory's fervent hope that her story, harrowing as it is, will unmask this insidious disorder that robs children of their youth, their innocence, and -- far too often -- their lives. Anne Markowski

The Washington Post
Sickened is absorbing, partly because the sheer horror of the tale exerts an uneasy fascination, partly because of the liveliness of Gregory's writing. We learn that her mother, too, was an abused child, but even though the reasons for her behavior can be explained, on the deepest level they remain unfathomable. Sickened does, however, provide an incisive portrait of a damaged, and toxic, woman. Most movingly, the author gives full weight not only to her family's violence but also to the frustrated, distorted but nonetheless genuine love among its members. One wishes this book could get into the hands of all the suffering children who need it. — Juliet Wittman
USA Today
The most compelling element of Julie Gregory's Sickened: The Memoir of a Munchausen by Proxy Childhood comes not from the abuse she suffered at the hands of her mother. Rather, it is the way Gregory captures how parenting a child near death can be alluring to a mentally ill woman. And if the child doesn't cooperate -- in fact, she possesses good health -- then starve, hit and terrorize the child into mimicking the necessary symptoms. — Deirdre Donahue
VOYA
Heart catheters, beta-blockers, mysterious white pills that go under the tongue-these were all part of Julie Gregory's teenage life. Was she truly ill? Medical records state that nothing amiss was ever found except a rapid heartbeat while standing. All her symptoms were reported by her mother, who even went so far as to insist on open-heart surgery for her child. Fortunately, the doctors did not agree to do the drastic surgery. The only time that Gregory ever felt normal was when she was in the hospital for tests. There she was able to eat three balanced meals a day, a luxury rarely afforded her at home where she often ate a breakfast of a spoonful of Cool Whip. Now an advocate for children living with a Munchausen by Proxy parent, Gregory grew up in hell. She tells her story complete with copies of medical reports that support her claims, assertions that her mother denies. Teenagers will be drawn by Gregory's spare telling of her abuse. Other teens who might be suffering in silence as the author did for years will realize that they are not alone and reach out. This memoir will appeal to those readers who enjoy books with a psychological theme or those who are drawn to child abuse sagas such as A Child Called It (Health Communications, 1995). With all the media publicity and the strength of Gregory's storytelling, this book will be a hit with many readers. VOYA CODES: 4Q 4P S A/YA (Better than most, marred only by occasional lapses; Broad general YA appeal; Senior High, defined as grades 10 to 12; Adult-marketed book recommended for Young Adults). 2003, Bantam, 244p., Ages 15 to Adult.
—Lynn Evarts
Library Journal
Gregory, who unlike many victims managed to survive Munchausen by proxy, a particularly insidious form of child abuse, recounts her crazy childhood and slow journey to health as an adult. Copyright 2003 Reed Business Information.
School Library Journal
Adult/High School-Gregory's childhood was marred by a particularly insidious form of child abuse. Her mother used a combination of malnutrition, overwork, and prescription drugs to keep the girl in a perpetual state of ill health. They spent their spare time visiting pediatricians and heart specialists, with her mother ratcheting up the symptoms and possible cures, even begging a doctor to perform open-heart surgery. Ironically, when Gregory did need medical care after breaking a wrist, she was ignored for hours by her mother, who insisted that the injury might just be a sprain, even though the bone was poking out from the skin. It was not until the young woman moved away from their isolated family home and attended college that she was able to piece together the events of her childhood and move forward with her own life. She relays her story not as a victim but as a strong survivor. Her narrative style maintains the child's inner voice, necessary to help readers remember that she was too young to realize that she wasn't really sick. By the time she began to grow suspicious, she had a lengthy paper trail of symptoms that kept the medical profession convinced that she really was sick, despite her growing protests. The author currently serves as an advocate for other Munchausen survivors. As well as being a fascinating read, this book could give others in similar situations a lifeline back to health.-Jamie Watson, Enoch Pratt Free Library, Baltimore Copyright 2004 Reed Business Information.
Kirkus Reviews
Horrific first-person account of child abuse by a survivor with keen self-awareness, a sharp eye for detail, and an original, poetic voice. In Munchausen by Proxy (MBP), a caretaker, usually the mother, falsifies or induces physical and/or mental illness in a dependent person, usually a child, to gain sympathy from others and control over the dependent. Gregory’s mother did this to her for many years, dragging her to doctor after doctor, coaching her to act sick, punishing her harshly if she didn’t do it convincingly enough, demanding endless treatments, tests, and invasive procedures, including surgery. At first the illnesses were relatively minor—nausea, headaches, allergies—but as her mother’s collection of home medical books provided information about more symptoms and tests, they escalated. When heart catheterization failed to reveal the abnormalities the mother insisted were there, she demanded that open-heart surgery be performed on her daughter. It was not, but nose surgery later was. At home, Gregory suffered other forms of child abuse, including beatings and semi-starvation. That she survived this miserable childhood seems remarkable, for as Marc Feldman (Psychiatry and Behavioral Neurobiology/Univ. of Alabama) notes in his foreword, many victims of MBP do not. Amazingly, Gregory never stopped loving her manipulative mother and ineffectual but sometimes brutal father. When she learned about MBP in a college psychology course and grasped what had happened to her, she began gathering her childhood medical records, some of which she has inserted into relevant passages here. Her attempts as an adult to reconnect with her parents were at best bitterly disappointing anddeeply disturbing in the case of her mother, who had begun MBP behaviors with an 11-year-old girl in her care. A painful but wonderfully written memoir that should create greater awareness of a bizarre disorder; that so many medical professionals and social workers were oblivious to what was really going on in the Gregory household attests to the need. (8 pp. b&w photos)

Product Details

  • ISBN-13: 9780307490926
  • Publisher: Random House Publishing Group
  • Publication date: 11/19/2008
  • Sold by: Random House
  • Format: eBook
  • Pages: 256
  • Sales rank: 11,323
  • File size: 3 MB

Meet the Author

JULIE GREGORY grew up in southern Ohio. She is now an expert writer and spokesperson on Munchausen by proxy and an advocate
in MBP cases. A graduate student in psychiatry at Sheffield University, England, she currently lives in the United States.


From the Hardcover edition.

Read an Excerpt

The part I hated most was the shaving.

I mean, if you're a twelve-year-old girl, how much hair can you have on your chest? But they'd lather me up anyway and run a new plastic Bic between my barely-there breasts. They needed me smooth and hairless so the little white pads would stick to those points constellated around my heart and record my beats. And while they were preparing, I'd hover above myself, intent on studying the nubby white ceiling tiles, imagining a room where I lived, inverted, upon the ceiling, away from the clutter of our trailer, away from the hospital--just floating in pure, white peace.

The scent of the shaving cream pulls me back down from the ceiling: It's the same kind Dad used. Every day before dawn, he'd erupt in violent heaving and crawl off to the toilet trying to peel the Agent Orange from his lungs. Sometimes the sounds of his retching would come out the mouths of those elusive figures in my dreams, the worlds between sleep and wake merging seamlessly for a few groggy moments. He'd usually shave after he puked.

In an unspoken understanding, the examining room nurse folds a giant pile of cream from the can onto her palm, so much that as she smooths an inch-thick trail down my chest, our naked skin never touches.

Eventually the tide of Agent Orange would ebb and he'd lean dizzy in the doorway and say, "I'm selling Buicks, Sissy. Get it? Selling Buicks? Buuicck. Buuuuiiick." Then he'd cackle and brush the back of his meaty fist across his mouth.

The nurse picks up a new blue-handled blade and runs it neatly down my sternum, slicing out another clean, pink row.

And what do you do at seven in the morning but laugh with your big, lumbering father, who's pretending the doorway of the bathroom is a lamppost and that he, leaning on it like a drunk, is hawking Buicks in his best barker accent?

And then they're done. The white pads have been spread with a clear magnetic jelly and pressed on to six different locations. Their wires run into one larger river of wires that flows from under my sternum down my abdomen, emerging out the zipper of my pants like I had some elaborate cable TV pay-per-view setup in there. The rubber-coated electrodes feed into a tape recorder that fits snugly into a rectangular leather harness; it looks like a purse. I wear the strap over my shoulder, and while my seventh-grade life ticks away, so do the heartbeats that go with it, right into the box.

For starters, I was a sick kid. Beanpole skinny and as fragile as a microwave souffle, I bruised easy and wilted in a snap. Kids in school used to walk straight up to me and ask point-blank if I was anorexic. But I wasn't; just sick. And Mom bent over backwards trying to find out what was wrong with me. It wasn't just that I had a heart problem. It was everything rolled into one, bleeding together with so many indistinguishable layers that to get to the root of it was impossible, like peeling off every transparent layer of an onion, and when I got old enough to peel the onion myself, every layer made me cry.

I was conceived in the sickly womb of a sickly mother--who starved herself and in turn starved me. She was highly anemic and blind with toxemia at the time of my birth--the result, she explained, of high blood pressure cutting off the circulation to her eyes. I was pushed into this world premature at three pounds seven ounces, an embryonic little bird, glowing translucently, and when they slapped me I didn't even yowl. They thought I was dead. The doctor, holding my bluish body upside down by the ankles, took one look at me and said, "My, what big feet she has." And then I was ushered into an incubator where I lay, as all embryonic creatures do, waiting to hatch into the real world, outside the bubble. After that, my health only balanced precariously on the edge of a "Let's get to the bottom of what's wrong with this kid" kind of existence.

There were early nose-'n'-throat flare-ups, loud belching that defied my delicate appearance, pesky and persistent migraines, swollen tonsils that fluttered a plea for removal whenever I said "Ahhh," a deviated septum blamed for my mouth hanging open to breathe, and elusive allergies that forever deprived me of sustenance from the four basic food groups. As we got closer to pinning down my mysterious illness in the cardiology department, Mom moved into micromanaged health care with the logistical vigor of a drill sergeant.

"Look, dammit, this kid is sick, all right? Just look at her. And so help me God, if she dies on me because you can't find anything wrong with her, I'll sue you for every cent you got." Mom's face was long, her eyes diving into slits, and she had that little white blob of thick spit that always played on her bottom lip whenever she got upset. Her voice trailed after any doctor who said no more tests could be done, stalked him down the corridor, sliced through the silence of the hallway.

"Jeesus Christ," she hissed, returning to the examining room, "I cannot believe that incompetent son of a bitch."

"Don't worry, Mom. It's okay. We'll go find another one."

This is how I offered reassurance, by telling her we'd just keep going.

"Look, I'm trying to help you with this, sacrificing my life to find out what the hell is wrong with you. So stop fucking it up when we get in here by acting all normal. Show them how sick you are and let's get to the bottom of this, okay?"

"Okay."

We lived together day in and day out--me, Mom, Dad, little Danny, and then later, the foster kids--but Dad never knew I was getting my chest shaved. He was summoned by Mom with a set of "decent clothes" and the boxed white loafers only when a demonstration of fatherly support was paramount at a hospital. Otherwise, he was left to his back-to-back reruns of M*A*S*H, his red-stained pistachio fingers and mounds of empty nut carcasses piled high on his belly.

We lived in a double-wide trailer then, stuck on the dead end of a dirt road in a backwoods patch of Ohio; a wild, woolly green, lushed-out part of the country with roller coaster hills that held their breath in a Deliverance kind of way. I swear you could almost hear the banjos folded faintly into the breeze.

My parents had hauled their black velvet painting of Jesus crucified, with the 3-D blood from the crown of thorns blobbing down the side of his head, all the way from Arizona and then through the six other places we'd lived until we settled in the holler of Burns Road.

Our living room was outfitted with an early imitation-wagon-wheel velour sofa set, and Jesus hung against the burnt-orange velvet wallpaper, which had been pasted over wood paneling, so that the grooves showed through as darkened, hollow stripes. Sticky shag (as if someone had vacuumed up honey) swayed like undulating seaweed across the floor. Miniature concrete farm animals dotted our yard in pairs and groups--white baby chicks, mini cows with pink udders, roosters a-courting hens, a donkey in a sombrero--and when we were in town for my doctors' appointments, Mom always kept an eagle eye out for additions to her barnyard collection.

I remember my dad then, manateelike; big, soft, scrubbed clean as if he'd just been run through a car wash on a La-Z-Boy gurney. Naked white skin stretched taut over an enormous belly, the pallor of sick clay. No hearing. No sight. No opinion. The dark living room of our trailer held nothing---except sporadic uproarious laughter to the endless hijinks of Hawkeye and Hunnicut.

Once, when I was seven, I lay in bed drifting to sleep when Dad roared, "Siiissy! Siiisssssy!" I leapt out of bed, thinking "FIRE," and tore down the hall in slippery full-footed pajamas.

"Fix me some toast, will ya?" Dad's fingers placidly folded over his chest, thick calves propped up on the snapping-turtle hinges of the recliner footrest, he never took his eyes off the set.

Aside from trips to the doctor, we mostly stayed home in that trailer on the dead end of a dirt road, and there was a great gulf between how we really were and how we looked when we got out. I have a photo from when I was about eleven and Danny, my brother, was just four, when we drove up to Niagara Falls for a vacation. We're in a fake wooden barrel that looks like it was careening over the side of the falls, and we each wear a smile that couldn't have been more plastic than the water swirling around us. I am naturally blond by Clairol, wearing the latest in JCPenney pastels, and exuding happiness.

But happiness is relative when you're twelve, sitting in a chrome-on-steel examination room, goose bumps giving you that plucked-chicken look, with a nubbly paper sheet tucked into your clammy armpits. Until now the answers had run like whispers over the hills just ahead of us. A little intermittent tachycardia here, some Marfanoid habitus there. Never anything code-red enough to get me completely, legitimately diagnosed. But they kept looking. Because Mom was positive that the answer was right there in my heart. A mother knows these things. She's the one who'd see me go ashy in the face, she's the one who'd take my skipping pulse, and she's the one who watched the weight fall right off my bones, all the while my height skyrocketed. So that's what flamed us onwards, after the answer. It was right there, just always right there before us, waiting to be sussed out, and then it would all make sense. And in some ways, she was right. But time might be running out for me, so when Mom insisted on another test and they wouldn't do it, well, that's when we'd get the hell out of there and try to find somebody who knew what they were doing.

My mother, Sandy Sue Smith, was married off by her mother at the tender age of seventeen to a man in his fifties named Smokey, who kept a carnival act on the edge of town. Smokey was a small, tight man with crisp tabs of sideburns that sliced down from under his curled black cowboy hat. He had trick riding horses, horses trained for the carnival ring, and he taught Sandy Sue to do outrageously dangerous stunts with names like "The Apache Flyaway" and "Lay Over the Neck." After the stunts, Smokey would strap Sandy to a pegged wooden wheel, set it spinning, and throw nineteen-inch-long knives at her. And then there she'd be, having survived the ten sharp blades that jutted haphazardly from the cracked wood around her, smiling brightly with one leg cocked, like a model, a dainty hand flipped above in triumph. This was before she had me but I've seen the pictures and they are stunning: She stands tall upon the bare back of a wild, white horse blurring across a field, with a ruby-tangerine-streaked sky as the backdrop.

In another photo Smokey is snapping a twenty-five-foot braided leather bullwhip out toward Sandy, who stands pinned to the horse trailer with an expressionless face, the whip side-winding like a snake about to coil around her throat. They wear matching outfits of black-and-white yoked satin shirts with pearl snap buttons, silver conchs sewn down their trouser seams, and belt buckles the size of serving platters.

How Sandy ended up with Smokey goes something like this: She has a mother and a father and an older brother named Lee, who is a little off, wink, wink. The father ignores the family, keeps his attention on a gun collection stashed throughout the house. The mother, Madge, is from a clan of West Virginians who sleep with their own brothers and sisters and have cross-eyed children to prove it. Sandy is occasionally left with men that do terrible things to her in a shadowy basement. The father with the guns is replaced one day by another gun-toting father--only this time with a badge. He makes Sandy ride behind him on his motorcycle with his hand curved around and resting on her bare leg. He takes her to remote fishing holes with tall grass and the occasional fisherman who looks the other way. Two years later, Sandy walks in from school to find this new dad has stuck a gun in his mouth and blown himself apart right there on the living room sofa.

Madge has a tenth-grade education and has never worked a day in her life. There is scarcely ever food in the house. Sandy's given no lunch money and by the time she's fifteen, she's famished. Sinking in on herself with malnutrition, she collapses on one of the floors she scrubs with ammonia after school. In the hospital she lies with pelvic bones poking through thin white sheets, while they feed her three meals a day. When she's strong enough to be discharged, Madge gives her to Smokey, a man who lives down the road with horses and a farm, a man who can take care of her as well as he does his own cattle. And she climbs into his truck with going-to-girls'-town enthusiasm, lured by the promise of her very own horse. Off she goes with a man. It is all she's known.

Years go by with Sandy strapped to the wheel: white leather, showgirl's smile. Coal black hair separated down the middle into leather tunnels that lace up the side in Indian squaw fashion, accentuating the trace of Cherokee blood that gives her the high cheekbones and blushed full lips. She runs alongside as her gift horse tumbles into a full gallop, grips its long, flying mane, and then, clutching the horn, springs into the saddle with a panther's grace, pushing to balance her way up until she is standing tall while the spectators cheer. Still running at a breakneck speed, she plunges under the horse's belly and thrusts her arm out in performance-style splendor, ta-daaaaa. This is the Russian Death Drag. She has captured an audience and, for the first time in her existence, something other than a life, a body full of pain.


From the Hardcover edition.

First Chapter

The part I hated most was the shaving.

I mean, if you're a twelve-year-old girl, how much hair can you have on your chest? But they'd lather me up anyway and run a new plastic Bic between my barely-there breasts. They needed me smooth and hairless so the little white pads would stick to those points constellated around my heart and record my beats. And while they were preparing, I'd hover above myself, intent on studying the nubby white ceiling tiles, imagining a room where I lived, inverted, upon the ceiling, away from the clutter of our trailer, away from the hospital--just floating in pure, white peace.

The scent of the shaving cream pulls me back down from the ceiling: It's the same kind Dad used. Every day before dawn, he'd erupt in violent heaving and crawl off to the toilet trying to peel the Agent Orange from his lungs. Sometimes the sounds of his retching would come out the mouths of those elusive figures in my dreams, the worlds between sleep and wake merging seamlessly for a few groggy moments. He'd usually shave after he puked.

In an unspoken understanding, the examining room nurse folds a giant pile of cream from the can onto her palm, so much that as she smooths an inch-thick trail down my chest, our naked skin never touches.

Eventually the tide of Agent Orange would ebb and he'd lean dizzy in the doorway and say, "I'm selling Buicks, Sissy. Get it? Selling Buicks? Buuicck. Buuuuiiick." Then he'd cackle and brush the back of his meaty fist across his mouth.

The nurse picks up a new blue-handled blade and runs it neatly down my sternum, slicing out another clean, pink row.

And what do you do at seven in the morning but laugh withyour big, lumbering father, who's pretending the doorway of the bathroom is a lamppost and that he, leaning on it like a drunk, is hawking Buicks in his best barker accent?

And then they're done. The white pads have been spread with a clear magnetic jelly and pressed on to six different locations. Their wires run into one larger river of wires that flows from under my sternum down my abdomen, emerging out the zipper of my pants like I had some elaborate cable TV pay-per-view setup in there. The rubber-coated electrodes feed into a tape recorder that fits snugly into a rectangular leather harness; it looks like a purse. I wear the strap over my shoulder, and while my seventh-grade life ticks away, so do the heartbeats that go with it, right into the box.

For starters, I was a sick kid. Beanpole skinny and as fragile as a microwave souffle, I bruised easy and wilted in a snap. Kids in school used to walk straight up to me and ask point-blank if I was anorexic. But I wasn't; just sick. And Mom bent over backwards trying to find out what was wrong with me. It wasn't just that I had a heart problem. It was everything rolled into one, bleeding together with so many indistinguishable layers that to get to the root of it was impossible, like peeling off every transparent layer of an onion, and when I got old enough to peel the onion myself, every layer made me cry.

I was conceived in the sickly womb of a sickly mother--who starved herself and in turn starved me. She was highly anemic and blind with toxemia at the time of my birth--the result, she explained, of high blood pressure cutting off the circulation to her eyes. I was pushed into this world premature at three pounds seven ounces, an embryonic little bird, glowing translucently, and when they slapped me I didn't even yowl. They thought I was dead. The doctor, holding my bluish body upside down by the ankles, took one look at me and said, "My, what big feet she has." And then I was ushered into an incubator where I lay, as all embryonic creatures do, waiting to hatch into the real world, outside the bubble. After that, my health only balanced precariously on the edge of a "Let's get to the bottom of what's wrong with this kid" kind of existence.

There were early nose-'n'-throat flare-ups, loud belching that defied my delicate appearance, pesky and persistent migraines, swollen tonsils that fluttered a plea for removal whenever I said "Ahhh," a deviated septum blamed for my mouth hanging open to breathe, and elusive allergies that forever deprived me of sustenance from the four basic food groups. As we got closer to pinning down my mysterious illness in the cardiology department, Mom moved into micromanaged health care with the logistical vigor of a drill sergeant.

"Look, dammit, this kid is sick, all right? Just look at her. And so help me God, if she dies on me because you can't find anything wrong with her, I'll sue you for every cent you got." Mom's face was long, her eyes diving into slits, and she had that little white blob of thick spit that always played on her bottom lip whenever she got upset. Her voice trailed after any doctor who said no more tests could be done, stalked him down the corridor, sliced through the silence of the hallway.

"Jeesus Christ," she hissed, returning to the examining room, "I cannot believe that incompetent son of a bitch."

"Don't worry, Mom. It's okay. We'll go find another one."

This is how I offered reassurance, by telling her we'd just keep going.

"Look, I'm trying to help you with this, sacrificing my life to find out what the hell is wrong with you. So stop fucking it up when we get in here by acting all normal. Show them how sick you are and let's get to the bottom of this, okay?"

"Okay."

We lived together day in and day out--me, Mom, Dad, little Danny, and then later, the foster kids--but Dad never knew I was getting my chest shaved. He was summoned by Mom with a set of "decent clothes" and the boxed white loafers only when a demonstration of fatherly support was paramount at a hospital. Otherwise, he was left to his back-to-back reruns of M*A*S*H, his red-stained pistachio fingers and mounds of empty nut carcasses piled high on his belly.

We lived in a double-wide trailer then, stuck on the dead end of a dirt road in a backwoods patch of Ohio; a wild, woolly green, lushed-out part of the country with roller coaster hills that held their breath in a Deliverance kind of way. I swear you could almost hear the banjos folded faintly into the breeze.

My parents had hauled their black velvet painting of Jesus crucified, with the 3-D blood from the crown of thorns blobbing down the side of his head, all the way from Arizona and then through the six other places we'd lived until we settled in the holler of Burns Road.

Our living room was outfitted with an early imitation-wagon-wheel velour sofa set, and Jesus hung against the burnt-orange velvet wallpaper, which had been pasted over wood paneling, so that the grooves showed through as darkened, hollow stripes. Sticky shag (as if someone had vacuumed up honey) swayed like undulating seaweed across the floor. Miniature concrete farm animals dotted our yard in pairs and groups--white baby chicks, mini cows with pink udders, roosters a-courting hens, a donkey in a sombrero--and when we were in town for my doctors' appointments, Mom always kept an eagle eye out for additions to her barnyard collection.

I remember my dad then, manateelike; big, soft, scrubbed clean as if he'd just been run through a car wash on a La-Z-Boy gurney. Naked white skin stretched taut over an enormous belly, the pallor of sick clay. No hearing. No sight. No opinion. The dark living room of our trailer held nothing---except sporadic uproarious laughter to the endless hijinks of Hawkeye and Hunnicut.

Once, when I was seven, I lay in bed drifting to sleep when Dad roared, "Siiissy! Siiisssssy!" I leapt out of bed, thinking "FIRE," and tore down the hall in slippery full-footed pajamas.

"Fix me some toast, will ya?" Dad's fingers placidly folded over his chest, thick calves propped up on the snapping-turtle hinges of the recliner footrest, he never took his eyes off the set.

Aside from trips to the doctor, we mostly stayed home in that trailer on the dead end of a dirt road, and there was a great gulf between how we really were and how we looked when we got out. I have a photo from when I was about eleven and Danny, my brother, was just four, when we drove up to Niagara Falls for a vacation. We're in a fake wooden barrel that looks like it was careening over the side of the falls, and we each wear a smile that couldn't have been more plastic than the water swirling around us. I am naturally blond by Clairol, wearing the latest in JCPenney pastels, and exuding happiness.

But happiness is relative when you're twelve, sitting in a chrome-on-steel examination room, goose bumps giving you that plucked-chicken look, with a nubbly paper sheet tucked into your clammy armpits. Until now the answers had run like whispers over the hills just ahead of us. A little intermittent tachycardia here, some Marfanoid habitus there. Never anything code-red enough to get me completely, legitimately diagnosed. But they kept looking. Because Mom was positive that the answer was right there in my heart. A mother knows these things. She's the one who'd see me go ashy in the face, she's the one who'd take my skipping pulse, and she's the one who watched the weight fall right off my bones, all the while my height skyrocketed. So that's what flamed us onwards, after the answer. It was right there, just always right there before us, waiting to be sussed out, and then it would all make sense. And in some ways, she was right. But time might be running out for me, so when Mom insisted on another test and they wouldn't do it, well, that's when we'd get the hell out of there and try to find somebody who knew what they were doing.

My mother, Sandy Sue Smith, was married off by her mother at the tender age of seventeen to a man in his fifties named Smokey, who kept a carnival act on the edge of town. Smokey was a small, tight man with crisp tabs of sideburns that sliced down from under his curled black cowboy hat. He had trick riding horses, horses trained for the carnival ring, and he taught Sandy Sue to do outrageously dangerous stunts with names like "The Apache Flyaway" and "Lay Over the Neck." After the stunts, Smokey would strap Sandy to a pegged wooden wheel, set it spinning, and throw nineteen-inch-long knives at her. And then there she'd be, having survived the ten sharp blades that jutted haphazardly from the cracked wood around her, smiling brightly with one leg cocked, like a model, a dainty hand flipped above in triumph. This was before she had me but I've seen the pictures and they are stunning: She stands tall upon the bare back of a wild, white horse blurring across a field, with a ruby-tangerine-streaked sky as the backdrop.

In another photo Smokey is snapping a twenty-five-foot braided leather bullwhip out toward Sandy, who stands pinned to the horse trailer with an expressionless face, the whip side-winding like a snake about to coil around her throat. They wear matching outfits of black-and-white yoked satin shirts with pearl snap buttons, silver conchs sewn down their trouser seams, and belt buckles the size of serving platters.

How Sandy ended up with Smokey goes something like this: She has a mother and a father and an older brother named Lee, who is a little off, wink, wink. The father ignores the family, keeps his attention on a gun collection stashed throughout the house. The mother, Madge, is from a clan of West Virginians who sleep with their own brothers and sisters and have cross-eyed children to prove it. Sandy is occasionally left with men that do terrible things to her in a shadowy basement. The father with the guns is replaced one day by another gun-toting father--only this time with a badge. He makes Sandy ride behind him on his motorcycle with his hand curved around and resting on her bare leg. He takes her to remote fishing holes with tall grass and the occasional fisherman who looks the other way. Two years later, Sandy walks in from school to find this new dad has stuck a gun in his mouth and blown himself apart right there on the living room sofa.

Madge has a tenth-grade education and has never worked a day in her life. There is scarcely ever food in the house. Sandy's given no lunch money and by the time she's fifteen, she's famished. Sinking in on herself with malnutrition, she collapses on one of the floors she scrubs with ammonia after school. In the hospital she lies with pelvic bones poking through thin white sheets, while they feed her three meals a day. When she's strong enough to be discharged, Madge gives her to Smokey, a man who lives down the road with horses and a farm, a man who can take care of her as well as he does his own cattle. And she climbs into his truck with going-to-girls'-town enthusiasm, lured by the promise of her very own horse. Off she goes with a man. It is all she's known.

Years go by with Sandy strapped to the wheel: white leather, showgirl's smile. Coal black hair separated down the middle into leather tunnels that lace up the side in Indian squaw fashion, accentuating the trace of Cherokee blood that gives her the high cheekbones and blushed full lips. She runs alongside as her gift horse tumbles into a full gallop, grips its long, flying mane, and then, clutching the horn, springs into the saddle with a panther's grace, pushing to balance her way up until she is standing tall while the spectators cheer. Still running at a breakneck speed, she plunges under the horse's belly and thrusts her arm out in performance-style splendor, ta-daaaaa. This is the Russian Death Drag. She has captured an audience and, for the first time in her existence, something other than a life, a body full of pain.

Reading Group Guide

Featured on “Dateline” and “Today,” Julie Gregory’s courageous memoir brought a wide audience to a topic that had previously languished in the shadows. The first book by a survivor of Munchausen by proxy (MBP), Sickened describes both a dark history of abuse and a remarkable triumph in mind, body, and spirit.

Writing in an unflinching, arresting voice, Julie recalls the bonds of terror and destruction that imprisoned her from childhood through her early adult life. Her mother subjected Julie to years of procedures and medications. Within this frightening cocoon of mental illness, Julie’s mother thrived on rage, leaving Julie prepared to sacrifice herself if that’s what it took to win her mother’s happiness. Despite the astonishing naïveté of doctors and social workers who could not see the truth, Julie at last embarked on an inspiring metamorphosis, finding her own way to healing and safety.

The questions and discussion topics that follow are intended to enhance your reading of Julie Gregory’s Sickened. We hope they will enrich your experience of this unforgettable and important memoir.

Customer Reviews

Average Rating 4
( 89 )

Rating Distribution

5 Star

(32)

4 Star

(35)

3 Star

(11)

2 Star

(7)

1 Star

(4)

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See All Sort by: Showing 1 – 20 of 89 Customer Reviews
  • Anonymous

    Posted December 31, 2011

    So Real

    I loved this book and the way it was written. I loved getting to hear thoughts and emotions as they really occured. So sad and interesting. Definitely a must read.

    4 out of 4 people found this review helpful.

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  • Anonymous

    Posted January 1, 2012

    Very good read

    This book is hard to put down, and also hard to read at times as Julie describes the horrific experiences from her childhood that stretch out into her adult life. The strength this author has astounds me. Highly recommend.

    3 out of 3 people found this review helpful.

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  • Posted November 3, 2011

    Sickened--- Ironic!

    After reading this book, I had a life changing epiphany on my interpretation of the world as a whole. I didn't take into account that a disease such as Munchausen by Proxy existed amongst us. I had always pictured abuse as phyisical, but I was off. Munchausen by Proxy is the disease her mother had (often the mother would be the one to have it) but this disease had been excruciatingly emotionally scarring for Julie. I had sympathy toward her the entire book. She had no help within her family. Her dad would sit there with the TV remote in his hand almost shoo-ing her away. Her grandmother would assist Julie's mother in ways that are just..paiful to imagine happening. Given many "headache healers", she needed to be hospitalized yet AGAIN! If one doctor wasn't finding something wrong, she'd be taken to the next. Julie survives through this and grows up with successful recovery. This book is truly inspirational and I believe many should read this to become aware of what could be the reality within your society.

    2 out of 2 people found this review helpful.

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  • Anonymous

    Posted October 22, 2007

    A reviewer

    Sickened is a story about a girl who lives her life by her mother¿s lies. Julie Gregory is made to believe that she is sick and has something wrong with her, but the truth is it¿s her mother who is sick. Her mother, Sandy, has what is called Munchausen¿s By Proxy Syndrome. Since the age of three, Sandy put Julie in and out of the hospital, took her to dozens of pediatricians and put her through un-needed surgeries, all to find an imaginary sickness. She would keep Julie out of school because she would have a feeling Julie wouldn¿t feel good. Almost everyday Julie was feed a little white pill that was supposed to make her headaches go away but all it did was make her nauseous and feel worse. She goes through her whole childhood and most of her teenage years living her mother¿s manipulative ways. Always feeling that it is her fault she is sick. Sandy had a way of making others feel guilty in order to get the attention she wanted. She would always put Julie down and made her feel ugly. Even though Sandy puts Julie down and makes her feel worthless, Julie still loves her mother and says that she has taught her so much. In a way I think that Julie is afraid of the truth and doesn¿t want to accept what happened to her as a child. All of Julie¿s life she is made to felt ugly and sick until her college years when she finds out what the truth is. This book is about overcome the obstacle of life. Julie shows that even though she went through something most children don¿t go through, she is starting a new life and becoming the true Julie Gregory. I really enjoyed this book. When I would start reading it was hard to put down. It opened up my eyes and showed me the ¿real world¿ and how sick some people really are. I think that people should read this book because it illustrates how strong people can be in the toughest situations.

    2 out of 2 people found this review helpful.

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  • Anonymous

    Posted February 18, 2012

    Will read

    My birth mother has MSbP...she abused my sister and I both physicaly and sexualy...this is real and scary...luckly niether one of us remembers what happened because we were so young, but my family knows and we were told everything once we were older and showed the proof because it was all hard to believe...even though i was so young I developed post tramatic stress disorder in high school and the docters said it was because of this...I am healthy now and glad to be alive, a lot of children are killed due to MSbP...I have not read this book but I deff will...I want to know how Julie got passed all this and if she forgave her mother...I have yet to forgive mine.

    1 out of 2 people found this review helpful.

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  • Anonymous

    Posted December 29, 2011

    Interesting point of view

    I bought this book expecting a detailed story. However that was not the case. While the story itself is very interesting, the way it's written is pretty bland. I would have expected more detail from a story that is so well documented... Not really worth the money...

    1 out of 3 people found this review helpful.

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  • Anonymous

    Posted December 25, 2011

    A must read

    A captivating and horrifying story of a girl's childhood and struggles to move on in life. Great story.

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted November 25, 2011

    Review

    Well written and honest.

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted November 10, 2011

    WOW!

    That is all I can say!
    Very well written! Hard to believe what she went through...I only hope she was able to do what she set out to do at the end of the book!

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted April 17, 2012

    Sad

    Great story, disturbing and sad

    Was this review helpful? Yes  No   Report this review
  • Posted March 15, 2012

    Fascinating convincing story that pure evil exists and great that Julie mad it through!

    Incredible story of child abuse and how one child survivied. Not always the best written book with some weak areas but still an easy read and absolutely fascinating. Well worth it and I highly recommened this to anyone interested in the human condition. It should be required reading for all doctors and could be used as an argument for centralized medical records shared across practices so that MBP could be detected. Just think of the money wasted on medical care for a well child. Well actually the case made her "sickend".

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted January 15, 2012

    blah

    just could not get into this book, didn't finish it

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted January 12, 2012

    Xena Maali January 12,2012

    Sad,amazing, heroic,page turner,must read, MUST READ!!!!!!!!!!!

    Was this review helpful? Yes  No   Report this review
  • Posted December 2, 2011

    Must read

    I thought htis is very interesting but at times made you wonder, "Can a parent be that terrible, that mean and still never get caught. Loved the ending it's what you'd call a real pay back.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted September 10, 2011

    Confusing, wrong on many basic facts, misleading - Zero stars

    I am really confused after reading this. What "operations" did the writer receive other than a nose job? There is a lot of focus on the cardiac cath which is a procedure, involving small incisions, not an operation. What doctor would suggest "open heart sugery" to this patient? It is not called that anymore.. .there are more specific names and it is done to correct an identifiable problem. Psychologists don't prescribe medication so the whole scene with the Indian doc seems fake. How did this friendless woman move huge studio mirrors into a farmhouse alone? These mirrors are huge and expensive, not usually left for salvage. It also bothered me that she now calls herself a graduate student in psychiatry...psychology maybe, but psychiatry is a branch of medicine, practiced by doctors (M.D. or D.O.) not graduate students. And the naked horse riding scene.. what is a "delicious slump?" Yuck.

    0 out of 2 people found this review helpful.

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  • Posted July 27, 2011

    Aprildawn

    It is amazing to see what this poor girl went through at the hands of her own mother and father. I didnt understand the way some of the words are spreaaaad ouuuut throughout the book. Its as if that was the only way to put emphasis on particular words. Overall the book is great, i couldnt put it down!

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  • Posted June 18, 2011

    Jewel57

    As always truth is scarier than fiction, a horrorific story of trying to stay sane& alive while living in vast crazyness.I read this in less then2 days,

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  • Posted March 1, 2011

    Great book

    Hard to imaging that this condition exists. Grateful that the author shared her story. This is a good read, compelling and hard to put down.

    0 out of 1 people found this review helpful.

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  • Posted January 29, 2011

    more from this reviewer

    very true story about a horrible childhood

    As someone who knows that this is like it is very true. I remember the first time I read this book I was walking and I said "oh my god its the *****". This book is so good that I will admit that I have 3 copies of it. 2 in Hardcover and I also have it on my NOOK. The way that the mother acted and the way that Julie would have to act I remember having to do that. I went through this for almost 18 years of my life and was only saved when a doctor called the police. Thank god for the police and CPS. If not for them I would be dead and would of been for quite a few years.

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  • Posted February 23, 2010

    more from this reviewer

    compelling

    Julie Gregory writes about her childhood in Sickened. It is extremely touching, and a rare story. Julie spends her entire childhood going to doctors because her mother claims she has tons of life threatening symptoms. She also spends many nights getting verbally and physically abused by her mother and father. The book later tells the reader about the disease her mother had that led her to do these things to her child. It follows Julie's life and thoughts as she wonders whether to reconnect with her mom, or continue onto a better and healthier lifestyle. Great read.

    Was this review helpful? Yes  No   Report this review
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