The novel cuts back and forth, from the small Pennsylvania college town where Martin and his wife, Lauren, work as professors to England where Elizabeth's illness takes a turn for the worse, alternating between a Cheeversque examination of Martin's daily, domestic life and Elizabeth's confrontation with her illness. Martin becomes more and more distraught by his
sister's situation while Elizabeth does her best to come to terms with what her body and mind are going through:
"You keep trying, is what you do. You listen to the numbers when they're good, and ignore them when they're bad ... You lie to yourself. You tell yourself the truth. You will wake unrested and hoping to discover that it's all been a dream, just a mistake, just a nightmare. The sleep around the dream is as shallow as the bed you are in, and you wake almost disappointed to find that you are still alive and that you haven't arrived at some new, daring, dazzling, endless world. "
Such probing passages, and there are several, distinguish Leebron as a novelist of great power and emotion. He's able to inhabit the consciousness of the sufferer and the person who must helplessly watch. As previously mentioned, there are echoes of Cheever in In the Middle of All This, but also Richard Yates, John Updike-those anatomists of American middle-class life who, like Leebron, sense a sadness lurking behind almost everything.
Little more than halfway through, however, the novel unfortunately stalls somewhat. A series of mysterious disappearances occur - first Richard, then both Richard and Elizabeth- and Martin starts racking up frequent-flyer miles. He arrives in England, he returns home, then he's back in England drunkenly navigating the streets of London in search of a pub. All this transatlantic crisscrossing slows down the narrative and disrupts the pacing.
Leebron also layers on the levels of escalating turmoil a bit too thick at times, as if testing his characters to see how much drama they can endure. Besides the omnipresent health crises, something always seems to be breaking down at Martin and Lauren's newly purchased house. Meanwhile, over at the college, a colleague leaves his wife and one of Martin's students commits suicide. This steady stream of unrest is, of course, reflected in the rather uninspired title "Life in the middle of all this? Life was the middle of all this", which Leebron references not once but twice.
Although the decision to have a major character like Elizabeth remain AWOL for the last
100 pages is questionable, In the Middle of All This nevertheless retains its impact as a poignant work about the fragility of life and the certainty of death - a-terrible cliche, perhaps, but not when in the hands of a writer like Leebron.
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