Before My Time

A Memoir of Love and Fate

By: Ami McKay

Narrated by: Ami McKay

Weaving together family history, genetic discovery, and scenes from her life, Ami McKay tells the compelling, true-science story of her own family's unsettling legacy of hereditary cancer while exploring the challenges that come from carrying the mutation that not only killed many people you loved, but might also kill you.

The story of Ami McKay's connection to a genetic disorder called Lynch syndrome begins over seventy years before she was born and long before scientists discovered DNA. In 1895 her great-great aunt, Pauline Gross, a seamstress in Ann Arbor, Michigan, confided to a pathology professor at the local university that she expected to die young, like so many others in her family. Rather than dismiss her fears, the pathologist chose to enlist Pauline in the careful tracking of those in her family tree who had died of cancer. Pauline's premonition proved true--she died at 46--but because of her efforts, her family (who the pathologist dubbed 'Family G') would become the longest and most detailed cancer genealogy ever studied in the world. A century after Pauline's confession, researchers would identify the genetic mutation responsible for the family's woes. Now known as Lynch syndrome, the genetic condition predisposes its carriers to several types of cancer, including colorectal, endometrial, ovarian and pancreatic.

In 2001, as a young mother with two sons and a keen interest in survival, Ami McKay was among the first to be tested for Lynch syndrome. She had a feeling she'd test positive: her mother's side of the family was riddled with early deaths and her own mother was being treated for the disease. When the test proved her fears true, she began living in "an unsettling state between wellness and cancer," and she's been there ever since. Intimate, candid, and probing, her genetic memoir tells a fascinating story, teasing out the many ways to live with the hand you are dealt.

©2019 Ami McKay (P)2019 Knopf Canada

Critic reviews

“Infused with hard-won wisdom, this brilliant memoir of a family haunted by cancer is an invitation, in the face of fear, to be “wildly, passionately, outrageously devoted to life.” Bees, crinoline, hospital labs, kindness, grief, despair, and especially love—the large and small signatures are all here, recognizable, heartbreaking, and confirming. Moved to tears, I held this profound and courageous book to my heart, reminded of life’s frail wonder.” (Beth Powning, author of The Sea Captain's Wife)

“Ami McKay’s memoir is a deep and relevant meditation on navigating the terrain between the genes we inherit and the life we choose. For McKay, despite a life-threatening mutation, it is life-affirming family love that triumphs.” (Pauline Dakin, author of Run, Hide, Repeat)

“Ami McKay’s book mourns all that is lost, but is no tragedy. Instead, she celebrates the ancestors who contributed so much to our understanding that cancer is in part hereditary. More importantly, she teaches us through moving stories and memories how to live and live on beyond the grasp of destiny." (JJ Lee, author of The Measure of a Man)

I love the way the author describes her characters

Being a woman, a mother, a daughter, a sister, and a genealogist, I loved everything about this book