In her agonized self-questioning after she finally concedes defeat and surrenders her daughter to death, Isabel strips to her core in the presence of her brother Juan, who has become a priest:.She was survived by her husband, Ernesto Diaz, and other family members. The novel includes accounts both of Paula's treatment and of Allende's life, sometimes overlapping with the content of Allende's first novel, The House of the Spirits. Allende started the book as a letter to Paula, explaining what she was missing so she would not be confused when she recovered. Isabel Allende wrote Paula while tending to her daughter, Paula Frías Allende, who was in a coma arising from complications of porphyria. But the book is a tribute to her deceased daughter Paula Frías Allende, who fell into a porphyria-induced coma in 1991 and never recovered. She intended to write a straightforward narrative about the darkest experience of her own life. Paula is a 1994 memoir by Isabel Allende.
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