Winner of the 2023 NAACP Image Award for Outstanding Literary Work - Fiction
“Deeply empathetic yet unflinching in its gaze…an unforgettable exploration of responsibility and redemption.”—Celeste Ng
Inspired by true events that rocked the nation, a searing and compassionate new novel about a Black nurse in post-segregation Alabama who blows the whistle on a terrible injustice done to her patients, from the New York Times bestselling author of Wench
Montgomery, Alabama, 1973. Fresh out of nursing school, Civil Townsend intends to make a difference, especially in her African American community. At the Montgomery Family Planning Clinic, she hopes to help women shape their destinies, to make their own choices for their lives and bodies.
But when her first week on the job takes her along a dusty country road to a worn-down one-room cabin, Civil is shocked to learn that her new patients, Erica and India, are children—just eleven and thirteen years old. Neither of the Williams sisters has even kissed a boy, but they are poor and Black, and for those handling the family’s welfare benefits, that’s reason enough to have the girls on birth control. As Civil grapples with her role, she takes India, Erica, and their family into her heart. Until one day she arrives at their door to learn the unthinkable has happened, and nothing will ever be the same for any of them.
Decades later, with her daughter grown and a long career in her wake, Dr. Civil Townsend is ready to retire, to find her peace, and to leave the past behind. But there are people and stories that refuse to be forgotten. That must not be forgotten.
Because history repeats what we don’t remember.
Inspired by true events and brimming with hope, Take My Hand is a stirring exploration of accountability and redemption.
“Highlights the horrific discrepancies in our healthcare system and illustrates their heartbreaking consequences.”—Essence
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Dolen Perkins-Valdez is the New York Times bestselling author of Wench and Balm. She was a finalist for two NAACP Image Awards and the Hurston/Wright Legacy Award for fiction, and she was awarded the First Novelist Award by the Black Caucus of the American Library Association. She lives in Washington, DC with her family.
One
Memphis
2016
A year never passes without me thinking of them. India. Erica. Their names are stitched inside every white coat I have ever worn. I tell this story to stitch their names inside your clothes, too. A reminder to never forget. Medicine has taught me, really taught me, to accept the things I cannot change. A difficult-to-swallow serenity prayer. I'm not trying to change the past. I'm telling it in order to lay these ghosts to rest.
You paint feverishly, like Mama. Yet you got the steadfastness of Daddy. Your talents surely defy the notion of a gene pool. I watch you now, home from college, that time after graduation when y'all young people either find your way or slide down the slope of uncertainty. You're sitting on the porch nuzzling the dog, a gray mutt of a pit bull who was once sent to die after snapping at a man's face. In the six years we've had him, he has been more skittish than fierce, as if aware that one wrong look will spell his doom. What I now know is that kind of certainty, dire as it may be, is a gift.
The dog groans as you seek the right place to scratch. I wish someone would scratch me like that. Such exhaustion in my bones. I will be sixty-seven this year, but it is time. I'm ready to work in my yard, feel the damp earth between my fingers, sit with my memories like one of those long-tailed magpies whose wings don't flap like they used to. These days, I wake up and want to roll right over and go back to sleep for another hour. Yes, it is time.
Two weeks ago, I heard the news that India is very sick. I'm not sure what ails her, but I take this as a sign that it's time to head south. I know what it looks like. No, I am not going to save her. No, I don't harbor some fanciful notion that she'll be the first and last patient of my career. I have prayed about that. Please, Lord, reveal my heart to me.
I call your name, and you look back through the screen into the kitchen. You're used to my hovering, though each year you need me less and less, and I mourn the slipping. Soon it will be just me and the dog, an old lady muttering in that rambling, crazy way owners talk to their pets when no one is around.
But before we both head into that next chapter, we need to talk. You and I always have been open with each other. As soon as you were old enough to wonder, I told you everything I knew about your birth parents. I told how you came into my life, about the gift of our family.
I told you the story of your parentage, but what I didn't reveal was the story of your lineage. How you came to be. How you came out of a long line of history that defies biology. What I am trying to say is that your story is tied up with those sisters. The story of my welcoming you into my life, of my decision not to marry or bear children, is complicated. I have tried not to burden you, but I'm beginning to believe that not telling you the whole truth, letting you walk this earth without truly understanding this history, has done you a disservice.
I reach into the pocket of my dress and pull out the paper. Without opening it, I know what it says because I have memorized the address, mapped out the directions on my cell phone, and I know the route I will take. The car is gassed up, the snacks tucked into a backpack. The last of my carefully packed wardrobe capsules are squared off in a suitcase that sits behind the door. The only thing I have not done is tell you where I am going or why. You know a little about the sisters, about the case that engulfed the country, but you don't know the whole story. And it is time for me to tell you.
"Anne?" I call your name again. This time, I wave you inside.
two
Montgomery
1973
There were eight of us. When I think back to the time I spent at the clinic, I cannot help but stumble over that number. What might have been. What could have passed. None of us will ever know. I suppose I will still be asking the same question when I'm standing over my own grave. But back then, all we knew was that we had a job to do. Ease the burdens of poverty. Stamp it with both feet. Push in the pain before it exploded. What we didn't know was that there would be skin left on the playground after it was all over and done with.
In March 1973, nine months after graduation, I landed my first job at the Montgomery Family Planning Clinic. On the day I started, two other newly hired nurses, Val and Alicia, began with me, the three of us like soldiers showing up for duty. Hair straightened. Uniforms starched. Shoes polished. Caps squared. Child, you couldn't tell us nothing.
Our supervisor was a tall woman by the name of Linda Seager. I swear that woman had three eyes. Nothing escaped her notice. Despite her stone face, a part of me couldn't help but admire her. After all, she was a white woman working in a clinic serving poor Black women. Trying to do the right thing. And doing that kind of work required a certain level of commitment.
"Congratulations. You are now official employees of the Montgomery Family Planning Clinic."
And with that, the training was over. One week. A fifty-page orientation manual, half of which concerned cleaning the rooms and the toilet, and keeping the supply closet organized. We had spent three days just going over that part. Long enough to question if we'd been hired as maids or nurses. On day four, we finally covered charting patients and protocol. When the more experienced nurses noticed our downcast expressions in the break room, they promised to help us in our first few weeks. We were in this together.
As we dispersed, Mrs. Seager pointed a finger at me. "Civil."
"Yes, Mrs. Seager?"
She pointed to my fingernails with a frown, then retreated to her office. I held up a hand. They did need a clipping. I hid my hands in my pockets.
The three of us new hires squeezed into the break room and removed our purses from the shelf. One of the nurses nudged me gently with an elbow. She'd introduced herself earlier in the week as Alicia Downs. She was about my age, born and raised in a small town up near Huntsville. I'd known girls like her at Tuskegee, pie-faced country girls whose wide-eyed innocence contrasted my more citified self.
"I don't think it's real," she said.
"What?"
She pointed to her own head. "That red helmet she call hair. It ain't moved an inch in five days."
"Look like a spaceship," I whispered. Alicia covered her mouth with a hand, and I caught a glimpse of something. She'd been putting on an act all week in front of Mrs. Seager. Alicia might have been country, but she was far from timid.
"I bet if you poked a finger in it, you'd draw back a nub," she said.
The other nurse glanced at us, and I rearranged my face. Val Brinson was older than me and Alicia by at least a decade.
"You crazy, Alicia Downs," I told her as we walked outside. "She might have heard you."
"You look at your file yet?"
I took a yellow envelope from my bag. I had been assigned one off-site case: two young girls. Nothing in the case jumped out at me other than wondering what on earth an eleven-year-old would need with birth control. According to the file, she and her sister had received their first shot three months ago and were due for the next one.
"You got anybody interesting?" she asked.
I wanted to tell her that was a dumb question. This wasn't a talent search. Alicia had been trained as a...
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