In between accounts of the day-to-day happenings at the hospital, Allende begins to discuss her personal and family history. She begins writing to Paula, adopting a format that is a cross between a letter and a series of diary entries.
The book begins with Allende sitting at her daughter’s side in the hospital.
However, after it became clear that Paula would not awake from the coma, Allende expanded the piece, adding on sections detailing episodes from Allende’s life and family history. Allende began the book after Paula slipped into a coma due to her condition, intending it as a record of everything that Paula was missing which she could read after she recovered. Published in 1994, it was intended as a tribute to Allende’s daughter Paula, who died from medical complications related to porphyria in 1991. Paula is a memoir by the Chilean writer Isabel Allende.
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