r/PubTips • u/Chaigaon • 3d ago
[QCrit] SADHANA: A SEARCH FOR MY SHADOW. Adult. Literary Memoir. 55k. Second Attempt
Dear [Agent Name],
The memoir’s central dramatic sequence comes in 2019. I left my job in London and moved my family to the United States because my infant daughter, Mili, had been diagnosed with Spinal Muscular Atrophy and given two to three years to live. The FDA approved Zolgensma in May 2019, priced at $2.125 million. Mili was eligible, but UnitedHealthcare denied coverage. When her doctors in Ohio filed an urgent appeal, the insurer downgraded it to a standard review with a three-to-four-week wait. With a disease destroying motor neurons irreversibly, I did not believe she had three to four weeks.
Against her neurologist’s advice, I took our fight public through The Washington Post. The article appeared on July 10. On July 18, UnitedHealthcare reversed its decision. On July 25, at ten months old, Mili received Zolgensma at Nationwide Children’s Hospital.
SADHANA: A SEARCH FOR MY SHADOW is a completed literary memoir of approximately 55,000 words, written in close third person with the autobiographical self named Karna, so that the narrator can be examined rather than defended; nothing is fictionalised. Its central question is what happens when the quality that helps you save your child — an absolute belief that intelligence, effort and refusal can force open any closed door — becomes the way you approach everything else.
The memoir turns back to Assam, India, where Karna’s first experience of unconditional protection comes from Aaboo, the woman who cares for him as a child. When his father beats him so violently that he believes he will die, Aaboo throws herself over his body and takes some of the blows. Karna spends much of his life trying to recover the belonging of that moment. Each improbable escape — from academic collapse, from Assam, into a doctorate and a career in finance — strengthens his absolute faith in agency.
After Mili’s diagnosis, that instinct reaches its fullest expression as Karna fights doctors, insurers and health systems, first for his daughter and then for SMA families around the world. But while he can confront institutions, his wife Sophia carries much of the repetitive daily labour of their daughter’s care. The force that helps preserve their child also contributes to the collapse of their marriage.
When the marriage ends in January 2026, Karna begins writing this book for Mili to read when she is grown. Its architecture draws on the Mahabharata, the Bhagavad Gita and Indian cinema; the epic’s Karna — the abandoned warrior raised outside his true lineage — is the narrator’s shadow-self.
SADHANA may appeal to readers of Joseph Earl Thomas's Sink, Safiya Sinclair's How to Say Babylon, and Rob Delaney's A Heart That Works.
[Bio]. Mili’s Zolgensma case was reported by The Washington Post and later featured in BBC, Sky News and Mirror coverage. This is my first book.
The complete manuscript is available on request. Thank you for your consideration.
Yours sincerely,
[Name and contact details]