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A Hidden Fate

A Novel

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Pub Date Oct 27 2026 | Archive Date Oct 30 2026


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Description

A poignant novel of love under fire about a woman who must find the courage to face an uncertain future—and an impossible choice.

Baltimore, 1986. Julia and Matt are newlyweds, in love and eager to begin graduate school. Julia longs to leave behind haunting memories of her mother’s devastating decline in Maryland, but she unexpectedly learns the truth her father has hidden: Her mother died of a fatal genetic illness. Julia now faces a 50 percent chance of inheriting the same fate, and every child she longs to have will carry the same risk.

When an unplanned pregnancy rocks their careful plans, Julia and Matt face agonizing uncertainty and impossible choices. Desires and convictions pull them toward starkly different paths, each possibly leading to misery.

As the couple struggles to protect the fragile, fierce love that first bound them together, they face the cost of secrets and the ache of betrayal—but they also discover the hope of forgiveness.
A poignant novel of love under fire about a woman who must find the courage to face an uncertain future—and an impossible choice.

Baltimore, 1986. Julia and Matt are newlyweds, in love and eager to...

Advance Praise

“For many women, the longing for motherhood collides with harsh biological realities. Efron’s engrossing, suspenseful novel follows one woman‘s path as she confronts that collision—and the impossible choices she must make.”

—Monica Starkman MD, author of The End of Miracles: A Novel, and a Psychology Today columnist

“Sensitive and emotional, A HIDDEN FATE explores the life of a young married couple as they struggle with the threat of a devastating disease that could be passed to their unborn child. Peyser’s characters are so well drawn that the reader will feel the intensity of their relationship as they travel the tenuous journey of heartache and self-discovery.”

—Terry Persun, winner of three Book Excellence Awards

“Family secrets, the rights of parents, maternal love and the importance of living one’s life to the fullest all come into play as Julia, the protagonist in Carol Eforn's intriguing novel, faces an excruciating and nearly impossible decision.”

—Jerry Burger PhD, author of Shadows of 1915: A Novel 

“Newlyweds move to a new and vibrant life: city; home; challenging graduate studies and their own future together. Like paper in wind everything is challenged by shocking news—old medical trauma gallops into present life and Julia must balance health and hope with a dark and cruel history. The hardest thing is to think what to do. With tender yet clear-eyed intelligence, Eforn holds the reader to the novel’s question: does one insist on learning the future when the answer may be devastating?”

—Sandra Scofield, Beyond Deserving: a Novel and The Scene Book

“Psychiatrist Carol Efron brings her unique experiences and perspectives to bear in crafting a family drama about closely guarded secrets and life-altering decisions. The characters in this heart-breaking novel tale confront Freud’s dictum that “biology is destiny” with fear, courage, and love, as they grapple with the dilemmas that will one day face us all. A most compelling story.”

—Jason Brandt, Ph.D., Professor Emeritus, The Johns Hopkins University School of Medicine

“A powerful, complex story about newlyweds making agonizing choices after a frightening revelation of the wife’s health risks. The stakes are enormous. In her compassionate novel, Efron skillfully probes the psyche of a woman struggling with herself, her husband, and others in wrenching decisions that will affect them all.”

—Ed Levy, creator of the musicals Bystander, Trifles, Lucy/Bluebeard, & more

“For many women, the longing for motherhood collides with harsh biological realities. Efron’s engrossing, suspenseful novel follows one woman‘s path as she confronts that collision—and the impossible...


Available Editions

EDITION Paperback
ISBN 9798896361909
PRICE $18.99 (USD)
PAGES 256

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Average rating from 5 members


Featured Reviews

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Genetic illnesses are probably nature’s trickiest way to make humans bring out their best to face the adverse and keep hope alive. It reminds us that hope and fear are two contrasting emotional responses of human beings in uncertain future. The at-risk individuals often face numerous difficulties and even the family members come across moral dilemma to navigate through such difficult situations.

The book starts with the protagonist moving to a different city with a feeling of hope for future and anxiety as well. A letter from a stranger reveals a deliberately hidden chapter of her life which turns her world upside down. She faces an unexpected dilemma in making future choices and gets immersed in sea of emotions while constantly debating her choices. An unplanned pregnancy makes the situation more complicated and test her marriage to the extreme.

The book stress on the fact that how a proper support system in form of medical infrastructure and supporting family can go a long way in helping a person who is susceptible of a genetic disease. Professional approach of genetic counselling centers in maintaining confidentiality of counseling participants, providing them a safe space to express their emotions and keeping their expectations real from the medical help has been highlighted appropriately. It also describes the counselling sessions of participants who takes an extremely difficult decision to express their deepest insecurity, fear, and their expectations from family members. Genetic testing gives life-altering reality and leave individuals at a painful crossroads which make the future more uncertain and overwhelming.

It also discusses an important aspect attached to genetic disorders: the stigma of adoption of children who may have inherited such conditions. Most often genetic disorders are perceived as carrying significant emotional and financial burdens and makes future of these children at risk, as prospective parents become reluctant to adopt them. It also talks about early mental health reformers in the United States, making readers aware that how such contribution in this field made crucial help accessible to everyone.

Author’s writing does not go over the edge while discussing sensitive issues of genetic disorder and mental health. The flow of writing keeps the story moving smoothly and readers would want to know what happens next. The tone of writing is subtle and emotional depth of each character is portrayed beautifully. Female readers will be drawn more towards it, as the book will reflect their own life where at some point, they would have faced unexpected circumstances and made difficult decisions.

The book is an emotional roller coaster and will strike a chord with all readers hence assuming it women-centric will be thoroughly under rating it. The haunting questions of “What if” and “What if not” can radically change a person’s life sometimes leading them to question their own existence. The book is an emotional journey from being fearful to being strong for making a choice which keeps the hope for a beautiful life alive.

I highly recommend the book!

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“A Hidden Fate” was such a deep and thought provoking book! This made it hard to decide on a rating and I was very torn between rating it three or four stars. I think what the reader is hoping to get out of the book will determine how much it is enjoyed. The novel description focuses on the love story of Julia and Matt, but the standout of the novel for me was the story of Julia’s extended family and how they deal with the inheritance of a genetic illness. The decision to set the story in Baltimore in the 1980’s, a time and place where medical professionals were making advancements on understanding genetic components to some diseases, made the story feel very considered and thought out. The inclusion of the family’s interactions with healthcare professionals was also something that made the novel special.

The originality of the story, the careful and considerate way the families dealing with genetic illnesses were written about, and the addition of thoughtful details to help readers immerse themselves in the story made it a very enjoyable read. The romantic relationships in the book were some of my least favorite parts of it. I also sometimes felt bogged down by how many details were included about so many different characters.

I think the description does a good job of preparing readers for the heaviness of the novel, but it was still sadder than I was expecting. I was also surprised by how many different difficult themes were explored. It is not an easy or especially relaxing read, but it is one that makes you think and really feel for the characters dealing with tough situations. Family dynamics, pregnancy, grief, loss, genetics, mental health, and serious illnesses are all brought up in the novel.

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