Jessen, who is a policeman in San Francisco, returns in the morning, he mentions about the enormous number of dead rats found in the walls of a restaurant in the city. Lizzie eventually sets the arm and helps her father deliver the Jessen baby, a healthy boy.
Lizzie realizes that Caroline is frightened for her mother so she works on allaying her fears. However, Lizzie find this is easier said than done because Caroline won't let her near. Lizzie's father assigns her to set Caroline's arm, while he delivers the baby. Their first call is to attend Mrs Jessen who is in labour but discover that her daughter, Caroline is also in need of medical care as she has broken her arm. The novel opens with Lizzie taking the next three days off from school as she accompanies her father on his house calls, something Aunt Hortense doesn't approve of. Unlike her sister, Lizzie's mother married a doctor who often doesn't charge for his visits if people cannot pay. Her aunt and uncle are extremely wealthy as Uncle Karl has made a great deal of money in the sugar business. Lizzie's home is next door to her Aunt Hortense and Uncle Karl Sweeting's house which is on Nob Hill. Lizzie has a strong attachment to Jing, who makes a special cake on her birthday. Lizzie is driven to and from Miss Barstow's by their Chinese cook, Jing, who also cares for their garden, horses and chickens and their cat. But she hates the dancing, etiquette and entertaining classes and much prefers to accompany her father on his house visits. Lizzie was enrolled in the school on the advice of her Aunt Hortense when she turned eleven. Unfortunately, they do not study science and math classes stop after the third grade.
The girls learn how to run a household and how to attract and marry a wealthy man. She attends Miss Barstow's School for Young Women which is a finishing school for young girls. Lizzie's mother died five years ago from stomach cancer. Thirteen-year-old Elizabeth (Lizzie) Kennedy lives in San Francisco with her sixteen-year-old brother, William (Billy) and her father who is a doctor. This novel is set in the year 1900, at the very beginning of the outbreak. Chasing Secrets is a historical fiction novel about an outbreak of the bubonic plague which began in the city of San Francisco in March, 1900 and continued for a number of years.
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