![]() ![]() Dominick sees him through the ensuing decision not to attempt to reattach the hand, and makes efforts on his behalf to free him from what he knows to be an inadequate and depressing hospital for the dangerously mentally ill. Thinking he is making a sacrificial protest that will stop the Gulf War, Thomas cuts off his own hand while at a public library. With medication, Thomas is able to live his life in relative peace and work at a coffee stand, but occasionally he has severe episodes of his illness. Dominick Birdsey's identical twin, Thomas, suffers from paranoid schizophrenia. ![]() The novel takes place in Three Rivers, Connecticut, in the early 1990s. It was featured in Oprah's Book Club for June 1998. I Know This Much Is True is the second novel by Wally Lamb, published in 1998. ![]()
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