Adah is the middle daughter and twin to Leah. Adah is handicapped by a strong limp and seems plagued by a sense of foreboding about the future. To pass the time, she often reads novels and constructs palindromes. Adah later becomes a doctor in Atlanta, undertaking research to find cures to the deadly diseases that ravage the continent of Africa. After an incident in which her mother abandons her during a deadly catastrophe, she often feels like the outcast both within society and her own family. It is only after the death of her youngest sibling that her mother finally makes Adah feel fully included in the family.
Surgery may be used if the individual develops a secondary issue of contracture , from a severe imbalance of muscle activity. In such cases the surgeon may cut the ligaments and relieve joint contractures. Individuals who are unable to swallow may have a tube inserted into the stomach. This allows food to be given directly into the stomach. The food is in liquid form and instilled at low rates. Some individuals with hemiplegia will benefit from some type of prosthetic device. There are many types of braces and splints available to stabilize a joint, assist with walking and keep the upper body erect.