Henrietta’s oldest daughter, Elsie has mental challenges and seizures, and eventually must be institutionalized. Rebecca implies that her difficulties may have been caused by syphilis that Day passed on to his wife and unborn child. Elsie dies at age 15 in an asylum, under what Deborah and Rebecca later learn were horrific conditions. Finding out what happened to her sister is one of the driving forces of Deborah’s life, although the truth causes her to have an emotional and physical breakdown.