When Patrick asked Margaret if she wanted to go to Kenya with him, she said yes with enthusiasm. Her job at the alternative paper wasn't progressing, and she was tired of photographing congressional meetings and folksingers in Cambridge coffeehouses. Patrick had attached himself to Nairobi Hospital, which he could use as a resource for as long as he wanted in exchange for conducting free clinics around the country when asked to do so.
Margaret and Patrick were hastily wed in a backyard in Cambridge. Margaret wore a long white cotton dress and wound her hair into a French twist. After the ceremony, they and their guests drank champagne on plastic deck chairs and an ornate sofa brought outside for the occasion. Patrick and Margaret sat in the sofa's plush center, fending off witty barbs and occasionally gazing at the stars.
At a good-bye dinner at her parents' house the night before Patrick and she were to fly out of Logan to Nairobi, Margaret couldn't imagine how she could go a year without seeing either them or her twelve-year-old brother, Timmy, born sixteen years after Margaret - a happy accident, her mother had explained. She pleaded with them to come visit her in Africa. No one in the family had ever used the word love before, though the connection among them was fierce.
On the plane, Margaret was mildly homesick. During the flight across the alien continent, the sun rising, her face pressed to the window, her breath fogging her vision, Patrick held her hand. If he was apprehensive, he didn't say so.
From the plane, she saw all the places she had read about in preparation for the trip: the Nile River, long and brown; Lake Turkana, once Lake Rudolf; the Rift Valley, vast and barren and unearthly; and then suddenly the Ngong Hills and the plateau on which Nairobi had been settled. In the distance, Margaret could see, rising above the clouds, Mount Kenya, and even, to the south, Mount Kilimanjaro. Before the plane set d own, Patrick presented her with a silver ring, a small diamond at its center, something he hadn't been able to manage before the wedding. They landed on Margaret's birthday.
Copyright (c) Anita Shreve
It was supposed to be a grand adventure. Newly wed and spending a year in Africa, Margaret and her husband, Patrick, are invited to take part in an expedition to the summit of Mount Kenya. It’s an arduous ascent, but it should be safe. Except it isn’t. Now, in the aftermath of a horrific accident, everything has changed, and Margaret must struggle to understand how—and why—the tragedy occurred…and find a way to emerge from the ashes of her destroyed existence. An emotionally intense reading experience that could only have come from Anita Shreve, A Change in Altitude is a masterwork, one that searches out the secrets at the core of our closest relationships…and reveals the ways our lives can change with a single catastrophic event.
Hardcover: 320 pages
Publisher: Hachette Book Group Usa ( September 22, 2009 )
Item #: 15-9648
ISBN: 9780316020701
Product Dimensions: 5.5 x 8.25 x 0.76 inches
Product Weight: 13.0 ounces

An interesting story containing a lot of food for thought. On the surface, there is the trip to climb the mountain and the impacts that this trip has on the participants. There are some subtler subplots - a look at marriage and degrees of betrayal, the uncertainty of living in a foreign country where the rules are not clear, atonement, and basic human rights. A very enjoyable read.
Reviewer: Michele T
This book took way too long to establish a "hook." The plot dragged and the ending left me saying, "You've got to be kidding." I was perturbed that I waded through this book and wasted my time. Very disappointed with the ending. She never wrapped the story up. Too many questions unanswered.
Reviewer: Steve Y
A sleeper to start, it soon becomes one you can't wait to get back to. Varied locations add to the interest. We know the Narobi culture is varied but this makes the old South seem like a picnic. At least the slaves here did not feel that they needed to pretend that life was good for them. The mountain climb made me feel like the main character, I too,was exhausted, terrified and then in despair. I congratulate Ms. Shreve in her continuing growth and knowledge. The research on this one must have been all consuming.
Reviewer: Joellyn
I liked this book and felt she was getting back to her earlier writings that snagged us in the beginning of her career. Although at the end I was puzzled so passed it on to my sister for her interpretation.
Reviewer: Denise
I disagree with those who did not like the book. Although it is different from her early books, it still is a great story. Fortunes Rocks still remains my, as well as many others, favorite Shreve read...and I still feel that way after this book. But A Change in Altitude is a great story on it's own, and deserves an independent look, without being compared to her earlier books. I think the book's handicap lies in it's setting, which is just too unfamiliar for most people; it makes it hard for the reader to get comfortable with who the people are. Use this book as an opportunity to learn something about the history of the Nairobi people, rich in culture and visuals. Ms Shreve gives us city slums and spectacular Mt Kenyan vistas; from the privileged to the most destitute. The book takes it's main character through a serious of events, from ever changing scene to scene; all of which contribute to her awareness of who she is. Dangerous mountain climbing, the colorful yet impoverished city slums where the servants live, the stuffy homes of the white society, and the coutryside where she photographs, all interteine to weave this story.Her marriage sits precariously around each event, the likelihood of its success changing with each situation. The writing at times seemed like I thought them myself. I walked and struggled with Margaret every step of the way up that mountain. I felt each labored breath and felt her hopelessness. What makes the book so interesting, is that while the location is unfamiliar to most us, so it was to Margaret. She also experiences the disjointedness of being in strange places. But her love of the country, the people, photography, and her husband anchor her and help her discover who she is.
Reviewer: Pat