After more than eight years of treatment for metastatic breast cancer, Claire has run out of options. The first scene of Ann Packer’s smart, surprising novel “Some Bright Nowhere” is her final visit with the oncologist. Now, with her energy dwindling and her pain levels escalating, the 60-something Claire is trying to figure out the way forward. “How are we going to do this?” she asks her husband Eliot, through whose eyes readers bear witness to the story. “She meant get from this moment to her last one, whatever it turned out to be,” writes Ms. Packer, the author of the novel “The Dive From Clausen’s Pier” (2002). “Get there practically, get there emotionally. She was asking how they were going to bear it.

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