the novel establishes a sense of foreboding regarding Ellen's health as her doctor, Harmeroy, delivers a grim prognosis. He chastises Lady Horneby for prioritizing her daughter's desires over her well-being, highlighting the careless decisions that have exacerbated her illness. As he reveals that Ellen's condition is critical, the emotional toll on Lady Horneby becomes clear, especially as she recounts the heartbreak of losing her other children. The tension between the mother’s nurturing love and the harsh reality of Ellen's illness sets a poignant tone for the story, effectively drawing the reader into a deep exploration of grief, responsibility, and the relentless grip of fate. (This is an automatically generated summary.)