They are like the super-smart, super-pretty, overachieving big sister who gets into Stanford while the men have looked, at times, like the gawky, pimply, teenage little brother, slouching his way self-consciously through the halls of a high school.

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Single mother Pia, "the pretty one, " feels threatened by her older sister's settled home life.

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When I was twenty years old, I became a kind of apprentice to a man named Andrew Lytle, whom pretty much no one apart from his negligibly less ancient sister, Polly, had addressed except as Mister Lytle in at least a decade.

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The tribunal heard that the doctor told the woman that she was "pretty" and said "you remind me of my little sister back home".

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"My sister's hospital bills on top of that are making the financial reality look pretty daunting, " she says.

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