Darnay's disclosure of his name and background to Doctor Manette seems to have confirmed the Doctor's fears of his son-in-law's family connections. Although the Doctor has been healthy physically and mentally for many years, his relapse reveals that he can still be deeply hurt by his past. His vulnerability heightens the sense of foreboding surrounding the entire family. The reader knows that the Defarges have identified and registered Darnay; in fact, the revolutionaries have condemned the entire Evrémonde line, including any children that result from Darnay and Lucie's marriage.
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