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I read a book with the word “pearl” in the title starting with a young girl dying from a lung disease and then finding out about her prior lives. At least 20-30 years ago. After death she finds herself alone in a pavilion on an island where she heals and then an Asian man appears to help her on her journey to explore past lives.

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    Whilst a nice overview this is pretty terse. Can you remember anything that happens in the plot? You say she finds out about prior lives, how? etc. Could you edit your question to add in more detail?
    – TheLethalCarrot
    Commented Sep 27, 2019 at 14:01

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Most likely Song of the Pearl by Ruth Nichols. Asthmatic girl, Margaret Redmond, dies at 17. Finds herself in "heaven", remembering other lives. Paul, a Chinese man is there to meet her.

Book cover

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    If this is the correct answer, you can accept it by clicking on the checkmark by the voting buttons.
    – FuzzyBoots
    Commented Sep 27, 2019 at 17:30

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