If anyone has the book, this is in the chapter called "June: Interludes". Not sure if context is required here, but for those of you who don't have the book, here's the previous paragraph (from the previous scene), along with the paragraph which begins with this sentence. (Lilith was there, but did not actively participate in the conversation from the previous scene.)
An hour later, and Lilith had had to go to work.
"Yeah, and [Sharps] was stranger than any of [the astronomers who were interviewed]! You'll see it on TV. Hey, did you know that Hot Fudge Sundae falls on a Tuesdae this month?" [Mark] gave it a good dramatic pause - during which Joanna got the giggles - before he went on.
[scene ends]
An hour later, and Lilith had had to go to work. The saki was dwindling fast. Mark was feeling good. Joanna was feather-light in his lap, while he and Frank talked around her.
It's saying that Lilith had to go to work, and she did . The past perfect there is used to show that the information about Lilith's having gone to work is a parenthetical explanation that is off the main line of the narrative of interest. It happened earlier than the main line of the narrative and explains her absence in the situations described later in the text.
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Nikola NovakWould it be the same thing if it said "An hour later Lilith had gone to work?"Well, not exactly the same thing, of course. The difference is shown graphically below.
Nikola Novakwould it be possible to say "An hour later, and Lilith had had to go to work, but decided to stay at home,"This is also pos