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The story is set in New York City's Greenwich Village. This was a popular hangout for artists and other creative types back in the day. Johnsy has a fantasy (fantasy meaning "imagination") that she will die when the last leaf on the ivy vine falls.
Greenwich Village
The story first appeared on October 15, 1905, in the New York World. The story is set in Greenwich Village during a pneumonia epidemic. It tells the story of an old artist who saves the life of a young neighbouring artist, dying of pneumonia, by giving her the will to live.