In 1964, due to severe weather conditions, a young orthopedic surgeon is forced to attend his wife Nora, when she suddenly goes into labor. He delivers fraternal twins, a boy and girl. The doctor realizes, however, that the girl was born with Downs Syndrome. So, with a moment's decision, he sets the course for the rest of his life.
Wanting to spare his wife of having to care for a special needs child, because of an experience he had while growing up, the doctor decides to institutionalize the child. He tells his nurse to take care of this for him, and then he tells his wife that the little girl died. This one lie would color and shape this family for years to come and not in a good way. His nurse, Caroline, on the other hand, finds that she is unable to leave the child in an institution, and her own personal decision would also shape her life in ways she never dreamed.
For a debut novel, this book begins with an interesting premise. Unfortunately, it fails somewhat in the execution. Rather than being sympathetic, the doctor, his wife, and the surviving twin boy ended up being not particularly likeable. This failure to draw the reader in is one of the weaknesses of the book. The parts that were most interesting were those involving Caroline and the twin girl, Phoebe. Moreover, the novel was surprisingly predictable. Still, this writer shows promise, and the book is a good first effort at a novel. Overall, the book was more enjoyable than not, good but not great.