The hero of this book is handsome and charming - no wonder he has a successful private practice among the privileged. His home life is less satisfactory. His wife hasn't kept pace with him - she's become dowdy and was never a great brain. Needless to say he has an affair. He wants to do more than pat neurotic ladies' hands and tell them they need more rest, so he tries to write a book. His publisher mate doesn't dare tell him it's rot, and strings him along. But to his adoring Nurse who assists one day a week, he's a god, and the poor plain thing becomes more and more obsessed. This is a later work of Dickens. Her books started out acute and funny with tragic incidents but happy endings. They grew darker, and this is one of the less happy ones. Prepared to ache for her characters.