A woman physician confronts the moral issues of her time in the third novel in the New York Times–bestselling author’s historical medical trilogy. Roberta Jeanne d’Arc Cole is favored to be named associate chief of medicine at a Boston hospital. She is married to a surgeon. They own a trophy residence on historic Brattle Street in Cambridge and a summer house in the Berkshire Hills. Everything melts away. Her gender and her work at an abortion clinic cost her the hospital appointment. Her marriage fails. Crushed, she goes to the farmhouse in Western Massachusetts, thinking to sell it, and finds an unexpected life. How she continues to fight for every woman’s right to choose, while acknowledging her own ticking clock and maternal yearning, makes this prize-winning third story of the Cole trilogy as relevant as tomorrow.

The Crimean war is raging a world away from London. Martha Lackland, Abel Lackland’s daughter, astonishes her family and friends by announcing her intention to go to the Crimea to work amongst the British soldiers. After the initial shock, her family rally round to help her raise money for food and medicines. Once in Scutari, Martha meets Florence Nightingale. She also meets a surgeon – the dashing Alexander Laurence and love grows between them amidst the devastation of war.

The early 1800's. Jesse Constam, a highly respected spice merchant, lives in fashionable Gower Street. Saved from poverty himself, he rescues two children from the gutter. Jesse's intervention changes their lives forever. The fate of Abel Lackland and Lilith Lucas and their families become inextricably entwined as they are destined for the vastly different worlds of medicine and the theatre.