Faith Grace continues her story about Lizzie and her close-knit Amish community as Lizzie sits in the waiting room of a Lancaster hospital to hear word on Grossmammi Ruth's status. Discovering her brother Raymond's secret life on the night of the tragedy only makes things worse. However, can Elmer Yoder, an Amish boy, known as "the Surprise" because of a church member's lie, help her through this difficult time? She's always had her grossmammi during hard times, but when the doctor comes out and informs them that Grossmammi sleeps in a coma, she must turn to others for support, and embrace the shift change of life, all while she waits.