[THIS] REMARKABLE BOOK accomplishes an almost impossible task. It presents an uncompromisingly frank yet compassionate portrait of one of the most diverse and remote regions of Alaska.... There are surprises in every chapter, from the truamas and reckless courage that surface in fast-paced fishing towns to the calm and melancholy that shroud these isolated villages on occasion. We share the frustrations inherent in traveling throughout the Chain. A cello appears unexpectedly and, along with Dr. Sydnam's devoted black Lab, remains a key character in the story. Over the course of the book, we come to know the author as a remarkable woman, a dedicated physician, an Alaskan original.... —From the Forward by Raymond L. Hudson