Wishert does a great job of immediately placing the reader in a crisis, as her main character and narrator Ruby intimately navigates us through the toughest of all decisions. Literal life and death is at stake, as well as a more spiritual life and death struggle between fighting for the future you had planned for yourself and accepting the fate you’ve been given. It’s a particularly good read for men, as it helps build understanding for women making these types of decisions, for they almost always suffer greater consequences when dealing with such issues.