BD and Richie (his partner) had a surrogate mother carrying a twin pregnancy for them, and she went into labor 11 weeks early; one twin died, and the rest of the book is about the struggles of the other twin in the NICU. BD was writing email updates to his family and friends, and those updates are the central kernel of this book. The early NICU parts made me cry - I have a friend who had a baby that early, and it's just awful and hard and scary. Overall, BD should learn to trust his material - he has a great story here, but he doesn't seem to believe that, and so he tries too hard. It ends up feeling rather gimmicky and overdone. (Plus, he feels compelled to include some of the glowing email responses he got to the original updates, and takes every opportunity there to name-drop.)