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Three years after the sudden, mysterious death with their one-year-old child, Lily, Josef Coleman, a high-strung NY plastic surgeon, and his editor better half, Claudia Macinnes, stay mired in anguish and grief. Their mourning has still left them trying for different things in various ways: Josef for a primal, physical interconnection that Claudia can no longer bear, and Claudia for an association of the soul that Josef hasn't really known how to offer.To numb his pain and try to complete the gaping opening of reduction, Josef turns to a surgical nurse known as Kiera; Claudia, on the other hand, is drawn into what seems like an unrequited illusion about her psychotherapist, Stuart. The time she spends in his office - this only "other room" where she makes it possible for herself to project into the future - becomes a unusual bright spot in her weeks.The couple's prolonged young families soon become implicated in the unraveling with their lives. Bit by bit, haunting pasts and their effect on today's are discovered, as is the chilling real truth about Lily's death. Interwoven with Claudia's careful journal entries offering glimpses of the sunnier future, the story ultimately requires a surprising switch reaffirming that in tragedy's wake lie redemption, reckoning, and peacefulness.