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This haunting first novel follows the partnership between a hospital patient known as "the tall man" and a nurse. The victim of a gunshot wound who was simply discovered over a remote beach northwest of Seattle, the tall man lies motionless and practically mute as Sara Black vigilantly tends his health. As Sara struggles to recuperate from a loss of her own, the death of her four-year-old son in a vehicle accident, she finds herself spending more and more time with her patient. He, in turn, draws her into a strange and chilling world of his past by using an Alaskan island. As Sara begins to handle some truths of her own, she discovers that he may well not be the man he says he's.