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When Elizabeth Endicott arrives in Syria, she has a diploma from Mount Holyoke College, a crash course in nursing, and only the standard grasp of the Armenian language. The First World War is spreading across Europe, and she has volunteered on behalf of the Boston-based Friends of Armenia to provide food and medical aid to refugees of the Armenian genocide. There, Elizabeth becomes friendly with Armen, a young Armenian engineer who has already lost his wife and infant daughter. When Armen leaves Aleppo to become listed on the British Army in Egypt, he starts to create Elizabeth letters, and comes to recognize that he has fallen deeply in love with the wealthy, young American woman who is so not the same as the wife he lost. Flash forward for this, where we meet Laura Petrosian, a novelist residing in suburban New York. Although her grandparents' ornate Pelham home was affectionately nicknamed the "Ottoman Annex", Laura has never really given her Armenian heritage much thought. However when a vintage friend calls, claiming to have observed a newspaper picture of Laura's grandmother promoting an exhibit at a Boston museum, Laura embarks on the journey back through her family's history that reveals love, loss - and a wrenching secret that has been buried for generations.