Richard and Karina are both pianists and fell in love when they were young. Richard has had a very successful career as a concert pianist. He has travelled the world - not always compatible with marriage. Karina had shifted her focus to jazz (partly because she didn't want to outshine her husband with her gift for classical music). Karina's dreams didn't really work out. Richard made them move from NY to Boston, away from the jazz scene. As he traveled she was stuck at home being a mother to Grace and giving piano lessons.
When the story begins Grace is off at college and Karina has been divorced from Richard for years. She couldn't take his infidelities any longer. She stayed in the home and he moved to an apartment. They have no contact. His career had been going great except that he was having some trouble with one of his hands. Thinking it was only tendonitis he wasn't worried at first but eventually he was diagnosed with ALS. He hasn't told his daughter or his ex-wife. He is managing with outside help. But that won't last long.
It is difficult to read about this disease. It isn't easy for the patient or the family and Genova takes you through the struggles, both physically and emotionally of everyone involved.
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