Debra Green has constructed a layered story that cuts across cultures, religions, and time periods to deliver a profound message: secrets have consequences. Those consequences leave emotional scars, dysfunctional legacies, and, in this case, the physical impact of a genetic disease. Gaucher disease affects mainly those with Ashkenazi Jewish backgrounds. The careful research and clever way the author weaves this rare disease into the story to divulge family secrets is riveting. However the message is one of universal interest---women face unique challenges, to be a friend, a wife, a mother and to compromise for the good of the family, to forgive the unforgivable, and to move forward in spite of these challenges. If there is a point to reading fiction, it is to borrow lessons from the lives of these characters for our own lives. An engaging story and informative book.