Goodreads
Goodreads asked Nicole Kiefer:

Where did you get the idea for your most recent book?

Nicole Kiefer In the hospital, waiting for my Husband to come out of emergency surgery after a hernia. It was a standard surgery, still I have enough experience and imaginantion that I was walking around worried. Of course at some point when time draged along, I wondered what if he would not come out alive. Lot's of hoorible things went through my mind, then the surgent came and told me my husband was fine. But the waht if was stuck in my head, and now that I knew my husband was fine, I knew that my what if needed a happy ending. On the drive home, I decided what if needed more drama then what my life had to offer. The next day I began to write the story outline, and decided what if needed also a complication. By the time my husband was ready to come home half the book was already written.

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