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Elisabeth Barclay, a young suffragist in 1866, is appalled to learn she is half Washo and unaware she is anxiously watched by that tribe and by Masete, the brilliant warrior to whom she was promised. Her struggles with her sense of justice and scorn for her mother's people, increasingly powerful visions by their lake, Tahoe, and growing attraction to Masete come to a head in a battle during which Elisabeth discovers she must claim her role in an ancient prophecy that transcends time.

What does it feel like to be a medical student during the third year -- the first "true" year of medical school, when eager-eyed but utterly ignorant apprentice physicians are released from the library and unleashed on unsuspecting patients? How does one manage to appear even remotely competent after dropping a ten-pound ovarian tumor on the floor? Steven Hatch seeks to explain these questions, providing readers with the texture of this crucial period for a nascent physician.