Escoces y vastago de una familia que ha practicado la medicina a lo largo de generaciones el doctor Robert Judson Cole debe dejar su devastada tierra por razones politicas y emigar a las nuevas tierras de America tras llegar a Boston y trabajar con el eminente cirujano Oliver Wendell Holmes seguira camino rumbo al oeste hasta la frontera de Illinois y de alli a las tierras castigadas por la guerra de Gettysburg un territorio que los colonos todavia no han podido arrebatar a los indios sauk y donde le esperan las experiencias mas intensas de su vida profesional y sentimental.
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