The book is a vivid portrait of an individualistic young woman, raised in a close-knit family, tasting the joy of living on her own for the first time. Now she is headed to eastern Kentucky to practice medicine, in a male dominated field, on the mountaineer coal miners who are not used to female physicians. Her experiences in the emergency room both shatter and thrill her as one after another strange case challenges her in this new world.
The beauty of the eastern Kentucky mountains is contrasted to the narrow streets of South Philadelphia when Dr. Mariotti describes the Appalachian countryside she came to know so well. She finds her patients a learning experience, which later influenced her 40-year practice in southern New Jersey, and that "caring" for patients has a double meaning in that the "care" goes both ways.
