This heartbreaking account of a classical musician's diagnosis and decline from ALS made for a fascinating book group discussion. Richard's priority has always been music, leaving little time for relationships, leaving him alone with the emotional and physical devastation of his disease, until his ex-wife Karina takes him in to care for him. Richard's gradual losses, especially that of music, are harrowingly portrayed. Karina's sacrifices, both in marriage and in caregiving, are given equal attention. Richard's illness gives the couple opportunity to reflect on their complicated marriage and opens the door to healing.