East Of The Mountains by David Guterson

An elderly, widowed former physician diagnosed with terminal cancer sets out from his island home on a deliberate journey to the open country east of the Cascades intending to end his life; along the way the landscape and a series of encounters with strangers and memories of marriage, war and a lifetime of work prompt him to confront regrets, reckon with the past, and reexamine what dignity, connection and belonging mean in the face of mortality.

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