This novel unfolds the heart-wrenching story of a family irrevocably changed one snowy night in 1964. When a doctor is forced to deliver his own twins, he makes a split-second decision to send his newborn daughter, born with Down syndrome, away with the nurse, instructing her to place the baby in an institution. Instead, the nurse moves to another city and raises the girl as her own. The secret of the daughter's existence creates a silent chasm in the doctor's marriage and profoundly affects their son, as the lie that was meant to protect them all slowly erodes their lives. Spanning a quarter of a century, the novel explores themes of love, loss, and the complex nature of family and identity.

This novel is a poignant coming-of-age story set in the rural town of Breathed, Ohio, during the mid-20th century. It follows the life of a young girl of mixed white and Cherokee heritage, who grows up in a large, impoverished family plagued by dark secrets and personal tragedies. Through her eyes, we experience the harsh realities of racism, sexism, and the struggles of her family against the backdrop of Appalachian folklore and the deep connection to nature. The narrative is a tapestry of the protagonist's resilience, the power of storytelling, and the unbreakable bond she shares with her father, who instills in her the importance of her heritage and the strength found in one's roots.