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Vulnerable Children
by Deborah J. Johnson Robert K. Hitchcock Debrenna Lafa AgbényigaThey are laborers, soldiers, refugees, and orphans. In areas of the world torn by poverty, disease, and war, millions of children are invisible victims, deprived of home, family, and basic human rights. Their chances for a stable adult life are extremely slim. The powerful interdisciplinary volume Vulnerable Children brings a global child-rights perspective to the lives of indigenous, refugee, and minority children in and from crisis-prone regions. Focusing on self-determination, education, security, health, and related issues, an international panel of scholars examines the structural and political sources of children's vulnerabilities and their effects on development. The book analyzes intervention programs currently in place and identifies challenges that must be met at both the community and larger policy levels. These chapters also go a long way to explain the often-blurred line between vulnerability and resilience. Included in the coverage: Dilemmas of rights-based approaches to child well-being in an African cultural context.Poverty and minority children's education in the U.S.: case study of a Sudanese refugee family.The heterogeneity of young children's experiences in Kenya and Brazil.A world tour of interventions for children of a parent with a psychiatric illness.An exploration of fosterage of Owambo orphans in Namibia.UNICEF in Colombia: defending and nurturing childhood in media, public, and policy discourses. Vulnerable Children is a must-have volume for researchers, graduate students, and clinicians/professionals/practitioners across a range of fields, including child and school psychology, social work, maternal and child health, developmental psychology, anthropology, sociology, social policy, and public health.
Vulnerable Populations in the United States (Public Health/Vulnerable Populations #2)
by Leiyu Shi Gregory D. StevensAn in-depth look at disparities in health and health care, fully updated for 2021 Vulnerable Populations in the United States, 3rd Edition provides a general framework for studying vulnerable populations and summarizes major health and health care disparities by race/ethnicity, socioeconomic status, and health insurance coverage. This updated contains the latest statistics and figures, incorporates new information related to Healthy People 2020, analyzes the latest data and trends in health and health care disparities, and provides a detailed synthesis of recent and increasingly expansive programs and initiatives to remedy these disparities. In addition, the Third Edition offers new coverage of health care reform, the "deaths of despair" (suicide, opioids, etc.), and the global primary care initiative. Based on the authors' teaching and research at the Johns Hopkins Bloomberg School of Public Health and the Keck School of Medicine of the University of Southern California, this landmark text is an important resource for students, researchers, practitioners, and policymakers for learning about vulnerable populations. The book's Web site includes instructor's materials that may be downloaded. Gain a general understanding of health and health care disparities related to race/ethnicity, socioeconomic status, and health insurance coverage Access online resources including editable PowerPoint slides, video, and more Delve into the programs and initiatives designed to remedy inequalities in health and health care, including Healthy People 2020 updates Enjoy new coverage of health care reform, the "deaths of despair" (suicide, opioids, etc.), and the global primary care initiative End of chapter revision questions and other pedagogical features make this book a valuable learning tool for anyone studying at the advanced undergraduate or graduate levels. Additionally, it will prove useful in the field for medical professionals, social and community workers, and health educators in the public sphere.
Vulnerable Populations in the United States
by Leiyu Shi Gregory D. StevensBased on the authors' teaching and research at the Johns Hopkins Bloomberg School of Public Health and the Keck School of Medicine of the University of Southern California, the second edition of this landmark text offers a general framework for students, researchers, practitioners, and policymakers for learning about vulnerable populations. It contains in-depth data and information on major health and health care disparities by race or ethnicity, socioeconomic status, and health insurance coverage. It is thoroughly updated to include the latest data and trends and provides a detailed synthesis of recent and increasingly expansive programs and initiatives to remedy these disparities. To keep current with recent trends it incorporates the latest Healthy People 2020 objectives, includes new sections on real-world clinical examples, and discusses the impact of health care reform on vulnerable populations. The book's Web site includes instructor's materials that may be downloaded.Praise for the First Edition of Vulnerable Populations in the United States"An excellent primer for undergraduates and graduate students interested in vulnerable populations and health disparities."--New England Journal of Medicine"Combines thoughtful, coherent theory with a large amount of information available in a single source. It will prove to be a valuable resource for policymakers, researchers, teachers, and students alike for years to come."--Journal of the American Medical Association"A very worthwhile read for health care administrators, health policy analysts, public health and health promotion practitioners, students of public health, and health researchers."--Inquiry"It makes clear that, for political, social, and economic (as well as moral) reasons, the country must increasingly make vulnerable populations a national health policy priority."--Journal of Health Care for the Poor and Underserved"I have reviewed a number of books looking for meaningful content to help my students understand and work with vulnerable populations. This is the most comprehensive, yet understandable book on the topic."--Doody's Reviews"Provides much-needed guidance to policymakers challenged with providing solutions to this embarrassing issue in the United States."--F. Douglas Scutchfield, MD, Peter P. Bosomworth Professor of Health Services Research and Policy, University of KentuckyCompanion Web site: www.josseybass.com/go/shi
The Vulture and the Phoenix: Neurosurgeon, Garven Wilsonhulme, the final great fight
by Carl DouglassArthur Koestler, the notable twentieth century playwright said, Nothing is more sad than the death of an illusion." Carl Douglass, neurosurgeon turned author, writes with gripping realism about the point in Garven Wilsonhulme, M.D., F.A.C.S's life when he turns the hopes and aspirations of his family, friends, colleagues, and opponents into illusions. In so doing, he realizes that he has become both The Vulture and The Phoenix in his own life. He scrambles to the heights of fame, prestige, riches, and cruelty. There, he meets a wall of opposition and begins the final great fight of his complicated life and career. What he does will surprise and amaze you. This is the finale of the successful Saga of a Neurosurgeon series."
The Vulva
by Gayle Fischer Jennifer BradfordThis practical handbook reviews the important, but complex, area of vulval disease and will help busy clinicians help their patients. The authors have a fresh and evidence-based approach to dealing with everything from common to rare vulval conditions. Their take on vulvodynia and dyspareunia represents an important breakthrough in the understanding of vulval pain. The first edition of this book appeared in 2010, at a time when there was very little published evidence on vulval disease. The entire text has been updated in line with modern practice. A reading list and references are included at the end of each chapter. There is further information on management, particularly in the field of long-term treatment of lichen sclerosus and on newly described conditions. The text is designed for gynaecologists and dermatologists but will also be readily understandable to primary care and family practice physicians, nurse practitioners and others working in women's health.
The Vulva: A Practical Handbook for Clinicians
by Gayle Fischer Jennifer BradfordConditions of the vulva are very common but often taboo, and can badly affect people's sex life, comfort and self-confidence. Despite this, clinicians receive little training in these conditions. This comprehensive yet handy third edition has been fully updated with research giving new insights into vulval diseases, vulvo-vaginal pain and vaginitis. Full-colour clinical photographs and illustrations demonstrate the clinical appearance of a wide spectrum of conditions. Chapters are organised by clinical presentation for ease of reference and information is presented practically, covering misconceptions and common patient questions. Co-written by a dermatologist and a gynaecologist - both specializing in vulval conditions - the handbook provides a unique visual and written guide to the diagnosis, treatment and management of both acute and chronic vulval presentations and explores the latest opinions on causation and classification of neoplasia in the vulva.
The Vulva: Physiology and Clinical Management, Second Edition
by Miranda A. Farage and Howard I. MaibachA unique compilation of expertise on anatomy, physiology, clinical issues, and current research, this textbook analyzes the range of presentation with age, ethnicity, symptoms, disorders, diagnoses, and toxicity. The second edition of this essential resource for anyone taking care of female patients has been doubled in scope to include additional chapters. All physicians, whether dermatologists or gynaecologists, as well as those researching the scientific evidence and symptoms, will benefit from the experience of the expert contributors and editors gathered here.
The Vulva and Vaginal Manual
by Graeme Dennerstein James Scurry John Brennan David Allen Maria-Grazia MarinThis is a new book on the integrated management of vulvovaginal disease. The authors come from a variety of backgrounds - gynaecology, dermatology, pathology and psychology - and describe a multidisciplinary approach to these conditions. The book has the most complete classification of vulvovaginal disease published, based on the etiology of 275 conditions; coverage includes benign, malignant, and functional (including psychosexual) diseases. Each disease has a descriptive summary, pathological features, and treatment guidelines. The book is illustrated in full color throughout.
Vulval Dermatologic Diagnosis: Diagnosis by Clinical Presenting Sign
by Giuseppe Micali Pompeo Donofrio Maria Rita Nasca Stefano VeraldiRather than categorizing vulvar disorders by standard classifications such as neoplastic, inflammatory, or infective, this book describes the disorders by key presenting symptoms-such as erythema, bullae, plaques, cysts, or ulcers. This approach allows clinicians to quickly formulate a correct diagnosis. Vulval Dermatologic Diagnosis: Diagnosis by
Vulvar Disease: Breaking The Myths
by Jacob BornsteinThis book offers comprehensive information on modern approaches to vulvar lesions, taking into account recent management recommendations and employing the consensus terminology of the International Society for the Study of Vulvovaginal Disease (ISSVD). Further, it breaks with past misconceptions and myths, and explains in detail the modern approach. The aim is to help clinicians perform the differential diagnosis of vulvar conditions and implement the new recommended treatments. <P><P> The core chapters of the book are arranged in accordance with lesion presentation: red lesions, white lesions, patches and plaques, papules and nodules, erosions and ulcers, blisters, etc. For each lesion, the multidisciplinary management is fully explained, including clarifications of the role of gynecologists, dermatologists, physical therapists, pain specialists, sex therapists, and others. Clinical case presentations and numerous illustrations of treatment procedures are included, supplemented by informative online videos. A separate chapter is devoted to vulvar pain, which is increasingly becoming recognized as a growing problem. Here, again the past approaches are replaced with new paradigms. All of the authors are acknowledged experts in the field and the editor is a past president of the ISSVD. The book will be of value for all vulvar specialists and a wide range of other clinicians.
Vulvar Pain
by Alessandra Graziottin Filippo MurinaThis book offers detailed coverage of all aspects of vulvar pain in age groups from children to the elderly, with a particular focus on factors that precipitate or maintain the pain. Guidance is provided on diagnosis and treatment, and careful consideration is given to special circumstances associated with vulvar pain, including childbirth, recurrent cystitis, female genital mutilation, medical comorbidities, and sexual comorbidities in both partners. Vulvar pain of neurogenic and iatrogenic origin is also fully discussed. Two innovative chapters present case reports highly relevant to clinical practice and address outstanding issues, including controversies and difficulties in terminology, initial triggers, the role of stress, psychogenic causes, and misuse and abuse. The book is exceptional in covering vulvar pain throughout the human life span and in a wide range of situations, and it will be of value to all who are involved in management of the condition.
Vulvar Pathology
by Mai P. Hoang Maria Angelica SelimThis book details the histologic clues in diagnosing the inflammatory dermatoses and neoplastic process of the vulva. The inflammatory dermatoses are divided into histologic patterns to aid recognition. Expert authors provide updates on ancillary techniques such as special stains, immunohistochemistry and chromogenic in situ hybridization when applicable. New advances in classifying squamous lesions as well as staging melanocytic lesions are outlined. They include the recent CAP/ASCCP (College of American Pathologists and the American Society for Colposcopy and Cervical Pathology) lower anogenital squamous terminology for HPV-associated lesions and the 2009 AJCC (American Joint Committee on Cancer) staging system for melanoma. New advances in molecular findings and potential targeted therapy are discussed for the squamous, melanocytic, adnexal and soft tissue tumors whenever it is pertinent. Vulvar Pathology will be a useful diagnostic guide for general pathologists, pathology trainees, dermatopathologists, dermatologists, and gynecologic pathologists in rendering diagnoses in vulvar inflammatory dermatoses as well as melanocytic, squamous, adnexal, and soft tissue neoplasms of the vulva.
Vulvar Reconstruction Following Female Genital Mutilation/Cutting (FGM/C) and other Acquired Deformities
by Dan Mon O´DeyThis book describes essential operative techniques that can be used to anatomically reconstruct the outer female genital in acquired deformities derived from ritual genital mutilation/cutting, and diseases causing similar deforming defects. Following an introduction with general insights on the topic, the main chapters deal with basic considerations and special anatomical information. With the help of high-quality videos and images, the reader receives detailed instructions on clitoral and vulvar reconstruction with techniques invented by the author, named the NMCS-procedure, the OD-flap and the aOAP-flap procedures. The book is rounded out with chapters describing postoperative care and how to manage complications.The integrity of their outer genitals is important for patients’ physical and psychological wellbeing. As such, the vulva is now receiving increasing attention and will likely continue to grow in importance in plastic surgery. The author, who has developed outstanding procedures for vulvar and clitoral reconstruction over the years, shares his considerable experience and hopes to highlight the importance of these methods to overcome the burden of female genital mutilation/cutting.
Vulvovaginal Infections
by William J. Ledger Steven S. WitkinVulvovaginal Infections presents new knowledge to help clinicians accurately diagnose and treat their patients and highlights for researchers remaining unsolved problems and the most promising areas for continued investigation. Clinical gynecologists will find practical advice and extensive insight into solving real-life clinical scenarios. The book opens by presenting information on the microbiology of the vagina and vaginal immunology. It then discusses the diagnosis of vulvovaginal disease, including physical examination, screening processes, and laboratory testing. Diagnosis is followed by covering various vulvovaginal infections including bacterial vaginosis, Candida vulvovaginitis, Trichomonas vaginalis vaginitis, genital herpes, human papillomavirus genital infections, allergic vulvovaginitis, menopausal vulvovaginitis, cytolytic vaginosis, aerobic vaginitis, and more. For each of these conditions, the book presents information on its background, microbiology, immunology, prevention, diagnosis, and treatment. Therapy details are provided with an emphasis on nuances that can be applied to women who fail to respond to medication prescribed or who respond and then become symptomatic once treatment has ended. This new edition discusses major advances in the characterization of endogenous microbiota that populate the genital tract in women of all ages. It also provides a more sophisticated appreciation of immune mechanisms found in the healthy female genital tract and alterations that increase both susceptibility and consequences of various infectious and noninfectious disorders. A major impetus for writing this new edition is to help the busy clinician, resident, or fellow by explaining advances in individual disorders in a manner that is relevant to their practice.
Wahrnehmung: Grundlagen, Clinical Reasoning und Intervention im Kindes- und Jugendalter (essentials)
by Andreas LeschnikIn diesem essential werden die Grundlagen der Wahrnehmung erklärt. Außerdem gibt es einen kurzen Überblick über die kindliche Entwicklung der Wahrnehmung. Zudem werden Faktoren aufgezählt, die die Wahrnehmung beeinflussen können. Im weiteren Verlauf wird das hypothetisch-deduktive Clinical Reasoning zum Erstellen einer therapeutischen Diagnose bei Kindern- und Jugendlichen mit Wahrnehmungsstörungen eingesetzt. Am Ende bietet dieses essential Interventionsmöglichkeiten für Kinder und Jugendliche, um einzelne Wahrnehmungsfelder zu verbessern.
Wahrnehmung, Gedächtnis, Sprache, Denken: Allgemeine Psychologie I – das Wichtigste, prägnant und anwendungsorientiert (Angewandte Psychologie Kompakt)
by Peter Michael BakDieses prägnante Lehrbuch enthält die wichtigsten psychologischen Theorien und Konzepte aus den Bereichen Wahrnehmung, Aufmerksamkeit, Gedächtnis, Sprache und Denken. Es ist speziell für Studierende konzipiert, die sich einen starken Praxisbezug wünschen. Die sorgfältige Didaktik, Klausurfragen, digitale Zusatzmaterialien und Zusammenfassungen stellen eine optimale Grundlage für das Verstehen des Lehrstoffes und die Prüfungsvorbereitung im Bereich der Allgemeinen Psychologie I dar. Durch zahlreiche Anwendungsbeispiele, eingebundene Audioclips und Online-Zusatzmaterialien ist es in einzigartiger Weise anwendungsorientiert und weckt dadurch Lust, das Gelernte gedanklich weiterzuentwickeln und in verschiedensten Kontexten umzusetzen. Zusätzlich sind Fragen und Antworten zum Selbsttest über die SN Flashcards Lern-App inkludiert. Der Zugangscode befindet sich im gedruckten Buch.
Wahrnehmung und Prävention des misshandlungsbedingten Kopftraumas: Literaturübersicht und empirisch repräsentative Untersuchung zum Wissen und Einstellungen über das „Schütteltrauma“
by Oliver BertholdDas gewaltsame Schütteln eines Säuglings stellt eine der schwersten Formen der körperlichen Kindesmisshandlung mit einer hohen Sterblichkeit dar. Zahlreiche Forschungsarbeiten befassen sich mit Risikofaktoren und Verursacherprofilen, gleichzeitig sind bereits erfolgreiche Präventionsprogramme entwickelt worden, die eine Senkung des Auftretens dieser schweren Misshandlungsform zeigen können. Eine systematische Übersicht über die Literatur zu Risikoprofilen und Risikogruppen würde es ermöglichen, noch gezielter als bisher zukünftige Eltern über die Gefahren des Schüttelns und sichere Säuglingspflege aufzuklären um eine weitere Senkung der Auftretenswahrscheinlichkeit zu erreichen. Dies hat Dr. Oliver Berthold in der vorliegenden Arbeit getan und daraus ein umfassendes Präventionsprojekt entwickelt, dass mit einem zweigleisigen Ansatz über Schulen und soziale Medien junge Menschen erreichen soll, noch bevor sie ein Kind erwarten.
WAIMH Handbook of Infant and Early Childhood Mental Health: Biopsychosocial Factors, Volume One
by Joy D. Osofsky Hiram E. Fitzgerald Miri Keren Kaija PuuraThis book examines basic knowledge in the field of infant and early childhood mental health. It focuses on cognitive, social, and emotional development of infants and toddlers and examines different aspects of neurobiological development, including genes and epigenetics as well as biobehavioral synchrony. In addition, the book addresses parenting and caregiving issues, including attachment, parent-infant relationships, and high-risk factors (e.g., the effects of trauma on the infant-caregiver relationship, adolescent parenting, and parents with substance abuse disorders).Key areas of coverage include:Social-emotional and cognitive development during infancy and early childhood.Temperament in infants and toddlers.Neurobiological influences from infancy through early childhood.Parenting and caregiving of infants and toddlers.Reflective functioning, mentalization, and infant development.The WAIMH Handbook of Infant and Early Childhood Mental Health, Volume One, is a must-have reference for researchers, professors, and graduate students as well as clinicians and all related therapists and professionals in infancy and early child development, developmental psychology, pediatrics, child and adolescent psychiatry, clinical social work, public health and all related disciplines.
WAIMH Handbook of Infant and Early Childhood Mental Health: Cultural Context, Prevention, Intervention, and Treatment, Volume Two
by Joy D. Osofsky Hiram E. Fitzgerald Miri Keren Kaija PuuraThis book focuses on cultural variations and perspectives in infant and early childhood mental health and describes parenting / caregiver-young child relationships across the globe, including countries in Europe, Asia, South America, South Africa, the Middle East, and the United States. It examines infant and early childhood assessment issues, such as infant-parent/caregiver observations that comprise an important component of assessment during the earliest years. In addition, the book presents different clinical interpretations, practices, and treatment approaches in infant mental health (e.g., evidence-based treatments and promising practices). It explores ways to help support and provide clinical interventions and treatment for infants, toddlers, and their families within the home, clinic, and community-based environments.Key areas of coverage include:Systemic assessment of adverse childhood experiences (ACEs).Infant and early childhood mental health assessment in indigenous contexts.Psychodynamic approaches in infant mental health.Evidence-based therapeutic interventions for very young children.Community-based interventions in infant mental health. The WAIMH Handbook of Infant and Early Childhood Mental Health, Volume Two, is a must-have reference for researchers, professors, and graduate students as well as clinicians and all related therapists and professionals in infancy and early child development, developmental psychology, pediatrics, child and adolescent psychiatry, clinical social work, public health and all related disciplines.
Waiting at the Gate: Creativity and Hope in the Nursing Home
by David Johnson Susan L SandelHere is the result of over ten years of hands-on clinical experience by two experts wha have worked with the elderly. The authors explore the contributions of the creative arts therapies, specifically movement and drama therapy, to the individual and communal welfare of residents in nursing homes. Waiting at the Gate: Creativity and Hope in the Nursing Home eloquently demonstrates how movement and drama therapy facilitate the preservation of life, of meaning, and of hope by seeking the beautiful and playful aspects of the self, and valuing humor, flexibility, and spontaneity in relationships with others. The authors show how these values challenge the “waiting to die” phenomenon of the custodial nursing home and offer lively alternatives to the resident in the new institution of the 1990s.
Waiting for an Echo: The Madness of American Incarceration
by Christine Montross*New York Times Books to Watch for in July**Time Best New Books July 2020*Galvanized by her work in our nation's jails, psychiatrist Christine Montross illuminates the human cost of mass incarceration and mental illnessDr. Christine Montross has spent her career treating the most severely ill psychiatric patients. Several years ago, she set out to investigate why so many of her patients got caught up in the legal system when discharged from her care--and what happened to them therein.Waiting for an Echo is a riveting, rarely seen glimpse into American incarceration. It is also a damning account of policies that have criminalized mental illness, shifting large numbers of people who belong in therapeutic settings into punitive ones.The stark world of American prisons is shocking for all who enter it. But Dr. Montross's expertise--the mind in crisis--allowed her to reckon with the human stories behind the bars. A father attempting to weigh the impossible calculus of a plea bargain. A bright young woman whose life is derailed by addiction. Boys in a juvenile detention facility who, desperate for human connection, invent a way to communicate with one another from cell to cell. Overextended doctors and correctional officers who strive to provide care and security in environments riddled with danger. In these encounters, Montross finds that while our system of correction routinely makes people with mental illness worse, just as routinely it renders mentally stable people psychiatrically unwell. The system is quite literally maddening.Our methods of incarceration take away not only freedom but also selfhood and soundness of mind. In a nation where 95 percent of all inmates are released from prison and return to our communities, this is a practice that punishes us all.
Waiting for Cancer to Come: Women’s Experiences with Genetic Testing and Medical Decision Making for Breast and Ovarian Cancer
by Sharlene Hesse-BiberWaiting for Cancer to Come tells the stories of women who are struggling with their high risk for cancer. Based on interviews and surveys of dozens of women, this book pieces together the diverse yet interlocking experiences of women who have tested positive for the BRCA 1/2 gene mutations, which indicate a higher risk of developing breast and ovarian cancer. Sharlene Hesse-Biber brings these narratives to light and follows women's journeys from deciding to get screened for BRCA, to learning the test has come back positive, to dealing with their risk. Many women already know the challenges of a family history riddled with cancer and now find themselves with the devastating knowledge of their own genetic risk. Using the voices of the women themselves to describe the under-explored BRCA experience, Waiting for Cancer to Come looks at the varied emotional, social, economic, and psychological factors at play in women's decisions about testing and cancer prevention.
Waiting for the Monsoon
by Rod NordlandBy the New York Times’s legendary war correspondent, written while battling terminal brain cancer: a life-affirming memoir of high adventure, deep wisdom, and finding true happiness amid the unlikeliest circumstances“This is, by far, the most enlightening and inspiring book on facing death—and on discovering the beauty of life.” —Lynsey Addario, Pulitzer Prize-winning photojournalistFor thirty years, Rod Nordland shadowed death. As one of his generation's preeminent war correspondents, he reported in over 150 countries, many of which were in violent upheaval, and was no stranger to witnessing tragedy. But in summer 2019, during the height of India’s erratic monsoon season, Nordland was suddenly faced with a tragedy of his own: he collapsed in the middle of a morning jog, was rushed to the hospital, and diagnosed with a fatal brain tumor.After decades chasing conflicts across the globe, Nordland, now confined to a hospital bed, found the strength to face more personal conflicts. He reconnected with his estranged children and became closer with them than he ever thought possible. He repaired a friendship with a best friend that had been broken for twenty years. The arrogance and certitude that dominated his every action was replaced by a lucid sense of humility and generosity that persisted even after he left the hospital. Norland’s tragedy became, in his own words, “a gift that has enriched my life.” Waiting for the Monsoon is the exemplary story of confronting death with both eyes open, and of the human capacity to persevere even in the most difficult of times. With tremendous clarity, grace, and courage, Nordland has delivered a powerful final assignment, revealing how facing the unknown can transform experience and change our relationship to the world around us.
Wake the Dawn: A Novel
by Lauraine SnellingNational bestselling author Lauraine Snelling brings a small mountain town to thrilling life when a natural disaster threatens to destroy lives. U.S. Border Patrol agent Ben James' life is in tatters. A tragic accident stole the love of his life and he never finished grieving. Turning to the bottle for support, he lost sight of what was important. While making his last patrol run before a storm rolls in, Ben's canine partner Bo finds an abandoned baby hidden in the woods. As Ben rushes the child to the only clinic in the area, the storm strikes with unexpected fury.Esther Hanson runs a second-rate clinic in the small community of Pineville, Minnesota, on the Canadian border. Though she has fought for years to get the equipment she needs, the town refuses to approve the funding. When the unprecedented storm ravishes the area, cutting them off from all outside help, Esther struggles to help her patients without giving in to overwhelming emotions. The event triggers a long-suppressed memory, and Esther must come face to face with the reality of her past and learn to forgive herself.Brought together by the life of a child, Ben and Esther become each other's reason to change.