Cheney returns to Manhattan from the Ozarks, leaving the mountain families behind. The city brings new challenges. Cheney now treats New Yorks wealthy elite as part of a private practice she shares with Devlin Buchanan, the handsome doctor who had once proposed to her. When an outbreak of cholera sweeps the city bringing tragedy in its wake, Cheney must make a choice: can she remain in a privileged cocoon when she is surrounded by thousands of impoverished New Yorkers who desperately need medical treatment?
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