The whole premise of this book is this doctor, David Henry, delivers his own twins in 1964, but his daughter is born with Down's Syndrome. He makes the decision to give the daughter to his nurse to send to an institution, but the institution turns out to be a hole, and the nurse takes the baby and raises her as her own. The loss of her daughter (Dr. Henry told his wife that the daughter died) has a long lasting effect on Norah Henry. The novel simultaneously follows the lives of the Henry's and Caroline Gill's (the nurse) as the years go by. At times the book gets a little wordy, but I do like how Dr. Henry's motivations are made a little more clear as the book goes on. The ending and the father-son relationship kind of remind me of The Namesake.