* I received an ARC from Netgalley in exchange for an honest review* 
 Actual ratings=5++ stars 
 Now this is how you truly write an emotional, feel good book. This book was such an emotional rollercoaster for me. I'm sure Ms Carlino did not mean to make it such a way but for me it felt like that. This book was very beautiful. It showed in a realistic manner how two flawed people can overcome their faults and it was written so beautifully. 
 Avelina was a tortured soul. Really. It was heartbreaking to watch her kill her self within just because of her coward of a husband. I felt so sad for her and I felt bad how no one actually tried to help her till Nate came. I mean she was surrounded by people who were almost like a family to her but pretty much did nothing to help her out. In a way I guess they thought they were giving her space but truly how can anyone just ignore and let a woman be like that? How can anyone truly watch a person slowly waste her young life away like that? I truly liked how patient and sweet Nathaniel was with her. It was lovely watching them fall in love. She needed it. Specially after what Jake did to her. No one, I mean not a single person should ever think of doing such a horrible thing as that to anybody. Though he didn't actually physically abuse her or leave scars, he mentally ruined her after (view spoiler)[ killing himself like that. I mean who really has the heart to actually blow his brains away in front of your spouse after saying you love her? Well as he was heartless enough to do that, it's easy to comprehend that he didn't love her at all. (hide spoiler)] Jake truly, completely left her in living hell while nobody in the ranch pretty much tried to help her. She lost the person she loved when she was 19 for god's sake. No one can take proper decisions after that. As adults you have to help her, which no one bothered. That angered me a lot. How everyone had something to say about her and be like she's bat-crazy and shit like that but didn't bother helping her at all. And they were even mad cuz she doesn't join them for dinner anymore!!!!! How could they even think like that I don't know. After spewing nonsense that they are religious and this is God's will and this and that. I mean I'm a catholic and I was ashamed of how they thought. Ok that sounds pretty stupid but I'm just gonna let it stay there though. 
 The only person I truly liked in this whole book was Nate. Now he knew what he was doing. Ok not maybe truly but still. I loved how he completely helped Ava get over everything. He himself was carrying a huge burden on his shoulders when he came to the ranch but it was so beautiful watching the two of them somehow even though not perfectly help each other out of their personal hells. It was almost magical as they help each other out and also painful at the same time. 
 The romance was one of true heartache. Thought there was HEA, it was heart-breaking how they got there. Not in a cheesy Nicholas-Sparks book heart breaking but actually movingly nice heart-break. It slightly reminded me that Of Fitzpatrick's My Life Next Door. This was like a more mature outlook of that. The last bit was emotionally hard to read. Especially the letters Nate wrote and I don't know how in the world Ava was able to stay without replying back. It made me question her love even a bit. Each of those letters broke my heart and left me emotionally open and vulnerable for a few hours after finishing the book also. Their love was hot and steamy and sexy and at the same time heart wrenching. How miss Carlino wrote such a wonderful book is amazing. I mean she has written it in such a way that it touched me so deep. Specially on how Lizzy's death affected Nate. I guess it affected me mostly is because my dad is a doctor too and after reading that chapter and how Nate felt, I actually kept iPad away for a minute and thought whether my father had gone through similar situations. Whether he was left broken after a death of a patient. It never occured to me how painful it can be for a doctor. In all of my 20 years (though I properly remember around 15 only of those :D ) I've never heard my dad talk a word about his work in front of us. I never had to hear any gory details of any surgeries he had done but only snippets from my mom on how during his early days in his internship how he had to practically live at the hospital. I also felt for Nate how he was affected in his duty for the hospital and his love. I remember clearly days when I was young how I wouldn't see my father for days and days cuz he gets up before me and go to the hospital (the one he worked for was far away from our house and he had to travel for at least 45 minutes) and come back around 11 after his private practice also. So I actually knew how hard it would have been for Nate. A patient's life would depend on him. SO for me this story was like pretty personal and beautiful. So I guess that was one of the major reasons that I absolutely loved this book. I really wish I can give more than 5 stars for this because I truly believe it deserves it.