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Set against the backdrop of World War I, the story follows Virginia Fortescue, who becomes an ambulance driver for the Red Cross while grappling with a family secret. In the midst of battle, she falls for Captain Simon Fitzwilliam, a British army surgeon with his own hidden past. As the war concludes, Virginia faces heartbreak and a difficult decision, ultimately leaving Simon and returning to New York, pregnant and alone. The novel explores themes of love, loss, and the impact of war on personal lives.