Clara Perry, a nurse-midwife, is on the run from her life, which has been slowly falling apart. Her husband is cheating on her, her daughter is living halfway around the globe, and her best friend has committed suicide. When a patient dies in childbirth, Clara decides that she can no longer live her life in West Virginia. She becomes a fugitive and enters Canada illegally to start a new life, with a stolen identity, on tiny remote Seagull Island on Lake Erie. There she becomes Sara Livingston, a former nurse who is seeking the solitude to write a novel. Slowly, she is drawn out by the inhabitants of her new home and into small-town life. As her year on the run comes full circle and her secrets come to light, "Sara" learns who she really is.
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