The narrative of the story examines the complex emotions that arise when ones ethics are challenged. What better person to have this tested on is a doctor. "Doing the right thing" is personal, professional, and affects relationships. The doctor, Eitran, is put to the test in serious life threatening and life changing situations. Who lives, who dies? Will the truth be revealed? I felt the story lacked, at times, a high enough or low enough point in telling that could have provided more astonishment. Throughout the book inner conflict as well as outer conflict play itself out until the reader reaches the final end result.