A virtuoso performance by the bestselling author of Still Alice, Lisa Genova delivers a stunning novel of finding harmony amidst the most tragic of situations. An accomplished concert pianist, Richard has already suffered many losses in his life: the acrimonious divorce from his ex-wife, Karina; the estrangement of his daughter, Grace; and now, a devastating diagnosis. ALS. The relentlessly progressive paralysis of ALS begins in the cruellest way possible - in his hands.