Beautifully written novel about the choices people make, in an instant and how those choices, whether good or bad can impact you for the rest of your life. Young doctor has to deliver his own twins in the middle of a blizzard in 1964. One is born healthy, the other twin has Down Syndrome. Based on his own life experience with his sister who had a heart defect, the doctor hastily decides to give the baby to his nurse and tells his wife the twin was still born. This is a riveting story following each twin as they grow up and they dynamics of both families. Well worth reading, thought provoking and heart warming ending.