Imogen is going to hurt Quentin, and she can't bear it. He has been her only friend and confidante during her time at medical school in Chicago, but she's realized he wants more than friendship and she needs to tell him she does not share his feelings. Unlike most other well-brought-up young women in 1916, Imogen does not want to be a wife. Instead, she wants to become one of the country's first female psychiatrists, and she has just accepted a residency at the world-leading Phipps Clinic in Baltimore. Quentin is shattered by her rejection, and heads across the border to sign up with the Canadian Expeditionary Force and go to war. While Quentin encounters unthinkable horrors on the battlefields, Imogen faces her own struggles. When she receives the news that Quentin has been killed, she falls into a bleak depression, which reveals to her what she has sacrificed to pursue her dream.
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