Not surprisingly, this is another superb historical fiction story by Ms. Donoghue, a writer who never fails to entertain. Dublin in 1918 is suffering the ravages of the Spanish flu pandemic. The story follows three women over just 3 days in a small Maternity/Fever ward: a nurse, volunteer, and physician. There is impeccable medical detail. But the dominant theme is hopelessness – an inability to effectively treat influenza patients with an over-arching issue of mistreatment of orphans and children of unwed mothers by Catholic residentials schools/homes. Highly recommended but be prepared for some profound sadness.