"Compelling and thought-provoking." —John Burnham Schwartz, author of Reservation Road

When the body fails, you've got two choices. Send the doctor in, or send a prayer up. But when no miracle arrives, how do you pull out a measure of hope?

Dr. Wolfgang Pike would love nothing more than to finish the requiem he's composing for his late wife, but the ending seems as hopeless as the patients dying a hundred yards away at the Waverly Hills Tuberculosis sanatorium. If he can't ease his own pain with music, he tries to ease theirs — but his boss thinks music is a waste, and in 1920s Louisville, the specter of racial tensions looms over everything. When a retired concert pianist arrives, Wolfgang is thrust into an orchestra of the most extraordinary kind that emerges to change everything.