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After a terrible construction site accident severs Edgar Freemantle‘s right arm, scrambles his mind, and implodes his marriage, he faces the ordeal of rehabilitation, all alone and full of rage. Renting a house on Duma Key—a stunningly beautiful and eerily undeveloped splinter off the Florida coast—Edgar slowly emerges from his prison of pain to bond with Elizabeth Eastlake, a sick, elderly woman whose roots are tangled deep in this place.