Noah has a secret unlike any other. . . .

He is the rarest of humans.

Noah was born conjoined, sharing a heart with his twin brother, but only he has survived. Thirteen years later, when his grandmother undergoes painful surgery, Noah finds himself in the care of Nurse Grace, who has a secret of her own. And when another stranger, a mysterious sniper, begins to terrorize their city, Noah and Grace must confront the extraordinary circumstances of their present lives and the possibilities of the unknown beyond.

In spare, lyrical prose, Denise Gosliner Orenstein knits a powerful, unusual tale of two voices and a joint journey of separation, self-discovery, and forgiveness.