What a slog this book turned out to be. It seemed like it could be interesting, but then really fell apart. The pacing is very uneven. Whole plot lines and characters disappeared. Sophie was a main character, until she wasn’t. A printer and his family seem like they’re going to be important to the story, until to vanish from the book. Over halfway through the book a serial killer plot line starts out of nowhere. I found out after I finished the book that this book is intended to be the first in a series, which I guess explains why very little got resolved. At over 700 pages though, this book should have been able to stand on its own. The story also just was not realistic. Women doctors in the 1880s, especially biracial ones, would have faced a lot more discrimination than a few dirty looks. It’s insulting to act like all anyone needs to do in order to overcome discrimination is to have moxie.