Some people work to pay the bills or send the kids to school or afford playtime. Ex-Army medic physician-assistant Glenn Archer works, as much as she possibly can, to atone for all the lost lives on her conscience. No matter how many patients she helps save at the Rivers Community Hospital, it will never be enough, but it helps her look at herself in the mirror in the morning. Mariana Mateo needs to make a new life, one without the daily reminders of all she’s lost and far away from the suffocating sympathies of her well-meaning family, and moving to a place as different as possible from the bustling LA she grew up in seems like a good idea. A cousin she hasn’t seen in twenty years is the only person who knows her in the tiny upstate New York farming community, and that’s just the way she wants it. When working side by side with Glenn Archer in the ER makes Mari remember what desire feels like, Mari determines to ignore the feelings, which isn’t all that difficult since Glenn is as unapproachable as the beautiful but remote mountains.