Diana and Finn live together in New York. Finn is a doctor in his fourth year of residency and Diana is a specialist in the art auction field handling acquisitions of prime pieces of art. They have a specific plan for getting married, moving to a suburb, buying a home and having children. That part of the plan reminded me of Rebecca Serle's book In Five Years. Very similar with the plans/goals and timeline.
Covid is just starting to make it's presence known and the medical professionals are dealing with cases flooding the emergency room. The well planned trip to the Galapagos Island Finn and Diana made may need to be canceled. Finn tells Diana to go ahead as it's paid for and nonrefundable.
I found it interesting to read about Finn's perspective in trying to treat patients, watching them die after being ventilated, trying new treatment plans and drugs and the sheer exhaustion he feels after working nonstop for days. This is so realistc and you can tell Picoult did her homework on these scenarios. It's relayed to Diana through emails as she went on the trip and then found herself isolated and in lockdown. She wishes she hadn't gone but her experiences on the island are interesting as well.
Without revealing spoilers you will come to a part of the story where it changes completely and you wonder if Diana is indeed in the Galapagos. This isn't like other Picoult books but I did find it interesting.