1.  Juliet seems to be shrugging off her London life - why is that?  Is she rather a misfit, and in what way?

2.  What is at the root of Juliet's rather troubled soul?   She is trying to make herself better through work, but in some ways this is making her worse.  Do you think she can redeem herself through work and if not, why not?

3.  What do you think Juliet likes and dislikes about being a surgeon?

4.  Do you think Juliet is open to and able to form a relationship?

5. Sylvie is a very different character.  She starts out so optimistic and happy with her place in the universe.  She is almost broken by the disasters in her life - what keeps her going?

6.  Can we forgive Ivan?  what else could he do?

7.  Why is Sylvie afraid to go to the surgical camp?

8. How does Juliet feel akin to Sylvie?  And what change does that cause in her?

9.  What do you think the future will hold for Sylvie and for Juliet?