Boston, 1903. Dr Ravell is a young obstetrician whose reputation for helping couples conceive has made him a rising star. He is flattered when a family of illustrious physicians turns to him to treat one of its own members.Erika von Kessler is a beautiful, ambitious - and married - opera singer who has struggled for years to become pregnant. As the young doctor`s attraction to her increases, and his treatments prove ineffectual, Erika`s despair worsens.And when Dr Ravell takes a great risk that may imperil his promising career - a secret he can share with no one - it is a decision that will change their dreams and destinies.What ensues is an unforgettable love story that sweeps across snowy Boston, a lush island in the Caribbean to the graceful piazzas and opera stages of Italy.