In 1874, in the wake of the Civil War, eleven-year-old ConaLee and her mother arrive at the Trans-Allegheny Lunatic Asylum in West Virginia. They're delivered to the hospital's entrance by Papa--an abusive veteran who forces himself into their lives--after ConaLee's mother, who hasn't spoken in a year, grows even more withdrawn. Before he departs, Papa assigns them new identities and demands that ConaLee introduce herself as her mother's nurse--not her daughter--so they'll both be admitted and allowed to stay. There, far from family, their beloved neighbor, Dearbhla, and the home they know, ConaLee will care for her mother and try to reclaim their lives. Years earlier, ConaLee's father left for the war before she was born and never returned. After suffering a life-threatening head wound in battle, he couldn't remember his name, his family, or where he came from. Forced to start over, he takes the name of the doctor who gave him a second life, and ventures back into the world looking for work and the truth about his past.