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After a difficult operation, he feels not only physical but also emotional exhaustion. She reevaluates her life and relationships with her children, husband, mother and friends. At one point, she decides to leave everything and run away to Pittsburgh in order to find peace and see her situation away from routine everyday life. She soon begins a new friendship and unusual relationship with her new cardiologist, a person who understands her feelings of brokenness. At the same time, he starts exchanging e-mails with his wife and faces the real problem: the secrets they both have stored in the deepest and most hidden places in their hurt hearts. In her first novel for adults, Rhythm of the Heart, Gayle Forman creates a bold portrait of a woman who faces the joys and sorrows of marriage, motherhood, and friendship with plenty of sensitivity and humor. "The wisdom of this novel is that sometimes we have to get away from everything in order to understand what we really care about."