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In Amanda Skenandore's provocative and profoundly moving debut, set in the tragic intersection between white and Native American culture, a young girl learns about friendship, betrayal, and the sacrifices made in the name of belonging. Told in compelling narratives that alternate between Alma's childhood and her present life, Between Earth and Sky is a haunting and complex story of love and loss, as a quest for justice becomes a journey toward understanding and, ultimately, atonement.

Los Angeles, 1920s: Socialite Mirielle West's days are crowded with shopping, luncheons, and prepping for the myriad glittering parties she attends with her actor husband, Charlie. She's been too busy to even notice the small patch of pale skin on the back of her hand. Other than an occasional overindulgence in gin and champagne, which helps to numb the pain of recent tragedy, Mirielle is the picture of health. But her doctor insists on more tests, and Mirielle reluctantly agrees. The diagnosis - leprosy - is devastating and unthinkable.

In the slums of 1880s New York, Una Kelly has grown up to be a rough-and-tumble grifter, able to filch a pocketbook in five seconds flat. But when another con-woman pins her for a murder she didn't commit, Una is forced to flee. Running from the police, Una lies her way into an unlikely refuge: the nursing school at Bellevue Hospital.

Once a trailblazer in the field of medicine, Dr. Tucia Hatherley hasn't touched a scalpel or stethoscope since she made a fatal mistake in the operating theater. Instead, she works in a corset factory, striving to earn enough to support her disabled son. When even that livelihood is threatened, Tucia is left with one option-to join a wily, charismatic showman named Huey and become part of his traveling medicine show.

"The dead can't hurt you. Only the living can." Effie Jones, a former slave who escaped to the Union side as a child, knows the truth of her words. Taken in by an army surgeon and his wife during the War, she learned to read and write, to tolerate the sight of blood and broken bodies - and to forget what is too painful to bear. Now a young freedwoman, she has returned south to New Orleans and earns her living as an embalmer, her steady hand and skillful incisions compensating for her white employer's shortcomings.

In the fall of 1939, while Europe grapples with the outbreak of war, Mimi Lukas wages a private battle in her Chicago neighborhood. Her husband, Stan, once a promising White Sox player, has been sidelined by a broken leg. His hopes of returning to baseball are dwindling along with their savings. As Stan sinks into inertia, Mimi resolves to go back to nursing.

Puede la vida en la calle prepararte para el duro trabajo en las salas de un hospital? Nueva York, años 1880. Una creció en los barrios marginales de Nueva York, y para sobrevivir en ese entorno rudo se convirtió en una estafadora sin escrúpulos. Una hasta es capaz de robar una cartera en solo cinco segundos, pero cuando una supuesta amiga la acusa de un asesinato que no ha cometido, Una debe huir de la policía y se dirige a un refugio aparentemente seguro, un lugar donde nadie le buscará: la escuela de enfermería del Hospital Bellevue.