In 1959, after reading a heartbreaking plea for medical personnel, Bertha Troyer, a young beautiful Amish woman from Sugarcreek, rebels against church rules and enters nursing school determined to pour out her life on behalf of the desperate children of Haiti. This fourth installment of the Sugarcreek series, follows Rachel's beloved aunt, Bertha, back in time to a nightmare of poverty, political unrest, and the fury of nature, as Bertha is forced to make the most agonizing decision of her life in order to protect her people - and the man - she loves.