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In the third and final chapter, Dr. Mary Harris must come face-to-face with her own personal choices, ethics, and demons in a way she never has before. The death retreat is up and running, but its cover as a legitimate hospice is crumbling away and with it the idyllic vision Mary and Des had for continuing their work in quiet secrecy. With Mary’s family and the work she loves in jeopardy once more, she realizes she is finally going to have to put life, with all of its complexities and imperfections, first.