The novel is based on the true story of two sisters but all the characters are fictional. Book One: Title In Mind furnishes the background of the story. Book Two continues the adventures of the two sisters through Montserrat's volcanic eruptions between 1995 and 1999. Meta's path is one of thousands of foreign medical student graduates. A 2015 study published in Journal of the American Osteopathic Association (April 2015 Vol. 115:236-241) found roughly one quarter of residents training in the United States are foreign medical graduates (FMGs) (1). The ECFMG (Exam Certification for Foreign Medical Graduates) certifies foreign medical graduates' competency to enter a United States residency teaching program. Going to a foreign medical school is the back route to becoming a physician in the U.S. Many naturalized U. S. citizens send their daughters back to their homelands for medical school. Most of these foreign medical school are often less expensive than US schools. Even for US citizens who graduate from any of the accredited foreign medical schools, the path of returning to train in the US is far from easy. First, during the years of this story one had to graduate from an accredited World Health Organization medical school and then pass the ECFMG. At the time of this story, over 400,000 foreign medical student graduates who might want to practice in the US, have to pass not only the ECFGM, but yet another even more difficult exam, the FLEX (Foreign License Exam). Only half who apply pass to find acceptance. (2). This is a story of one foreign medical graduate of thousands coming the United States in the early 1980s. What drives her is pain. Pain occupies her life. Pain pushes her. For anyone gripped by pain, this is a story of how two sisters manage it. Those who have pain or have head trauma (TBI traumatic brain injury) are a far larger audience for this book than foreign medical graduates. When asked how she went to medical school, Meta answers, a trunk hit me. That is the short version of her journey to a career in medicine. Breta and Meta were in the same vehicle accident through no fault of their own. Their life-threatening injuries happened when a drunk driver lost control of his truck to hit their tiny VW bug. Breta and Meta endure through ordeals. Meta turns to study. She finds romance when she is not looking for it. She elects a career path over a romance that tears her heart to pieces. Breta has to battle her memory while Meta fights to graduate from medical school and to finish a U.S. residency program. Meta wants to know more to help her sister, herself, and others tormented by pain. This is the journey of how two sisters struggle to function with their pains in everyday life. Pain reins until its exhaustion in two sisters who come together in the "now" by an erupting volcano

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