In 2007 Maskalyk, a young Toronto
emergency doctor, is recruited by
Médecins Sans Frontières and is deployed to work in the contested border town of
Abyei, a place of extreme poverty, and a location where Sudanese militias clash with their South Sudanese counterparts. The story continues with the logistical challenges of getting to Abyei, a bureaucratically complicated series of journeys, requiring extreme patience. Maskalyk treats
tuberculosis,
pneumonia, fevers, and infections and is forced to turn away people with minor and non-life-threatening conditions. Soon after his arrival, a measles outbreak overwhelms the medical team. Hunger and death feature frequently throughout the book. Maskalyk documents the impact of the work on the local and international healthcare providers who do their best to help despite the lack of resources and toll on their own mental health. His desires to spend more time learning about the local culture of the
Dinka and
Misseriya tribes are not realized due to the extreme workload. His sleep is impaired by the noise at night and the relentless heat, and he is disturbed by the insufficiency of the medical staff to meet the overwhelming needs of the local populace, despite the team's best efforts. Maskalyk documents the tension between Médecins Sans Frontières and the
United Nations and writes about internal tensions he personally suffers, torn between the desire to help and the fear of the violence around him. The journey finishes with his return to Toronto, and his reflections and unanswered questions about the obligations he has to others in the world. == Writing style ==