Ramya and Juliet begin to uplift each other and heal when they match on Tinder. For nearly a decade, Ramya, an American of Indian origin from Virginia, has grappled with her survivor's guilt from a devastating mass shooting that occurred during her last year of university. Halfway around the world in Nigeria, Juliet has survived family tragedies, economic downturns, and an oppressive patriarchy. With a one-chance swipe on their phones in a country foreign to them both, the two women begin a remarkable romantic relationship that most fairy tales wouldn't dare to depict.

But can they hold onto each other?

As their lives intertwine, Ramya suffers acute memory loss so pronounced that she sometimes forgets where she is, who she's with, and even who she is. Periodically, Juliet experiences time freezes that throw her out of sync with everyone around her. Ultimately, the two women choose to begin a new life together in New York City, where their love will be acknowledged and respected. But for Juliet to make it through the American immigration process, the two women must get to the root causes of these memory loss and time-lapse episodes by coming to terms with their pasts.

Written by a singularly talented, wildly imaginative novelist, What It Meant to Survive is a powerful and bracing work of fiction inspired by the Virginia Tech Massacre, and the author's real-life experience navigating its long-term social and emotional impacts.