Unemployed, blacklisted, and pregnant, Sophie Scaife's life is totally upside down. Her relationship with publishing magnate Neil Elwood is on the rocks. Her best friend's career is igniting. And Sophie is afraid that she'll make one of the toughest decisions of her life alone.

When a devastating diagnosis forces Neil to return to London, Sophie throws caution to the wind to follow her heart across the Atlantic. Keeping a scorching D/s affair as red-hot in sickness as it was in health is a challenge, even for two lovers as inventive as Sophie and Neil. But Sophie is more than willing to try anything her Sir commands, and their fantasies of control become a welcome refuge from the daily stress of illness.

While Neil's wealth and privilege make adjusting to her new situation easier, Sophie finds herself rebuilding her life around an uncertain future. And while both of them face the changes between them head-on, they're all too aware that their happiness may be fleeting—and Sophie could lose Neil forever.