In a one-room Dakota Territory schoolhouse, Katie Shelton, "granny-medicine doctor," encounters a steady stream of problems that complicate her already-troubled life. But when Dr. Denver Holt strides into the school, the turmoil his presence creates within Katie eclipses everything else. From that day on, she and Denver share an unwilling alliance to doctor and love all who need them, especially his daughter and Katie's father. After her mother died and Katie's father sank into depression, Katie accepted this temporary teaching job in order to support herself and Pa while she donated her time and skills as a granny-medicine doctor. Because her mother died at the hands of a Western "diploma" doctor, Katie distrusts all horse-and-buggy doctors, including Dr. Denver Holt. Katie believes that her own granny-medicine skills surpass his university-trained ones. In spite of her efforts to exclude Denver from her life, Katie cannot stop thinking about him. As she teaches and baby-sits his motherless daughter, seven-year-old Ivy, Katie is drawn closer to her and unwillingly begins to understand Denver. By observing Dr. Holt's superb medical skills, selfless concern for his patients, and boundless love for his little girl, Katie learns that not all Western doctors are mercenary quacks. Just as Katie begins to have strong feelings for Denver, she meets Alexa, and sees the lovely woman as an incomparable rival. Katie adds this false assumption to the growing list of reasons why she should fight the love for Denver that swells inside her like warm bread dough. In her confusion and loneliness, Katie turns to Fitch Addison, a wealthy, available man with a dark past and an even darker character. His charm and self-pity conceal the real Fitch as he pursues Katie like a hawk shadowing his prey. Until Katie can forget her bias toward Western doctors, recognize the vile behind Fitch's guise, and accept Denver's love for her, she will not allow herself to return the doctor's love and allow God to put a new song in her heart.
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