In sickness.

This is not your usual historical. Its more of a first person, POV of Isabelle as she marries and then learns to cope with a husband who suffers from a debilitating injury. This is entirely from the viewpoint of Isabelle and I found myself really needing Alexander's POV.

What stood out though, was the focus on dealing with injury, both his and hers as well as a minor character's developmental disabilities. What was well captured was the lack of knowledge and understanding and expectations of dealing with permanent disabilities. Also, I liked that the books primary characters were of the business class, not aristocracy or nobility.