This book was so disapponting on many levels. The phrasing the author uses makes it difficult to follow in places. It lacks flow and has no natural cadence. The premise of the book was good, but the delivery was lacking. There is a plot twist towards about 50 pages from the end that felt like a total ripoff. It's not a "I didn't see that coming" type of twist, more like a "are you kidding me?" type of twist.
***spoilers***

One of the charaters turns out to be a hallucination. Sela turns out to be deranged. There is an improbable donor match that negates the central medical issue for Sela. If it was so hard to find a match, and Sela needed a familiaral connection, the liklihood that Hannah would be a match is way too convenient. Hanna's manipulation of her daughter is despicable. Finally, the nickname Ecca is annoying. No one named Rebecca goes by Ecca.