It's tempting to say it's a romance, but it's really not.
It's a drama which entires its story upon a romantic relationship.
It's unusual for the biggest strength of a good book to be amazing writing. I can't think of many books that stand out in the memory as so well written, so imaginatively poised. Segal is an author I need to find again, for his way of melding words inspires. Easy to follow but beautiful at the same time, his poise is almost poetic, but it's not cloying.
Plot-wise it's interesting and I don't think I've read one like this one before - not overly romantic, not terribly suspenseful or gripping, and the story wraps up with a sad note (but not a haunting one.) Basically a doctor meets a patient of his who is dying, and recognizes the woman as a life of his life, and then begins remembering their relationship twenty years ago. A mixed bag here. Sometimes I did get a bit bored with some of the backstory details. Even if it's not overly nail-biting, there's something about it that keeps you reading.
The protagonist is a sympathetic character, a man with morals and drive but with human flaw. It was cool to read this kind of story from a male perspective.The heroine is likeable but of course from the protagonists POV twenty years later she is at fault. The ending allows him to feel closure for a life of his life.
This review is one of my shorter recent ones. I just can't think of more to say than what I already have. It's not a novel that will grip your heart, but the magic of the writer at least makes your heart feel it.