David Henry is forced by a blizzard to deliver his own twins. His son, born first, is perfectly healthy. Yet when his daughter is born, he sees immediately that she has Down's Syndrome. Rationalizing it as a need to protect Norah, his wife, he makes a split-second decision that will alter all of their lives forever. He asks his nurse to take the baby away to an institution and never to reveal the secret. But Caroline, the nurse, cannot leave the infant. Instead, she disappears into another city to raise the child herself. So begins this story that unfolds over a quarter of a century - in which these two families, ignorant of each other, are yet bound by the fateful decision made that long-ago winter night. Norah Henry, who knows only that her daughter died at birth, remains inconsolable; her grief weighs heavily on their marriage. And Paul, their son, raises himself as best he can, in a house grown cold with mourning. Meanwhile, Phoebe, the lost daughter, grows from a sunny child to a vibrant young woman whose mother loves her as fiercely as if she were her own.

    Rio, born Chizuru Akitani, is the Japanese American daughter of the revered violinist Hiro Akitani--a Living National Treasure in Japan and a man Rio hasn't spoken to since she left her home country for the United States (and a new identity) after her violent crime. Her father's death, along with a mysterious package that arrives on her doorstep in Boulder, Colorado, spurs her to return to Japan for the first time in twenty years. There she is forced to confront her past in ways she never imagined, pushing herself, her relationships with her husband and daughter, and her own sense of who she is to the brink.The novel's illuminating and palpably atmospheric descriptions of Japan and its culture, as well its elegantly dynamic structure, call to mind both Ruth Ozeki's A Tale for the Time Being and David Guterson's Snow Falling on Cedars. Pull Me Under is gripping, psychologically complex fiction--at the heart of which is an affecting exploration of home, self-acceptance, and the limits of forgiveness.

    It is a unique and triumphant work of fiction - at once romantic, erotic, suspenseful - and completely unforgettable.