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The Instant When Everything is Perfect by Jessica Barksdale Inclán, a contemporary literary fiction novel originally out from Penguin's New American Library imprint in 2006.
Mia thought she had everything-a thriving career, a wonderful husband, and two beautiful sons. But illness shakes her out of her comfort zone when her mother is diagnosed with breast cancer. At her mother's bedside, she meets someone whose presence seems to fill a void in her, a void she wasn't even aware existed.
Robert is happily convinced he's going to spend his life alone until he meets Mia, who makes him question everything. As a surgeon, he's helped many women put their lives back together. And despite his compelling feelings about Mia, he doesn't want to make hers fall apart.