The Shape of Almost (Paperback)

A young doctor enters the U.S. military at the quiet end of the Cold War, expecting a career of steady medicine and controlled risk-but history has other plans. From the trauma wards of Cook County Hospital to the battlefields of Operation Enduring Freedom, Operation Iraqi Freedom, and the shadow war of Operation Observant Compass, he is thrust into a world where life, death, and moral ambiguity collide daily. Rising through the ranks to colonel, he saves lives under fire, confronts the limits of medicine and duty, and carries the weight of those he could not save. Amid the chaos, he finds an unexpected love in Afghanistan-a woman he cannot have, and ultimately cannot keep. This is a story of war, medicine, loyalty, and loss-and of one man's struggle to understand what it truly means to save a life when you cannot save them all.

Michael Quinlan has an identical twin called Jim. As they were seperated soon after birth, and adopted by different families, they don't share the same name.