In Lisa Genova’s novel Every Note Played, talented concert pianist Richard Evans must face the repercussions of his ALS diagnosis. As his physical health declines, both Richard and his estranged ex-wife, Karina, must make choices about what is most important and do their best to reconcile their pasts and futures before it is too late. Genova’s novel seeks to educate the reader about both the physical and emotional complexities of terminal illness, while also exploring universal themes of art, love, human connection, mortality, and meaning.