This book is the story of four young Canadian doctors who each attended Ross University School of Medicine on the island of Dominica in the Caribbean. It was there, beneath the scorching sun, near banana plantations and mango groves, and under the tropic of cancer, that they toiled away in an attempt to fulfill their dreams of one day becoming physicians. Life was not easy for these four and living in a developing country was a challenge in itself, not to speak of their efforts studying medicine. At times, it must have felt as though they were trapped in the tortuous nightmare of Sisyphus. This new and unusual world was certainly not for the feint of heart. While each doctor has taken a different path, they have all ended up in the same place, bonded together in the sisterhood of tropical medicine, and they have all moved on to gain prestigious residencies.