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The Secret Lives of Church Ladies explores the raw and tender places where Black women and girls dare to follow their desires and pursue a momentary reprieve from being good. The nine stories in this collection feature four generations of characters grappling with who they want to be in the world, caught as they are between the church's double standards and their own needs and passions.

At 17 years old, Ruthie Lindsey is hit by an ambulance near her home in rural Louisiana. She's given a five percent chance of survival and one percent chance of walking again. One month later after a spinal fusion surgery, Ruthie defies the odds, leaving the hospital on her own two feet. Just a few years later, newly married and living in Nashville, Ruthie begins to experience debilitating pain. Her case confounds doctors and after numerous rounds of testing, imaging, and treatment, they prescribe narcotic painkillers - lots of them.