Margaret and Patrick have been married just a few months when they set off on what they hope will be a great adventure-a year living in Kenya. Margaret quickly realizes there is a great deal she doesn't know about the complex mores of her new home, and about her own husband. <br><br>A British couple invites the newlyweds to join on a climbing expedition to <st1:place w:st="on">Mount Kenya</st1:place>, and they eagerly agree. But during their harrowing ascent, a horrific accident occurs. In the aftermath of the tragedy, Margaret struggles to understand what happened on the mountain and how these events have transformed her and her marriage, perhaps forever.<br><br><i>A Change in Altitude </i>illuminates the inner landscape of a couple, the irrevocable impact of tragedy, and the elusive nature of forgiveness. With stunning language and striking emotional intensity, Anita Shreve transports us to the exotic panoramas of <st1:place w:st="on">Africa</st1:place> and into the core of our most intimate relationships.