Volume IV focused on the relationship between Paul and Emily as man and wife. Consumating their marriage has brought them closer together emotionally and Paul is faced with feelings he never expected to have. A "marriage of convienience" has turned into anything but.Camping under the stars was crossed off the bucket list, and Emily had a get together with old friends before coming down with another fever.The fevers are lasting longer now and coming more frequently. Paul is having to face the fact that Emily is in fact going to die. And there is nothing he can do about it.