Emma Karas was raised in Japan; it's the country she calls home. But when her mother is diagnosed with breast cancer, Emma's family moves to a town outside Lowell, Massachusetts, to stay with Emma's grandmother while her mom undergoes treatment.Emma feels out of place in the United States.She begins to have migraines, and longs to be back in Japan. At her grandmother's urging, she volunteers in a long-term care center to help Zena, a patient with locked-in syndrome, write down her poems. There, Emma meets Samnang, another volunteer, who assists elderly Cambodian refugees. Weekly visits to the care center, Zena's poems, dance, and noodle soup bring Emma and Samnang closer, until Emma must make a painful choice: stay in Massachusetts, or return home early to Japan.