In this sequel to Born That Way, Sylvia, fourteen, is now taking medication for Turner’s Syndrome, the genetic disorder with the missing X chromosome. Without treatment, Sylvia will remain short, undeveloped and infertile, and the object of ongoing teasing at school. Unfortunately Sylvia experiences serious side-effects to her medication and grapples with what it means to become “normal”. If the hornless unicorn she dreams about is still very much a unicorn, then is Sylvia still a young woman when she has no ovaries?
"Ketchen has created a cast of quirky yet real characters who are easy to identify and empathize with. Filtered through Sylvia’s perceptive observations, and directly influencing her, the supporting cast is fully fleshed and engrossing, from the dynamics between her workaholic mother and her ever-busy and distant father, to Sylvia’s understanding and application of herd dynamics to those around her as learned from watching her riding coach. Ketchen demonstrates a clear understanding of the sometimes confused way young adults learn from and are impacted by the actions and interactions of those around them."