On May 12, 2015, Amtrak 188 derailed outside of Philadelphia going 106 miles per hour. Eight passengers were killed and many more severely injured. Geralyn Ritter was thrown from the train with such force that she sustained catastrophic injuries to her chest, her abdomen, and her pelvis. Found unconscious, unable to breathe, and suffering massive blood loss, she was not expected to survive. After enduring weeks in the ICU, dozens of surgeries over the following years, unremitting pain, PTSD, depression, and opioid dependence, Geralyn was faced with a daunting question: beyond mere survival after trauma, where is the path back to joy? Bone by Bone shares her powerful story of resilience. With humor, grace, and no-holds-barred honesty, she describes the journey back to life and offers support and encouragement for others. Bone by Bone addresses the long-lasting impact of sudden trauma and extends hope—from the perspective of someone who has been there. And back.