By the time she was thirty, Gila Pfeffer was the oldest living member of her family, having lost both parents to cancer. She underwent genetic testing and, after learning that she carried the BRCA1 gene, decided to have a double mastectomy. That choice saved her life. This memoir follows her journey to break the cycle of death in her family. After becoming a reluctant expert on how to sit shiva, she grows up, falls in love, and becomes a mother, before her life is derailed yet again. Her double mastectomy reveals cancer already growing in one breast. After enduring eight rounds of chemo and the removal of her ovaries, she takes her last-ever dip in the mikvah waters as a bald, menopausal, thirty-five-year-old mother of four. Drenched in Gilas dark humor, honed over years of repeatedly surviving the worst, Nearly Departed is a story about thriving against the odds, leaning in to her Jewish faith, and leaving a better legacy for her children than the one she inherited.