01172cam a2200277 4500 157536998 TxAuBib 20140327120000.0 140327t20102009||||||||||||||||||||und|u 9780316020718 pbk. $14.99 0316020710 pbk. $14.99 TxAuBib Shreve, Anita. A change in altitude : a novel / Anita Shreve. 1st Back Bay trade pbk. ed. New York : Back Bay Books, 2010. ©2009. 307, 10 p. ; 21 cm. Includes reading group guide. Originally published: New York : Little, Brown, 2009. Newlyweds Margaret and Patrick join a climbing expedition to Mount Kenya, and during their ascent, a horrfic accident occurs. In the aftermath, Margaret struggles to understand what happened on the African mountain and how these events have transformed her and her marriage, perhaps forever. 20140327. Newlyweds Fiction. Accidents. Fiction. Married people Fiction.