Outcome, A Novel: There's more than a hurricane coming ...

Hurricane Ivan roars into the Gulf of Mexico as Karen Puno and her dog scramble to evacuate a barrier island and a teacher with liver disease is placed on an organ transplant list.  But fate is not always kind.  It's not the hurricane which causes Karen's coma and subsequent organ donation.  Nor is it responsible for her battered dog who escapes the crushed metal pile into the blowing sand and gusty wind.
 
After the storm makes landfall, the weather worsens as a pilot flies the transplant team to harvest Karen's organs.  But fate is not always kind.  It's not the tension in the cockpit from the pilot's passenger nor the weather which causes her to abort the takeoff.
 
A homeless dog and diverse lives from Indiana to Peru come together after Karen's accident, impacting each other in permanent, intense, and heartfelt ways.  Is fate kind after all?