Orphaned in a house fire that took his parents’ lives, James Many Horses is raised by the unnamed young man who saved his life, through whose eyes we see the early years of James’s life unfold. As a child James is silent and slow to develop language and motor skills; he does not cry, he does not crawl, and he does not speak. When he does begin to talk, he is, according to his guardian, deeply spiritual, intelligent, and advanced for his age. When we encounter James next, he is grown; a man “who [tells] so many jokes that he even ma[kes] other Indians get tired of his joking.” He is married to a woman named Norma, who leaves him after an argument they have when he makes several jokes in the middle of telling her that he has late-stage cancer. He receives “useless” cancer treatment in a Spokane hospital for a time, but is then sent home so that he can be more “comfortable.” Norma eventually returns home as well, with the intention of helping James to “die the right way.”