Choices Determine Destiny poignantly exposes the sensitive and deep struggle of caring for aging parents, or putting them in the nursing home; exhibits the enduring quality of love in contrast to our culture of sex and money that has substituted genuine love. Set in the context of this battle that can crumble or elevate in a complex issue like abandonment of parent’s to one’s destiny and desire, this book becomes a thriller and a must read book. It also establishes the fact that lessons learned at childhood surfaces to pull us through crises of life; and finally reminds us that choices we make everyday elevate or destroy, and we must take time to make choices.