Choices was begun as a sequel to a book that had been published but then the line changed. I had just four chapters written and put it aside. Not only because I wasn't sure where to send the book but also I had written myself to the point where I didn't know where the story was going. The heroine originally was in her fifties and had never been married or had much to do with men. Not a great start for a romance.
When I went back and looked at it, I realized I did like the heroine but I'd made her much too old. She now became the Director of Nursing at the hospital where she'd worked since graduating. I gave her an old affair with a doctor who used ehr and walked away, a college sweetheart who couldn't stand the fact that she had a sister who was mentally challenged. I also wanted to put a bit of intrigue into the story. The villain of the story became the hospital's CEO who wanted to destroy the nurse's union by forcing a strike. Not only that but he wanted to farm many of the hospital services such as food services and cleaning to companies used by friends of his.
Now I had that part of the plot so I needed to give the heroine a romance. In a way I gave her two. She rescues a kitted and nearly gets hit by a car. She's rescued by the owner of a local bar/restaurant. He is a widower with grown children and he finds her sad and fascinating. Then back into her life comes the old college flame who has an anemia and he regrets walking away from her. He's divorced. To add a complication here, his nephew is the hospital's CEO.
The story was fun to write and some of the things I put in the book I found in newspaper articles after I'd written the book and it was published. Life can sometimes imitate fiction.