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Careful by the Railing is set in Northern California, and is in the tradition of American fiction. Lou, the main character, wanders from town to town. He realizes that he is in the middle of his life, and that he is still searching for love, and a place to call home. His life is pretty much under control except for his alcoholic boss, his 14-year-old daughter who has mysteriously arrived back in his life, and his new maybe girl friend April. Plagued by dreams in which he is terrified of his father's rage, Lou never gets a full night's sleep.

The modern world can be a dangerous place, filled with fast cars, smartphones, new drugs, and thrill sports. Meanwhile we humans are as fragile as ever. In fact after a century of steady improvement, injuries and accidental deaths are on the rise. Steve Casner has devoted his career to studying the psychology of safety, and he knows there's not a safety warning we won't ignore or a foolproof device we can't turn into an implement of disaster.