The Woman of Troublesome Creek follows a very determined Cussy Mary Carter as she rides the Kentucky hill country as one of President Roosevelt's Pack Horse Librarians in the 1930's. Through Cussy's library route, we meet a number of her patrons - getting a glimpse of the simple joys and the unending sorrow of life during the depression. We also get a look at how different people deal with what they fear and don't understand - as Cussy's blue skin and the prejudice she faces because of it are key parts of the story. This is an interesting and well-researched book that covers the Pack Horse Library Project, coal mining, rural poverty, and the rare disease, methemoglobinemia. It's a sad, tough read at times - but Cussy's strength, determination, and passion for books carries the reader through.