After being diagnosed with metastatic breast cancer in 2011, filmmaker Alex Sichel decided to confront her terminal illness and rapidly changing life by keeping a video diary. During the documentation process, Sichel created a fictional, more optimistic alter-ego Anna with the same prognosis. Co-director Elizabeth Giamatti documented the creative process, and together they crafted an inventive, self-reflexive documentary-narrative hybrid that explores what is foremost on Sichel's mind throughout her illness: parenting, marriage, faith, life, and death.