Dear Sophie is the continuing memoir of The Jagged Years of Ruthie J. as Ruth fights to get enrolled into medical school. She finally succeeds by being one of a few students to be accepted at a new type of medical school at the University of Calgary. Being admitted turns out to be the easy part as she continues to face sexual harassment and discrimination during her schooling. Told in letters to her niece Sophie, Ruth weaves a feminist story of perseverance and determination for equality.
Several male doctors did their best to get Ruth kicked out of the program, but she persevered. She finished her residency and opened her own medical practice despite being blocked at almost every step and clashing with the established medical community.
Ruth's story covers almost half a century up the present, all the while using her experiences, especially in the medical community as a means to show Sophie how to live a happy, feminist life.