It's about a girl with anorexia and her delusions of being Famine riding the pale horse. When she attempted suicide by ingesting some of her mothers pills , Death came knocking at her door in the form of a postman . literally. She answers the door and was given a package and told that she was Famine. Inside the package was of course the Scales. quote: She, Lisabeth Lewis, seventeen and anorexic and suicidal and uncertain of her own path- she'd done something that mattered. She'd ignored her own pain and had helped others.