A heartfelt and bittersweet romance, S. K. Radhakrishnan’s I Have No Earthly Idea will make you rejoice and grieve with its earnest, charming hero, and leave you with a lingering smile. A novel filled with characters from professions seldom portrayed in novels and movies such as physician assistants, physical therapists, speech pathologists, and occupational therapists captures a sense of realism and adds authenticity to this romance in the medical setting. It is a captivating read and will keep you engaged and will broaden your cultural perspective. It will open your mind to love, romance, comedy, heartbreak, and diversity. S.K. Radhakrishnan does an excellent job in highlighting how cross-cultural semantics play into our daily lives. This is a must-read.