Highly successful and ambitious physicians from St. Matt's Hospital in Manhattan are dying one at a time under suspicious circumstances as a mob war rages in the background over control of contracts to renovate the Brooklyn Bridge. John Cesari MD, a gastroenterologist with close ties to the underworld and currently the medical director of St. Matt's, is aiding the police investigation into the deaths of his colleagues while helping a good friend work his way through marital problems. Juggling these multiple complex and emotionally charged crises proves taxing, and Cesari finds himself fighting off a dysfunctional surgical staff and simultaneously defending himself from the inevitable political infighting that has become synonymous with modern healthcare. Behind the scenes, three mysterious women with dark and desperate pasts are pulling the strings of intrigue like master puppeteers. From beginning to end, nothing is what it seems, and no one is safe in this exciting thriller.