On a horse farm in the steeplechase country of Maryland's My Lady's Manor, ER physician Alex Randolph and his girlfriend, Penny Murray, are recovering from injuries sustained in a hospital hostage incident that transforms them into instant but unwilling national celebrities. A thousand miles distant-in a parallel universe-an abused and impoverished young girl from the Everglades evolves into a stunningly beautiful sociopath of enormous wealth. As a golden summer transitions to fall, dark obsession stalks the unknowing young couple, and fate inexorably leads three lives to collision, sweeping the idyllic landscape of My Lady's Manor with terror and death.

In this compelling and poignant debut novel, D. Bruce Foster takes you on an insider's journey through the intense and often chaotic world of modern emergency medicine. Young Dr. Alex Randolph leaves a promising career at a prestigious university for the challenge of leading a new emergency department in the wealthy Maryland countryside. Three years later, his idyllic world at Mason-Dixon Regional Medical Center is improbably rocked by a brutal drug war, powerful corporate intrigue, and a beautiful widow who makes his head spin. These forces combine in an explosive, heart-pounding climax that risks everything in life that Alex holds dear-even his own life.