Richard Kurtz is a surgeon with a growing practice, a luxury apartment on the East Side of Manhattan and a beautiful girlfriend. Lew Barent is a police detective. He has chronic migraine headaches, a son-in-law he can barely stand and a job that he’s looking forward to leaving.

Kurtz and Barent have solved two improbable murders at Easton Medical Center and neither of them are expecting a third, but when elderly philanthropist Eleanor Herbert dreams that she’s witnessed a murder and a young hospital administrator is found strangled, Kurtz and Barent are drawn into a twisted tale of greed, conspiracy and long simmering revenge.

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