Angela, Bill's lover, is acutely ill in the emergency department at the university hospital where they both work. He is the successful and influential academic surgeon with the aristocratic family pedigree. She is the nurse from an immigrant Italian family. She knows too much, and she could ruin his reputation. She needs emergency surgery. She has no choice but to trust him with her life.

What if something were to happen during her surgery? What if she did not get better? What if someone else got the blame for it all?

Bill has done it before, and he's been able to get away with it. Still, the hospital and the medical school leaders have been promoting him with more titles, more accolades, more authority. His personal life may be in shambles, but he has influential friends on his side.

This time, however, the situation is a lot more complicated.

The Chief of Surgery, the senior surgical resident, the hospital attorneys, Angela's family with mafia ties ... they all suspect something may be hidden behind Bill's façade of success. Yet, their evidence can't even come close to the astonishing truth that Dr. Bill Bosworth has been hiding for so many years.