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A series of unexplained deaths in foreign hospitals sends an idealistic UCLA medical student on a desperate search for answers in this tale from the master of the medical thriller.
Jennifer Hernandez is a fourth-year medical student at UCLA, just beginning an elective in general surgery, whose world is shattered during a break in an otherwise ordinary day. While relaxing in the surgical lounge of L.A.'s Cedars-Sinai Medical Center, she half listens to a TV segment on medical tourism: first-world citizens traveling to third-world countries for surgery. But when she hears her beloved grandmother's name mentioned, Jennifer's heart nearly stops: the CNN reporter says that Maria Hernandez has died, a day after undergoing a hip replacement in New Delhi's Queen Victoria Hospital.
Maria had raised Jennifer and her brothers from infancy, and the bond between grandmother and granddaughter was unbreakable. Still, the news that Maria traveled to India is a shock to Jennifer, until she realizes that it was the only viable option for the hardworking yet uninsured woman. Devastated, and desperate for answers, Jennifer takes emergency leave from school and heads to India, where relations with local officials go from sympathetic to sour as she pushes for more information. With revelations of other unexplained deaths compounded by pressure from Indian hospital officials for hasty cremations, Jennifer reaches out to her mentor, New York City medical examiner Dr. Laurie Montgomery, who has her own deep connection to Maria.
Laurie, along with her husband, Dr. Jack Stapleton, rushes to the younger woman's side, and discovers a sophisticated medical facility with little margin for error. As the death count grows, so do the questions, leading Laurie and Jennifer to unveil a sinister, multilayered conspiracy of global proportions.

“A top-notch thriller with the freshness and impact of his earlier efforts. . . . Critical is tightly written, and each supporting character is vivid and memorable. The novel is a credit to the medical genre, which Cook is generally thought to have created and made popular.”
--San Francisco Chronicle