In this new fast-paced medical mystery-thriller from the New York Times bestselling author Robin Cook fan favorites Jack and Laurie must determine the manner of death after a pathology residents suspicious suicide. Due to Jack Stapletons ongoing recovery from his near-death confrontation with a serial killer his wife Laurie Montgomery the NYC chief medical examiner is carrying the load both at work and at home. When she insists an underperforming pathology resident named Ryan Sullivan assist her on a suicide autopsy Laurie unknowingly provokes an emotional storm in the trainee. So when Ryan himself appears on the medical examiners table days later an apparent death by suicide Lauries guilt compels her to try to understand why. Jacks autopsy on the resident opens the disturbing possibility that the manner of death wasnt suicide but instead a staged homicide. But staged by whom? Laurie ignores her own professional rules and responsibilities to investigate personally who might want Ryan dead...and for what reason. Thus begins a dangerous inquiry into a fraudulent but highly lucrative cancer diagnostics company which might just cost Laurie her life.