Night shift ICU nurse Maya Rivera notices a pattern no one else wants to see. Five patients dead. One clinical trial. And a doctor who will do anything to keep his secret.
When elderly heart failure patients start dying unexpectedly in St. Catherine's ICU, night shift nurse Maya Rivera sees what others miss: they're all enrolled in the same experimental drug trial. They're all given the same medication combination. And they all die within hours.
Dr. Richard Sutton insists the deaths are coincidence-just high-risk patients with advanced disease. The hospital administration agrees. Even Maya's colleagues tell her to let it go.
But Maya spent six years as a 911 dispatcher before becoming a nurse. She knows how to recognize patterns. She knows when something doesn't add up. And she knows that asking questions could cost her everything.
When the body count rises, Maya must choose: stay silent and keep her job, or speak up and risk destroying her career.
With the help of cardiologist Dr. James Chen, Maya uncovers evidence of fraud, falsified consent forms, and a physician desperate enough to kill for money. But institutional loyalty runs deep, and the system protects its own.
As Maya races to stop the next death, she discovers that exposing the truth might cost her more than her career-it might cost her life.
From the author of The Missing Hour and The Overnight Witness comes a medical thriller about the courage it takes to challenge authority, the price of doing what's right, and the nurses who watch over us when no one else is paying attention.
Perfect for fans of Karin Slaughter, Tess Gerritsen, and Robin Cook.