Leaving behind her forensic pathology practice in South Carolina, Kay Scarpetta takes up an assignment in New York City, where the NYPD has asked her to examine an injured patient in a psychiatric ward. The handcuffed and chained patient, Oscar Bane, has specifically asked for her, and when she literally has her gloved hands on him, he begins to talk - and the story he has to tell turns out to be one of the most bizarre she has ever heard. Twenty years after creating Kay Scarpetta, Patricia Cornwell has written her most extraordinary novel yet.