On February 20th, trauma nurse Kate Manion has the rare opportunity to see her own hospital from the other side. Badly injured in an auto accident, she lands in her own ICU. She's strapped down, paralyzed and unconscious. And yet, somehow she manages to kill her nurse, the aptly named Attila the Buns. It's an accident; Kate swears. It isn't an accident when murders keep happening. Someone in the hospital has taken Kate's act as a mandate to kill off the CEOs and supervisors who make life so difficult for a staff struggling to give good patient care in a new world of corporate medicine. But as the corpses pile up, Kate realizes she alone can bring a halt to the work of a serial killer. A serial killer who is acting out the fantasy of every staff member at St. Simon's Hospital. A serial killer who could be one of Kate's closest friends. With only burned out forensic pathologist B.J. O'Brien for help, Kate has to wade through greed, politics, secrets and suspicion to unearth a murderer she doesn't want to find. And she has to find him—or her—before he strikes too close to home.