As chief of ER at St. Paul's Hospital in Buffalo, New York, Dr. Earl Garnet deals with trauma. But trauma gets personal when skeletal remains are found at the bottom of a lake in the southern Adirondacks. The bones are identified as those of Kelly McShane Braden, a medical student who vanished in 1974. With evidence of homicide detected at the scene, the police have reopened their investigation. As the last known person to see Kelly alive, Garnet is the prime suspect. Driven to mount his own search for the truth, Garnet uncovers a trail of lies, corruption, and shocking revelations that were meant to go, with Kelly, to a watery grave. And the harder Garnet pushes for answers, the easier he makes it for a lethal killer to push back with deadly force...