Boston's Bayside Hospital is a long way from Dr. Abby DiMatteo's humble roots, and she's elated when their elite cardiac transplant team taps her as a potential recruit. But an anguished, life-and-death decision soon jeopardizes her entire career. She and chief resident Vivian Chao boldly direct a crash victim's harvested heart to a dying seventeen-year-old boy--instead of the wealthy forty-six-year-old woman to whom the hospital had cross-matched it. The repercussions cost Dr. Chao her job, and leave Abby shaken.
Then a new heart suddenly appears, the woman's transplant is completed, and Abby makes a terrible discovery. The donor records have been falsified--the new heart has not come through the proper channels. Defying Bayside Hospital's demands for silence, Abby and Vivian plunge into an investigation that reveals a lethal, unthinkable conspiracy. Every move Abby makes spawns a vicious backlash ... and on a ship anchored in the waters of Boston Harbor, a final, grisly discovery lies waiting.