This book had a lot of twists and turns such that I didn't quite know what was coming next, though I did figure out one of the main secrets about halfway through the book. When a search for a missing person instead turns up the body of Kelly McShane Braden, a medical school student who disappeared nearly 3 decades ago, it seems like a new lead in a cold case, but the authorities don't see it that way, save for the small-town coroner who was part of the dive team who found her body. Turns out, the coroner, Dr. Roper, was very close to the woman during his childhood and finding her body unlocks emotions he'd kept tucked away for years. Similarly, Dr. Earl Garnet, a Buffalo ER doctor and main character in other works by this author, was in medical school with Kelly and may have been the last person to see her alive, a secret he's been keeping this whole time in case Kelly was still alive and in hiding from her controlling husband, whose family holds great power and influence in the area. Together, the two men are determined to get to the bottom of Kelly's death, one to close the wounds of his past and the other to uphold his stellar reputation.
Like many medical thrillers, there was a fair amount of coincidence that allows the plot to continue to roll along, but it all seems fairly believable. From what I recall of the other book by Clement that I've read, Garnet seems to have a knack for finding himself in situations requiring him to put on his amateur sleuth hat. In this case, he knows eventually his secret will come out, so confiding in Roper allows him to pass along what information he has, without alerting the NYC cops or media who could blow his role out of proportion. Clement did well by weaving medical subplots into the main storyline without turning the story predictable and tired. I look forward to reading the remaining books in the Earl Garnet series if I can find them at local used book sales or libraries.