Leila al-Gauzoury, an Arab surgeon, working in France has an inspiring idea one day. To convince Americans that they are vulnerable in their own country she and a group of other surgeons would apply for training in the United States and use their hospital positions to launch a series of explosions to inspire terror. Allied with white supremacists who hate the government they would accomplish their mission without suspicion and escape. So begins a fast moving romantic thriller which quickly tests both the Arabs and the Americans with unexpected results. The book brings back the American spine surgeon Jon Grigson first introduced in A Simple Twist of Fate. It abounds in fast moving operating room drama, sex and action combining the worlds of medicine, law and military strategy. Once started, it’s hard to put down.