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Philadelphia defense attorney Ellie Hathaway, unsatisfied with the course of her career and personal life, leaves her job for an open-ended stay at her great-aunt's home in Paradise, Pennsylvania, arriving just in time to become embroiled in the case of a young, unmarried Amish woman accused of killing her newborn baby.

An investigation of a murder that began in the laboratory with microscopes and lasers leads medical examiner Kay deep into a nightmare that becomes her own.