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Dr. Eric Parrish is the chief of the psychiatric device at Havemeyer Basic Hospital beyond Philadelphia. Recently segregated from his partner, Alice, he is doing his best as an individual daddy to his seven-year-old daughter, Hannah. His work appears to be going much better than his homelife, however. His device at the hospital has just been called number two in the united states, and Eric has a dedicated personnel of doctors and nurses who are as caring as he is. But when he takes on a fresh patient, Eric's entire world starts to crumble. Seventeen-year-old Utmost has a terminally unwell grandmother and is also having trouble controlling it. That, plus his OCD and violent thoughts about a girl he loves make him a high-risk patient. Utmost can't turn off the mental rituals he needs to perform every quarter-hour that keep him peaceful. With all the pressure mounting, Utmost might just reach the breaking point. When the lady is found murdered, Utmost is nowhere to be found. Worried about Utmost, Eric will go looking for him and places himself at risk of being seen as a person appealing himself. Next, one of his own staff transforms on him in a trumped-up charge of sexual harassment. Is this chaos all random? Or is someone systematically wanting to eliminate Eric's life? Lisa Scottoline's visceral thriller brings you in to the grip of a true sociopath and shows you how, in the mission to endure such ruthlessness, every minute matters.