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NEW YORK, 1907. In the dawn of the 20th hundred years, Americans believe that technology, especially the medical sciences, will soon conquer most of mankind's ills. For a short time, medical schools open their entrance doors to women, permitting them to join the clinical crusade. Genevieve Summerford is one female who answers the decision. After a past family tragedy that she keeps herself at fault, Dr. Genevieve Summerford needs nothing more than to succeed in her new job as a psychiatrist, and regain the value of her family and peers. That goal is thrown into jeopardy, however, when one of her patients is caught for murder - a murder Genevieve fears she may have unwittingly provoked. Eager to persuade herself and the authorities that her patient is innocent, she actually is required to enlist aid from an important Tammany captain who once performed for her family as a stable boy, and whose motives for supporting her now are open to doubt. Forging an uneasy alliance, the two uncover an astonishing magic formula about one of the city's most powerful young families: a magic formula which, should Genevieve choose to disclose it, could bring down catastrophe on those she cares most about, but which, should she allow it lie, will almost certainly send her patient to the electric couch.