Burlington, Vermont was a city known for its near-nonexistent murder rate. So when bodies begin to appear along with a mysterious note and a humiliating gesture from the killer, local authorities scramble to discover who is responsible.A complicated series of events points to Amy Jane Spenser as the prime suspect. She is troubled by sleep deprivation and frequent memory lapses. Her job as a paramedic feeds her compulsion to help people, but ultimately only renders her a crippled witness to the human condition. Amy struggles with doubt over her own mysterious behavior, and is left with no alibi for any of the murders.Her friend, Karma, uses her degree in Criminal Psychology and a gift for psychometry to search for clues to Amy's innocence, in spite of a persistent detective. The suspense builds as lives intertwine, and destinies dangle precariously over an abyss of secrets and suppositions, until nothing can ever be the same again.