This book is based on my experiences and observations during a most exasperating and frustrating time as a newly hired Director at Bronx Hospital. Sometimes it takes the uninitiated to see the truth. I do not believe that the shock evoked in me upon my arrival as a police lieutenant in the Four-One Precinct in 1971 will ever be duplicated. But this came damn close. At Bronx Hospital, it wasn't the shock of Fort Apache's violence and mayhem. This time, it was in many ways a much more sinister jolt. Most disturbingly, there was a laissez-fair attitude for the routine and outrageous conduct of the staff, the cover-ups, the medical errors and yes, criminal activity, i.e., assaults, sexual abuse, fraud, reckless endangerment and so much more.