Five years ago, internist and emergency specialist Matt Rutledge returned to his West Virginia home to marry his high-school sweetheart and open a practice. He also had a score to settle. His father died while working for the Belinda Coal and Coke Company, and Matt swore to expose the mine’s health and safety violations. When his beloved Ginny succumbed to an unusual cancer, his campaign became even more bitterly personal. Now Matt has identified two bizarre cases of what he has dubbed the Belinda Syndrome. All he needs is proof. Meanwhile, two women, unknown to one another, are drawn inexorably to Belinda, into Matt’s life. Massachusetts coroner Nikki Solari comes to attend the funeral of her roommate, killed violently on a Boston street. Ellen Kroft, a retired schoolteacher from Maryland, seeks the remorseless killer who has threatened to destroy her and her family.Three strangers - Rutledge, Solari, and Kroft - each hold one piece of a puzzle they must solve, and solve quickly. If they don’t, it will be far more than just their own lives that are at risk.