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The lives of an unhappily married retired medical specialist with apparent dementia and a deceptively prim nurse with secrets to hide become forever changed by the events of a stormy winter night in the fictional city of Redfern near Toronto. Add in egotistical police officers, a drug-dealing fly fisherman, a nagging wife, a shady newspaper reporter, a Catholic priest, ambitious lawyers, a Muslim physician and a professor of moral philosophy, whose lives all become intricately intertwined because of the same events, and you still have only part of this fast-paced thriller, chock full of lies, deceptions, and secrets. Medical mysteries abound while deep questions of morality, religion, and philosophy are hotly debated but largely left unanswered. The intrigue is compounded by adventures in Northern Ontario, upstate New York, the Grand Canyon, and Macchu Picchu.

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