A deeply flawed individual, J. D. Brewster was afflicted with chronic, intrusive, dark and violent thoughts that alienated the medical student from not only his colleagues, but also from everyone he had ever known. His life was already disintegrating when he somehow miraculously survived a murder attempt that sadly left him with not only serious permanent physical injuries, but also with a seething hatred and an all- consuming compulsion to seek revenge.

Engrossed in the brutal and dehumanizing clinical clerkship rotations, Brewster spirals downward into an ever-deepening quagmire of moral despair. Upon the death of his fiance, worsening spiritual isolation propels Brewster to embrace the secret clinical justice system that was hiding amongst the shadows at the Gulf Coast College of Medicine.

After successfully recruiting several other grievously traumatized victims of violent crimes, Brewster successfully orchestrates a shocking act of vigilante retribution within the very halls of an institution that was auspiciously dedicated to the art of medical care.

In this final installment of a medical thriller trilogy, a dispirited medical student is willing to sacrifice a promising career to become a vigilante, but in the end, he must eventually face the truth as his life comes full circle.