Dr Beckman turns up dead, apparently stabbed with a syringe on which Madison's fingerprints are found. Police surmise that Madison killed Beckman, following one of Madison’s outbursts. Leon enlists Alexander's aid in finding Sally after all these years. He hopes that Sally's return will cause Madison to speak again and tell what happened. Rachel is determined to prove Madison's innocence and find the cause of Sally's disappearance. In her search she has to confront deep truths in her own past.

This is a well written, fast paced page turner. The author captures the mood of New York City, following Alexander, with her pit bull, Dashiell, in her pursuit of the truth. Alexander's struggle to communicate with Madison is told with feeling and understanding.