The phone call that interrupts presidential advisor Sarah Tyler's meeting with White House Cabinet members is supposed to bring joyous news: the birth of her grandchildren. Instead, it reports a tragic event that takes her to Texas to bury her daughter and the twins she was about to deliver. Two days after the funeral, a traffic accident puts Sarah in the hospital with life-threatening injuries. The resulting medical malpractice case pits a flamboyant young personal injury trial lawyer against a successful, and established, defense attorney. Former all-American basketball player Rob Vargas-handsome, charismatic, and brash-represents the plaintiffs. His opponent is Harvard-educated Talmadge Harrison-patrician, urbane, and brilliant. It's a highly charged case, and it's being tried before a biased judge determined to influence the jury and the outcome. Sparks fly from the beginning, and continue throughout the trial, as the attorneys battle to explain the deaths of Sarah's daughter and her babies and to assign the blame. But could something other than medical malpractice have been involved in the events that changed Sarah Tyler's life so drastically-something far more complex and frightening?