Paulo Ferrara, a young Portuguese man, lies comatose in the Intensive Care Unit of Timbergate Medical Center, shot in the spine. The neurosurgeon who would normally be in charge of his care has left town to attend to an injured daughter, and the only other neurosurgeon, the rude and egotistical Dr. Godfrey Carver, is about to be suspended for not completing his continuing education requirements. The unpleasant duty of ensuring that the staff obey the rules lies with Aimee Machado, the medical center's forensic librarian and Continuing Education Coordinator. Aimee and her pilot boyfriend Nick live together on her grandparents' llama farm. While dealing with Dr. Carver, Aimee learns the circumstances of Paulo's injury and enlists Nick's help. Aimee is half Asian and half Portuguese, and her parents live on Faial, one of the Azores Islands off the coast of Portugal. Faial is the closest neighbor to Pico, home of Paulo and his family. Paulo came to rural Northern California in search of his fifteen-year-old sister Liliana, who vanished two weeks ago. Nick's wealthy employer Buck Sawyer takes an interest in the girl's plight as well, especially when they learn that she left the Azores on a superyacht. Not only is Buck a yacht owner, but he is also on a crusade against drug trafficking, and Paulo and Liliana have clearly stumbled onto a criminal operation of some kind. The trail leads Aimee and Nick from Timbergate, to the Azores, to San Francisco. Paulo's condition is deteriorating, and he might never be able to explain what got him shot. Can Aimee, her brother Harry, and Nick unravel the mystery in time to save Liliana? Book 4 in the Aimee Machado Mystery series, which began with Due for Discard.