The first half of this book was really enjoyable, I liked the characters and the medical setting. The last half of the book went downhill for me. There were too many coincidences and the characters started talking and acting so so fake. It was like "Oh I'm a lawyer and you might be murdering helpless people and I don't know anything about you but I'm going to let you move in with my parents and be alone with patients and my pregnant wife." The ending also bothered me because everything resolved itself way too fast. The person behind everything all of the sudden just pops into Elana's head and she takes care of everything all by herself. Also no matter how bad someones life is I don't buy a dead husband, a phone stalker, 2 murderers, a peeping tom and a creepy somewhat boyfriend all in one year. Murderers happening and no legal action taken and so much help from people who don't even know you also were just a little too far fetched for me. I think I could have looked past all of that though if something really exciting would have happened in the process of catching at least one of the bad guys but 2 pages of suspense and action just aren't enough for me in mystery type books.
I would recommend this book to fans of other things that Richard L. Mabry has written. I didn't hate this book by any means I was just expecting more because it started out so strong.
I do like the cover and it does tie in with the story, only the cover is more dramatic than the story is.