In l890, the country isn’t ready for a woman doctor, but don’t tell that to Rachel Moore. Shunned by male patients at her home in the Cascades and later denied employment by Charity Hospital in New Orleans, she holds firm in her conviction that she can make a difference.

While volunteering her services to an orphanage in the French Quarter, terrifying dreams and visions warn of danger. Husband, Gabe, tries to calm her fears, suggesting the city, steeped in the occult, has fueled her fantasies. But the premonitions are more deeply rooted than either suspect.

Tragedy strikes. Haunted by an evil presence, Rachel returns home to search for answers. Can she put the pieces of her life together? Will she ever again find the courage to care?