Samuel DeKlerk is a respected physician. After serving in the Civil War and witnessing the devastating effects of privation and war on fellow soldiers' physical and mental well-being, he shifts his clinical interests to diseases of the mind. He's now an alienist-a doctor to the mad-with little time for frivolity. He agrees to invest in the opera, in the memory of his sister, Sarah, who was murdered by a yet nameless killer. When he catches Emily Forbes prying into the past, his life is upended again.
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