When former mob thug turned doctor, John Cesari, takes a job as a gastroenterologist at a small hospital in upstate New York, he assumes he's outrun his past and started life anew. But trouble has a way of finding the scrappy Bronx native. Things go awry one night at a bar when he punches out an obnoxious drunk who won't leave his date alone. Unbeknownst to Dr. Cesari, that drunk is his date's stalker ex-boyfriend—and a crooked cop. Over the course of several action-packed days, Cesari uncovers the dirty little secrets of a small town hospital. As the bodies pile up, he is forced to confront his own bloody past.