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A psychiatrist at a hospital for the criminally insane is murdered---in the MO of an inmate, a serial killer who had both motive and opportunity. But Sam, who has a history with the man, doesn't think he did it.
A noted Alabama surgeon is abducted upon his return from a consultation in Russia---two years after his best friend, another renowned physician, disappeared.
Murder victims turn up in strange "poses," after having been garroted and stabbed. Meanwhile, the VCTF's computer system is acting strangely.