Wracked with grief over Ellie's death, Rowan is out of control and unfit to perform surgeries; her paranoia that someone is following her is proven true; in New Orleans, Deirdre and her mysterious companion Lasher work together to draw Rowan home.

At Deirdre's funeral, Rowan is plunged into the world of the infamous Mayfair family; Uncle Cortland and Aunt Carlotta present diverging views on Lasher; Rowan must choose whom to trust and face the dire consequences; Sip identifies Deirdre's killer.