From rolling pastures in Lexington Kentucky to darkened alleyways in Newark New Jersey from Manhattan's posh E21 Club to a peculiar and mysterious landfill in eastern Kentucky and from Saratoga Springs New York to the tiny island of St. Lucia Shedrow portrays a collision of characters from many divergent worlds. It is a unique twist on the medical thriller. Dr. Anthony Gianni a prominent Manhattan surgeon becomes involved in a racing partnership as a diversion from a thriving surgical practice and an ailing marriage. The excitement builds when the partnership acquires Chiefly Endeavor a two-year-old colt with the breeding the spirit and enough early racing success to qualify for the Kentucky Derby. When a new partner with an unsavory background appears and a breeder's nightmare becomes real Dr. Gianni and a dedicated veterinarian must confront organized crime and solve a complex mystery that threatens to destroy both of their careers and possibly a great deal more.