Josh Goldin’s happy yet unexamined existence is shattered one morning when his wife, Dori, rushes their eight-month- old son to the emergency room in severe distress. Dr. Darlene Stokes, an African-American physician and single mother, suspects Munchausen by proxy, a rarely diagnosed and controversial phenomenon where a mother intentionally harms her baby. As each of them is forced to confront a reality that has become a nightmare, Darlene, Dori, and Josh are pushed to their breaking points.

Darin Strauss’s extraordinary novel is set in a world turned upside down—where doctors try to save babies from their parents, police use the law to tear families apart, and the people you think you know best end up surprising you the most.