Elspeth has recently landed a nursing position at the 1901 Pan American Exposition Hospital in Buffalo, New York. This is a big boon for her, but things are not going as expected. She has to navigate mischievous patients, egotistical doctors, rival nurses and prejudices. For an Irish girl with a temper, this is no easy feat. Now President McKinley is coming to visit the Expo and everyone is in an uproar. On the home front, her life is no less hectic as she struggles to put food on the table and look out for her younger siblings.

When the unthinkable happens, it is a turnings point, not only for the medical industry and our country’s security, but also for Elspeth personally. With her career and reputation on the line, will she have the courage to overcome the challenges she faces to clear her name and continue to be there for the ones she loves?