A husband and wife seem like everything is fine, one day she shoots him in the face several times, killing him. Then she never speaks again. Instead of jail she is in an institution. The story is told as a new doctor arrives and is very interested in this silent patient's case and is determined to help her. Now you mystery and thriller readers will agree that when you read a lot of these types of books you think you can beat the author, figure out the "who dun it" or the big twist. Sometimes we get it right, which is fine if you enjoy the story. Sometimes, however, the author shocks you and you, as the reader, are wrong. This story has an enormous twist, HUGE, as I am ashamed and delighted to tell you I didn't see it coming. I've been trying to get hubby to read it. I'm wondering if I missed signs, was this twist obvious? But I keep telling myself that I have read so many thrillers I would have seen it coming. Nope, boys and girls, you can cross the butler off your list in this one, he definitely didn't do it. You've got to love when a book can make you gasp out loud and that is what this one did.