In a time not so far from our own, society is run by a global AI system. The Shepherd Organization oversees every medical school in the country save one in New Orleans, the renegade Hippocrates, which still insists on human-led medicine. It is the last choice school for an ambitious young New Yorker named Pok. But after his father --- himself a physician --- dies under mysterious circumstances that seem connected to “the shepherds” and their megalomaniacal young CEO, Pok finds himself on a quest for answers that leads right to Hippocrates. Once enrolled, he stumbles upon a further mystery: a strange illness is plaguing newcomers to New Orleans who grew up under shepherd rule. What is causing this fatal anomaly? And how does it relate to the mystery of Pok’s father’s death and his own mysterious past?