On the verge of severe burnout after having worked seventeen years in urban settings, Dr. Matthew Johns, an arrogant but wildly talented trauma surgeon and emergency room physician,wants to be able to maintain his way of doing emergency medicine in a rapidly changing world impacted by technology advances. For the new millenium, with his career in turmoil as well as his personal life, not to mention his spirit, he has to survive the the daily onslaught of critically ill and traumatized patients, the digital demands of 21st century medicine, and the ambiguous position medicine finds itself in, immersed in regulations and bureaucracy. He personally, is striving to find a place he can call his own, where the staff likes and respects his autonomy, before he self-destructs.