When Liz Maguire, youngest member of the faculty of the psychiatry department at the Bethsaida Medical Center (BMC) was asked by Dave Meyers, chair of the department to work with him on marriage therapy for Bruce Howard chair of cardiac surgery and his wife Patsy Murphy Howard, she was already feeling conflicted. Marriage therapy for the very wealthy was not why she had obtained her social work degree. Her own marriage was already on shaky grounds because of her decision to leave her comfortable life as a Colombian Embassy wife and mother in DC to work with Baltimore's poor immigrant community. Why should she take on this new challenge when she was pretty sure that Dave himself didn't want to do marriage therapy for the affluent ever again? But Dave had an ulterior motive, obtaining Bruce's strong support in upcoming battles in the medical school for space and money, and if the price was listening to complaining spouses, he would pay it. He wouldn't pay it alone....