This is book 10 in the Dr. Ruth Galloway series.  Picking up where book 9 left off, Michelle is pregnant, Laura is home again with her mother and father, Clough gets married,  and Ruth is dealing with her unresolved feelings for Nelson.  To escape all this Ruth jumps at the opportunity for a trip to Italy to look at some bones that were discovered and help an old friend.  Nelson meanwhile has been made aware of a threat in the form of a recently released prisoner, who had swore revenge against him.  There is a lot going on in all the main characters lives, plus murders and old crimes coming to the surface.  Great installment in a series I really enjoy.