Four-thirty in the afternoon, any weekday afternoon, always turned into a work frenzy. Garrett Keating had hired a driver about four years ago, not because he didn’t enjoy driving himself—even in the craziness of downtown Manhattan—but because the crises automatically seemed to kick in during that late-afternoon time frame. This afternoon, typically, he’d left his investment-banking firm less than ten minutes ago, yet his cell had rung nonstop. As he sat in the backseat, his briefcase was open and papers were scattered everywhere.

      “Keating,” he barked into the receiver for the latest interruption.

      An unfamiliar female voice answered. “Mr. Garrett Keating? Caroline Keating-Spence’s brother?”

      Immediate worry clawed his pulse. “Yes. What’s this about?”

      “Your sister asked us to call you. This is Mrs. Henry, the senior day nurse in ICU at Eastwick—”

      “Oh my God. Is she all right?”

      “We believe she will be, in time. But the circumstances are a little touchy. Your parents have been here, but they seem to upset your sister more than help. Because Mrs. Keating-Spence is in such a fragile state of mind, when she asked for you—”

      “I’ll be there as fast as I can make arrangements. Which will be immediately. But what exactly is wrong?”

      “I wouldn’t normally say over the phone if your sister hadn’t asked me to convey at least part of the situation. Her husband is out of the country. Her parents are possibly too upset to make the situation easier. So—”

      “Just tell me.”

      “She took in an extensive quantity of mixed alcohol and medication.” A short silence. “Her parents—your parents—are quite determined that your sister did this accidentally. No one on the medical staff has any doubt that your sister had to know exactly what she was doing.” Another short silence. “I believe it best to be blunt. When she first came in, no one was sure we could bring her back. That medical crisis is over now, but—”

      “I’ll be there,” Garrett said swiftly and disconnected.

      Ed, his driver, met his eyes in the rearview mirror. “Sounds like there’s a problem?”

      “Yes. I have to leave town. Immediately. I’ll give you a list of things I’d appreciate your handling at the apartment….”

      Garrett ran nonstop for the next few hours, fear and guilt shadowing his heart. He handled millions of dollars every day, juggled a pressure-cooker workload, so how had he failed so badly at finding a few minutes for his sister?

      On the long, silent drive to Eastwick, he couldn’t stop thinking about Caro. He adored his sister. They’d always been thick as thieves, allied against parents who’d never had time or interest in raising children. When Caroline married, naturally Garrett had retreated. But a year ago, when he heard she was having trouble with Griff, he’d stepped back in, prepared to shoot the son of a bitch—any son of a bitch—who dared to hurt his sister.

      All his life, though, he’d been better at work than relationships.

      Business had been good, except that he’d always had a hard time putting a lid on his workaholic tendencies. Make one million, naturally he wanted to make five, then ten. He was generally connected to a computer or a phone twenty hours out of twenty-four. So maybe he had no love life or personal life, but he was thriving.

      He was sure he’d been thriving.

      But then Caroline had called four days ago and he just hadn’t found the time to call her back. She’d called again yesterday morning. He’d been planning to call her tonight. Really. For sure.

      Only, damn it, maybe he’d have forgotten that the way he forgot everything else lately. Business had consumed him tighter than a tornado wind.

      His sister, who’d always counted on him—who knew she could count on him, who’d never doubted he’d be there for her—had needed help. And he’d flunked the course.

      By the time he reached the outskirts of Eastwick, night had fallen, his stomach was churning and his heart feeling sharp-sick. It wasn’t just guilt; it was caring. So many people believed he was cold-blooded—and maybe he was; that was what made him good in business. But he wasn’t cold about his sister. He fiercely loved her.

      He’d just failed her this time. And he couldn’t, wouldn’t, forgive himself.

      At the hospital he locked the car and jogged for the door, still wearing the navy suit he’d worn all day, not having eaten in God knows how long. He didn’t care. He shot through the doors, jabbed the elevator button for three, ran.

      He hadn’t been home—much less near Eastwick General Hospital—in a blue moon and then some. But the structure hadn’t noticeably changed since he was a kid. He’d have known his way around even if his family hadn’t donated a wing or two over the years. Critical care was the isolated unit off the third floor in the back—the location chosen because it had a helipad on the roof.

      The CC wing was quiet. The sound of machines and monitors made more noise than the patients. Lights dimmed after nine. He didn’t immediately see a nurse or doctor, so simply hiked past each glass-doored cubicle, looking for his sister. The unit held only ten beds, usually more than needed even in emergency circumstances. Six beds were filled—not one of them with his sister.

      Finally he found a doctor emerging from the last door. “I’m Garrett Keating. I was told my sister, Caroline Keating-Spence—”

      “Yes, Mr. Keating. She was here until late this afternoon. We just moved her a couple hours ago to a private room.”

      “So she’s better.” For that instant, it was all he wanted to hear.

      “You’ll need to speak with her doctor, but the nurse will tell you her room—”

      More rigmarole. More running. He took the stairs rather than waiting for the elevator—he’d never been good at waiting, and there wasn’t a chance he could pretend to be patient tonight. Room 201. That’s where they told him to go. A private room with a twenty-four-hour monitor. Garrett suspected the monitor meant that either his sister wasn’t out of the woods yet or that they feared she’d try suicide again.

      Even the nurse hadn’t specifically used the word suicide, but Garrett immediately knew what she hadn’t said—because he knew his sister. This last year, once she’d mended the breach with her husband, Caroline had seemed solid and happy, not as fragile as she’d been for so long. Yet Garrett knew her. How the baggage of their childhood had affected her. How deeply she felt things. How fiercely she hid those feelings.