Always eager to escape with a historical cozy, I originally tried this series with its first book, "Symptoms of Death." The book was pleasant enough for me to try the second book, "An Improper Death." It was horrible, one of the worst books I read all year. I was finished with the series, but we all know how searching for something new on the bookstore shelves sometimes leads to desperate purchases. I bought this third book with much trepidation. I took it home. I read it. I actually enjoyed it. The characters are becoming three-dimensional. The mystery was more interesting. The romance is more apparent, but still subtle. A historical figure--Florence Nightingale--makes an appearance. It is a decent cozy, if you are looking for a book to distract you for a few hours. I will keep this one on my shelves and wait for the fourth book to see what Dr. Alexandra will do next.