Jack and Beverly Wilgus, collectors of vintage photographs, no longer recall how they came by the 19th-century daguerreotype of a disfigured yet still-handsome man. It was at least 30 years ago. The photograph offered no clues as to where or precisely when it had been taken, who the man was or why he was holding a tapered rod. Months later, another correspondent told her that the man might be Phineas Gage and, if so, this would be the first known image of him. In , Gage, 25, was the foreman of a crew cutting a railroad bed in Cavendish, Vermont.
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In this novel, Cross finds himself torn between two serial murder cases. The first serial killer is active in Cross's own backyard, killing children who attend the Sojourner Truth School, the school Cross's own son attends. This case hits so close to home that Cross is passionately determined to solve it as quickly as possible. At the same time, however, a couple who call themselves Jack and Jill are killing high profile celebrities. As one of their best homicide investigators, Cross is assigned to the case. Cross resents this reassignment, but becomes deeply engrossed in the mystery when Jack and Jill's target turns out to be the President of the United States.
Alex Cross wakes only a few hours after going to sleep to the sounds of his partner, John Sampson, banging on the door. Sampson tells Cross that there has been a murder at the Sojourner Truth School. This is personal to Cross because his son, Damon, goes to the school.
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