A CAUSE and MANNER is a medical noir thriller featuring physicians behaving badly. Matthew Kork is an anesthesiologist at a Canadian community hospital. There is tension in the operating room between Matt and an elitist surgeon, Angelo Amodeo. There is also tension between Matt and his wife, whom he suspects of having an affair. Her boyfriend dies in what looks like a staged suicide. Angelo disappears next. Matt is either responsible for these events or wished for them hard enough.

Matt is also the local coroner and is assigned to investigate the boyfriend's death. Despite the obvious conflict of interest, he accepts the case and brings a verdict of suicide. The decedent's family launches a wrongful death lawsuit. At the hearing, their lawyer is on the verge of discovering the love affair that would have given Matt a motive for murder. He admits to all the allegations against him to bring the proceedings to a close. This by no means confirms his guilt.

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