After paranoid schizophrenic Thomas Birdsey has a violent public breakdown, Dominick Birdsey finds himself stepping up to defend his identical twin brother in unexpected ways. As he navigates the fallout, Dominick reflects on their childhood growing up under the tyrannical rule of their volatile stepfather, Ray, and their desire to know the identity of their biological father.

Despite the protestations of those closest to him, Dominick returns to work before fully recovering from his accident. Heavily medicated, Dominick recalls the disturbing incident that lead to Thomas’ first hospitalization while counting down the hours to Thomas’ hearing with the Hatch review board.