Mile High General begins on Christmas Day 1979, inside a crowded urban emergency department where the shifts are long, the technology is primitive by modern standards, and every decision can have consequences.

Dr. Seth Remington is 32, newly divorced, and trying to hold together a life outside the hospital while navigating the chaos inside it. Over one month of 12-hour shifts, he treats the frightened, the intoxicated, the unlucky, the absurd, and the critically ill—sometimes all before lunch.

No electronic records, no pulse oximeters, no CT scanner waiting down the hall. What Seth has instead are his eyes, his hands, his judgment, and the uneasy knowledge that medicine is an unforgiving teacher.

Inspired by the realities of emergency medicine at the end of the 1970s, Mile High General blends medical drama, dark humor, historical detail, and human vulnerability in a story about the strange, brutal, funny, and deeply personal world behind the swinging doors of an emergency department.