A film noir evocative Caribbean drama set in 1953 in the Dominican Republic during the cruel dictatorship of Leonidas Trujillo. After a group of mental patients escape from Nigua Psychiatric Hospital, Dr. Antonio Zaglul is appointed new director of the establishment with the purpose of calming down the negative press the lack of control of the place was generating. It will be difficult to tell if madness lives inside or outside the hospital's walls.