Harper Rivers is the assistant chief of medicine at The Rivers, a hospital founded by her ancestors in the early 1900s, and Presley is an executor with SunView, a conglomerate the hospital board sold the hospital to without informing any of the staff.

A wonderful frenemies to lovers LGBTQ+ novel set in the gorgeous Hudson River area in a small community made up mostly of farming families, Against Drs Orders pits Harper and Presley against each other from day one of Presley's arrival.

Presley makes assumptions about the efficacy of having small town doctors who still make house calls, believing that if patients could be re-routed to urgent care centers they would receive better, cheaper care. Harper is concerned that the only reason Presley is there is to shut down her hospital, and force a large portion of employees to find other work in an uncertain time.

When both women realize their attraction, they spend a long time trying to stay away from each other, before realizing that avoidance is only strengthening the desire they feel.

A wonderful 5⭐ slow burn love story mixed with the fast paced nature of a hospital setting, and a city girl trying to fight her attraction, not only to a simple country doctor, but for the whole town and way of life.