Misfire by Tammy Euliano

Publisher: Oceanview Publishing

Date of publication: January 23rd, 2023

Genre: Mystery, Thriller, Medical

Purchase Links: Kindle | B&N | Alibris | IndieBound | Indigo | Kobo | BetterWorldBooks

Goodreads Synopsis:

A device that can save a life is also one that can end it

Kadence, a new type of implanted defibrillator, misfires in a patient visiting University Hospital for a routine medical procedure—causing the heart rhythm problem it’s meant to correct. Dr. Kate Downey, an experienced anesthesiologist, resuscitates the patient, but she grows concerned for a loved one who recently received the same device—her beloved Great-Aunt Irm.

When a second device misfires, Kate turns to Nikki Yarborough, her friend and Aunt Irm’s cardiologist. Though Nikki helps protect Kate’s aunt, she is prevented from alerting other patients by the corporate greed of her department chairman. As the inventor of the device and part owner of MDI, the company he formed to commercialize it, he claims that the device misfires are due to a soon-to-be-corrected software bug. Kate learns his claim is false.

The misfires continue as Christian O’Donnell, a friend and lawyer, comes to town to facilitate the sale of MDI. Kate and Nikki are drawn into a race to find the source of the malfunctions, but threats to Nikki and a mysterious murder complicate their progress. Are the seemingly random shocks misfires, or are they attacks?

A jaw-dropping twist causes her to rethink everything she once thought she knew, but Kate will stop at nothing to protect her aunt and the other patients whose life-saving devices could turn on them at any moment.


First Line:

You aren’t gonna let me die this time, are ya, Doc? Oh boy.

Misfire by Tammy Euliano

As I stated in my review of Fatal Intent, I do not read/review medical thrillers. But after reading these two books, I realize I will have to fix that. Like Fatal Intent, Misfire was an excellent read that kept me glued to the book.

There are trigger warnings in Misfire. There are scenes of gore at several points in the book. There is a scene where Kate does CPR on her aunt. There are scenes at the end of the book that broke me. If you want to know what, use the contact me page and ask what they were. Because of spoilers, I won’t include it in the review. I will mention it, but I won’t come right out and say what.

Misfire is a fast-paced book that takes place shortly after the events of Fatal Intent. Kate is still dealing with what Adam did, which included trying to kill her great-aunt Irma, Christian (her lawyer), and killing her husband (and his brother), Greg. Her great-aunt was dealt a more severe blow during that attack, suffering a heart attack and needing a pacemaker installed. Kate noticed that people with Kadence installed were suffering from an elevated rate of heart attacks and disruptions. But, when Irma suffers an attack after a routine visit with her cardiologist, Kate starts digging into the study. What she finds stuns her and also sets off a chain of events which outcomes she didn’t see coming. What happened? Why is Kadence misfiring? Who is behind it?

The characters in Misfire were as wonderfully detailed as they were in Fatal Intent. I liked that they still appeared realistic and made me get invested in their lives.

  • Kate—She was still that great person from Fatal Intent. I liked that she wanted to move forward (and was urged to by Aunt Irma) but was hesitant. She regrets being distant from her friends (like when she helped with Ronnie’s pregnancy). I believe she was so stuck on helping Nikki and Ian because of that. As with the last book, she didn’t want to get sucked into the drama with Kadence. She was moved to action when her aunt was harmed by it and when multiple people died in a horrific accident caused when a Kadence misfired when someone was driving. Her solid moral character demanded that she look into it and discover why it was happening. I don’t think she expected to find out what she found out.

The secondary characters did add extra depth to the book. I loved the extra attention paid to Aunt Irma and Christian in this book. Christian’s secondary storyline broke my heart, and the resolution had me sobbing on the couch. The only character I didn’t care for from the beginning was Nikki. There was something about her that rubbed me the wrong way.

Misfire fits perfectly into the medical thriller and mystery genre. The author had a little spark of romance in there too. The mystery angle of the book was terrific. A twist in the storyline at the end stunned me and made me sick.

The storyline with Aunt Irma, Kate, Christian, and the search for Nikki was well written. I loved how the author took me for a ride with this storyline. I learned more about pacemakers in this book than I would have known about, ever. But that is what made this storyline so good. It was realistic. Also, I couldn’t get over the twist at the end of this storyline. It was maddening, heartbreaking, and just evil.

The storyline with Nikki, Kate, the Kadence device, and Dr. Cantrell was interesting. Interesting because I could see people like Dr. Cantrell doing what he did in the book. Sure, he was not a nice guy who didn’t do the right thing. But, in the end, he did redeem himself a little bit, in his eyes. I wouldn’t say I liked how he treated Nikki and Kate, even with the credible evidence that Kate had about Kadence.

The end of Misfire was equally thrilling and sad. I did not see the twist coming (as I stated above), and it took me by surprise. The author was able to wrap up all the other storylines in a way that satisfied me as a reader. I also cannot wait to read more books in this series.

I would recommend Misfire to anyone over 21. There is graphic violence, mild language, and no sex.


If you enjoyed reading Misfire, you will enjoy reading these books:

Fatal Intent by Tammy Euliano

Publisher: Oceanview Publishing

Date of Publication: March 22nd, 2022

Genre: Mystery, Thriller, Medical, Fiction, Suspense, Mystery Thriller, Audiobook, Crime

Purchase Links: Kindle | Audible | B&N | AbeBooks | Alibris | Powells | IndieBound | Indigo | BetterWorldBooks

Goodreads Synopsis:

End-of-life care—or assisted death

When her elderly patients start dying at home days after minor surgery, anesthesiologist Dr. Kate Downey wants to know why. The surgeon, not so much. “Old people die, that’s what they do,” is his response. When Kate presses, surgeon Charles Ricken places the blame squarely on her shoulders. Kate is currently on probation, and the chief of staff sides with the surgeon, leaving Kate to prove her innocence and save her own career. With her husband in a prolonged coma, it’s all she has left.

Aided by her eccentric Great Aunt Irm, a precocious medical student, and the lawyer son of a victim, Kate launches her own unorthodox investigation of these unexpected deaths. As she comes closer to exposing the culprit’s identity, she faces professional intimidation, threats to her life, a home invasion, and, tragically, the suspicious death of someone close to her. The stakes escalate to the breaking point when Kate, under violent duress, is forced to choose which of her loved ones to save—and which must be sacrificed.

Perfect for fans of Kathy Reichs and Tess Gerritsen

While the books in the Kate Downey Medical Mystery Series stand on their own and can be read in any order, the publication sequence is:

Fatal Intent
Misfire
 (coming January 2023)


First Line:

I dreaded weekends. That alone set me apart from my colleagues-from humans in general-even without all the rest.

Fatal Intent by Tammy Euliano

Medical thrillers are not a genre that I typically read. It’s not that I don’t like them (I do); it’s just that they don’t show up on my radar very often, even when I am looking for a new book to read. So, I was intrigued when I was invited to review Fatal Intent. After reading the blurb, I knew I wanted to read this book. I am glad that I did because it was a great read.

There are trigger warnings in Fatal Intent. The huge, most obvious one is the angel of mercy killings. There are brief mentions of the death of a spouse and child through a drunk driver and the miscarriage. The author also talks about assisted death quite often during the book. This is a touchy subject and one that I am not going to discuss in this blog.

Fatal Intent is a fast-paced medical thriller that takes place in Florida. Kate is an anesthesiologist working at a university (or teaching) hospital. Kate lives with her great-aunt Irma, an eccentric German transplant, and her black lab, Shadow. Kate has had a rough couple of years. Her husband, Greg, severely injured by a bomb while deployed, has been in a coma for a year. She miscarried their daughter because of that. And the cherry on top, the chief of staff, Dr. Walker, dislikes Kate and makes her life miserable at work. Things start to snowball when Kate discovers several suspicious deaths on and off the hospital grounds. At the same time, Kate is accused of misconduct with a student and malpractice by an unpleasant surgeon, and Greg’s brother, Adam, is going ahead with a lawsuit to take Greg off life support. As Kate fights the lawsuit, the inquiry, and the malpratice accusation, she realizes everything is connected. Determined to get to the bottom of everything, Kate soon finds herself in a situation where she needs to make an impossible choice. What choice does Kate have to make? How is everything connected? Did the hospital have an angel of mercy?

The main characters of Fatal Intent surprised me. I was prepared to be annoyed or even not like them. But, right from the beginning, the author made them relatable. Also, she wasn’t afraid to kill off a couple of who I considered main characters. It made what happened at the end of the book so much more poignant.

  • Kate—I liked and connected with her. She had a great relationship with her great-aunt Irma and 98% of her coworkers. She treated her patients respectfully and wasn’t afraid to speak up when she thought something wasn’t right. Her relationship with the chief of staff did confuse me a little at the beginning, but once the author explained it, a lightbulb went off. The only thing that she had a conflict of interest in was Greg. She didn’t want him to die starving to death. But her brother-in-law, Adam, thought otherwise. As for her investigating the deaths, she didn’t intend to become embroiled in that scheme. She was doing what she thought was right. My heart broke for her at the climax of the book. She had to make an impossible decision. No matter what she decided, it was going to hurt her.

I say this in every review, but the secondary characters made this book. Every single one added extra depth to the plotline. I liked how these secondary characters also tied into the main storyline. They had clues about who the killer was, why Kate was being singled out at work, and why Adam was insistent on taking Greg off life support. Secondary characters rarely do that.

If you look above, you see that I put a lot of genres down that this book fits into. The top three out of that group would be medical fiction, mystery, and thriller. Fatal Intent fits perfectly into those genres.

So, a little bit of a warning, the review will get a little longer here. Several main storylines in Fatal Intent are merged about halfway through the book. I didn’t understand why the author had so many until the end. Everything became crystal clear here.

The storyline with Kate, the medical student, and the accusation of misconduct made me so angry. I knew the medical student was up to no good from the moment the author introduced him. There was a point in the book where I thought that Kate would end up losing her job, but the author pulled out her hidden ace. It was mentioned, and I didn’t even think about it until it was mentioned. Of course, the ending to that storyline was very satisfactory and did tie into the storyline with the malpractice, Dr. Walker, and the angel of mercy.

Speaking of that, I was so angry about the malpractice inquiry that Kate found herself in. The surgeon was full of himself, and I couldn’t believe that the chief of staff would side with him instead of remaining impartial. I found it suspicious. Of course, this storyline ended the way I thought it would but still. I wanted to smack that surgeon upside the head and tell him to take it down a notch.

The storyline with Dr. Walker, Kate, and the deaths left a bad taste in my mouth. As I said above, Dr. Walker was so suspicious. His treatment of Kate was borderline abuse of power, and everyone in that hospital knew it. He didn’t want to listen to her when she brought up credible evidence about a new hire. Also, he was too involved with the medical student’s accusation and the inquiry. I wasn’t surprised by what was revealed during Kate’s investigation. I did like that what she turned up had an effect…haha. I was thrilled with how everything turned out. Dr. Walker reaped what he sowed.

The storyline with Kate, Greg, and Adam was one of the saddest ones I have ever read. I got why Kate didn’t want to take Greg off life support. I agreed with her that starving to death was a painful way to go, even if you were in a coma. And like Kate, my distaste for Adam was there from the beginning.

The end of Fatal Intent was heartstopping. The author was able to meld the above storylines together in a way that took me by surprise. A colossal twist (and a heartbreaking decision made) took me by surprise. It is hard to get one past me with thrillers; the author certainly did!! I didn’t see it coming and felt that I should have.

I would recommend Fatal Intent to anyone over 21. There is violence, non-graphic sexual situations (kissing), and language.

I want to thank Tammy Euliano and Oceanview Publishing for allowing me to read and review Fatal Intent. All opinions stated in this review are mine.


If you enjoyed reading Fatal Intent, then you will enjoy reading these books: