I liked this story a lot.it got me right from the beginning and the suspense just kept building. the characters were believable and interesting.

Thank you NetGalley for the opportunity to read and review this book.

I began this book believing it was a stand alone and I was surprised to find that it was number four in the series about Dr. Annabel Tilson, medical student.

The focus of most of the cases encountered by Annabel was infectious diseases, specifically tick-borne. Because of climate change, such as warmer winters in the north, tick carrying mammals like the white footed mouse are moving their habitats northward. In the near future, we are more likely to see more cases of the rare Powassan and Ehrlichiosis illnesses as people encounter the ticks and subsequent tick bites in their everyday activities.

As Annabel struggles to get through her internal medicine rotation, she must work on challenging relationships with family members, classmates and others.

If you are interested at all in epidemiology or just the impact changing climate has on our lives, this book is for you.

Meanwhile, I am going to go search out the first three books in this series
for some interesting reading.

Death Grip is a well written book which was delightful to read and follow the young medical student on her medical rotation. It brought enough of the first 3 books that I am enticed to go back and read them, but was a great stand alone book as well. As a veterinarian who is tested on tick-borne diseases both in school and on the national licensing exam, it was interesting to read accurate descriptions of the ticks, hosts, and bacteria, virus and spirochetes they carry. I even enjoyed learning about a new virus! Meanwhile our heroine continued to grow in one friendship while romancing with a former contact. It will be interesting to see how her relationships develop.