Misfire, by Tammy Euliano, is a heart pounding medical thriller with just a dash of romance. This one kept me guessing the whole way through, even though there were some characters that I just wasn't sure how trustworthy they were. The story, itself, was pretty multifaceted which made the main character, Doctor Kate Downey, fairly relatable. I couldn't help but love her Aunt Irm too.
After a fairly new Implantable Cardiovascular Defibrillator misfires in two different patients within a day, Kate starts to worry. Her Great Aunt Irm recently had the exact same model implanted by her cardiologist friend, Doctor Nikki Yarborough. Unfortunately, other than helping Aunt Irm, Nikki says that she can't warn any of the other patients with the same device.
Kate is disappointed to realize that corporate greed is ruling the health care decisions of the hospital's cardiology chairman. He invented the device and he keeps making excuses. Soon Kate realizes that he's not doing a darn thing to fix the problem.
As Kate and Nikki rush to find a solution, threats against them start cropping up everywhere. They find that they're not only fighting for their patients' lives, they're fighting for their own, as well.

Thank you so much Netgalley, the publisher and Tammy Euliano for the ARC!

Original Rating : ⭐⭐⭐💫 / 5.

In 2022, I've tried to push myself out of my comfort zone, discover new genres, sub genres and medical thriller happens to be part of that experiment. The medicine related part in Misfire is brilliantly written. There are proper explanations for the scientific theories or tools that the characters come across in the hospital or while solving the mystery. I really appreciate it.

Tammy was successful in portraying the fear and nervousness that rose with every Kadence misfires. I got goosebumps! The chest compressions, shouts for help, heavy tension inside ICU and during surgical procedures, happiness and sorrow drenched stories captured within the four walls of a hospital - all were very detailed, intriguing and I LOVE it.

However, the author referred to the first book a lot which was inconvenient for me considering I haven't read that one. Not inconvenient in the sense that I was missing out, I just didn't want to read so much of their past case. The characters too fell flat. Except for Aunt Irm who was a delight, the rest of them bored me out. Nearing the end, it was more like meh than wah. Kate, Christian, Garner are nice human beings but as much as I like their personalities, I didn't feel the rush, the suspense, the edge-of-my-seat feeling that I search in thrillers. Overall, it's a good book and worth your time if you love medical thriller.

I love Medical Suspense/Mystery books and this one did not disappoint. The FMC is an anesthesiologist who witnesses a patient have difficulties with the new technology, an ACID called Kadence, and that leaves her with questions. When two others suffer the same fate, those questions become a nagging inside her that she must get to the bottom of, before more people get hurt.

This book is interesting and engaging. It takes the time to explain medical terms that a reader may not know, adding to the understanding of what is happening in the story. The FMC is a recent widow, who takes care of her Great Aunt, who also happens to have the same device implanted, which adds to the tension. The tension takes control and causes you to want to keep reading, especially about halfway through the book. Some of the plot twists were easy to guess due to the way the author foreshadowed with rhetorical questions, however, the final twist left me gaping in disbelief. I never saw that coming, which is exactly what makes this type of book so good. I recommend this book if you enjoy Medical Suspense/Mystery or even just Mystery as it contains all the elements of a good Mystery or Suspense. The author even threw in a romantic element between the FMC and a close friend she rejected in the past because she was not ready after her husband's death, for those romance fanatics. Great read and highly entertaining.

Thanks to the author, publisher, netgalley for the ARC of this book in exchange with my honest review.

This is a suspenseful but very intriguing book by far. There were of course twists and turns through the book that you did not see coming. However, I enjoyed the book very much and would highly recommend this book to people. There is a lot realism that goes with this book but it also has you on edge wanting to know what is going to happen next. Definitely a highly suggested book !!!

Thank you NetGalley and Oceanview Publishing for the copy of Misfire. This was a great story. I didn’t care for the writing and I found myself rewording some passages so they would read better or make more sense and weird ‘asides’ like “Wow, how self absorbed am I” took me out of the story. There were a couple of times near the end when a character would explain what they had done or seen and it felt like an easy out because if I wish I could have seen things happen. If you like a great story with a bit of romance and a surprise ending
You would love this book. 3.5 stars rounded up to 4.

I love a good medical mystery and this is a compelling story. The story begins in northern Florida, when several patients experience a life-threatening glitch in their implanted cardiac medical device. Kate, an anesthesiologist, is the primary character, along with an ensemble cast. Although this is part of a series, it is easily read as a stand-alone. I look forward to reading more from this writer. Recommended.

I really liked the premise of Misfire by Tammy Euliano. This book can be read as a standalone book, but it is part of the Kate Downey Medical Mystery series.

The story was good and learning about medical devices was interesting and scary at the same time. Some of the explanations in the book were a bit long-winded and pulled me from the thrill of the story.

Overall, an interesting story. I would rate this a 3.5 out of 5 stars (rounded to 4).

#Misfire #NetGalley @oceanviewpub

Overall, I thought the premise of this book was good, but I had a couple of issues with it. First, it is a sequel. I almost would have preferred to be left in the dark, since so much of the backstory took up unnecessary space. I felt like I had read the first one, too, by the time I was done. Second, it was just clunky. The hints for the ending weren't subtle at all, and so much of the dialogue was expositional and unnatural. Overall, I wasn't blown away, but I also don't regret reading it. It's a good rainy weekend read.

Dr. Kate Downy is a young widow who lives with her Aunt Irm. Her aunt has a newly developed AICD (Automated Internal Cardioverter Defibrillator) implanted. Kate works at the hospital where it was invented by a chairman cardiologist. But there appears to be something going wrong with it. A rash of episodes where the "Kadence" didn't correct the heartbeat causing CPR to be performed. Now Kate is worried about her aunt and other patients.
Of course, the medical staff at the hospital doesn't want this leaked out since it is so new and being ready to be sold. But at what cost and how many people's lives? What is the problem -- it tested out find for the FDA, but something is wrong? A well written medical thriller. I voluntarily reviewed an ARC of this book.

This book was sent to me by Netgalley for review. Thanks for the electronic copy from the publisher. This is a cannot put down medical drama/mystery/intrigue. This author is talented at writing a story that is an intriguing read. The characters are likable...some not so much which is to be expected in this genre. This is an innovative story that reads like true crime. Although the story moves slowly at times, it does end in a resounding way...

This was a fascinating new kind of murder mystery for me! Rooted in medical devices, I learned a lot about how they work and what can possibly go wrong.

Overall I found the story really fascinating and the characters were very likeable and real. Aunt Irm was such a hoot with her firm beliefs and charming younger men.

My only complaint was that the climax was so busy that I had to reread it to understand what was going on.

Absolutely gripping, addictive and captivating… I was absolutely hooked from the first page to the last. I had a complete shock at the twists… Love, love, loved all the characters!!!…

"Anesthesia is unique in that. We take people who are breathing fine, mess it up, then fix it, so the surgeon can correct the real problem." This is my first book by Tammy Euliano, revolving around the life of Dr Kate Downey, an anesthesiologist in a busy hospital setting. While medical thrillers aren't my regular fare, I do like plausible science-based crimes. What I don't like is books in a series that don't standalone. I have to say Misfire is borderline in this regard.

Euliano has clearly written a previous book, and this one is littered with tedious explanations that hark back to it: "A friend who could be more. He'd helped me prove a nurse anesthetist, Brian Jacobs, was killing patients—a mercy-killer-for-hire—one of the victims had been Christian's father." Not only are these explanations clunky and convoluted, slowing down the pace of the action in the novel, they also attack the reader's ability to think of the book as plausible.

"The key on post call days is to sleep just enough to make it through the day, but not so much as to cause a persistent sleep disturbance." While the medical aspects are very well handled, both in terms of descriptions of the misfiring implanted defibrillator, background to registrar life, and information about medical patents, Misfire stretches the bounds of belief that one doctor could encounter two medical killers in two years. In my opinion, interconnectivity between books should be planted like Easter eggs—hidden away for the regular reader to spot, but not disrupt the flow for the first time reader. It's good writing and a sense of intrigue, not annoying explanations, that makes a reader delve into an author's back catalogue.

Misfire is a good read. The main character is likable, as well as most of the supporting characters. Although I have no background in medicine, the writing was simple enough for even someone like me to understand everything. Due to that, I had fun reading this and wasn't bored throughout the book.
However, the plot also feels all over the place. I get that they want to make things seem more mysterious or something, but it feels like there were so many loose ends that were barely tied in the end.
Additionally, I feel like there was a lack of foreshadowing, which I'm a huge fan of. I mean, without foreshadowing, it's like things just come out from thin air, right? So that's kinda how the last 20% or so of this book felt for me.
Lastly, there are a number of scenes that seem to be "fillers." Like, full chapters pass by with the main characters just having fun or doing mundane stuff for... no other reason. That's fine, of course, but it just seems weird considering there's a potential killer on the loose? I guess it's just the writing that threw me off – I'm not saying our main character can't take a break, I'm just weirded out by the fact that we're already 60% into the book and she and the others can still do things not related to the crime that's happening right in front of them.
Overall, it was a good read. I rate it 3.5 out of 5. I don't think I'll be reading it again, but I definitely don't regret the time I spent reading it.

What an exciting book! Misfire will keep you wanting to turn the page to find out more. From the beginning to the end the characters are believable and the story makes you wonder.

I like how accurate the medical information is portrayed in this book through our central character Dr. Kate. Her love for her aunt is undeniable and so touching. Although this was a great mystery thriller, I felt that there were a bit too many characters to keep track of that also came with an awful lot of death/grieving surrounding them. Although I liked Christian, we don't know if we can really trust him. I did enjoy how it could be almost anyone responsible for the misfires. But to have a physician helping out the police investigation...I find it a bit far fetched. Extremely interesting insights into how medical devices/technology is developed, and who owns the rights to patent during research. I enjoyed the unexpected, exciting ending with such a great whodunnit twist.

I loved this suspenseful medical thriller!! Fast paced and edge of your seat thriller!! I would love to see a series from the Author on this awesome book!! If you love medical, you are going to LOVE this!!

A medical thriller, a bit of a whodunit and a bit of whatthehellisgoingon in a good way. Full of twists. A satisfying ending.

Thank you Netgalley and Oceanview publishing for allowing me to read this exciting book. A fascinating story of what could / does go wrong if medical lifesaving devices get into the wrong hands. I loved the switching from the cruel world of deciet, to the soft loving world of how close family's can be. How important food is to show care, love and understanding. I will definitely be going back to read Tammy Euliano's first books in this series: Fatal Intent.
I also learned a lot about business, finance, law and medicine. All in all a very good read👍

What an exciting suspenseful medical thriller by a very talented author … brilliantly written and a wonderful storyline. Misfire is filled with unexpected twists and turns that shock you. The story is so real that it is not only disturbing but also heartbreaking. Filled with tension until the last page ... read in two (2) days. Well done Tammy Euliano and the team at Oceanview Publishing for a well-deserved five (5) stars.