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New York, Downtown Hospital, 10:03 AM: Ralph, a young patient, has died unexpectedly, and the hospital staff are eager to close his case, deeming it a natural death. However, pediatrician Sean McQuillan suspects foul play, having witnessed the child succumb to cerebral edema in his arms. Convinced this was no accident, Sean questions who could have intentionally harmed such an innocent child and why the hospital's higher-ups refuse to authorize an autopsy. In a dark and indifferent New York, he embarks on a perilous investigation with Detective Everett. Together, they follow a trail of blood and innocent deaths, leading them to Europe, where the final solution to the case lies hidden. The narrative blends the stark, hard-edged style of American thrillers with the passionate, intricate flair of European noir, featuring a linear and visual writing style that intertwines with a meticulously crafted plot full of twists. This debut novel by Novelli and Zarini is a gripping medical thriller that delves into the conflict between science and ethics, echoing contemporary debates on genetic engineering for therapeutic purposes. It masterfully balances suspense with a sense of scientific inquiry, reminiscent of the best works by Michael Crichton.