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Dr. Joseph Ianarelli, chief of staff of Peabody Hospital, hasn’t slept well for weeks—not since his patient died on the operating table. Quality healthcare is a right in his mind, but he has grown tired of the unnecessary testing and overspending that is occurring every day in hospitals and medical practices. Even worse, healthcare fraud has moved into the digital world, it’s big business, and it’s deadly. Meanwhile, Alexandr Sergeivich Ivanov, a Russian oligarch who sits on the executive board of the United Nations committee that establishes diagnosis codes, has discovered a way to make more money than he ever imagined. When Dr. Joe finds himself in Alexandr’s crosshairs, the stakes couldn’t be higher. Alexandr will do whatever it takes to keep Dr. Joe from uncovering an insurance scheme gone wrong. With a combination of medical know-how, scientific sleuthing and a lot of luck, Dr. Joe, his Russian wife, and a good friend travel to Russia to learn more. But will they manage to escape the goons in hot pursuit while attempting to uncover a mystery unfolding in Russia and the United States? In this exciting medical thriller, an American doctor, his Russian wife, and a friend embark on a dangerous quest to stop a Russian oligarch from continuing his fraudulent healthcare scheme.