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Oath of Office

Oath of Office

3.7 70
by Michael Palmer, Robert Petkoff (Read by)

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Michael Palmer, the New York Times bestselling author of A Heartbeat Away and The Last Surgeon brings us a shocking new thriller at the crossroads of politics and medicine.

What if a well respected doctor inexplicably goes on a murderous rampage?

When Dr. John Meacham goes on a shooting spree the office, his business partner


Michael Palmer, the New York Times bestselling author of A Heartbeat Away and The Last Surgeon brings us a shocking new thriller at the crossroads of politics and medicine.

What if a well respected doctor inexplicably goes on a murderous rampage?

When Dr. John Meacham goes on a shooting spree the office, his business partner, staff, and two patients are killed in the bloodbath. Then Meacham turns the gun on himself.

The blame falls on Dr. Lou Welcome. Welcome worked with Meacham years before as a counselor after John's medical license had been revoked for drug addiction. Lou knew that John was an excellent doctor and deserved to be practicing medicine and fought hard for his license to be restored. After hearing the news of the violent outburst, Lou is in shock like everyone else, but mostly he's incredulous. And when he begins to look into it further, the terrifying evidence he finds takes him down a path to an unspeakable conspiracy that seems to lead directly to the White House and those in the highest positions of power.

Editorial Reviews

Publishers Weekly - Audio
Robert Petkoff delivers solid narration in this audio edition of the latest medical thriller from Palmer. When Dr. John Meacham, whose medical license was once suspended for alcohol abuse and anger issues, loses control and murders seven people before turning the gun on himself, much of the blame falls on Meacham’s counselor, Dr. Lou Welcome, who approved his return to practice. But when Welcome begins to look into the incident, he unearths a dark conspiracy whose twisted roots stretch toward the highest office in the land and the fruits of which could grow into a deadly threat of global proportions. Petkoff’s pacing is spot on and his reading often chilling. He infuses his performance with just enough melodrama to maintain suspense while keeping the novel grounded in reality. Petkoff deftly delivers Palmer’s complex story, while providing unique voices for all the characters. The result is an enjoyable listen. A St. Martin’s hardcover. (Feb.)
Publishers Weekly
In this suspenseful thriller from bestseller Palmer (A Heartbeat Away), Dr. Lou Welcome, who nine years earlier lost his medical license “for self-prescribing amphetamines,” now works for the organization that cured him of his addiction, the Physician Wellness Office, counseling doctors with similar problems in Kings Ridge, Va., outside Washington, D.C. When John Meacham, a client of Lou’s who had “a better-than-decent recovery program,” fatally shoots seven patients and staff members at his office before shooting himself, the PWO suspends Lou. Other strange anomalies in Kings Ridge that Lou uncovers lead him to the U.S. president’s wife, who’s received a mysterious warning from a man known only as Double M. An unusual corn crop, giant termites, and greed combine to create a grave threat. Palmer’s easy mix of science and individual courage should please his many fans. Agent: Jane Rotrosen Agency. (Feb.)
From the Publisher

“This is Palmer at his most terrifying, most plausible and, worst of all, most realistic.” —RT Book Reviews (4.5 stars)

“Suspenseful…Palmer's easy mix of science and individual courage should please his many fans.” —Publishers Weekly

“Compelling.” —Kirkus Reviews

“Oath of Office captures the modern pulse…An engaging novel that touches on some of the fears readers may have about big business, politics, and the food supply. Difficult to put down.” —Technorati

“A darn good read.” —Examiner.com

“The twists fly in A Heartbeat Away and the results create a terrifying scenario...Palmer has a mastery of the medical science involved in such an elaborate conspiracy, plus the intricacies of presidential succession.” —Associated Press on A Heartbeat Away

“When it comes to inventive plots for medical thrillers nobody does it better than Michael Palmer… This premise is explosive and compelling and grabs the readers from the very first page.” —The Huffington Post on A Heartbeat Away

“Fans of Michael Palmer will love the Boston-based doctor/crime writer's latest thriller...Prepare to burn some serious midnight oil.” —The Boston Herald on The Last Surgeon

“The novel is not merely a thriller but also an exploration of its central character's unique gifts and her determination to communicate with hercomatose father despite overwhelming odds. Another winner from a consistently fine writer.” —Booklist on The Second Opinion

The First Patient is an exciting thriller that is full of surprises and captures the intense atmosphere of the White House, how the medical system works, and how the 25th Amendment could be brought into play. I thoroughly enjoyed it.” —Bill Clinton on The First Patient

“This latest should please Palmer's fans and all those who enjoy their suspense mixed with medical characters and settings.” —Library Journal on The Last Surgeon

“A heart-pounding medical thriller.” —The Boston Globe on The Second Opinion

Kirkus Reviews
Is there something in the water making people around the nation's capital commit crazy, unhinged acts? After a respected doctor once disciplined for alcoholism and anger issues shoots several people to death and kills himself, it's assumed he suffered a relapse. But his friend and sponsor, emergency-room veteran Lou Welcome, isn't buying that and the mystery takes him all the way to the White House. In his 17th medical suspense novel, Palmer (A Heartbeat Away, 2011, etc.) draws on his experience helping doctors with dependency and mental-health issues. Unable to convince his superiors that his late colleague, Meacham, was fully recovered and not in need of psychiatric counseling, Welcome is suspended. After Meacham's wife commits a strange, reckless act and a young man bizarrely causes himself physical harm in a trendy local diner, Welcome crosses paths with the First Lady, Darlene, whose husband has been acting with uncharacteristic rage. The First Lady has learned that the former agriculture secretary, a school friend of hers forced to resign after being videotaped in a motel room with a naked underage girl, was framed. The president orders his wife to stay away from him, but acting on the instructions of an unidentified source with knowledge of who did the framing and why, the First Lady becomes determined to clear the disgraced secretary's name. Ultimately, Welcome and the First Lady team up against bad guys who will do anything to keep secrets. This thriller raises compelling issues and features a likable hero, but the plot is dragged out and undercooked and the White House scenes ring false.

Product Details

Macmillan Audio
Publication date:
Edition description:
Product dimensions:
5.10(w) x 5.90(h) x 0.90(d)

Read an Excerpt

OATH OF OFFICE (Chapter One)

One hour down. Three hours to go.

The afternoon was turning out just as Lou had hoped it would. Enough traffic through the ER to keep things from being boring for Emily, but nothing that would leave her with a lifetime of nightmares and therapy bills. Not that the teen wouldn’t be able to handle just about anything that came down the pike. But in an inner city emergency room—even a small satellite facility like the Eisenhower Memorial Hospital Annex, the pike, on occasion, might be carrying violence of the highest order.

“Okay, Em, Mr. Schultz is being a perfect patient. Ten stitches and not a peep out of him. Two more and we’ll get him bandaged, up, and home.”

“Thank you, Doc,” the man beneath the saucer-shaped light said in a raspy voice that could have cut stone. “I didn’t feel a thing. Your dad does great work, miss.”

“Thank you. I know,” Emily replied. “He loves sewing my jeans when they tear, and he was always stitching up my stuffed animals, even when they weren’t ripped.”

“My son’s school has Take Your Kid to Work Day, just like yours,” Schultz said, “but I’m a roofer. Three stories up with the wind blowing doesn’t seem like a great place for a nine-year-old, so Marky went to the nursing home with my wife and helped her put the trays together. What does your mom do, miss?”

“My name’s Emily, Mr. Schultz,” she reminded him. “Emily Welcome. My mom’s a psychologist. Mostly couples therapy. She didn’t think her patients would enjoy having her thirteen-year-old kid sitting in on their sessions.”

“I can see why she might feel that way.”

“But for a second choice,” Lou said, tying off the final stitch, “I believe Mom might have chosen to send Emily up on the roof with you, rather than into this place.”

In fact, the first argument he and Renee had gotten into in months was about her belief that there had to be a rule against bringing a doctor’s family member into an emergency room—even one with only three nurses, a licensed nurse’s aide, an armed security guard, a receptionist, one ER resident, and one board-certified emergency specialist. The Annex essentially served as a walk-in center to reduce the volume of the massive mother ship, just six blocks away.

“Let me send her into the office with Steve,” Renee had pleaded.

“Steve’s not her father. I am. Besides, how interesting could it be for her to hang out surrounded by a bunch of starched shirts and musty law tomes? I can hear her now reporting to her class: ‘I spent my day with my mother’s new husband, Steve, watching him making piles of money off a bunch of unfortunates who are suing a bunch of other unfortunates. Or you might as well send her to my brother’s office. Graham does even better at making money than Steve. Plus it might actually give him something to talk to me about besides my lack of a 401(k).’”

Even though Lou had ultimately won that round, he had to admit that as usual, Renee had a point, and he had told her so when he apologized for sounding like a jerk. For whatever reason, he had been feeling sorry for himself on the day the forms were due back to the Carlisle School. And despite some misgivings of his own about exposing Em to the raw underbelly of D.C., he had decided to turn Take Your Student to Work Day into Little Bighorn.

Two hours and thirty-five minutes to go.

So far, so good.

Despite a steady stream of patients, Gerhard Schultz was about as challenging a trauma case as the Eisenhower Annex typically saw. Lou missed the action in the main ER, but in his past life, he had squirreled away enough action points to star in a video game. For now, part-time shifts at the old Annex would do just fine.

Not surprisingly, the patients and the staff loved Emily to pieces. There was a grace and composure surrounding her that won people over almost as quickly as did her dark, unassuming beauty. Thirteen going on thirty. People loved to say that about their kids—especially their daughters. But the old saw, though true in Emily’s case, invariably brought Lou a pang. It was hard not to believe that in many ways he had robbed those seventeen years from her.

“Okay, Mr. Schultz,” he said, “one of the nurses will be in to dress your arm in just a few minutes. No work until next Monday. If you need a note, the nurse will put one together and I’ll sign it. Last tetanus shot?”

“A year or so ago. I … um … tend to bump into sharp things.”

“Sharp, rusty things,” Lou corrected. “We’ll give you a wound-care sheet.”

“Your dad’s a good man,” the roofer said again. “I been around a lot of doctors. I can tell.”

“I’ve been around a lot of fathers, and I can tell, too,” Emily said.

Lou wouldn’t have been surprised if her smile had healed Schultz’s nasty gash then and there, in addition to curing any illness that might have been lurking inside him.

Looking utterly perfect in her sky blue scrubs, she walked back to the doctor’s lounge, shoulder to shoulder with her father.

“Well, that was fun,” she said when he had settled her in on the sofa, around a cup of hot chocolate from the Keurig machine.

“You think you might like to be a doctor?” Lou asked, remembering that he could have answered that question in the affirmative when he was four.

“I suppose anything’s possible. You and Mom are certainly good role models.”

“She’s a terrific shrink.”

“It’s hard for you, isn’t it.”

“What’s hard?” Lou asked, knowing perfectly well what she was talking about.

“The divorce.”

“It wasn’t what I wanted, if that’s what you mean.”

“People get remarried to their exes. It happens on TV all the time.”

“Em, Mom is remarried. You got that, bucko? Add me to the mix, and you get a sitcom that would compete with Modern Family.”

Emily chewed on her lip and picked at a fingernail. “I’m glad you won out and brought me in with you today,” she said finally.

“I didn’t win anything. It’s Take Your Kid to Work Day, and you’re my kid. You always were, and you always will be.”

Lou crossed to the door and glanced over at the two new arrivals in the waiting room—a Latina woman and the extremely ancient man he assumed was her father. The fellow’s color was poor, and he was working for each breath.

“Check an oh-two sat on him, Roz,” he said to the nurse, “and have Gordon start going over him right away.”

“Thanks. I’m glad you feel that way,” Emily was saying. “What would you say if I told you I was losing interest in school?”

Lou narrowly missed spraying out his coffee. “You’re, like, tops in your class. You get all A’s.”

“I’m looking out the window and daydreaming a lot. That can’t be anyone’s idea of an education.”

“You don’t go to school to get an education.”

Emily immediately perked up. “What do you mean?”

“Call it Welcome’s Law. You go to school for the degree. Anything you learn while you’re there is gravy.

Her eyes were sparkling now. “Go on.”

“Every single day that you manage to stay in school translates into ten thousand people in the world that you won’t have to take BS from in your life. The more degrees you have, the fewer little, small-minded people there will be who have big power over you. I stayed in school long enough to get an M.D. degree. Now, nobody can boss me around.”

“What about Dr. Filstrup at the Physician Wellness Office?”

Lou groaned. In terms of insight and verbal sparring, Emily was her mother’s daughter.

So much for Welcome’s Law.

Lou’s affiliation with the PWO went back nine years—to the day when his medical license was suspended for self-prescribing amphetamines. He had always been a heavier-than-average drinker, but speed, which he took to handle the sleep-deprivation of working two moonlighting jobs, quickly brought him to his knees. Enter the PWO, an organization devoted to helping doctors with mental illness, physical illness, substance abuse, and behavioral problems. The PWO director arranged for an immediate admission to a rehab facility in Georgia, and kept in close contact with Lou’s caseworkers and counselors until his discharge six months later. After that, a PWO monitor met with him weekly, then monthly, and supervised his recovery and urine screens for alcohol and other drugs of abuse. After a spotless year, his license was restored and he returned to work at Eisenhower Memorial. Three years after that, he was hired as the second of two PWO monitors. For the next year, things went perfectly. Then Walter Filstrup was brought in by the PWO board to head up the program.

“You know, bucko,” Lou said to his daughter, “sometimes you’re too smart for your own good.”

Although he seldom went out of his way to discuss his job frustrations with his child, neither was Lou ever one to measure his words. And the kid was a sponge.

“All right,” he said. “Consider my current position with PWO the exception that proves the law. Now, let’s get out there and see some patients. You ready to stay in school?”

Emily cocked her head thoughtfully. “For the moment,” she said.

“That’s all I can ask for. So, let’s not fall behind. In the ER business, you never know when something’s going to come out of left field and slam you against the wall.”

OATH OF OFFICE. Copyright 2012 by Michael Palmer.

Meet the Author

Michael Palmer (1942-2013) wrote internationally bestselling novels of medical suspense, including The First Patient, The Second Opinion, The Last Surgeon, A Heartbeat Away, Oath of Office and Political Suicide. His book Extreme Measures was adapted into a movie starring Hugh Grant and Gene Hackman. His books have been translated into thirty-five languages. Palmer earned his bachelor’s degree at Wesleyan University, and he attended medical school at Case Western Reserve University. He trained in internal medicine at Boston City and Massachusetts General Hospitals. He spent twenty years as a full-time practitioner of internal and emergency medicine. In addition to his writing, Palmer was an associate director of the Massachusetts Medical Society Physician Health Services, devoted to helping physicians troubled by mental illness, physical illness, behavioral issues, and chemical dependency.  He lived in eastern Massachusetts. 

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Oath of Office 3.7 out of 5 based on 0 ratings. 71 reviews.
Richard_Mabry More than 1 year ago
I've been a big fan of Michael Palmer's since discovering his writing some years ago, and this one didn't disappoint. In the interest of full disclosure, this review is based on a complimentary advance copy of Oath of Office, furnished without any expectation of how well or poorly I'd treat the book in my review. Michael Palmer's last three books have not only featured medicine but have a political bent, and this one goes them one better. It not only has a doctor as a protagonist (two, if you count the President's wife, a no-longer-practicing pediatrician) and is set in Washington DC with a President who has a rather unusual mindset, but it also discusses a social issue that most of us don't even think about: genetic modification of the food we eat. Frankly, I had never considered the implications of this, but after reading Oath of Office, I certainly will. Michael juggles all these subjects superbly, and keeps the reader turning pages--at least, that's what I did. The action is rapid, the scenario chillingly believable, and the end was unexpected but satisfying. The book occasionally makes use of a few words you didn't hear in Sunday school, but the plotting is excellent and the message of the book makes worthwhile reading.
BookAddictFL More than 1 year ago
Rarely do I find a novel that tackles a unique issue, provokes thought, educates without preaching, and also manages to entertain. With 'Oath of Office', Michael Palmer does all these things masterfully. This book is a combination medical and political thriller, but is not defined by either genre. The characters are rich in dimensions, the plot multi-layered and fast-paced. At times the dialogue made me laugh, other times a scene had me cringing. I was captivated from start to finish, and can only complain that the story had to end. ** I noticed a few negative reviews criticized the plot for being far-fetched. I'd suggest some reading on the truth of genetically engineered foods. **
MommyBookworm More than 1 year ago
I’ll admit that although I love TV shows and movies that deal with political scandals and medical mysteries and dramas, I have not read many books in this type of genre. However, when I read the synopsis for Oath of Office, I was intrigued and requested an Advanced Reader Copy of the book. I thought it was interesting that the book was released on Valentine’s Day because it is definitely not a Valentine’s story!! It is a thought-provoking page turner with amazing twists and unexpected revelations with every turn of the page. In the letter I received from the author with the book, he wrote that the book was inspired by the documentary Food, Inc., and states “My hope is that my book will make readers more aware about the importance of being educated in the areas of labeling and the genetic modification of what we eat.” I have not looked into more about our food in the past, but after reading this book I do want to learn more about what is put into our food. I hope that it opens other people’s eyes too and that others don’t just read it strictly as a fictional book. Although it is fiction, if we are not careful we could easily have some kind of similar situation on our hands, especially with the way our economy is currently. I know that what we eat and medicines we take can influence our thoughts and actions. I hope that we never have to deal with some of the extreme examples of loss of reason that occur in the book. I don’t want to give anything away, but there was one situation in the book that was so extreme it almost caused me to stop reading. However, at the same time, it made me want to read more to find out what happened in the end and how things were resolved. Oath of Office is one of the most eye-opening and reflective books I’ve read in a while and I thoroughly enjoyed reading it.
Shar329 More than 1 year ago
This is a splendid blend of medicine, research and corrupt politics. The mix of these topics is complicated yet simplistic. The ending was unexpected, yet believable. There must be a follow-up with these characters.
mckait More than 1 year ago
Dr Lou Welcome, unusual name for an unusual man. When Dr. Meacham, who is under Dr Welcome's care for abuse problems does something completely out of character, Welcome is not as fast to judge as some others. He races to the hospital where Meacham had been taken after shooting his staff and then himeself. One of the first things he notices is the unusual behavior of the staff at the hospital where Meacham has been taken for emergency treatment. There was something that was hard to describe, but just a little off. He realizes that he is seeing the same thing in Meacham's wife. Behavior that is a little off, but hard to explain. She is not the last one to baffle Welcome by her behavior. What is it that can affect an entire community? Is there a commonality that he is missing? And why is the First Lady of the country doing some investigating of her own? Can the President himself be affected, or worse, involved? Fast paced read, likable characters and good story.
Dollycas More than 1 year ago
When Dr. John Meacham goes on a shooting spree killing his partner, staff and two patients and then turns the gun on himself all the blames falls to Dr. Lou Welcome. Dr. Welcome was working with a group that helps doctors regain their licenses. In this case the doctor’s license had been removed for alcoholism and losing his temper with a patient. He had worked with Meacham for years and knew Dr. Meacham was an excellent doctor and advocated strongly to have his license returned. When he learns about what happened he is shocked like everyone else but he believes the authorities are missing something. Dr. Welcome just can’t let it go so he starts to investigate himself. What he discovers is truly terrifying. Dollycas’s Thoughts This is quite a suspense thriller. I used the terms “scary good” back in 2010 to describe The 19th Element by John L. Betcher and this story tops that. Betcher’s story was about Al Quada terrorists striking in the Midwestern United States. Oath of Office is about Americans terrorizing other Americans through products we need to survive. All in the name of greed and the path leads directly to the White House. I would say it is Spine-Chillingly Excellent!!! The truly scary part is that if you do an internet search for the scientific terms in this book they are out there. Hopefully we can trust that they are being used for good and there are regulations in place to save us from something like this occurring. But with all the deregulation talk spinning around Washington could make this story more fact the fiction. Michael Palmer is a bestselling author for very good reason. He writes an extraordinary story. This book will hold you in its grasp tightly from the first page until the very last word. I never thought of myself as a squeamish person but chapter 39 almost did me in. That’s my only caution about this book. The book is fabulous and I give it my highest recommendation. I can honestly say this is the best book I have read in a very long time.
Anonymous More than 1 year ago
Michael Palmer's novel, "Oath Of Office, is exceptionally well written with enough action and intrigue making it difficult to take a break. The chapters "fly by" so fast that I was disappointed when I read the last page of the last chapter. I kept wishing for another chapter to appear, but alas it was not to be. "Oath Of Office" is a winner in every sense of the word, IMHO.
CBH More than 1 year ago
I have read most of Michael Palmer’s books wondering how he could add more excitement and deeper involvement than in his preceding books. “Oath Of Office” is no exception as I thoroughly enjoyed the entire book wondering while advancing through the book how the author can be so knowledgeable as he delves into so many subjects in various fields and subjects? The story begins as Dr. John Meacham has a huge verbal fight with a patient, certainly not the type of thing he would normally do. As that patient stormed out of his office he started thinking beyond the normal box that all those in the office would give him trouble reporting the incident to the hospital and other boards. He decided he would just stop any of them from hurting his future and started shooting and killing any patients in the office and waiting room, his own staff, and any doctors in the immediate vicinity, followed by shooting himself. Dr. Lou Welcome was a good friend of Dr. John Meacham and couldn’t believe that this man could take the actions he had taken with such finality to everyone involved. Dr. Meacham had barely survived the bullet he put in his head and despite all the medical attention he was given, including some from Lou, he didn’t make it. The wife of the President of the United States, Darlene Mallory, was a good friend of the Secretary of Agriculture, Russell Evans, and was hurt that he had been caught with a hooker and had to resign his cabinet job. She needed to find out if the story was true or not. Their meeting was done secretly, planned well with the help of one of the Secret Service agents assigned to cover Mrs. Mallory, Victor. Victor was a very good agent but also was top notch at helping the presidents’ wife do almost anything she wished to do, outright or secretly. Lou was beginning to suspect something was going on affecting the minds of some causing them to do some outlandish and not near normal activities that had started with his friend killing so many and Dr. Meacham’s wife not acting normal also. Lou had been taking boxing lessons from a good friend, Cap, and had for some years. This helped Lou stay in good physical shape and he loved the action and boy, did he need some relaxation now after all he had been through the past few days. He and Cap worked out and had a good chance to talk. The town of Kings Ridge was the closest populated area and Lou went there to meet Chief Stone, Chief of the Kings Ridge Police force. Lou told Stone that he was suspicious of some strange things going on in the area with people doing and saying some strange things, some things from their local hospital, the local doctors, and the actions of Dr. Meacham. The chief took note but did not feel there was anything wrong. Action really picks up even more so involving all of the above, the President of the United States who was involved in a reelection campaign so did not have much time for close friends or his wife, Lou’s friends and associates, Secret Service agents, and many more. As I said, Michael Palmer has spun a great tale in this book and to try to tell you any more than I have would ruin your enjoyment while reading the book. The writing is excellent, the plots are great, and the characters are very real. When the book gets into genetically modified goods, we enter a current problem facing our world right now. How dangerous are these GE products?
Anonymous More than 1 year ago
Got my attention with the first chapter and held it to the end. Didn't want to put it down.
junebug1229 More than 1 year ago
If you like medical mysteries then this one is for you! I was hooked after the first page. I have read all of Michael Palmer's books and this is one of his best. You can kind of figure out what has happened but how it evolves keeps you on edge. junebug1228
KenCady More than 1 year ago
It's a pretty corny story, and chock full of gibberish-sized events that defy reason and probability. But once again author Michael Palmer has tied a doctor to the White House and made a story out of it. I give it three stars, which translates as good, but it is not great.There are so many taut thrillers out there that don't have the holes this one does; I reserve five stars for those.
Shortylee More than 1 year ago
Love the characters in the book. Any Michael Palmer book featuring his character Barrington is a great read and worth picking up.
Anonymous More than 1 year ago
The hero is another Dr. who used to be a drug addict. It fits in well with the story though. It's a fun read.
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Anonymous More than 1 year ago
Story started slowly, but got more and more interesting a it went on,,,, makes you wonder about the food industry!
Anonymous More than 1 year ago
Works on paperwork
Anonymous More than 1 year ago
Awful, terrible and a total waste. Like reading the "Hardy Boys". A Save your hard earned money.
Anonymous More than 1 year ago
As a fan of medical mysteries and Michael Palmer, this ranks near the top. Lou Welcome was introduced in this book and is an ongoing charachter in two later books so you should read this one first before Political Suicide and the latest Palmer book released 5/20/2014. If you read them out of order,go ahead with these. It's worth the read.
jojoLJ More than 1 year ago
This is well written and a very good story. I really enjoyed reading this book.
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