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With a Vengeance

With a Vengeance

3.6 8
by Eileen Dreyer, Laural Merlington (Read by)

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Maggie O'Brien, a nurse and medic on a SWAT team, has a thirst for justice, and a chip on her shoulder. She lives in the shadow of her father, a famous (or infamous) cop. Is she more like him than she wants to admit? The question hits home when Maggie feels the desire - as all police, nurses, doctors and medics sometimes do - to dispense her own brand of justice. Soon


Maggie O'Brien, a nurse and medic on a SWAT team, has a thirst for justice, and a chip on her shoulder. She lives in the shadow of her father, a famous (or infamous) cop. Is she more like him than she wants to admit? The question hits home when Maggie feels the desire - as all police, nurses, doctors and medics sometimes do - to dispense her own brand of justice. Soon she finds evidence that someone else may be acting on the same desire. Her search for the truth is a searing tour through the shades of gray between the impulse to heal and the urge to punish.

Editorial Reviews

Romantic Times
After an absence, powerhouse author Eileen Dreyer explodes back onto the suspense scene with a book that will leave you breathless. Nobody does hospital thrillers better than Dreyer. Treat yourself to a transfixing and emotionally powerful read.
Publishers Weekly
Fast plotting, thorough research and a swaggering-cop style elevate this sixth novel from Dreyer, known for Brain Dead (1997) and other standard medical/serial-killer thrillers. "SWATBabe" Maggie O'Brien is one tough broad. As a new tactical emergency medic for the city and county of St. Louis, Mo., trauma nurse at Blymore Memorial and part-time firefighter medic, she has to be. This single 26-year-old overachiever lives, loves and plays hard to release the pressure found in her work and in her stormy relationship with her abusive father, ex-cop Tommy "the Terminator" O'Brien. When one of her favorite mental patients, Montana Bob, a former top FBI agent, becomes a casualty in what should have been a fairly routine call, O'Brien finds her name on "The List" at Blymore-the hospital's wall where names of troublemakers are scrawled by medical personnel to relieve tension. Her gut instinct leads her to start investigating people on the list with a link to Montana Bob who have turned up dead, but no one wants to hear her suspicions, since they may implicate her own beloved colleagues. Soon O'Brien discovers she's being prepped as the "fall gal" when a series of inexplicable ER deaths appear to be caused by her. O'Brien makes a complex, conflicted heroine, defiantly macho and yet so scarred by family violence that she refuses to use a gun even when doing so could save the lives of those she loves. (Mar. 17) Forecast: A 10-city author tour, plus blurbs from Nora Roberts, Tami Hoag, Robert Crais and Tess Gerritsen, should help lift Dreyer close to bestseller territory. Copyright 2003 Reed Business Information.
Library Journal
Maggie O'Brien was destined to be a police officer. Raised by Tommy "The Terminator" O'Brien, formerly one of St. Louis's finest, Maggie is a crack shot and a member of the local SWAT team. However, she is also a nurse and refuses to carry a gun. Trying to juggle the dangers of police work with the pressures of working in an understaffed hospital police ward, Maggie and her fellow nurses blow off steam by keeping "The List," a log of patients who have committed particularly despicable crimes. When Jimmy Krebs torches his four-year-old son after a 12-hour hostage standoff, his name makes The List. Then, Jimmy suddenly dies in the hospital-and Maggie discovers that other List members have also died mysteriously. Dreyer, a real-life trauma nurse, infuses her tale with the same authentic details that enlivened her Brain Dead, and she keeps the plot moving. Fans of Tess Gerritsen will enjoy; recommended for most popular fiction collections.-Rebecca House Stankowski, Purdue Univ. Calumet Lib., Hammond, IN Copyright 2003 Cahners Business Information.
Kirkus Reviews
Turbocharged thriller from the romantic-suspense author (a.k.a. Kathleen Korbel) of 1997’s Brain Dead (her hardcover debut). Trauma nurse Maggie O’Brien joins the SWAT team as a medic the same summer that all hell breaks loose in St. Louis. Heat and a cicada infestation have brought every nutcase, wife beater, child abuser, and cop killer out of the woodwork. People are dying like flies. First case is a doozy: former FBI agent Montana Bob has gone crazy, beset by paranoid fantasies about angels of death in dark uniforms. He takes as hostage Maggie’s true love, Sean Delaney, a supertough and sexy cop who’s nonchalantly munching on a candy bar when he’s finally rescued. Later, Montana Bob dies in the ER for no apparent reason. Later still, an hours-long hostage stakeout turns violent when a drunk sets his four-year-old son on fire. Anyone would agree that Jimmy Krebs deserved to die instead of the boy, but his injuries weren’t fatal. Just why is it that he and some of Maggie’s other patients end up in the morgue within a few hours of entering the hospital? Did their names appear on The List, an informal record of perps, suspects, and repeat offenders that the cops and medical personnel scribble on a hospital wall? No use asking Maggie’s dad, a cop with a hair-trigger temper who left the force under mysterious circumstances. Maggie has no reason to trust him: her mother committed suicide, and father Tommy ("The Terminator") O’Brien has gone through six more wives since. He’s a staunch believer in toeing the thin blue line, and he’s not talking. Maggie’s colleagues—including the flamboyantly gay Dr. Allen Fitzmaurice and fellow trauma nurse Jeannie—don’t seem to know a thing. But the press ison to the story. Can the city’s first female SWAT medic actually be a cold-blooded murderer? Only Maggie can find the real killer as things lead to a shattering, unpredictable climax Nonstop action and a tough babe with a heart. Top-drawer. Author tour
From the Publisher
"Eileen Dreyer gives us another smart, provocative, page-turning thriller. Cutting-edge suspense with characters as sharp as knives. An absolutely terrific, hair-raising read!"

-Tami Hoag, author of Dark Horse

"Eileen Dreyer evokes the edgy, sketchy world of crisis and trauma medical operations better than anyone I've read. WITH A VENGEANCE is a first-tier cop thriller offering the grit and reality of a tough cookie named Maggie O'Brien, a heroine courageous enough to uncover the darkest crimes even when they are closest to her own heart. This woman is something; I hope we'll see more of her."-Robert Crais

"Eileen Dreyer is the next big thing in crime fiction. Get in on the ground floor and take the ride all the way to the top. Her prose is greased lightning. One sentence bleeds into the next, every page fuels the fire, building to an explosive climax you won't forget. You get the feeling reading Eileen Dreyer that her name will be spoken in the same breath with Robin Cook, Janet Evanovich, and Patricia Cornwell."-Keith Ablow, author of Compulsion and Psychopath

"Eileen Dryer is one of those rare authors who can raise laughter and chills at the same time. I raced through this thriller, devouring every page. I just couldn't get enough of heroine Maggie O'Brien, and I DEMAND she return in a second book."-Tess Gerritsen, author of The Apprentice

"A first-rate action-packed medical thriller on a par with Robin Cook."-Midwest Book Review

"With a Vengeance is replete with ambivalent characters, St. Louis' landmarks, and a challenging, intricate plot. Dreyer describes O'Brien's travails with relentless intensity, seldom pausing between assorted shootouts, violent interludes, and hostage stalemates. She ratchets up the drama to an impossibly high level, then ends with a remarkable flourish."

—St. Louis Post Dispatch

"Fast plotting, thorough research, and a swaggering-cop style elevate this sixth novel from Dreyer...O'Brien makes a complex, conflicted heroine, defiantly macho and yet so scarred by family violence that she refuses to use a gun even when doing so could save the lives of those she loves."-Publishers Weekly [starred]

"Retribution, fear, and betrayal are at the heart of this intriguing novel. The hospital emergency room is drawn with frightening reality, and the ease with which a staff member can move unseen through trauma rooms to deliver fatal doses to chosen victims may instill deep fear in readers. Brightly written and with a smart but vulnerable heroine, this first appearance of Maggie O'Brien is surely not the last."-Dallas Morning News

"Turbocharged thriller...nonstop action and a tough babe with a heart. Top-drawer."

-Kirkus Reviews (starred reviews]

"Dreyer fashions unique and memorable characters, which is her greatest strength...will offer something to every reader. As with all of Eileen Dreyer's books, this is another keeper."

-The Mystery Reader

"Fans of Tess Gerritsen will enjoy." -Library Journal

"A gritty, page-turning thriller with a standout lead character...packs a mighty wallop."

-BookLoons Mystery Reviews

"A chilling read through and through. Put this at the top of your reading list."-Rendezvous

"A medical thriller with rich, gritty, raw language that feels real as only an "insider" could deliver. Readers just don't watch the drama unfold-they become part of each breathless moment. Don't miss this terrific tale of medical intrigue."-Cozies, Capers, and Crimes

"Treat yourself to a transfixing and emotionally powerful read."-Romantic Times Bookclub

"This author is awesome! You do not have to be in the police or medical professions to find yourself holding your breath and sitting on the edge of your seat as you quickly read to see what happens next! WITH A VENGEANCE is a roller coaster ride that hooks its readers on page one and refuses to let go!"-Huntress Reviews

Product Details

Brilliance Audio
Publication date:
Edition description:
Unabridged, 7 cassettes, 10 hrs.
Product dimensions:
4.16(w) x 7.24(h) x 2.63(d)

Read an Excerpt


By Eileen Dreyer

St. Martin's Press

Copyright © 2003 Eileen Dreyer
All right reserved.

ISBN: 0312265778

Chapter One

It was the cicadas that pushed everything into critical mass.

The cicadas and a paranoid schizophrenic.

The cicadas, a paranoid schizophrenic, and a hat made of defective aluminum foil.

But mostly, it was the cicadas.

St. Louis in the summer is miserable enough. Hot, humid, and suffocatingly still, it resembles an anteroom to hell. Tempers shorten. Frustrations sharpen. What would be annoying any other time becomes unbearable.

But that summer was even worse. A cicada population of biblical proportions had awakened from two separate periods of dormancy to drive every person in the bistate region to violence. Breeding and eating at a ferocious rate in their hurry to mate and die, the insects whined out a satanic symphony of grinding dissonance that could incite a saint to suicide.

Within days, minor car accidents escalated to hostage situations, suburban soccer morns were arrested on felony weapons violations, and sporting events saw more action in the stands than on the field. The recently declining violent crime numbers swept right back up, police ran double shifts, and emergency departments started stockpiling antipsychotic drugs like nuclear arms.

Which meant that nobody was really surprised when the disturbance call went out at 11:32 A.M. on a late-July morning for the four hundred block of Ohio Avenue on the city's south side. A bare-bones kind of street, Ohio boasted faded brick multiple-family dwellings that housed the substrata of people hanging on to the fringes by their fingertips; new immigrants, ex-project inhabitants, chronic defaulters. In a word, the kind of block where disturbance calls were as common as bill collectors.

Usually, though, the calls came long after lunch, when the avenue's less wholesome tenants woke from their nightly revelries. Eleven-thirty was a little early, even on this kind of hot, still, muggy day.

But then, the cicadas were out.

The responding unit arrived on the scene at precisely 11:53 A.M. to be met by a young black woman up to her elbows in toddlers, and one teary-eyed ten-year-old in a pom-pom skirt. A baby on one hip and a hand on the other, the mother didn't bother to wait for the cops to get all the way out of the car before she started in on them.

"He crazy!" she shrieked, waving her free hand at the undersized cheerleader who slumped next to her. "He tried to boil my baby, say she a devil, and all she done was try and sell him some damn candy bars. You get in there and drag his skinny white ass down here 'fore I boil it myself, you hear? My Sherees, she gotta sell forty bars by tomorrow, and he got the whole box in there, that crazy fucker."

Busy slipping batons into belts and caps onto heads, the cops, a rare two-person ride that consisted of a young white male and a more mature black woman, nodded like synchronized swimmers.

"You know this man?" the female officer asked.

"He jus' moved in a coupla weeks ago," the mother said, following them up the sidewalk, the kids orbiting in place. "He in there with squirrels and bats and shit. I saw it when I grabbed my baby. Motherfucker's crazy!"

After a few more pertinent questions, the officers left the woman in the street and ambled into the unremarkable square brick building whose only ornamentation was a bouquet of blue plastic flowers stuck into the address, atop which several of the ubiquitous cicadas were mating.

Back on the street, the young mother raised her voice above the noise to regale gathering neighbors with her eyebrow-raised, neck-snapping rendition of Sherees's run-in with the new neighbor. She'd gotten to the point where she'd grabbed little Sherees out of the crazy motherfucker's arms when two quick pops brought the group to sudden silence.


From the second floor of the apartment building.

Everybody turned that way. Little Sherees, her tears dried, looked up at her stunned mother. "Mama, you tell them 'bout the gun that man stuck up his pants?"

Which was about the time the crazy motherfucker started yelling about hostages.

Maggie O'Brien was still securing her medic vest when she opened the door to the command trailer at the corner of Ohio and Wyoming. A normally unprepossessing 120 pounds over a five-foot-five-inch frame, Maggie looked instead like an extra from a Chuck Norris movie. Her thick umber hair was tucked up under a blue kerchief, and her rather normal figure was rigged out in blue-dyed urban cammos, elbow and knee pads, jump boots, Eagle pack, Camelback hydration system, body armor, overloaded medic vest, and gas mask. She carried her Kevlar helmet under her arm and her gloves in her helmet. SWATBabe, as her friends had dubbed her, was on duty.

The four hundred block of Ohio had been evacuated of all but police equipment and personnel. Two perimeters had been established, the interior perimeter two apartment houses wide, the exterior taking up the entire block. Strobes flashed, radios crackled, uniforms cluttered the street, and a smaller knot of like-camouflaged men clustered near the midnight blue trailer Maggie approached just beyond the interior perimeter.

Maggie had been beeped no more than fifty minutes earlier and had joined the rest of the newly minted St. Louis City/ County Cooperative Special Weapons and Training Team only moments before. It was her third call as the team's Tactical Emergency Medic, the first that was still active by the time the team arrived. The very first in which she'd been called into the trailer. She hoped nobody noticed that her hands were shaking.

"You want me, Lieu?" she asked, stepping up into a tiny space containing way too many bodies and an overworked air-conditioner.

"Other side of the trailer, Mags," the scene commander said from where he was bent over a grease-pencil-marked schematic of the block. "We have a medical situation inside the negotiators need you to help with."

Maggie nodded and backed out. It was standard operating procedure that the command center stayed separate from the hostage negotiators. The negotiators needed to establish a positive relationship with the hostage taker, something that could be jeopardized if that negotiator looked up to see the commander sending in the troops on a "shoot to stop" order. The way the St. Louis team had set it up, a third person stationed himself with the negotiators to relay news to command by headset. When a hostage situation involved a possible medical problem, the medics were trained to evaluate and assist along with the negotiators.

So Maggie knocked on the back door of the divided trailer and waited for one of the extraneous personnel to decamp before climbing aboard.

"We've got a medical person coming to talk to you, Bob," one of the negotiators was saying into the phone, his voice low and calm and soothing. The kind of voice you'd use with a jittery horse or a crazy person. "... yeah, sure, sit back a second. Let me fill her in, and I'll let her talk to you."

The negotiator was a middle-aged, medium-sized black guy with old, soft eyes and fidgety hands who looked oddly out of place in jump boots and high-tech gear. Surreptitiously putting the caller on hold, he turned Maggie's way.

"Well, don't you look fine," he greeted her with a smile.

She grinned back. "I look like a click beetle on steroids." It wouldn't do to give her father's old partner the kiss she usually greeted him with. "Hi, Uncle John."

"Tommy would be so proud."

Maggie held on to her smile by force of will. She didn't need to know how proud her father would be right now.

"Oh, shit," the other guy in the trailer moaned. "I just knew it. If we have a crazoid, O'Brien can't be more than five feet away."

The other guy Maggie knew, too. A sergeant out in Manchester where Maggie played paramedic part-time, he was trim and slim and military-issue, right down to his blond buzz cut and snapping gray eyes. And he just loved being a cop.

"What do you mean?" John asked, forehead creased.

The other guy scowled. "Don't you know? Maggie here's not just a nut magnet. She's the pilgrimage destination for every psychotic, schizophrenic, and dome-headed geek in the Midwest."

"Slander, Flower," Maggie disagreed. "I'm sure I don't pull any more net-jobs than anybody else."

Flower, nicknamed in an homage to Bambi because of his unfortunate preference for Mexican food, hooted in derision. "So you really think it's a coincidence that you're the medic called for a guy who tried to parboil a pom-pom girl because her candy bars were possessed?"

Maggie shot Flower a sheepish grin. "Could happen to anybody."

Maggie spent a moment wiping the sweat from her forehead. It was damn near a hundred degrees outside, she was carrying about seventy pounds of equipment on her, and the cicadas were driving her to distraction. And to top it off, she had to score her first negotiating gig with John, whom she respected more than almost anyone in the world. Even the meat locker air-conditioning in the trailer wasn't much help.

"I assume the medical condition is more than just little voices?" she asked.

John's smile was a bit tight. "Suspect and hostage have both suffered gunshot wounds. Suspect to the right arm, hostage to the right thigh. That's all he'll give us so far. The suspect's name is Montana Bob."

Maggie forgot about the humidity and sat down on the other chair. "Bob?" she asked, peeking out the window. "No kidding. And in an apartment, too. I'm so glad. He's been camped out beneath the Fourteenth Street overpass for years."

"You know him?" John asked.

"Didn't I tell you she would?" Flower retorted.

Maggie smiled. "Oh, sure. You've seen Bob, Uncle John. He hangs around the Toe Tag Saloon all the time. He's a regular at the Biltmore." The Biltmore being the nickname for Blymore Memorial, one of the big trauma hospitals in the area where Maggie served most of her time as a trauma nurse. "Brings me flowers. Bob's a paranoid schiz with delusions of U.N. invasions. Which means the candy bars aren't really satanic. Probably more along the line of a transmitter from 'them.'"

"Them?" John asked.

She smiled. "You know, John. 'Them.' CIA, FBI, aliens. The ones who are trying to take over. The ones who wire his head and try and get him to do bad things. The candy bars probably had a diabolical device planted in them-computer chips being the latest favorite-to control his mind."

"To kill him, actually," John said.

Maggie nodded. "He is kinda fun to play with, isn't he?"

"The hostage he shot," Flower snapped, "is an officer."

Maggie stopped cold. "We know who it is?"

Her Uncle John looked hard at her. "Yeah, Mags. It's Scan Delaney. He's fine right now. We want to keep him that way."

Maggie was real proud of herself. She didn't give herself away by any more than by a blink or two.

"You know him, too, I'm assuming?" Flower asked.

Uncle John smiled gently. "Maggie knows everybody in the city. She grew up in the department."

Maggie did her best to smile back. "Delaney's dad and Tommy were asshole buddies," she said. "We kind of grew up together."

Then, before John could reassure her again, she set down her helmet and held out her hand for the headset. "Tell me what the status is."

"Delaney and Myla Parker answered a disturbance call. Evidently Montana Bob saw the uniforms and pulled out the .38 nobody knew he had. Sean got Myla out before Bob got him. That's been about.... oh, seventy-five or so minutes ago."

"Myla's okay?"


"And Sean took a shot in the thigh?"

"Right. He says it's-"

"Just a scratch," Maggie answered along with him. "He said the same thing last year when we put a chest tube in him."

A breath. A quick close of the eyes to lock out Uncle John's distress.

"Okay." Maggie nodded and flipped the mike on. "Bob?" she greeted her longtime patient, her tone an instinctive echo of John's. "It's Maggie-o, Bob. Can you talk?"

There was a brief moment of silence, a scuffling sound on the line, and then the tremulous voice Maggie knew so well. "You bastards. You've taken her, too."

Maggie couldn't help but grin. Well, at least she was on familiar turf. "No, Bob, I swear, it's Maggie. Nobody's hurt me. You know I won't let 'em hurt you if you listen real close."



"Prove it."

Maggie fought down the urge to scream and nodded. "Okay, Bob, can you see the big blue van outside? I'm gonna step out the door and give you our sign. Now, I'm going to be dressed like them, Bob, but that's okay. They're here just to make sure nothing worse happens, you understand? If you listen to me, nobody else is going to get hurt. Okay?"

"I'll shoot you if you're lying."

John, on the other headset, twitched with distress. Maggie waved him off. "I hope you would, Bob. Now, watch out the window."

"Be advised," Flower was murmuring into his own headset to the command post. "Subject is approaching the front window. Believed to be nonhostile."

"C2 to A10," Maggie heard in the receiver taped to her free ear. "Make entry to building on my word."

Which meant that while they knew where Bob was, the entry team was going to sneak inside to get closer to Bob's apartment.

Maggie yanked off the headset and eased her way out the door. It was oddly quiet out there, even the cicadas hushed. Weapons had been raised a notch higher, all attention focused on that window.

Maggie saw a shadow in the apartment window, saw the blinds raised. She caught the sight of a lot of pale skin and the dull glint of metal and almost laughed.

"What the hell?" one of the guys demanded.

"C2 to A10, suspect is visible in side one number three window. Go now."

Maggie ignored the voice. She never acknowledged the dark snake of police that slipped toward the rear door. Lifting her arm as high as she could, she flipped the Longhorn salute. There was a pause, and then the odd figure in the window disappeared. Maggie squeezed back inside the van.

"Did I see what I thought I saw?" Flower demanded, lowering the binoculars he'd been using.

"A naked man wearing a steel pot on his head?" Maggie asked, reclaiming her chair. "Sure. His aluminum foil hat must have stopped working."

"What does that have to do with the Longhorn salute?"

"Bob went to University of Texas," she said, sliding the headset back on.

"Hence the moniker, 'Montana Bob,' obviously."

Maggie grinned. "The CIA took over Texas years ago."

"I'd heard that," John concurred.

"Bob?" she asked, back on line. "You there?"

"Thank you, Maggie," he whispered. "You walked the valley of death for me. Just for me, for me. But you have to get out. They know I know, and they're going to kill me. I don't want them to kill you, too."


Excerpted from With a VENGEANCE by Eileen Dreyer Copyright © 2003 by Eileen Dreyer
Excerpted by permission. All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.

Meet the Author

Eileen Dreyer was a trauma nurse for sixteen years in St. Louis, Missouri, where she lives. She is the author of several medical thrillers including If Looks Could Kill, Bad Medicine, and Brain Dead.

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With a Vengeance 3.6 out of 5 based on 0 ratings. 8 reviews.
Anonymous More than 1 year ago
This is the third medical thriller by Dreyer I've read, and the bloom is definitely off the rose. Every single protagonist was purportedly abused in childhood ( although the abuse is pretty weak, imo) and all adopt an annoying facade of toughness to cover their poor widdle psyches. In other words, they're pretty much all the same character. This one also betrayed her father, extra bonus points. Yeah, he was a jerk, but you don't betray your family. The conclusion was particularly disgusting and unbelievable. Why on earth wouldn't he just shoot the hostage again? Because stupid Maggie gave him some lip? Get real.
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Guest More than 1 year ago
Nurse Maggie O'Brien has a very active life! She is an Emergency Department nurse at Blymore Memorial Hospital, a medic on a SWAT team, and the daughter of the somewhat notorious police officer named Thomas "Tommy" O'Brien. .............. When she finds evidence that someone close to her, perhaps a team member or co-worker, could be dispensing their own type of justice, she is torn between loyalty and what is right. It seemed as though the bad scum of St. Louis that come to the ER ends up dead. It also looks as though it has been going on for quite some time. Maggie knew that if she looked for signs of possible murder of the bad guys that many of her co-workers would consider it betrayal. She would lose many friends. However, when Maggie found out some innocent people were also dying, she could not stand by and do nothing. As people in the county and her colleagues turn against Maggie, she continues her search for proof of multiple murders. As people get nervous about her investigation, Maggie begins being framed. .............. Reporter Susan Jacobsmeyer has been assigned to do an article or series on Maggie's life. Her career skyrocketed with a single photo shot of Maggie, as a SWAT member, clutching a burned boy as she tries to save his life. When patients that Maggie tend to begin dropping like flies, or cicadas, she smells front page material. The two team up to hunt for answers. Their only real clues had come from a paranoid schizophrenic patient, Montana Bob, just before he died. ............. ***** This author is awesome! Author Eileen Dreyer is a nurse herself. To make this novel as realistic as possible, she actually trained (not just observed) with some of the SWAT teams and firefighters in her area. ........... I just do not find books as great as this one often and I cannot recommend it highly enough! You do not have to be in the police or medical professions to find yourself holding your breath and sitting on the edge of your seat as you quickly read to see what happens next! WITH A VENGEANCE is a roller coaster ride that hooks its readers on page one and refuses to let go! *****
harstan More than 1 year ago
The city of St. Louis and its County join forces to form a first rate SWAT Team that services the region. The only person on the group who doesn¿t carry a gun is the medic Maggie O¿ Brien. Maggie and her team are called in to break up a hostage situation with the victim being Maggie¿s boyfriend Sean Delaney and the perpetrator is a paranoid schizophrenic Montana Bob, a former FBI agent. She talks Montana Bob down but he suddenly dies in the hospital. Maggie wonders if somebody killed him after he told her the names of three other people. When she seeks the trio, she learns that the two gangbangers and the pediophile also died in her hospital where she works as a trauma nurse. Maggie starts collecting evidence involving a silent conspiracy between people she knows in the hospital and the police department. She just has to figure out where to deliver her information to before she is killed or framed for murder. It has been too many years since a crime thriller from Eileen Dreyer was released, but WITH A VENGEANCE is well worth the wait. The heroine is an admirable person with a subtle sense of humor who lives in perpetual crisis mode that would break many people, but she thrives on it. Her decision to root out the perpetrators knowing she will be shunned by her peers or killed is courageous but she still willingly pays the price. This is a first rate action packed medical thriller on a par with Robin Cook. Harriet Klausner