The Caducean Choice

Dan Marchetti hopes that he's put his false accusations of murder behind him, and that he can live the rest of his life as a highly-regarded physician. His dreams may be coming true when he's promoted to CEO at his hospital, only to immediately be confronted with the Russian Mafia-who's willing to do anything to add the healthcare field to their lucrative criminal empire.

Lauren and Scott Mason, twins, are brought to Dan by their own individual maladies: Lauren with an unknown illness, while Scott struggles with substance abuse. As the three bond, Dan can't help but wonder if these twins are his own, a serendipitous meeting after he participated in an artificial insemination procedure as a medical intern.

When the house of cards falls, Dan, Lauren and Scott become further intertwined as the Russian mafia hierarchy tightens its grasp. Can the small found-family protect one another and find peace? Or are they destined to lose one another all over again?

In a sequel to Marchetti's Inferno, Douglas Ratner returns to the story of Dan Marchetti once more.