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Fatal Intent (1) (The Kate Downey Medical Mystery Series) Hardcover – March 2, 2021
— Kathy Reichs, New York Times best-selling author
End-of-life care— or assisted death
When her elderly patients start dying at home days after minor surgery, anesthesiologist Dr. Kate Downey wants to know why. The surgeon, not so much. “ Old people die, that’ s what they do,” is his response. When Kate presses, surgeon Charles Ricken places the blame squarely on her shoulders. Kate is currently on probation, and the chief of staff sides with the surgeon, leaving Kate to prove her innocence and save her own career. With her husband in a prolonged coma, it’ s all she has left.
Aided by her eccentric Great Aunt Irm, a precocious medical student, and the lawyer son of a victim, Kate launches her own unorthodox investigation of these unexpected deaths. As she comes closer to exposing the culprit’ s identity, she faces professional intimidation, threats to her life, a home invasion, and, tragically, the suspicious death of someone close to her. The stakes escalate to the breaking point when Kate, under violent duress, is forced to choose which of her loved ones to save— and which must be sacrificed.
Perfect for fans of Kathy Reichs and Tess Gerritsen
While the books in the Kate Downey Medical Mystery Series stand on their own and can be read in any order, the publication sequence is:
Fatal Intent
Misfire (coming January 2023)
- Print length320 pages
- LanguageEnglish
- PublisherOceanview Publishing
- Publication dateMarch 2, 2021
- Dimensions6.25 x 1.2 x 9.25 inches
- ISBN-101608094162
- ISBN-13978-1608094165
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From the Publisher
Editorial Reviews
Review
“This is terrific—delicious suspense, done-that authenticity, and a great main character in Dr. Kate Downey . . . We want to see more of her.” —Lee Child, New York Times best-selling author
“Fatal Intent rings with thrilling authenticity. Tammy Euliano writes with convincing authority, immersing us in a world only a doctor truly knows.” —Tess Gerritsen, New York Times best-selling author
“Tense and fulfilling, there’s plenty of sizzle and emotional clout in this stirring debut. And, even better, it’s all written by someone who knows what she’s talking about. A wonderful beginning and I’m looking forward to more.” —Steve Berry, New York Times best-selling author
“[Fatal Intent has] an intriguing plot with wonderful twists and turns and all kinds of dangers—devious and frightening! A wonderful debut for this talented author!” —Heather Graham, New York Times best-selling author
“Heartbreaking and searingly realistic, this terrific debut will have you turning the pages as fast as you can. Only a true medical insider like Tammy Euliano could concoct this riveting and authentic look inside the medical community’s life and death decision-making process—and the fragile patients whose lives are tragically changed. A tale of high stakes and shocking manipulations, the tension will keep you holding your breath until the very last page.” —Hank Phillippi Ryan, USA Today best-selling author
"Euliano, herself an anesthesiologist, brings authenticity to this chilling medical thriller. Readers will look forward to her next." —Publishers Weekly
“An inherently compelling page-turner of a read from cover to cover, Fatal Intent showcases author Tammy Euliano's impressive talents as a narrative-driven storyteller with a deftly ability for creating memorable characters and unexpected plot twists.” —Midwest Book Review
About the Author
Product details
- Publisher : Oceanview Publishing
- Publication date : March 2, 2021
- Language : English
- Print length : 320 pages
- ISBN-10 : 1608094162
- ISBN-13 : 978-1608094165
- Item Weight : 1.4 pounds
- Dimensions : 6.25 x 1.2 x 9.25 inches
- Book 1 of 2 : The Kate Downey Medical Mystery
- Best Sellers Rank: #3,030,325 in Books (See Top 100 in Books)
- #1,066 in Medical Thrillers (Books)
- #5,931 in Women Sleuths (Books)
- #11,436 in Murder Thrillers
About the author

Tammy Euliano writes medical thrillers. She's inspired by her day job as a physician, researcher and medical educator. She is a tenured professor at the University of Florida, where she's been honored with numerous teaching awards, nearly 100,000 views of her YouTube teaching videos, and was featured in a calendar of women inventors (copies available wherever you buy your out-of-date calendars).
Her debut novel, Fatal Intent, was published by Oceanview in March, 2021. The sequel, Misfire, comes out January 3, 2023. Her short fiction has been recognized by Glimmer Train, Bards & Sages, Flame Tree Press, Flash Fiction Magazine, Crime Bake, and the Faulkner Society, among others.
When she's not writing or at the hospital, she enjoys traveling with her family, playing sports, cheering on the Gators, and entertaining her two wonderful dogs.






























