In this deeply personal novel, the author weaves together three and a half decades of medical practice in a moving story of love, loyalty, and a betrayal that test the brothers.

What unfolds is not simply a tale of medicine, but of humanity:  struggles that mirror our own, families caught between hope and despair, and one man forced to face the fragility of his own future. There are moments of light and laughter, meals shared, bonds forged—but also shadows, secrets, and the hard truth that not every battle is won. 

Set against the charm and grit of Charleston—a city the author knows firsthand, where every described street, restaurant, and hidden corner detailed is drawn from lived experience. The vividly described narrative places readers into a historic setting where illness, love, and trust collide. 

 Prepare for a journey that will bring both smiles and tears. This is a story about the ways we care for each other, and the ways life insists on reminding us how precious, and unpredictable, that care can be.

It started at the pineapple.