60 pages 2-hour read

Gone Before Goodbye

Fiction | Novel | Adult | Published in 2025

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Prologue-Chapter 5Chapter Summaries & Analyses

Content Warning: This section of the guide includes discussion of graphic violence, addiction, and death.

Prologue Summary: “TriPoint, North Africa”

Dr. Marc Adams operates on a 15-year-old boy named Izil in a refugee camp operating theater as gunfire, screams, and explosions grow louder outside. Despite the chaos, Marc maintains focus while his nurse and anesthesiologist panic. Eight days earlier, Marc and his colleague Trace Packer arrived in Ghadames with a guide named Salima and traveled northeast through Niger. Near Djanet, heavily armed teenage militants from the Child Army stopped them, forced Marc to his knees, and held a gun to his head. Marc pictured his wife Maggie’s face while awaiting execution. Salima negotiated their release.


In the present, as the camp burns, Trace reports that dozens are dead and Salima is evacuating survivors. Marc orders everyone out. The nurse warns that even if Izil survives surgery, the attackers will not let him live. Marc reflects that he does not judge sides—he saves lives regardless of affiliation. Trace offers to help close, but Marc refuses, asking only that an ambulance be left. Marc regrets not being with Maggie and realizes he will never see Trace again. As he finishes closing Izil’s chest, armed militants storm the room. Marc closes his eyes, pictures Maggie’s face, and waits for the trigger.

Chapter 1 Summary

One year later, Dr. Maggie McCabe stands outside Johns Hopkins’s Shriver Hall in Baltimore, Maryland, where a scholarship recognition event is being held in her late mother’s memory. Speaking to her husband, Marc, via a phone app, she admits that she does not want to attend. Marc encourages her to go. Inside, Maggie feels the stares of former classmates, judging her; her medical license has been suspended pending review after an unspecified incident.


Steve Schipner, a former classmate Maggie calls Sleazy Steve, reveals that he now works at Apollo Longevity in Dubai—an organization Maggie and Marc were once involved with. When Maggie tries to speak with a group of old friends, class president Bonnie Tillman pulls her aside and tells her she should not have come, calling her presence a blemish on her mother’s memory. Bonnie reveals that she will present the scholarship instead of Maggie.


Alone on the terrace, Maggie is approached by Dr. Evan Barlow, her former mentor and a billionaire cosmetic surgeon, who admits he came to the event specifically to see her. He reveals that he was in love with Maggie’s mother and asks Maggie to come to his New York office on Monday for a mysterious meeting. He refuses to explain why, offers her $20,000 just to attend, and asks her to tell no one. She sees what might be fear in his eyes and asks how he knew she would be at the event. He says she will find out on Monday.

Chapter 2 Summary

Walking across campus, Maggie discusses Barlow’s offer with Marc on the phone. Marc researches Barlow and discovers that he is now a billionaire medical entrepreneur on Forbes’s list of the richest doctors. Marc notes that Apollo Longevity remains active, but WorldCures, the charity they founded with surgeon Trace Packer, no longer exists. He tells Maggie he has a bad feeling about the meeting.


At home, Maggie’s nephew Cole tells her that his mother Sharon is distressed. Maggie calls Marc’s father (known to everyone, including Marc, as Porkchop), head of the Serpents and Saints motorcycle group and owner of Vipers for Bikers, a bar in New York City. He answers the pay phone at Vipers, and the jukebox is playing a song that reminds her of her and Marc’s wedding. Porkchop says he will pick her up at the train station in New York.


Maggie finds Sharon surrounded by bills and an open bottle of wine. Sharon reveals that they are in so much debt that they have to sell the house. Maggie vaguely explains that she has a confidential job in New York that will take a week or two, refusing to provide details despite Sharon’s questions. Sharon mentions that Trace is believed to be in Bangladesh and announces she has joined a dating app.

Chapter 3 Summary

Porkchop meets Maggie when her train arrives in New York. She tells him that she is staying at the expensive Aman hotel as part of her business meeting, but she insists on first visiting Trace Packer’s apartment to pick up his mail, an arrangement the friends have had for years. She gets onto the back of Porkchop’s motorcycle, and two Serpents and Saints members ride alongside them.


At Trace’s apartment building, the doorman gives Maggie his mail. She goes upstairs to his apartment and finds a model human heart beside the THUMPR7, a prototype artificial heart developed by their former charity, WorldCures. A war photograph on the wall shows her and Trace operating on soldiers in a helicopter; her patient died, and Trace’s survived. She remembers Trace taking her to distribute lollipops to local children after particularly traumatic missions. She reflects on the addictive nature of combat and how their humanitarian work allowed them to avoid mundane life.


Another photo shows young Trace with his mother, Karen, who wears the distinctive emerald ring Trace clutched at her funeral. Wine bottles remind Maggie of a drunken trip to Bordeaux with Trace and Marc. In the box of mail, she discovers a Wells Fargo bill for three safe deposit boxes—two small and one three feet by six feet—postmarked from San Francisco with no branch location listed. She texts a photo of the bill to Trace but receives no reply. Dr. Barlow texts, insisting on sending a car to pick her up for their meeting the next morning. Maggie tells Porkchop about the safe deposit boxes before they head to Vipers.

Chapter 4 Summary

The next morning, Maggie wakes with a severe hangover from her night with Porkchop, haunted by memories of Marc and the patients she could not save. She reflects on a past issue with pills that she denies was addiction. A chauffeur named Alou picks her up with Dawn, her Barlow concierge. They take her to a secret facility rather than the practice’s public office. For security, Maggie must leave her phone in the car.


Dr. Barlow greets her in a luxurious 18th-floor office, explaining the extreme privacy measures as necessary for discretion. He asks why she did not fight the medical board’s malpractice charges and her license suspension; Maggie states that she is guilty. 


Barlow introduces Ivan Brovski, a liaison for a wealthy client, then leaves. Brovski demonstrates extensive knowledge of Maggie’s history and explains that his employer needs discreet cosmetic surgery on two people at a location near Moscow. He confirms that they know her license is revoked and calls her perfect for the job.


In exchange, Brovski offers to pay all Maggie and Sharon’s debts, settle her malpractice suit, arrange Russian medical licensing, and provide a fully equipped operating room. When Maggie negotiates, he offers $10 million—$5 million immediately, with the rest upon completion. Maggie agrees.


Maggie calls Sharon, who confirms by phone that her debts are already paid. Ivan shows Maggie her bank balance: The $5 million is already deposited. When she asks about backing out, his response suggests it would be difficult, making it clear that she is trapped. Porkchop calls and, on speakerphone, recites the car’s license plate as two bikers ride past—a warning to Ivan that Porkchop is watching to keep Maggie safe.

Chapter 5 Summary

Maggie boards a lavishly converted Airbus A320. The flight attendant Hannah shows her the luxuries but says Wi-Fi is unavailable. Maggie falls asleep quickly and wakes 10 hours later, suspecting she was drugged. After landing at a private airport, a helicopter takes her over snow-covered forest to a remote, opulent palace.


Oleg Ragoravich greets her. He gives her a tour, displaying reproductions of the Gardner Museum heist paintings, claiming one is real. In a locked room, he presents three identical Mona Lisa paintings and spins an elaborate conspiracy theory that the Louvre’s is a forgery and one of his paintings is genuine, refusing to identify which.


After touring his car collection, Oleg takes Maggie to an indoor pool where a young woman named Nadia swims. Oleg identifies her as the second patient and requests breast and buttock augmentation. Maggie insists on examining both patients and obtaining Nadia’s direct consent. Oleg speaks to Nadia in Russian; she turns to Maggie and agrees. Maggie demands to examine Nadia alone.


The operating theater is an exact replica of Maggie’s operating room at Johns Hopkins, making her realize that the plan was set in motion long before Barlow’s offer. Oleg introduces her surgical team and announces that he is hosting a ball that evening that she must attend. Maggie warns him to eat and drink nothing by mouth after midnight for surgery. He leaves, telling her that Nadia waits in the adjacent room for examination.

Prologue-Chapter 5 Analysis

The novel’s opening establishes a core psychological motivation for its central characters through the establishment of the theme of The Allure of Danger. The Prologue frames Marc and Maggie’s motivations behind their humanitarian work as more complicated than simple altruism; for them, it is a necessary escape from the mundane, recasting their high-stakes surgery in conflict zones as a form of thrill-seeking. In Chapter 3, Maggie echoes this sentiment when reflecting on the addictive nature of combat, which makes returning to suburban life feel like a suffocating alternative after her military life. This foundational fear of a conventional existence explains their past choices and illuminates Maggie’s present vulnerability. Having lost the extraordinary life she built with Marc, she is left with a void that her grief and financial ruin compound, making her susceptible to Barlow’s mysterious and dangerous proposition.


These initial chapters also chart the decay of the ethics of the nonprofit WorldCures, exploring The Corruption of Idealism. The narrative underscores the message illustrated by the trajectory of the defunct nonprofit—a charity founded on life-saving principles—with the thriving and morally ambiguous Apollo Longevity and Maggie’s former colleague, Steve. In addition, Dr. Barlow, Maggie’s former mentor, has shifted from championing work for the underserved to performing cosmetic surgery for a secretive global elite. This moral decay is symbolized by the THUMPR7 artificial heart: Once a beacon of hope developed by WorldCures, it is now a dormant prototype in Trace’s empty apartment, an artifact of abandoned ideals. Maggie’s trajectory mirrors this corruption. A once-decorated combat surgeon, she is now professionally disgraced and financially desperate, compelled to accept a job that compromises her principles. Her entrapment—sealed by a $5 million deposit—marks the conversion of her surgical skill from a humanitarian tool into a transactional commodity for a Russian oligarch.


The narrative explores the blurred lines between reality and artifice, developing the theme of Technology and the Elusive Nature of Truth. Maggie’s reliance on a phone app that simulates her late husband, Marc, highlights how the device prolongs her grieving process while appearing to ameliorate it. This relationship questions the nature of existence after death, highlighting how technology can create comforting but artificial truths. The novel’s exploration of this issue expands in Oleg Ragoravich’s palace, where his conspiracy theory about the Mona Lisa functions as a metanarrative for the novel’s conflicts. Oleg’s claim that the world’s most famous painting is a fake and the original is hidden establishes a world where truth is a matter of power and control. His declaration that the forger achieved “immortality” by deceiving the world celebrates deception as a form of power. This worldview foreshadows a plot built on doubles and clandestine operations, where distinguishing the authentic from the artificial is a matter of survival for Maggie.


The motif of surgical alteration and disguise is established in these chapters as Maggie is introduced to Oleg Ragorivich’s duplicitous world, in which nothing is what it seems. Oleg Ragoravich’s wealth manifests in his ability to manipulate environments and people. The private jet, remote palace, and replica of Maggie’s operating room are displays designed to isolate her and unsettle her sense of reality. The confiscation of her phone severs her from her support system, making her dependent on her captors and further divorcing her from the outside world. Ivan Brovski’s observation that Maggie’s suspended medical license makes her “perfect” for the job underscores how her professional ruin is weaponized against her. This external control is mirrored by the work she is hired to perform: the physical alteration of identities for unknown reasons; the context that has, in the past, shaped her work, that of saving lives, has been removed as her skills become a tool for a criminal enterprise.


Against the sophisticated power of Barlow and Ragoravich, the character of Porkchop introduces an alternative form of influence. As the head of the Serpents and Saints motorcycle group, he is a leader like them, but he operates within a code of honor that exists outside of conventional law. While Brovski leverages debt and legal threats, Porkchop uses intimidation and the implied threat of his biker network. His speakerphone warning to Brovski, punctuated by his bikers flanking Maggie’s car, directly challenges the oligarch’s corporate power. This establishes a parallel system of influence rooted in personal loyalty and physical threat, positioning Porkchop as a counterweight to the novel’s antagonists. This act foreshadows his deeper involvement and signals that the conflict will be fought not only with wealth and secrets but also with personal force.

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