57 pages 1-hour read

Last Patient of the Night

Fiction | Novel | Adult | Published in 2023

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Chapters 36-45Chapter Summaries & Analyses

Content Warning: This section includes discussion of physical violence/torture and sexual violence.

Chapter 36 Summary

Doc and Tom finish their meals, and Tom calls Brian Tarson, a 21-year-old hacker who goes by “the BT” whom Tom and law enforcement have tried to prosecute but failed due to the complexity of his cybercrime. Tom calls the BT, and he answers immediately, asking Tom about how Banshee is. Tom asks him to find Giovanni and when he was in the Four Seasons, and the BT quickly finds his full name, Giovanni Romanelli, date of birth, a photo of him, and his address in Dallas.


The BT discovers that Giovanni travels for work, as he puts his travel expenses on the company card, and he has a wife and three children. The BT finds that Giovanni is currently staying at the Four Seasons and will be at the bar after 7 p.m. drinking a gimlet. Tom and Doc plot for Doc to go to the hotel bar and talk to Giovanni, as Tom is certain that Giovanni will talk in exchange for Doc not telling his wife about him seeing escorts like Jenny.

Chapter 37 Summary

Jane and Lenny meet with Heather from the financial crimes division, who looked at the financial paper found at the U. Heather explains that, although the account itself seems untraceable, the account frequently receives deposits in Bitcoin. Heather and the others were able to trace the Bitcoin to an account based in Eastern Europe that is worth 1.2 billion dollars. They don’t know who owns the account, but they can see every transaction made. Skinny Jeans asks Heather not to tell anyone else about the Bitcoin yet.

Chapter 38 Summary

Doc goes to the Four Seasons hotel bar and waits until Giovanni arrives, then takes his drink and sits beside him. Doc introduces himself and explains that they have a mutual friend in Jenny.


Giovanni explains what happened with Jenny: He met her through a discreet website for escorts. They ate dinner and had sex, and Giovanni thought that was the end of it. Instead, while Giovanni slept, Jenny hacked his laptop, installing a virus that extended into the entire company network. The virus sent everyone ransom messages demanding two million dollars or the virus would release all the company’s information onto the internet, including sensitive client data. Giovanni also got a message saying that if they didn’t pay, it would be clear that the hack was all his fault, and it would message his wife to inform her about his night with Jenny. Giovanni’s company paid in Bitcoin to prevent the data leak.


Doc thanks Giovanni for his candor and promises to keep his secret. He then tells Tom and decides he must tell Jane about the intel he got from Giovanni.

Chapter 39 Summary

Doc meets Jane and Lenny in Jane’s office. Jane chastises him for continuing to investigate after she told him to lie low and threatens to arrest him for obstruction of justice if he doesn’t tell her everything he knows. Doc tells her about his conversation with Linda and finding Giovanni and the ransom paid in Bitcoin. Jane tells him about the account with 1.2 billion in Bitcoin, but she warns him to stop investigating.


Doc goes to the ER for his shift and tells Tom about his conversation with Skinny Jeans. Tom wants to keep investigating, but Doc is worried about what Jane will do to him. Tom decides they should bring donuts to the night surveillance team at the U, to keep it friendly while trying to get more intel.

Chapter 40 Summary

Lou gets a phone call informing him that Doc is asking about ER billing. He tells the caller to keep working and keep their head down while he tries to prevent anyone from leaking the data to Doc.


Doc and Tom head out to talk to the surveillance team. The team hasn’t seen much of anything; the same schedule each day of the male employees arriving, the dancers arriving, and the customers arriving, before everyone leaves at the end of the night. There has been no entrance or exit by anyone who could be Dyyavola. The warehouse next to the U is empty, but Doc notices a faint glowing light in one of the windows, but before he can mention it, it’s gone.

Chapter 41 Summary

Doc works in the ER helping patients until VP Lou arrives. Lou requests a private audience with Doc in one of the exam rooms. Lou asks why Doc is asking about the ER billing numbers. Doc lies and says he wants to know how they increased profits so he can properly congratulate his team. Lou tells him that he should only ask questions about billing to Lou, and Doc says he has no more questions, but he thinks he needs to talk to Lana right away.


After his shift, instead of going back to Gina’s house or to IHOP, Doc decides to stake out the U. He watches as the club closes and the employees leave, watching closely for the faint light in the window of the warehouse that he saw the other night. He sees the light in the window again and decides to investigate. He walks around the outside of the warehouse and discovers that the light is coming from the second floor of the warehouse. He opens a door and attempts to investigate further, but he doesn’t have the proper equipment. He decides to come back the next night.

Chapter 42 Summary

The next day, Doc visits Lana in billing, and she gives him some documents in exchange for a date later that week. Doc stashes the documents in his desk before going to teach his lecture course to a class of medical students. He begins by discussing the financial elements of healthcare and how much of the United States’ GDP is healthcare costs.


VP Lou arrives and slips into the back of the lecture, so Doc begins discussing how much money in healthcare is wasted on hospital executives who deliver limited benefits to patients. He introduces Lou to the class and invites Lou to explain how his job benefits the average patient, but Lou claims to have an urgent meeting and leaves as Doc continues with his lecture.

Chapter 43 Summary

Doc spends two days gathering the necessary items to break into the U. After finishing his shift, he drives to the U and dons his night vision goggles. He breaks into the warehouse and searches for the tunnel he assumes connects the warehouse to the U’s main building. He can’t find it, so he hides and waits.


After a few hours, a gigantic man whom Doc assumes is Dyyavola emerges from a tunnel hidden behind warehouse equipment. Dyyavola then goes upstairs and uses a key to open a door before closing and deadbolting the door behind him. Doc waits longer until four other men enter via the tunnel and climb the stairs to the office. Doc locates the tunnel and recreates the men’s actions, flipping a switch on a giant barrel, to enter the tunnel.


The tunnel is pitch black, and Doc assumes it would’ve been used to carry utilities between the two buildings at some point. 50 feet in, the tunnel branches into a smaller hallway to the right, and Doc pauses to listen to the silence. He hears a rat skittering, which scares him as he’s afraid of rats. He tries to see down the hallway with a flashlight, but he can’t see anything. He continues down the main path of the tunnel until he reaches the other side.


He climbs out, lucky that no one else is in the room, and sees an office with a bookcase hiding the tunnel’s entrance. Doc hears a noise and realizes that the Ukrainians he saw earlier are charging through the tunnel. He has no way to close the tunnel entrance behind the bookcase without being seen.

Chapter 44 Summary

Doc runs into the club and hides as he listens to the Ukrainians argue about whose fault the open tunnel door is. One of them calls and tells Dyyavola, who demands they search the entire club and warehouse top to bottom. Doc knows he has to hide, and he sneaks through the U in hopes of finding a hiding spot. The kitchen is disgusting, but Doc finds space to hide inside the pizza oven. He sits in silence, holding his breath as he hears two men enter the kitchen searching for him. They don’t find him, and Doc remains in the pizza oven for another 30 minutes to be safe.


He then attempts to sneak out and around the building to where he hid his car, but as he gets into the driver’s seat, a Ukrainian approaches his window and demands that Doc give him his gun. Doc slowly gets out his gun before sneakily calling Tom and throwing his phone on the floor. As he hands over his gun, Doc loudly asks the Ukrainian where he will be taken, the U or the warehouse, while also loudly making it clear that he’s being taken by the Ukrainians in hopes that Tom has answered and is listening.


Tom wakes up at 4 AM and listens to Doc being taken. He quickly calls Jane.

Chapter 45 Summary

The Ukrainians march Doc directly to Dyyavola’s office on the second floor of the warehouse. Dyyavola punches Doc hard, knocking the wind out of him. He then demands that the other Ukrainians tie Doc to a chair with zip ties and leave.


Alone with Doc, Dyyavola asks Doc why he shouldn’t snap Doc’s neck. Doc offers to explain how the police found out about the criminal enterprises housed in the U. Dyyavola lets him talk, and Doc says that the cops know about how the Ukrainians in the U engage in human trafficking, drug trafficking, and gun trafficking. Dyyavola laughs, as he thinks the police won’t care or won’t be able to find evidence in the U for these crimes. Doc then mentions that he knows about Dyyavola’s blackmailing schemes. Dyyavola asks how, and Doc tells him about the financial document found by Skinny Jeans.


Dyyavola is enraged and begins kicking and punching things in the office. He asks Doc for more information, and Doc makes up a story about Giovanni’s company reporting the blackmail scheme to the police and the police tracing it back to Jenny and the U. Dyyavola tells Doc that Jenny snuck into his office and stole half his Bitcoin, worth over half a billion dollars, by transferring it to herself, and he tortured her for the password until she was unconscious. Dyyavola is angry that Doc couldn’t save Jenny, as she was the only one who knew the password to her Bitcoin account with the stolen coins. Without the password, the money is lost forever. Dyyavola now has an entirely steel office, which is much more secure, to prevent further theft.


Doc needs to buy more time, as he previously stashed a file capable of breaking through zip ties around his wrist, and he’s beginning to file through. He asks Dyyavola about his past, and he begins to share his story: Dyyavola was born in Ukraine, and when he was young, soldiers came to his house and raped his mother and sisters before killing his whole family. They left him alive to tell the story of what happened to his family, but they broke both his arms.


Dyyavola decided to work diligently to heal and become strong to get revenge. When he was older and stronger, he began hunting the soldiers who killed his family, and over the course of several years, he killed them all with his bare hands. When others came looking for him, he sailed across the Black Sea to Istanbul before working on a boat heading to America, where he began a new life. Dyyavola grabs a hammer and a chisel and threatens to torture Doc with a “Ukrainian manicure.”

Chapters 36-45 Analysis

The mystery surrounding Jenny’s death grows more complex as the revelation of the full scope of the blackmailing comes to light. Doc discovers Giovanni’s role in the blackmail, and when he questions Tom about what to do, Tom says, “We know he is here on business. We know that on his last trip, he met with an escort who has since been murdered, and we know he has a lovely wife and three kids at home” (157).


Tom implies that Doc can implicitly threaten Giovanni with the revelation of his extramarital affair with Jenny, which challenges the theme of The Moral Duties Associated With Medical Work. Doc seeks to act ethically in his role as a doctor, as the medical field requires adherence to a specific code of ethics known as the Hippocratic Oath, which dictates that doctors, among other things, do no harm, or swear an oath of non-maleficence. Doc doesn’t harm Giovanni directly, as Giovanni readily offers up the truth about his relationship with Jenny, but Doc was prepared to blackmail Giovanni if necessary. Blackmail is a form of emotional harm, so Doc was ready to break his oath and do harm to someone in order to obtain justice for Jenny, demonstrating the complexity of his moral code.


Doc’s moral code even extends to his fear of rats, as rats are a frequent symbol of both horror and deceit or secrecy. As Doc walks through the tunnel to the U, he thinks, “I hate rats, and I had an image of my getting hurt in this tunnel and dying in the dark alone surrounded by an army of them. As I imagined them gnawing on me, a rat rushed by and brushed against my leg” (188). Doc pictures the U as overrun with rats, because it’s overrun with violent people who seek to harm him and hide under the cloak of darkness. Doc’s image of himself being hurt by a rat foreshadows his beating and near-torture by Dyyavola, as the rat brushes by Doc’s legs moments before he’s later discovered taken by Dyyavola’s men. Doc knows deceit and horror are around him even before his confrontation with Dyyavola.


Trust and Mistrust in Systems of Care remains thematically relevant, especially when Doc lectures to the medical students. Doc explains the morality of money, saying, “Money is neither good nor evil. What you decide to do with money is good or evil. Money is power. The more money you have, the more power you have to help people or to hurt people. Good people with money do great things for society” (182). This dialogue has two functions. First, it foreshadows Doc’s later use of his reward money to establish the Jenny Smithton foundation and to create funds to support workers at the hospital.


Second, it hints at Lou’s negligent and fraudulent use of the money that he’s stealing from the patients, insurance companies, and the hospital itself. Lou seeks to accumulate greater power by accumulating more money, while Doc seeks to use what power and influence he already has to help those around him. Doc wants to help foster a medical system worth trusting, while Lou creates an untrustworthy system that benefits only himself. Doc begins to realize this truth in these chapters, further setting the stage for the revelation of the dual racketeering-based mysteries running in tandem throughout the novel.

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