A Relationship Beckons: Research and Reprieve (#20) Wednesday

To read this serialized blog of A Relationship Beckons from the beginning, click here: Crisis Averted #1Then navigate to subsequent posts using the links in the upper corners.

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Big Tommy Romano and Andre Balzac

The small Frenchman was not taller than five feet five inches. He’d revealed his name to the Italian as he walked toward him with the phone. “My name is Andre Balzac. What is your decision, Big Tommy? What will it be?” he repeated. The image of his daughter Nicole in tears being held at gunpoint filling the screen. It was Andre Balzac. The Guardsmen moustache coating his upper lip had been a source of pride and his Frenchness for many years. It was thick and black with curving lines tapering to sharp points, held rigid by moustache wax. It provided a foundation for the steely, hazel eyes flanking a thin, aquiline nose. Possessing the surname Balzac in France had been both a curse and source of pride. Honoré de Balzac the renowned and revered playwright and novelist had–it is surmised–influenced many great writers like Zola, Flaubert, Dickens and Proust to name a handful.

Andre Balzac was descended from the eighteenth-century wordsmith in a very distant way. Unfortunately he had not been blessed with a scintilla of written compositional talent. In fact, his undiagnosed attention deficit disorder had resulted in endless badgering and bullying beginning in Ecole Première all the way through the Lycee. Andre did not finish that last segment of education, dropping out of the high school level to become part of Jacques l’Enfant’s criminal Milieu. Balzac had killed, extorted and strong-armed anyone and everyone for his master. He was ruthless and driven. In the organized crime world, that was a formidable pairing. He had been with L’Enfant for almost twenty years and had worked his way up the ranks to becoming one of l”Enfant’s most trusted capitaines.

Now, he stood over the body of Tommy Romano as it grew cold in the semi-darkened warehouse on the Norfolk waterfront. Balzac had asked the Italian how he wanted to die. Initially, the large man hesitated as he lie naked and bleeding on the cold metal table, perhaps contemplating his options, perhaps his mind was muddled with excruciating pain. There were only two choices. He could refuse to give up the password to his phone. If so, he would have been subjected to further torture and suffering. And his daughter would also be killed before his eyes via the phone video. Or he could capitulate. He would then be given a relatively painless death and Nicole would be spared. Either way, Big Tommy Romano was a dead man. Balzac knew it. And so did Romano. When Balzac lifted the phone and marched toward the table, the big tough, Italian crime boss wilted under the threat of harm to his daughter.

“I’ll give you the password,” Romano had wheezed. “Please promise you won’t hurt Nicole.”

Balzac smiled speculatively and replied, “You have my word as a Frenchman and a father.”

Ten seconds after Romano had recited the password to him, Balzac had unlocked the phone and scrolled through Romano’s contacts. The Frenchman produced a Beretta from his waistband and shot Romano between the eyes. Then he’d lifted the phone to his lips and issued two words to the man on the other end. “Do it.”

Seconds later a shot was heard through the open phone line.

All that had taken place forty minutes ago. In the intervening time, Balzac had recited names and phone numbers of members of Romano’s ten captains. The two other men with Balzac had started making phone calls five minutes ago. “If they don’t answer, leave a message and tell them Big Tommy has summoned them to a meeting at this address.” Balzac had written the address down on separate slips of paper.


The ugly brocade sofa was one of the few physical assets leftover from her marriage. She accepted it only because she needed something to sit one when she got divorced. Otherwise, she wanted nothing to remind her about Luca Clivio. Caroline sat on the hideous thing now cursing herself and the desperate state of mind she had been in. The same state of mind that had taken her over and allowed her to walk into Jake’s pharmacy and hand him a note asking to see him again. What the hell were you thinking? He’s a married man with a daughter.

During the brief meeting over the counter, Caroline had sensed Jake had been distracted. He was not quite as focused as he had been at breakfast yesterday. She didn’t know him very well. But she sensed there was something weighing on his mind. Either that, she told herself, or he’s just not interested and was frustrated by her appearance.


Ignoring the growing numbers of prescriptions, Jake sat in the small office area inside his Alliance Pharmacy department in northern Newport News with a several sheaves of paper on the desk. If he had been distraught upon hearing the news from his district superiors, now he was panicked. Althea Downs’s allegations had been confirmed by Jake’s own eyes. The patient’s profile did not lie.

The patient’s name was Lester Combs. Jake had pieced together the little bit he knew about the man from memories of a handful of conversations over the last six months. He was a truck driver with three kids and a surly wife who was addicted to oxycodone, alprazolam and an assortment of muscle relaxers. Coombs had been recently diagnosed in the last year. Diet, exercise and weight loss had not lowered his A1C. So his physician had prescribed injectable insulin.

Jake had pulled up Combs’s pharmacy profile right after telling the impatient patient that he’d have to wait a little longer for his prescription and administering the immunization that had been waiting. The dreaded evidence was there in pixelated black and white on the computer screen. Four days earlier, an electronic prescription had been received from the doctor’s office for Humalog insulin. Humalog is a short-acting insulin usually given just before meals or in response to high blood sugars. The effect was immediate and short-lived and helped diabetics to keep their blood sugars regulated. Coombs had been prescribed to give himself a sliding scale of Humalog three to four time a day. However, Jake confirmed that he had verified a prescription for Lantus, a long-acting insulin in the place of the Humalog. One dose of Lantus lasted twenty-four hours. If Mr. Coombs had been giving himself the Lantus instead of the Humalog, the long-acting doses of the Lantus would have a cumulative effect of continually lowering his blood sugars. Perhaps with catastrophic consequences.

Jake’s further investigation showed that one of his pharmacy technicians, Kayla Jones, had reviewed the new prescription and entered the information incorrectly into the computer. Kayla was a newly licensed technician with very little experience and who tended to talk too much rather than focusing on her work. The prescription had made its way to Jake’s computer and for whatever reason, Jake had verified the prescription as correct. Kayla would be counseled. But Jake would be held responsible. He was the pharmacist.

The general public had no idea how stressed and distracted retail pharmacy personnel were. The drive-thrus, the phone calls, the endless requests for flu shots or other vaccines, the demand by corporate to increase the numbers of everything, the impatient and sometimes abusive patients…and of course the hundreds of prescriptions they were expected to push out in a matter of minutes.

Perhaps Jake had been distracted by a customer asking a question, or he had to answer a phone call. Or maybe he had a headache or was under the weather and was not as sharp as he could be and–at the exact moment–he was placing his finger on the biometric fingerprint scanner, his mind wandered. Or had he been previously engaged with a complaining customer and his mind could not pull itself away from the issue? Or had his supervisor Stephan Willings called and demanded something unreasonable creating frustration?

Whatever the reason, Jake knew that full responsibility rested with him. Mistakes were always placed squarely on the shoulders of the pharmacist? Jake had known many pharmacists who had complained about the working conditions to higher-ups. Jake had been one on a few occasions. Every time they were told to shut up and get back to work.

One way or another, Jake would have to answer for this drug error. No matter what circumstances led to it.


Luca began slowly, trying to find the words to describe what had taken place. “As you know, Big Tommy wanted me and the big man to take out Gomez. We tried. We failed. I think. I’m waiting on a report from one of my snitches in the Newport News PD. He said it will take some time.”

“That was the shooting I saw on television?” Debra grasped the handle of the stiletto more tightly. Sweat coated her palms making them slick against the weapon.

Luca nodded hesitantly.

“We’re you injured?” She asked, moving the weapon to the edge of the pillow under which it was hidden.

“No but I think Il Gigante was hit. And a couple of Gomez’s guards. But I think Gomez survived.” Luca sucked in a lungful of air. He noticed Debra’s pale state.

Forgetting his predicament for the moment, Luca said, “You don’t look so good, Deb. What’s wrong? Are you ill?”

If you only knew. “I’m fine,” she lied. “Just tired. Go on.”

“The bullets were flying everywhere. I got off a couple of shots. I ducked out of the way…into the kitchen. Then I left through a window.” Luca was sweating. His eyes were wrapped with tension.

You’re not as tough or brave as you make yourself out to be, are you? In the early months of their relationship, Luca had seemed larger than life. He was the proverbial bad boy that woman loved to love. He was dangerous and exotic. But in the past few months as his addiction took over and he’d run afoul of Big Tommy, Luca appeared to literally shrink before he. Now he was a broken, petrified man. Debra moved the knife as close to the edge of the pillow as she dare. She sucked in several silent but deep breaths summoning the will to cross over to the other side.

Then Luca’s phone rang. “It’s probably my informant.” He picked it up instantly and clicked on.

Debra listened to Luca’s end of the conversation. Luca was not asking questions about police investigations or shootings. After a few minutes, he spat, “That bitch!’

Instantly, Debra knew he was referring to his ex, Caroline. She had seen that look on his face too many times. What had she done now? Luca would be furious when he end the call. He did just that a minute later after saying “I’ll get back to you later.”

“What did she do now?”

“That…” Luca stopped, trying to compose himself. He was on his feet now, opening and closing his hands into tight fists. “That was my attorney. She has filed for sole custody of Peter.” Luca rose from the bed and paced the floor. He screwed his face into a mangled mess of furrowed brows, squinting eyes and contracting and relaxing facial muscles. “I’m going to kill her.”

This was no good, she thought. She needed him on his back. He was too strong for her to attack him while he was standing. Her thrust had to be a surprise and when he was relaxed. “Come back to bed,” she pleaded. “Let me make love to you.” Perspiration erupted on her back.

Luca made several more passes along the side of the bed. Three minutes later, he’d calmed somewhat. “Come back to bed,” she persisted. She would attack as soon as he lay back down.

Luca leaned over the bed and grasped the folded back bed covers. Debra clutched the stiletto with a death grip. He had one knee on the mattress and was beginning to turn to lay on his back. Debra readied the blade removing it from under the pillow and moving it behind her back.

She readjusted the weapon to a reverse grip for a downward thrust. Ready to bring the knife around her torso, Luca’s phone rang again.

Shit! She couldn’t attack while he was on the phone. Whoever was on the other line would know something was happening. Debra relaxed for the moment and listened.

Luca greeted the caller, a question in his voice.

“Yeah, this is Luca Clivio. Who the f*ck is this!”

Luca listened for ten seconds.

“What?” A mask of confusion clouded Luca’s features. “Who is this?!” He repeated. Debra waited as Luca absorbed the response.

“I report to Big Tommy Romano.”

More silence.

“Holy sh*t!…When?”

The caller spoke. Luca mouthed the words…Holy Sh*t.

“Text it to me…What time?”

The caller apparently ended the call. Luca lowered the phone in his hand. “Marone,” he whispered. He followed that with, “sonofa!” He turned to Debra. “I gotta go.”

Debra wasn’t sure if she should be relieved or disappointed. “What is it?” She asked.

“Big Tommy’s family has been taken over…by a Frenchman.”

“A Frenchman? Where’s Big Tommy?

“Big Tommy is dead!”

To Be Continued

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A Relationship Beckons: Sleepless Nights (#18) Wednesday

To read this serialized blog of A Relationship Beckons from the beginning, click here: Crisis Averted #1Then navigate to subsequent posts using the links in the upper corners.

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Debra Perry:

Debra’s thumb hovered over her cell phone. Having composed it only moments ago, the message to Luca was displayed on the screen. All she had to do was touch the screen and it would be delivered. But moving her finger that last two inches was akin to moving a mountain. Her heart seemed to rise in her neck, choking her.

Last evening, she’d lain in bed after returning from Big Tommy’s place unable to sleep. Her mind replayed the conversation with the crime boss. It ruminated and agonized over the hows and whats of arranging the murder her lover. The wording, the timing and the resulting consequence were enormous issues weighing on her. Big Tommy Romano had done exactly what she’d expected him to do. He’d said exactly what he’d expected him to say. He’d given her an order. And in the same manner he’d given Luca his order only twenty-four hours earlier; in the same opulent room in which she had sat last evening.

“Luca has become a liability,” he’d declared bluntly. “I hoped we could salvage him. But after the events of today, it is not possible.” Big Tommy shook his head in feigned regret. But his voice bespoke no anger, no frustration and no regret. Whatever deviant or criminal activities in which Big Tommy participated or ordered, he was first and foremost a businessman. Luca Clivio was costing Romano’s organization revenue. The Cuban crime family was muscling in on his territory. And someone had to be held accountable. That person was Luca Clivio. Clivio had not been strong enough or forceful enough to keep the predators at bay. Big Tommy had intimated to Debra hat he was aware of Luca’s inability to motivate his team; that Luca was out of money and had snorted or injected most of it. Profit was paramount. Luca had to go.

Debra had simply nodded her agreement to Big Tommy’s simple but all-encompassing statement. She tried her best to hide her nervousness. But sweat erupted all over her body causing her thin sweater to cling to her breasts and back. Romano continued in a deep monotone. “Have you seen the television today?”

Debra shook her head once and whispered, “No.”

“As you are aware, I gave Luca an order to kill the Cuban–Fernando Gomez. There are reports of a shooting in Norfolk. Luca and Lorenzo Esposito’s operation failed. Esposito killed two of the Cuban’s bodyguards. But Gomez survived. Esposito also known as Il Gigante took two bullets in the gut. He’s in surgery.”

“How is Luca?” Debra croaked. Her question had two purposes. She needed to feed her heart and her head with information about the situation. He was after all her lover and her boss. So her emotions were torn between her feelings for him and her own survival. Her heart was truly concerned for the man who had been a wonderful lover. It was that same sensitivity and his use of the addictive products he peddled that made him a weak and unsuccessful criminal. Luca did not know it yet. But their relationship was over as of yesterday. Debra had made the decision after months and weeks of internal strife. She could not continue to be with him. Her head prayed secretly that Luca was already dead. If so, her angst over Romano’s order to end Luca’s life would be moot. And Debra would be spared the dreadful deed of taking his life.

Romano shrugged his wide, beefy shoulders. “Unfortunately, we do not know. I am told before the police and ambulances arrived, Il Gigante managed to call one of my boys who arrived just as the cops and the paramedics showed up. Il Gigante told our guy that Luca was late to the party. He fired one or two shots and dove into the kitchen of the restaurant. He has not been seen since.”

“Oh,” was all that Debra could manage. On one level, she was relieved. Luca was probably alive. While at the same time, her heart plummeted into her belly. Luca was probably alive. She was not sure how she should feel. That meant he

If her expression revealed anything about her internal discord, Romano did not let on. “You did call me today,” Big Tommy continued last night. “At first, I was going to discuss with you the chance that Luca could be–” Romano snapped his fat fingers. “Rehabilitated.” He cocked his head to one side. “Howeva, with today’s events, we must go in a different direction.”

Tears slid down her cheek along with a rivulet of snot from her nose. She swiped both away with a hand.

“You are going to kill Luca. You are close to him. He trusts you. I want this done by tomorrow.”

Her mind refocused on the item in her hand. Debra peered at the phone. The text sitting there calling out to her. Her thumb shook as did her whole hand.” Hi darling. Let’s get together today. I was exhausted and sleeping from following your ex-wife. Let me know when. She had followed the text with two heart emojis.

In the sleepless hours leading to the moment, she’d wrestled with the best way to carry out the morbid task. A gun was too noisy. She could poison him…but that would require obtaining something that was lethal very quickly. She could hit him with something blunt and heavy. That would require surprise.

No, she decided that the best way would require Luca letting down his guard. He needed to be relaxed and unprepared to defend himself. She pulled the stiletto from the end table. Her brother had given it to him for protection many years ago after a suitor had tried to take advantage of her. The silver blade glinted in the soft glow of the lamp light. The sun was still hours from rising. Darkness prevailed outside and within her.

This is how it would happen. It was quiet but lethal.

But there were many considerations. Where to do it? She could not do it here in her place. How would she dispose of the body? Big Tommy had not told her what to do after the deed was done. She was not strong enough to carry Luca’s dead body anywhere. She would need a better plan. She’d figure it out.

Debra placed the six inch blade into her purse.

She sucked in a tremulous breath, pushed out an equally shaky exhalation. Then with great reluctance as if her thumb were being opposed by an unseen but potent force, she lowered it onto the arrow on her screen.

Italian and French Connections

Jacques L’Enfant

“Who the fuck is this?” said the gruff, somnolent voice of Tommy Romano on other end of the line nearly four thousand miles to the west in Virginia. “Are you an idiota? Do you know what time it is?”

A devious smile widen over L’Enfant’s lips. It was nearly nine in the morning in his Paris luxury apartment on the Left Bank in the wealthy Seventh Arrondissement a stone’s throw from La Tour Eiffel. He had calculated the call to be made at precisely this time knowing that it would be almost four in the morning on the east coast of the United States.

He wanted this capo of Giuseppe Linguale to be surprised and unprepared for what was to follow.

L’Enfant had met with his Italian counterpart Giuseppe Linguale in Rome last evening at the pizzeria near the Trevi Fountain. Linguale had proposed a business transaction where their respective familles criminelles would divvy up the eastern Virginia region. The plan called for them to send teams to Norfolk in two weeks. L’Enfant had agreed and walked out never confirming the timeline. As soon as he’d left the Roman restaurant, he’d placed several calls. Two hours later, five of his most trusted men had hopped on a charted jet at Le Bourget airport. They touched down forty-five minutes ago at Norfolk International. L’Enfant had his own timeline. He was going to get a head start on his takeover of the northern area. And in the process was going to piss off the Italian. He wished he could see the look on Linguale’s face when he learned the news

“Do you know who I am?” Jacques L’Enfant inquired in a stage whisper. The French accent enhanced the air of aristocratic disdain in his voice.

The Italian-American cleared his throat amidst the rustling of bedclothes.

“Marrone….no…who is this?”

“My name is Jacques L’Enfant. I’m calling you from Paris. Look out your bedroom window.”

L’Enfant’s five man team had been in place for about an hour watching the residence. Two men were in a car on the street. The remaining three were on the beach side in the rear of the Ocean View residence standing on Romano’s pool deck.

Big Tommy Romano

My name is Jacques L’Enfant. I’m calling you from Paris. Look out your bedroom window.

Tommy Romano’s heart instantly thudded in his chest, rattling his ribcage like a condemned prisoner. His first instinct was to hang up and check in with his three bodyguards. Two were sitting in a vehicle on the street and one was downstairs in a guest bedroom. But curiosity prevailed. The large Italian whipped the covers off his legs. He moved with alarming dexterity for a man weighing three hundred pounds.

He was alone in the expansive space. His wife was in the Grand Caymans and had been for three weeks with her Latin lover.

He padded across the expansive carpet and reached the floor-to-ceiling window. He pulled back the heavy drape a few inches and looked down into the darkness. The sky and ocean melted into a seamless canvass. The sands had been combed smooth the the constant surf. The deck was lit by a small burning exterior lamp. Romano’s gaze moved to the multi-level deck and the swimming pool it surrounded. What his eyes saw sent bile surging into his throat. His heart skipped several beats. Seconds later, it resumed thrumming at an even faster rate.

Three silhouetted men wearing ski masks and holding large, suppressed sidearms stood on his deck each on one side of the pool. In the water of the pool, Romano could make out the outline of a man floating face down. A ribbony stain of darkness spread in all directions from the corpse. Romano recognized the figure as his bodyguard who was supposed to be asleep downstairs. These men had found a way past the security system and killed his bodyguard silently and without waking him.

“Figlio di puttana!” He let the drape fall back into place and he rumbled to his nightstand. Tossing the phone on the bed with the line still active, he removed the Beretta 92x. Forgetting there was already a round chambered, he racked the slide and a bullet tumbled end-over-end out of the gun and dropped with a tiny thud onto the carpet.

Romano retrieved the phone. “Who the fuck are you? What do you want?”

“Don’t bother calling your other two men in the car on the street, Tommy. They, too, are already dead.”

“How…did you? Who…are you?”

“My men will be upstairs in thirty seconds. If you want to live, you will do exactly as they say.”

Jacques L’Enfant

L’Enfant disconnected the call with Romano. He pocketed that phone and lifted a second device to his ear. “Take him alive,” he commanded to one of the men standing on the Romano’s pool deck. “Get the names of all his capos.” L’Enfant paused for effect. “Then you know what to do.”

“Consider it done,” came the reply.

Caroline and Jake

Later that morning, fatigue overtook Jake quickly this morning. His eyelids, itchy and watery, felt like they’d been laden with molten lead. His mind had been aflame with concern and anxiety since yesterday and learning about the drug error he’d made. He’d needed to protect himself professionally and legally.

What if this patient died? What did the family or the patient know about the drug error?

When he had a moment he would call the insurance company that carried his professional liability insurance. Then he needed to find a good lawyer. Suddenly, Jake worried about his future.

To make his dilemma worse, today’s workload in the pharmacy was crammed full of vaccine appointments and the computer queue still had five hundred prescriptions that were three days behind. His two technicians moved like they were walking in wet cement. They–like Jake–were numbed by years of constant bombardment of demanding patients, shots, walk-up prescriptions and more walk-up shots. It was impossible to keep up.

According to the Virginia Board of Pharmacy, Jake now had been blessed and also burdened with complete control over every aspect of the practice of pharmacy. Jake had the right to refuse to perform any vaccination or fill any prescription or not provide a service like closing a drive-thru just as he’d done two days ago. And he’d actually made many of those decisions. Unfortunately, his company, Alliance, and their competitors still refused to acknowledge the front-line pharmacist’s new found authority. Or accept the reality of the deteriorating work environments in retail pharmacies. The consequences of a complaint to the Board could–and often did–result in retaliation from his superiors. As his recent interactions with Stephan Willings had demonstrated.

He had risen at five this morning. After a Marine shower, a quick cup of coffee and breakfast of a peanut butter covered English muffin, he’d checked on Lizzie. Claudia had spent the night in the next room. Jake insisted that she leave, go home and sleep in her own bed beside her husband. She’d refused. When Jake pushed back harder. His older sister did not yield. She pushed back with the force of a speeding Mack truck. As the encounter was about to turn into an all out argument. Claudia reminded him that if she left before morning, their mother would make Jake’s–and Claudia’s life–miserable.

Following a short, tense interlude, Claudia asked, “So what the hell is going on?”

With Lizzie sound asleep, the siblings discussed Jake’s drug error and the resultant stress. For an hour Jake had bared his soul, reciting the full story behind his alcoholic relapse. Claudia was the only person he trusted with such information.

“Don’t tell her,” Jake pled, referring to their mother.

“Do you have your drinking under control?” Claudia inquired with great concern.

Jake had sighed and replied, “I certainly hope so.”

Claudia reached out and placed her well-manicured fingers on his forearm. “If you’re feeling like your in trouble, call me…not Mom.”

Jake responded with a single, tentative nod.

Before work, he’d driven to a private gun range that was available to its members twenty-four seven. Jake unlocked the doors and spent thirty minute firing his Desert Eagle 44. Sixty rounds later, Jake policed up his brass and locked up the building. Feeling a little less stressed and somewhat more in control of his life, he headed back and relieved Claudia. He dressed Lizzie and took her to breakfast at the Warwick Restaurant. Lizzie had her pancakes smothered in strawberry syrup while Jake ate three scrambled eggs, three sausage links and slugged two more cups of coffee. Thirty minutes after paying the bill, he’d dropped his daughter off at Claudia’s and headed to the pharmacy.

Now two hours into his shift, he stood before the computer terminal which told him his day was rapidly rapidly spiraling out of control–again! Trying but unable to properly focus, he spied Caroline walking down the center aisle. His heart jumped in his chest.

For the moment, he pushed the drug error and his brush with insobriety and the overdue prescriptions into a recess of his mind.


“I need to know what they know,” Luca barked into his cell phone. He had reached out to his contact several minutes ago. Luca had endured two minutes of banal conversation with barely restrained patience. The only reason, he’d waited that long was he needed information. Thirty seconds after the call began, Luca’s phone vibrated. He removed the device from his ear and saw that Debra had finally responded to his many texts.

Hi darling. Let’s get together today. I was exhausted and sleeping from following your ex-wife. Let me know when. Her words were followed by two red hearts.

Luca inflated with hope. Debra was the only person who understood him. Simply being in her presence calmed him. And by God did he need some calming now.

“I’m gonna need some time, Luca,” Derek Hamer replied in a stage whisper filled with frustration. The cop on the other end of the call had been on Luca’s payroll for eight months. The background noise on the line consisted of cars driving past and the wind rustling nearby trees. Luca knew he had stepped outside his precinct walls in mid-town Newport News for privacy.

“Cazzate!” That response ignited His irritation which had been fermenting in vats of worry and restlessness and lie just out of reach of his consciousness bubbled to the surface. “God damn it, Derek. I pay your for informanzione! I need it when I need it!”

“Don’t raise your voice to me, goomba! Your money buys you protection in my precinct. Remember, I do not pass along info to my superiors in my precinct that could cause you problems. Understand! Capisce! And I provide you information that comes across my desk. You are asking me for information about a shooting in Norfolk. That’s a different city…across the water. I’m not privvy to what’s going on over there. I can find out but….I…need…time!”

Luca ran a hand through his thick, black hair. Sweat dribbled down his spine. “Va bene. Perdonami!” He sighed into the phone. “How long?”

“That’s better,” Hamer replied. “I got a buddy over in First Patrol Blue. That’s not where the shooting happened. But he might be able to give me some better 4-1-1. Give me an hour. I’ll call you back.”

Hamer disconnected the call before Luca could object. “Merda!”

Luca paced the perimeter of the room twice. Then he remembered the text and called Debra. It rolled to voice mail. So he texted her back. So glad you texted. I need to stay out of sight. I need you to come to me.

What the hell was he going to do? He needed to make some hard decisions. But he could not think straight right now. His gut gurgled. He could not remember the last time he’d eaten. He was famished and needed food. He’d seen a fast food joint a couple blocks up the road. He preferred to stay out of sight but his hunger would not wait.

He checked his phone. Debra still had not replied. What the hell?! She’d just texted him! He grabbed his jacket, opened the door, checked both ends of the open air breezeway and tentatively headed out.

Jake and Caroline

Jake moved toward the drop off window and arrived there just as Caroline did. She cast a quick glance toward the line at the register. A patient was asking the technician serving her an endless series of questions. The four patrons queued behind were shifting their weight impatiently.

“I know you’re incredibly busy,” she said. “Can you transfer these here when you have a moment?” She removed three prescription containers and an inhaler from her purse and slid them to Jake. He noticed that they were empty. Three were for her son, Peter. One, Ativan, was for her.

Jake took information for both mother and son including the address, drug allergies and insurance information. “There’s no rush,” she said. “When should I come back?”

Jake shrugged. “I’ll call on these later today. Check with me tomorrow.”

Caroline flashed a white, toothy smile beneath a pair of beguiling emerald eyes . “Great, that’s a lot better than what CVS told me?”

“I do what I can. It’s not the pharmacist’s or the tech’s fault. It’s the damned system.”

She nodded once. “I know.” Then she removed something else from her purse and held out her hand. Jake reached out and placed his hand palm up to receive it. Caroline put her hand on his and released the item. She slid her fingers along his and whispered. “Read it later.” Her smile was genuine and inviting. A moment later, she turned and walked away.

Jake admired the view as she ambled up the center aisle without looking back. Then his attention was redirected to the item in his hand. It was a white piece of paper neatly folded into a small square.

Jake opened it and read the words inscribed on it in a flowing, artistic cursive. He smiled and slipped the note into his pocket.

To Be Continued

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A Relationship Beckons: That Evening (#17) Tuesday

To read this serialized blog of A Relationship Beckons from the beginning, click here: Crisis Averted #1Then navigate to subsequent posts using the links in the upper corners.

Deb Perry

“Thank you for coming, Debra,” Big Tommy Romano wheezed a gruff, breathy greeting . “You have been a loyal companion and assistant to Luca this past year. We need to discuss business…an unpleasant business.” He had planted his massive body in the center of the sofa opposite Debra who sat in a facing chair. His weight mashed the cushions causing him to sink low. His graying chest hair was visible in the wedge of shiny black cloth of his silk robe.

The massive mansion on the southern end of the Chesapeake Bay appeared as glorious and appointed to Debra as it had last evening. Yesterday, the mood and atmosphere had been tense and uneasy for her. Last night, she had not been the focus of the discussion. Luca had. Last night, Big Tommy’s glower and threats had been directed at Luca. Luca had hoped that her presence would soften the boss’s demands and expectations. Ultimately, Luca had been ordered to take out the rival crime family’s head man. Debra had been simply a witness.

But at this very moment, Big Tommy’s leaden gaze and was focused squarely on her. And she knew that tonight Big Tommy was going to ask–no order–her to commit a deed much more devastating. She knew what his order would be. She hadn’t verbalized it. She hadn’t even allowed herself to think it….or to let the thought take shape in her mind. But Debra knew that when she walked out the front door of the mansion tonight into the salty night air, she knew what she was going to be expected to do.

At that moment, her cell phone chimed. She looked down and checked the readout and saw that it was Luca. The expression on her face must have communicated this to Big Tommy Romano.

“Is that him?” Romano asked in an ominous voice.

Debra swallowed and gave a half-nod, almost hoping Big Tommy would not recognize it as acknowledgment.

To her relief, Romano said, “Let it go to voice mail. He’ll call back. We have things to discuss. If he doesn’t, you’ll call him back.”


Caroline put Peter to bed an hour early. He was exhausted. And so was she. She had spent a good ninety minutes searching for anything she could find on Jake, last name unknown, occupation pharmacist. There had been a few posts on one of the neighborhood apps talking about what a great a pharmacist he was and that his company was not providing enough help. He had a Facebook page, but it hadn’t shown any activity in the last year. It did have pictures of a daughter and a wife and Jake. About a year ago, it also had quite a few posts expressing sorrow for his loss.

She had spent the rest of the day cleaning the house; vacuuming, emptying the dishwasher, taking out the trash and…doing five loads of laundry. All chores that had been piling up over the last week and a half. She’d tried to keep her mind busy and away from treacherous thoughts of Luca and his girlfriend/drug dealer, Debra something-or-other. Then she’d picked up Peter from the bus stop, oversaw his homework duties then allowed him sometime to play with a friend down the street. She’d whipped up his favorite dinner of hot dogs, mac and cheese followed by a bowl of ice cream. Then she’d bathed him, administered his Singulair and let him choose between thirty minutes of television or a video game. Tonight, Peter chose an episode of Power Rangers.

She’d tucked him in and thwarted two of Peter’s attempts to extend his awake time. A drink of water and a second trip to the bathroom.

After he was finally down for the night, she settled onto the sofa with a glass of wine sipping periodically as she flipped through the pages of the latest Cosmopolitan. The housework had exhausted her physically but the tribulations with her ex–tribulation seemed so trivial. The more appropriate descriptor was torment.

She’d endured years of unhappiness at Luca’s expense and his unyielding selfishness. Toward the end, she’d suffered bouts of terror and fear for both herself and her son. The divorce hadn’t cured her. In some ways, it had mad them worse. Luca did not want to let her go. He had to possess everything and every one in his life. She wasn’t sure but he’d finally acceded Watching Luca’s drug use spiral out of control was the last straw. She needed to get both of them away from Luca. The divorce had separated them from him legally. Now she was convinced she needed physical distance.

Unable to continue that exhausting train, her focus returned to the pharmacist.

What loss had he’d suffered? Had one of his parents died? Had it been a close friend or a sibling? Or…had it been someone more intimate? Had it been his wife?

That possibility sent a surge of morbid hope through her. After a moment, she’d chastised herself for wishing for the demise of another human being so that she might have an opportunity to rekindle the train wreck that was her social and romantic life. Her thinking about such things wouldn’t make them happened. He’d already suffered a loss. It was in the past.

Stop it! Stop acting so desperate!

Her cell phone chimed. It was Becky Jackson her BFF. Caroline answered and greeted her with half-hearted, melancholy acknowledgment.

“Well,” Becky began. “Sounds like someone’s taking a ride on the struggle bus. What’s wrong girlfriend?”

Caroline rubbed her hand across her forehead twice and expelled a slow sigh. “Oh, Becks, where do I begin?”

“Has that ex of yours been acting like the gigantic ass that he is again?”

Caroline shrugged. “Yeah, that and more.”

“Do tell Princess. I’m all ears!”

Caroline hadn’t spoken to Rebecca Milton in almost a week. Over the next forty minutes, she’d brought her up to date on the incidents and activities with Luca and the pharmacist, Peter’s asthmatic episode and her decision to file for sole custody for her son and the reasons why. When she finished her recitation of events, she said with resignation, “I don’t know what I’m going to do. It’s too much!”


As he sat at the kitchen table with his daughter, Lizzie, Jake finally remembered signing the second document that Alfreda Downs had placed before him earlier today.

“Daddy, did you hear me?” Lizzie persisted.

“I’m sorry sweetie, what did you say?” The memory from earlier distracted him still

Somehow his mind had blocked out the recollection until now. It had been the second official write-up coming only minutes after the disciplinary action for closing the drive-thru. After she’d delivered the devastating news about the mistake and the magnitude of its consequences had finally taken root, Jake’s mind and body functioned on auto pilot not registering the minute details of the latter half of the meeting. The ever-present bile in his gut churned hotter. A combination of his desperate anxiety, the looming hangover from the six pack he’d downed earlier and the residual dyspepsia from his earlier episode of puking onto the asphalt beside his Tundra pick-up.

“I said,” Lizzie replied in the frustrated voice all women possess from birth. “Do you like my picture?”

The child had crayoned a messy, multi-colored landscape of an over-sized dog and in a square yard with disproportionately small trees.

“Oh,” Jake said, taking the paper. “Let me take a look.” He perused it critically.

“Well, Daddy, do you like it?”

“It’s very pretty. Lot’s of colors. Who’s dog is that?”


“But we don’t have a dog,” Jake pointed out.

“No,” Lizzie retorted. “We will. You’re going to get me a girl dog.”

“Oh…I see. I am?”


Claudia, Jake’s sister, who was finishing up dinner chortled loud enough to be heard. She carried two plates of broiled chicken, steamed broccoli and servings of garden salad. “Sounds a lot like her mother. You’ve got your hands full, brother.”

Now, the memory of the sound of the pen scratching across the page as his hand absently scribbled his name a second time on the document for this more serious infraction echoed like malignant white noise in his head. He had made a serious drug error that–according to Downs and Willings–had landed one of his patients in the hospital in dire condition.

Downs had informed him to not discuss the incident with anyone. “The company will handle the legal details. You must continue to work your shifts. We cannot afford to let you take any time off. You need to shake this off, Jake,” he recalled her attempt to soothe his angst. How the hell could he be expected to return to work tomorrow with this hanging over his head?

On the other hand he could not afford to miss any shifts. He needed the money. Not desperately. The small death benefit from Olivia’s life insurance had paid off his truck, her car and a big chunk of the mortgage principal.

“Did you hear me, Jake?” Claudia persisted.

Jake looked up at her. His eyes were filled with a glassy stare. “Oh, yeah sorry. Just distracted.”

“I know. Mom told me when you were putting Lizzie down for her nap.” She called over her shoulder as she returned to the kitchen to retrieve Lizzie’s plate of cut-up chicken, broccoli and some mac and cheese.

Earlier his mother had castigated him for getting drunk. And rightly so. Jake was disgusted with himself also for drowning himself in the beer to dampen his swelling angst. As wrong as he knew he was, he could not endure the hours-long castigation that would have come from his mother. He dreaded the laser-like glares, the condescending sighs and the perpetual inquiries that would have been forthcoming. After he’d exited the shower, he’d called Claudia is older sister and the one person who had not judged him for his drinking binges after Olivia’s death. She’d always looked out for him and in many ways still did. After he’d explained to her the predicament he was in, she’d not hesitated to come over. With some gentle nudging and unwavering persistence, Claudia convinced Mimmi to go home and let the brother and sister talk.

As they settled in for the meal, Claudia cast him a sideways glance. “So tell me what’s going on? And don’t feed me any–” She leaned in and lowered her voice to a whisper so Lizzie who was engrossed and wearing in her mac and cheese, “– any bullshit!

Jake sucked in a deep sigh and pushed it out slowly. “Okay.” Then he plunged into his story.


Luca sat in the corner of the motel room in lower Newport News shaking and perspiring. He lived in Norfolk. His small chain of dry cleaners–the front for his illegal activities and the washing machine for all his dirty cash–were on the Southside. Despite his panic, he realized it was best to drive north across the Hampton Roads Bridge tunnel and find refuge as quickly as possible on the finger of land known as the Peninsula. That had been several hours ago.

The joint was a seedy, rundown one-story affair in the East End. Not the best area–not even close– rampant with crime, lower income dwellings and an industrial presence dominated by the shipyard. He wisely parked the Mercedes a mile north behind thick bushes and humped it back to the motel. He’d be lucky if it hadn’t already been stripped of its tires and hubcaps. He couldn’t be sure if anyone had seen him leave or if they’d registered his tag numbers.

Luca had paid in cash for two nights without having to provide identification or a credit card. He had no idea who had been shot, who had lived or who had died. He thought that one of his bullets had found its mark, hitting the Cuban Gomez. Luca had been so petrified about being struck himself, he’d fired to wild shots and ducked for cover.

But Gomez had been quick to see what was happening. And reacted with leonine reflexes and screamed something in Spanish. The rest had been a tornadic kaleidoscope of desperate activity.

Luca been slow to enter the restaurant. Il Gigante had probably figured his partner had chickened out and decided to take the initiative to take out Gomez himself. Luca wanted to find out what had happened. Where did he stand? Was Il Gigante dead or wounded? He could turn on the television and try to find a report. But Luca did not want to. A part of him hoped it would delay the inevitable.

His anxiety mounted with each minutes. He needed a hit, a fix, a snort–anything. He’d tried to call the only person he still trusted. Debra Perry. His call to her about thirty minutes ago had rolled to voicemail. She had been avoiding him. Luca knew that much. A small part of him guessed he could understand why. Luca knew his behaviors and decisions of late had been poor ones. But it frustrated him nonetheless. He had treated her well. She’d wanted for nothing.

He pulled in and expelled several deep breaths, trying to quell his nerves and his ire. After two minutes, he lifted the cellphone and initiated the second call to Debra.

-To Be Continued –

INCREDIBLE OFFER….Take advantage of our AWESOME DISCOUNT: get all 4 of David’s Books for only $10. Click here to get all 4 of David’s Books for Friends and Family in this post-holiday sale!

If you have a pharmacy story or a story (heroic or challenging) of everyday life in your healthcare world, send it to me by clicking the link below…

Send David Your Healthcare Successes and Challenges

Check Out David’s Books

If you find this blog entertaining and informative, please share it with your contacts and on social media through the links on this web page…if you are a pharmacist nurse or doctor, please share it with your colleagues…thank you

A Relationship Beckons: Research and Relapse (#16) Tuesday

To read this serialized blog of A Relationship Beckons from the beginning, click here: Crisis Averted #1Then navigate to subsequent posts using the links in the upper corners.


Caroline had been glued to her chair in front of her laptop at the kitchen table for the last two hours. She was on a mission. Consumed by the desire to learn more about the man. She was still having trouble understanding her motivation. Perhaps it was because of her divorce from Luca. Perhaps it was in part because she was lonely. Perhaps it was because Jake the pharmacist had done her a solid by returning her phone. Perhaps it was all three. Nonetheless, she needed to know more about Jake.

The television was on in the living room. The current telecast: the local mid-day news. The droning of the male and female anchors provided just enough background noise to obscure the creaks and groans of the otherwise silent structure as she surfed. If he was married, she should leave him and his availability alone. For some unknown reason she’d couldn’t help herself.

Jake the man and the pharmacist with whom she’d had a polite but tense breakfast this morning had piqued her feminine curiosity. Everything she’d learned about him in that forty-five minutes screamed he was off-limits. He possessed a rugged masculinity in a tall, athletic frame. Caroline suspected he had been in the military at some point in his past. The astute, piercing blue eyes, the He had a beautiful daughter. He’d spoken about a wife. But he’d not volunteered any information. He was as tight lipped as a prostitute in church. But his body language signaled more to her than any unspoken words.

She didn’t consider herself . But she knew she possessed good looks. And Caroline could always tell when a man was interested in her. If any interested male had a wife or a girlfriend and was truly devoted to that person, it was her experience that he was talkative and forthcoming about his spouse or partner. They held no shame in talking about their mate to another woman. But if the subject male entertained making an illegitimate advance toward her, the conversation was steered away marital or relationship commitments. Caroline had experienced several of these leeches over the years. And she’d always rebuffed them quickly and definitively. Or she simply walked away. Jake had been different. He’d shown no amorous or inclinations. He’d not complimented her on her clothing or shoes or her eyes. No inappropriate suggestions, or crude jokes. Jake the pharmacist had he simply clammed up or said little to nothing.

Jake’s friendly facial expression, Caroline had noted, had dissolved instantly at the mention of a wife. It was as if a curtain of angst had swept in and whisked away any joviality. She’d noticed the change, but it had not registered in the moment. She had been too embarrassed and self-conscious about the closed restaurant fiasco at Schooner’s to realize what his reactions signified. In the intervening hours since she’d come home, she’d deconstructed his body language more objectively.

At first, she’d been disappointed that their breakfast had not produced a more concrete suggestion for a second meeting. He’d said something off hand at Schooners about coming back in the future. But Caroline had given it very little credence. Of course, Caroline assumed that was because Jake was married with a daughter. But a short time later, Caroline’s mind had conjured and concocted the possibility that Jake might somehow be available. Even if he was married, she still had looked for any reason to anticipate that there might be a sliver of hope that Jake Murphy was available if not legally maybe emotionally. With all the crap going on in her life, Caroline needed something to look forward to. She should not even be considering Jake the pharmacist. She didn’t even know his last name.

Jake’s cold response to discussion of his wife was a reaction Caroline had seen before in many of her suitors. Jake refused to discuss the woman in his life. This sliver of coldness gave Caroline hope.

Of course, she would never have an affair with a married man. She was not like that. During her years with Luca, she had always been faithful. Despite his wandering eye and penis, she’d never strayed. She had been afraid of his reaction and consequences.

She had spent sometime looking on all her social media accounts looking for a Jake with a photo. Facebook. Instagram. Snapchat. Maybe she could place a face. So far she’d found nothing of consequence.

Then the news broadcast caught her attention. We have just learned of a shooting in Norfolk on Sewell’s Point Road. We do not have many details at this time. But what we do know is that gunshots rang out at a local restaurant named Sabor Caribeno and that several people had been shot.

Caroline’s breath caught in her chest and an icy shiver cascaded down her spine for some unknown reason. She walked quickly into the living room to watch the broadcast. The anchor spoke for another minute saying that they were sending a reporter to the location. Caroline moved her hand to her mouth. It was an unusual reaction for her.

Returning to the kitchen, she recalled another tidbit from breakfast. It spurred her to continue her search.

She picked up her phone and dialed Alliance Pharmacy in northern Newport News. She reached the pharmacy and spoke with a woman who sounded older. Caroline wondered if it was the older woman who’d been working with Jake yesterday when she’d brought Peter in. “Yes,” she began. “I’m looking for the pharmacist named Jake. Is he working today?” Caroline knew he wasn’t because he’d met her this morning.

“Sorry,” came the reply. “He’s not here.”

“Do you know when he’s working again?”

“Let me check the schedule,” the woman said. After a moment, she came back on the line. “It looks like he’s picking up an extra shift. He’ll be back tomorrow.”

Caroline thanked the woman and ended the call. Tomorrow, she thought. He’ll be back tomorrow. I’ll transfer my prescriptions to Jake’s store tomorrow. She smiled. It couldn’t hurt, she thought.

She ran the fingers of her right hand over the third finger of her left hand. Her ring finger was bare. Even the tan lines from the ring had faded. Her ring was in storage deep in her jewelry box. It was a trivial bit of information that had registered during their meal. Jake the pharmacist did not wear a ring on his left hand.


The loud clap was instantly followed by a sharp sting on his face. It jolted Jake awake. It hurt like hell bringing him to instant alertness. As seconds passed, the sting flared into a molten heat spreading over his face. He managed with great difficulty to pry his eyelids open. He involuntarily raised a hand to his left cheek–the source of his agony. The fuzzy, indistinct form standing over him and blocking the ceiling moved away from him to an erect position. The intruder’s body language and retreating arm registered in his brain, The person standing over him and blocking the light was the person who’d just slapped him awake.

He shook his head once. His vison sharpened. The stern expression on his mother’s face hurt more than the blow. It was a visage of disgust, hurt and disappointment. Guilt and regret swelled in him

“Is Daddy sleeping?” Jake recognized the small voice as that of his four year old Lizzie. He could not see her but she was close by. “Mimmi, why did you hit, Daddy?”

“Yeah, Mimmi,” Jake said huskily as he looked up at his mother, Lily. “Why did you hit me?”

Her glare said more than any words could. Her eyes bore into Jake with an devastating maternal intensity. She replied to her granddaughter in a sweet, sincere timbre but without softening of her glower. “Lizzie, darlin’, Daddy had a bug on his cheek. Mimmi had to kill it. Everything’s okay now. Go to your room and get you blanky and you’re Barbie doll and a book. Mimmi will read to you.”

“Okay,” she replied and skipped off to her room.

When she was out of sight, Lily leaned back down and grabbed Jake by the ear much like she’d done after his childhood transgressions. “Git your ass up!” She yanked. Trying to avoid anymore more pain, Jake rose in sync with her hand. The effects of the alcohol caused dizziness He nearly toppled over. A swell of nausea formed in his throat. His cheeks puffed as he swallowed it.

Irritated, Jake slapped her hand away with a skin-on-skin clap.

“What the hell are you doing? You smell like a brewery,” she whispered harshly. She pointed to the empty six pack of beer bottles on the coffee table. “You want your daughter to see this?”

Jake did not reply. There was no answer he could give to justify his condition and his surrender to the call of the bottle that would satisfy her.

“Get your ass in the shower! I need to make a call.”

Jake moved gingerly toward his bedroom and the master bathroom. “Who are you calling?”


“I had a lunch date with Shirley. But I can see I need to cancel that.” She pointed and lowered her voice. “Now git!” At that moment, Lizzie ambled unsteadily back into the living room. Her arms were laden with two Barbie dolls, three books and a comfy pink blanket trailed behind her like a bridal train.

Lily softened her voice again. “Are you hungry, darlin’?”

Lizzie nodded. “Can I have a peanut butter fluff?”

“Of course, honey. You get set up on the chair. I’ll read you one story then we’ll make a sandwich. I’m gonna check on Daddy.”

Jake was naked to the waist when Lily charged into the bedroom he once shared with his dead wife. She gently closed the door, turned and did not hesitate to launch a verbal missile at the former Marine.

“You better have a good explanation for what I saw out there.”


“Mom! I’m trying to get undressed.”

She ripped the shirt he was holding in his hand from his grasp. “Well?”

Jake sighed and closed his eyes. He battled his embarrassment, dizziness and nausea. Unable to string a whole sentence together and needing to give her something, he muttered, “Trouble at work.”

Lily shook her head. Her deep Irish roots fomented her frustration. “Jesus, Mary and Joseph,” she spat making the sign of the cross. “After–” she pointed a crooked finger at him, “you’re daughter has lunch I’m going to put her down for a nap. Then you have some explaining to do.” She moved to the door and slipped out silently closing the door behind her. The click of the latch sounded like a cannon blast in Jake’s ears. He moved into the water closet, dropped to his knees and vomited.


Luca sat behind the wheel of the Mercedes shivering and drenched in perspiration. The gun was still warm in the passenger seat beside him under a copy of USA Today. Shortly after the shooting stopped at the Latino restaurant, he managed to escape out the rear entrance through the same door which he’d entered only seconds before. His mind would not let him suppress what he’d seen. As the gunshot blasts continued to reverberate in his ears and more rang out, he’d ducked into the kitchen, dropped to all fours. he’d been able to watch what unfolded in relative safety through an opening in the service window. Then he crawled toward the back wall. He managed to find a circuitous route near the large industrial sink and crawl out. He was still shaking, dealing the thrill and excitement of having survived his first gun fight.

But he was also dealing other feelings. He had been a coward. He’d fired three shots and dove for cover, not even waiting to see if he’d hit anyone. He’d risen up and peered through opening connecting the kitchen with the wait stand. He’d watched everything unfold. In addition to the exhilaration he felt, feelings of shame and guilt were beginning to creep in.

He’d recklessly backed out of the nearby parking spot, hitting a car parked behind him. He’d peeled away. speeding through intersections heedless of red lights and stop signs for fifteen minutes until he was out of the area. It was stupid and amateurish. He’d panicked. Not the mark of an experienced wise guy.

After he’d put some distance between him and the scene, he finally allowed himself to breath. Currently, e was parked behind a 7-Eleven behind a dumpster and out of sight. His breaths came fast and shallow. He could not suck in enough air to catch his breath and he was coated in sweat. He ran his hand through his drenched hair. It shook uncontrollably. he reached over and opened the glove box and removed a bottle and a prescription vial. The bottle of Wild Turkey had only an inch left in it. Luca drained it in one swallow. Then picked up the vial and shook it. A prescription for Xanax. Empty.

He craved a snort or a hit of heroin. But he had nothing. He needed something to calm himself, to ease his over active mind. Even when he was experiencing the adrenaline rush of mayhem, his body and mind required chemicals to keep the thoughts at bay.

The images from the restaurant came to him now, uncontrollably and in rapid succession, assaulting him like demons risen from hell. The entire sequence probably lasted no more than thirty seconds. But as the memory replayed itself, it seemed like hours.

Fernando Gomez, the Cuban capo, recognized the threat as Luca raised his quivering gun hand from his hip. His three guardias reacted instantly but fractions of seconds slow. Luca managed to rip off three shots. He couldn’t remember hitting anything except walls. Plaster showered the dining room. He saw Gomez shooting “Pistola!” as he reached for the weapon at his waist. The trio of Hispanic compatriots scrambled to find cover and draw their sidearms. Luca heard shots booming from the direction where Il Gigante would have been standing. Then Luca dove into the opening leading to the kitchen, knocking over a small Latino woman with a stained white apron around her waist. Luca cowered in the opening near an ice machine as rounds zipped in every direction. Glass shattered. Tables tossed. Plates fractured. The woman whom he knocked over screamed unintelligible words in Spanish. The two other men with her instantly dove for cover.

As deafening shots sliced through air strobed by muzzle flashes and terrified shouts were followed by grunts of agony, Luca managed to crawl to the far wall in the humid kitchen and pull himself through an open half-window. Scrambling to his feet, he bolted for the Mercedes. The next few minutes were just as a blur as the gunfight.

He leaned his head against the steering wheel and closed his eyes. Relief washed over him followed almost immediately by a nightmarish terror. The shiver began at the base of his spine spreading like a sonic wave in all directions. Instantly, his whole body shook and the sobs found their way into his throat.

He had no idea who or how many had been shot or the extent of any injuries. As he shivered now, the memory of distant sirens had come to him as he’d driven. He’d had no memory of hearing sirens during the escape, but it came to him now. But the sirens grew louder as they neared. These were not memories. The were real and the were getting closer. He lifted his head and listened intently.

Unable to move, he simply stayed in the car and whispered curses and prayers simultaneously.

-To Be Continued –

If you have a pharmacy story or a story (heroic or challenging) of everyday life in your healthcare world, send it to me by clicking the link below…

Send David Your Healthcare Successes and Challenges

Check Out David’s Books

If you find this blog entertaining and informative, please share it with your contacts and on social media through the links on this web page…if you are a pharmacist nurse or doctor, please share it with your colleagues…thank you

A Relationship Beckons: Guns and Guts(#15) Tuesday

To read this serialized blog of A Relationship Beckons from the beginning, click here: Crisis Averted #1Then navigate to subsequent posts using the links in the upper corners.

Check out the special advance offer at the end of this blog for a new book scheduled for release later this year from local authors Dr. Lisa Spiller and Sylvia Weinstein Craft…


Luca wore a lightweight black turtle neck with long sleeves, a pair of comfortable jeans and a black pair of tasseled loafers without socks. With the enormous Il Gigante impatiently waiting for him at his house earlier, Luca had dressed quickly but with the Virginia spring chill in mind. He regretted the choice now. His discomfort was threefold. The weather was warmer than expected; he still battled a residual headache and nausea; and his nervousness had snowballed. Sweating profusely now, his head throbbed as his system worked overtime to cleanse his body of the drugs and alcohol. He had begun to perspire and, despite that fact, was shivering like a leaf in a tropical storm.

He had parked the Mercedes behind Sabor Caribeno, a Latin American eatery on Norfolk’s Sewell’s Point Road in a mixed industrial-residential lower middle class area. The engine idled. Luca needed the miniscule comfort the thrum of the engine provided. Silence threatened his sanity. He and Il Gigante had followed the Cuban gang to this spot and watched them enter fifteen minutes ago. Luca had dropped Il Gigante at the front door of the restaurant no less than five minutes earlier. The parking lot behind the establishment in which Luca sat serviced a flea market and a rundown phone store. There was no human activity in sight. Luca was grateful. It was out of sight in a secluded spot from Gomez and his men and a thirty second walk from the restaurant. He estimated he was about fifty yards away his target’s location.

His target! The word held a sinister connotation, implying mayhem was in his near future. A more virulent shiver crept over him. He reached behind him and felt the bulge of the pistol in the waistband at his back, pressing against his spine. Before Lorenzo Esposito aka Il Gigante had departed, he’d left instructions for Luca to enter through the rear entrance and to not hesitate to shoot Gomez..

Reflexively, Luca checked his watch. His wrist was bare. The expensive time piece had been surrendered to Big Tommy yesterday as a down payment on the revenue Luca owed his boss. His crime boss. He swallowed hard. It was never a good idea to be indebted to Tommy Romano.

He rubbed the naked wrist and checked the digital clock on the car’s computer screen. He had two minutes left in Il Gigante’s deadline. Bile welled in his throat. The bulge of the weapon in the waistline of his back seemed to be pulsing electric energy into his spine.

His hands shook as he removed his phone from the center console. With the dreaded deed looming, he needed, he wanted to reach out to Debra. He relied on her. She was his crutch. She made him feel important. She was also his sounding board frequently bearing the brunt of his childish tirades, handling them with grace and patience.

He had gone off the deep end forty minutes earlier when she’d told him that his ex–Caroline–had met with another man. She’d had breakfast with the pharmacist who’d saved his son. Luca’s Italian machismo instantly kicked in, insulted and consumed with guilt that another man had intervened to abort Peter’s breathing attack. Luca’s fragile and volatile temper, fueled by fatigue and a hangover, had exploded. Despite the fact that he was no longer with Caroline, no other man was to have her. The situation had been made worse by his stupid ex-wife’s forgetfulness.

He typed his message to Debra: I need to talk…call me.

Luca stared at the phone waiting, willing a text message to appear. Nothing.

He typed another text: I’m sorry I got angry. I really need to talk to you

Again there was no reply. Luca’s ire swelled once more. He dropped the phone into his lap and rammed the palm of both hands into the rim of the steering wheel several times. Yelling expletives in Italian for fifteen second as he did so. Then he recovered, breathing heavily, and slowly closed his eyes. His life was spinning out of control.

Pull yourself together, he chided. Marone! Luca made the sign of the cross and murmured a whispered prayer.

This was no time to let emotions dominate his thinking. He sucked in several deep breaths and pushed them out hastily. He had exceeded Il Gigante’s deadline. As the hammering pulse in his head slowed, he whispered a second prayer. And with a lump in his throat, he pulled on the door handle and exited the Mercedes. With each step toward the rear of the ristorante, Luca’s heart sank, his head pounded and the sweat streamed from his pores.


Fernando Gomez sat with his back to the far wall, facing the restaurant’s glass front door. He glanced down at the attire he selected this morning. He looked particularly dapper in his white pants with the razor-sharp crease, matching sports jacket over a tan chemise and white white vest. A gold chain dangled like a suspension bridge from the second button of the vest to the pocket. Gomez adjusted the white fedora on his close cropped curls. A wry smile spread across his face. He adjusted the circular glasses on his nose and fingered his pencil thin moustache. Life was good at the moment. His small empire was growing every day, crowding out the competition. He and his gang were becoming very popular with the big boss back in Havana. His stock was rising.

But life in criminal enterprise–like that in legitimate businesses and politics–was always double-edged. As success grew so did disfavor with competitors, enemies and rival gangs like the Italians. Gomez knew that a war loomed. The fact made his very wary.

His three guardaespaldas surrounded the round table munching on beef and chicken empanadas, fried plantains and guzzling Modelo. Gomez had nibbled on an empanada and was currently nursing a mojito.

Gomez liked to bring his boys here each day after collecting their protection money and gambling debts. And he always picked up the tab. It fostered loyalty and comradery among his troops. You needed that in a protection detail. Especially in this business.

His guarura bantered back and forth about the state of Cuban politics and the Cuban baseball team. Smoke from two cigarettes created a blue cloud over the table. Gomez did not participate in the jovial banter spoken in a hybrid of Cuban Spanish and heavily accented English. No, Gomez was pre-occupied by the massive man that had entered a few minutes ago and was standing at the counter. He seemed out of place and edgy.

The subject–a moving mountain–probably weighed in at at least one hundred and forty kilos. If his math was right that put this hombre gordo at better than three hundred pounds. He possessed the facial features of a European–Italian or Corsican, perhaps. It was what he hadn’t done that concerned Gomez. He hadn’t looked in their direction. Had not made eye contact. There was no acknowledging head nod. But it was the way he hadn’t looked and the slight stiffness. He had glanced everywhere but at them. It was as if he were trying not to look at them.

These facts made the hair on Gomez’s neck stand up. His muscles became taut. He moved his hand over the bulge under his jacket where the Soviet-made Makarov pistol resided in its holster. It was the standard issue small arm of the Cuban Revolutionary Forces. The Cuban moved the cloth of his jacket back and silently unclipped the strap holding the weapon.

The enormous human being turned toward the group and shouted in a thick Italian accent. “Signore Gomez! Signore Gomez! I have something for you.” As he said the words, the huge intruder was flipping over one of the larger tables.

Gomez’s three guards began to turn toward the shouted words. Each reached for their weapons. Chairs scraped against the floor and toppled. The whoosh of gun metal being with drawn from leather or cloth followed immediately by the click of hammers.

A moment before he turned towards the gigantic person, Gomez caught movement out of the corner of his eye. It came from the left; the rear of the restaurant. He rotated his head and saw a man in dark clothing and a turtle neck advancing toward him and his men. A second gunman advanced on them. There was a gun in his right hand at his thigh. His eyes were a mixture of fear and hatred. Sweat coated the man’s face. The hand raised the weapon.

Instinctively, Gomez shouted Cuban Spanish, “Pistola!”


With his arm draped over the door, Jake stared into the refrigerator positioned against the wall of his garage. The contents were sparse. An extra tub of margarine, a smattering of batteries in a small cardboard box and a six pack of long necks with one bottle was missing. It was the beer Jake had drunk last night after coming home from work.

It wasn’t even noon. And yet, he could feel the pull of the alcohol calling him, no, begging him. His mouth watered. A minute shiver passed over him.

Close the door and walk away!

But Jake simply stood at the door staring into the frigid air. Being a former Marine, he had learned to drink with gusto with his fellow leathernecks. He was younger then and it was considered expected behavior in the Corps. The drinking games and challenges were commonplace. He and his buddies always had each other’s backs whether its was on TDY in a foreign land or a neighborhood bar. After he’d been discharged eight years ago, he’d managed to scale back his consumption but it remained an important part of his social life. He’d always had it under control. At least that’s what he told himself.

Olivia’s tragic and untimely passing along with that of his unborn son had unhinged something in him and his ability to control his booze intake. The day after the funeral Jake sat down while still on leave from the pharmacy and downed almost a whole case. His self-control vanished in the weeks and months following the car wreck. His drinking spiraled out of control. He numbed his grief with beer and drowned his work stress with bourbon. He frequently relied on his mother to watch Lizzie. Luckily his work schedule in pharmacy: two thirteen hour days back-to- back created an built-in hiatus in his ability to overdrink. He was too busy with irate patients, prescriptions and vaccinations to worry or grieve for extended periods. Though he still managed slug a beer or two after work before falling asleep. But on his two days off, the binging was constant.

His mother tolerated his behavior for a short time out of sympathy for her devastated son. And perhaps out of her own confusion and paralysis. Jake guessed she hoped it would all pass. After a month though, she and Cliff confronted him. While Cliff cajoled and persuaded, his mother berated him after Lizzie had gone to bed. Lecturing him that his daughter needed him. She offered a temporary solution. It was an offer that he she would not let him refuse. Moving in with him, she monitored everything and watched over him and Lizzie.

She and Cliff steered him back to semi-sobriety and the reality that his pain would not be extinguished by alcohol. After two much-needed quasi interventions, Jake dried out and cleaned himself up. Despite his plunge into near-addiction, he’d still managed to work his thirteen hour shifts and perform shots and check prescriptions. But against his mother’s prodding, Jake refused to attend an AA meeting. His work was frequently lackluster and uninspired during those days. But he’d come out of it and had turned a corner. He had controlled the demon over the last ten months.

To this day, Jake still didn’t want to admit what his excessive drinking meant. The was a word for it. The dreaded “A” word. Jake had spent many hours pondering if his fate to drink to excess had been pre-destined from birth. His father who had been dead for three years now was also a heavy drinker. The smoking and drinking had caught up with him at the age of fifty-seven. Though Jake did not smoke, he had apparently inherited his father’s proclivity for the bottle.

The stress and excessive work of his job had waged and been waging a relentless onslaught since the day he’d become a licensed pharmacist. The desire to imbibe after the grueling thirteen hour shift was formidable. Jake had managed to resist for the most part. He’d had a beer last night for the first time in a long time. It had only been one, he told himself.

He peered into the refrigerator, licking his lips as the heat from the garage air mixed with the cool refrigeration, clouding the clear glass of the quintet beer bottles.

Perhaps it was a subconscious defense mechanism in his mind, Jake’s mind shifted to the sweet, soft, cherubic image of his daughter. Lizzie was the center of his life and he had been walking the straight and narrow over the last months for her. She needs you, Jake. You can’t drink. The words had been spoken in love but embedded in the steely tinged timbre.

He turned and began closing the door. But his hand remained on the door handle. As his arm was fully-extended, Jake refused to release it. He stopped standing there holding the door open with his back to the appliance. Then, suddenly and with the dexterity of jungle cat, he spun, reached through the cold air and tore the cardboard six pack holder from the fogged, glass shelf.

Inside, Jake slumped onto the sofa. He set the first already empty beer on the coffee table. The frigid liquid hurt his throat as it went down. The cold expanded through his chest and abdomen like liquid nitrogen. In two minutes, the alcohol took hold of his mind mercifully blunting the most recent devastating news. For the moment, the beer allowed him to cram the news of the drug error into a rickety cupboard of his mind.

As he time passed and he sat there, reality managed to push its way into his consciousness every few minutes. He would grab another beer, crack the twist top and guzzle another half-bottle. This routine was repeated several time over the next thirty minutes. When the entire collection of bottles were empty and sitting on the coffee table in little puddles of condensation, Jake laid his head back against the sofa. His eyes fluttered, in an attempt to stay open, battling the effects of the alcohol. His breathing slowed and deepened. Eventually the merciful curtain descended over his consciousness and everything melted into darkness.

Deb Perry

Deb Perry placed the remnants of her early lunch–a sliced tomato, a Caesar salad and a glass of diet soda–in the kitchen sink. Her appetite had been almost non-existent. She forced herself to eat about half the fare before pushing it aside. Then she made the call. It felt good to be taking action no matter how small it seemed. The service she requested could be scheduled for two days from now she was informed by the sales person. “I cannot wait that long. This is an emergency,” she explained, her voice was iron. “It needs to be done this morning. I will pay you whatever you require to cancel other appointments and fit me in.”

The line was silent for several moments. She heard the ambient sounds of the salesman rustling papers while the line was still open. Debra smiled to herself. She’d gotten his attention. After a minute, the man came back on and quoted a figure then said, “I can have a man there at three this afternoon.” It was less money than she’d expected. “I’ll give you twice that plus your normal fee if you get him here by noon. Tell your guy there will be a handsome tip in it for him and to use this code word.” The man reduced the word to writing asking her to spell it. Then she ended the call before the salesman could object. That had been a little more than an hour ago.

The last twenty-four hours had been very stressful. She’d slept little. During her lunch, Luca had texted, asking to speak to her. What little appetite she still possessed vanished. He texted a second time. She’d lost count of all the texts he’d sent since she’d followed his ex-wife through last night and this morning. She was tempted to reply with a lame excuse, but resisted. And there was no absolutely way in hell she was going to actually call him back.

Fear rose in her chest again. Luca was a loose cannon. Tonight she would meet with someone who would demand that she take care of the problem. The doorbell chimed. It was probably the service technician. But she was taking no chances. She picked up the handgun resting on the end table–a Glock G19. Rising from the chair, she ejected the magazine and saw that it was fully loaded. She rammed it back into the handle, pulled back on the slide and chambered a bullet with the skill of a someone seasoned in the use of weaponry.

At the door, she pushed her hair back over her shoulders and smoothed her clothes. Through the small square window of the door she viewed the image of the service technician wearing a Polo pullover embroidered with the company logo over the left breast. Her anxiety eased slightly.

“Who is it?” She called through the door.

Coffey’s Lock Shop,” came the reply. “I was told to say–” There was a hesitation because she knew the man had to refer to code word which had been written on a scrap of paper. Finally, he said haltingly, pronouncing the her family’s surname, “Perochoduk”.

Debra family had changed the name to Perry from Perochoduk many years ago out of fear of persecution.

She shoved the Glock into the waistband at her back and pulled open the door. “Thanks for coming so soon,” she said.

The man replied in a thick Southern drawl, “No problem, ma’am. The boss said you offered him a lot of cabbage to git this done real quick like.”

“That’s right. I need all the locks changed on the three doors very quickly. My boyfriend doesn’t know it yet. But we’re history. And he will not take it well.” She glanced at her watch. “It’s just after noon. There’s a hundred and fifty bucks in it for you if you can have them all switched out before three.”

-To Be Continued-

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A Relationship Beckons: Mistakes and Consequences (#14) Tuesday

To read this serialized blog of A Relationship Beckons from the beginning, click here: Crisis Averted #1Then navigate to subsequent posts using the links in the upper corners.

Check out the special advance offer at the end of this blog for a new book scheduled for release later this year from local authors Dr. Lisa Spiller and Sylvia Weinstein Craft…


Caroline sat at her small kitchen table, drinking coffee. It was her third cup this morning. She’d had the first early this morning trying to settle her nerves after the incident with Luca’s bitch staking out her house followed by Joe Beck’s intervention. The second cup had been with the pharmacist named Jake on Warwick Boulevard at the restaurant of the same name. She could feel her nerves unraveling. It was a combination of the caffeine and the ominous thoughts about all the had happened recently. She needed to call in a refill on her Ativan. She fished out a small key from her purse and a sickening feeling grew in her belly. This tiny key would unlock a whole new dimension to her life. That dimension was not one she ever envisioned and one she hoped she would never have to employ.

After she’d recovered from the shock of waking up to the sight of the BMW across the street, she’d left Peter with her mother who would take him to his first grade class. The school year was winding down and soon he would home all day long during summer break. She looked forward to spending more unfettered quality time with him, uninterrupted by Luca’s disruptive antics. Unfortunately, that was a pipe dream.

As the steaming cup sat before her, Caroline longed for better circumstances for the two of them. Peter’s asthmatic episode had scared her. She’d been so frazzled about forgetting his inhaler. But the heroic pharmacist whose name she now knew to be Jake had saved the day. Her enormous relief and sense of guilt was still all-consuming and lurking just below the surface of her consciousness.

Then Jake had returned her lost phone. Her near-breakdown at Schooner’s had nearly overwhelmed her. But with his patience and assistance, she’d recovered and managed to keep it together and properly thank him. In the short time they’d spent together she had not learned much about him. He had a gorgeous daughter. There was a wife. But Jake had been extremely tight lipped about her. There was something going on there. Caroline didn’t know what. She sensed it was something less than positive. A kind of tragic desolation lingered behind his eyes. It intrigued her. He intrigued her. He had been kind to her when she was weak. He’d downplayed the whole scene. That told her a lot about the kind of man he was.

She had no business expecting romance right now. With everything, it was the last thing she needed. But there was a niggle of expectation about him. She shook the thought from her mind. She needed to focus on her situation and Luca.

Luckily, she didn’t need to work right now. The divorce from Luca had left her with a one time windfall with which she’d been able to buy this carriage home for all cash. The court had ordered her crazy Italian Ex to pay enough alimony and child support for the two of them to live a modest existence. But she knew that Luca’s money would stop someday. Probably sooner than later.

Luca technically owned a small chain of dry cleaner’s in southeastern Virginia, may be five or six total. She also knew that those businesses could not support his expensive car, decent sized home and his growing drug addiction. Luca Clivio was a mobster through-and-through. Right down to his Sicilian toes inside those ugly patent leather shoes. He made his real money running a gang for Big Tommy Romano. Guns, dealing drugs, human trafficking and an underground gambling operation. One of her attorney’s crack investigators had managed to unearth Luca’s books. He’d been running his drug money through the dry cleaners to wash it. But he and his bookkeepers had done a poor job of hiding it.  Luckily for Caroline–and Luca– the judge had admitted those books as evidence in the divorce proceedings. Luca had been ordered to pay more than he legitimate income called for. Then ordered the judgment sealed. So the Feds and the local Virginia authorities had not been apprised of his dirty dealing. If they had, Luca would probably be turning government’s evidence and headed for witness protection. That would mean her alimony and Peter’s child support would go away.

It was also very possible that Caroline would be asked to testify about her knowledge of Luca’s criminal dealings in the future. It was only a matter of time. And that would mean she–and Peter–would have to go into hiding also.

Even if none of that happened, Caroline could foresee the end. It was barreling at her like a planet-killing meteor. Luca’s drug addiction and his illegitimate profession would either land him in prison–or in an early but well-deserved grave. Caroline had to get Peter away from Luca and his destructive influence. As it stood now, Luca was entitled to see Peter every other weekend. Luckily, Luca’s unpredictable schedule and frequent benders made him unreliable. He had seen his son three times in the last four months, not counting his recent visit to the emergency room. And then all Luca did was berate her. He’d paid no attention to Peter. Only during periods of extreme lucidity and sobriety did he ask to see Peter. Caroline had learned not to expect Luca to take Peter on his appointed weekends. In fact, she prayed it would not happen.

All of these factors had played into her decision to file for sole custody. It was a necessary but calculated risk. Luca would go off the deep end when he learned of her filing.

She stood and moved away from the table to a built-in desk beside the refrigerator. She used the space to pay bills, shop  online and surf the internet. Beneath the desktop hung a small dainty drawer with a locking mechanism. Caroline slipped the key into the lock and turned. She slowly pulled it open. Resting atop a stack of restaurant menus and surrounded by pens, pencils and other assorted items was a 0.38 caliber Smith and Wesson six-shot revolver and a box of bullets. She’d scraped together five hundred dollars and purchased it two weeks ago from a local gun shop. The whole transaction made her sick. It looked sinister and alien in the drawer juxtaposed with the ordinary desk items. She had taken a concealed carry class two months ago and filed the necessary paperwork with the Clerk of the Court’s office. Her permit had arrived a week later. She had put off carrying the gun as long as possible. But Luca’s actions had pushed her into a corner. From this day forward, Caroline would not go anywhere without it.


Jake had been sitting in his Toyota Tundra for the last forty-five minutes. At least, that was his best guess. Time had stood still since he’d received the devastating news. Since Althea Downs, the regional vice president of Alliance, had dropped the pharmacy equivalent of an atomic bomb on Jake in the non-descript conference room. According to the pharmacy executive, he had made an error. And it wasn’t a minor error. It was the kind of error every pharmacist dreaded and lo Jake recalled the last moments of the conversation that had taken place less than an hour ago as the weasel Stephan Willings looked on as an ever-expanding shit-eating grin spread across his mocking visage.

“What are you talking about?” Jake demanded. A nugget of concern fanned out over his solar plexus penetrating his abdomen and over his heart and lungs.

Althea Downs frowned tragically. “You filled a prescription two days ago for an elderly man. The doctor prescribed a short-acting insulin Humalog to be injected three times a day with meals. The medication which was dispensed was a long-acting insulin, Lantus. As you know it should only be used once a day.”

Jake recalled sitting in stunned silence for a long time. A potent nexus of fear ricocheted through from one ganglion to the next in Jake’s body at the speed of a lightning bolt. He shook his head incredulously. “That can’t be,” he said reflexively. But at the same time, he knew with the horrible working conditions deteriorating every day and distractions increasing every hour the possibility of any error was real. And the chance for a devastating or lethal consequence always hung over a pharmacist’s head like the Sword of Damocles.

“I’m afraid it is, Jake,” Downs replied. Jake didn’t think her voice could sound more grave. But it did. It seemed to reach into his chest, clutched his heart and squeezed the cardiac fibers. “He used the wrong insulin three times a day for the last two days. He’s in the Tidewater Regional Medical Center in the ICU.” She hesitated then plowed forward. “Jake, he’s in a coma.” His heart felt as if would seize.

His eyes closed involuntarily. His head swam. The room began to spin. He felt like he was going to fall out of the uncomfortable chair.

Downs continued explaining the facts of the incident as Jake’s mind fogged with malignant trepidation. His body deflated. Her words sounded as if they were coming through a long, cold tunnel. The patient’s name was John Harper. A fifty-two year old a type 2 diabetic. Jake recognized the name. It was familiar to him. But because so many patient’s names and prescriptions crossed his computer every day and in such rapid fashion, he had a hard time placing a face.

A bolus of nausea surged in his gut followed by a caustic wave of bile. Jake pushed open the truck door, leaned out and emptied the contents of his stomach onto the cracked, faded asphalt. A minute later, he straightened, wiped his mouth with his sleeve and closed the door. The effort was so weak, it did not close completely. A tiny chill developed in his lower back. It expanded gradually at first then moved exponentially over him until his entire body shook. Sweat poured from his pores like he was sick with fever.

A woman who’d just parked her car nearby studied him as she approached the Toyota, concern carved on her face. “Are you okay?” She asked.

Jake waved at her and lowered the window. “Yes, I’m good now. Something I ate,” he lied. The woman hesitated and finally waved apparently satisfied that Jake wasn’t going to die in front of her. She spun and headed to her destination.

Jake watched her go for a minute. Then he lowered his head, resting it against the steering wheel and muttered, “What the hell am I going to do now?”

Debra Perry

Inside her Hampton condo, Debra woke and checked the digital clock on the nightstand.  She had slept for about ninety minutes. It was a partially restful repose. She felt better. Not great but there was more charge in her battery. With great effort, she peeled back the bed covers and swung her legs over the edge of the bed. She ran her hands over her face. As her fingers slid past her eyes, she spied her clothes scattered haphazardly on the floor. Naked, she padded into the bathroom and studied her lithe form in the mirror.

Her body was firm, tan and would make a porn star envious. Such a waste! She was a tough woman who’d been through her share of troubles In the beginning, her relationship with Luca was filled with heat and sparks. He had been charming and confident. That first night, he’d approached her at a holiday party at a hotel in Norfolk put on by Big Tommy Romano. A girlfriend had told her about Luca’s recent separation and divorce. She’d introduced them that same night. Luca and Debra spent the entire evening drinking, dancing and with their heads very close whispering intimate and carnal messages. Around midnight, he’d invited to leave with him.

They’d gone back to his place and made love three times, resting for periods between each episode. In the morning, they woke tired but sated. He made her a breakfast of bagels and sour cream, scrambled eggs and Bloody Mary’s. Debra had had great hope for their union. It had only taken six months before things began a downward slide. As she stood admiring her naked form in the mirror. She now chided herself for allowing her situation to deteriorate to its current state even as she remembered that passionate, desperate night of lovemaking.

It was time! She needed to act…to take steps. Do it now, she told herself, before you chicken out. She turned on the shower to let the water steam.  Then returning to the bedroom, Debra retrieved her phone from the nightstand. She pulled up the number and activated the call.

The gruff voice answered after after three rings.

“I need to see you,” she declared in a soft but firm tone. “Luca is becoming a problem. He’s out of control!”

“I know,” came the reply instantly. “Meet me this evening at eight and we will discuss how you will eliminate this problem.”

The line went dead. Debra expelled a long shaky breath. She tapped the silent phone against her temple. She swore out loud. “What the hell did you think he was going to say?”

-To Be Continued-

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I had the privilege of reading an advanced copy of Platinum Rules for Enjoying Life by Dr. Lisa Spiller and Sylvia Weinstein Craft. Platinum Rules is a self-help guide for living a better, happier and more fulfilling life. The principles and concepts contained on its pages are time-tested, effective canons for true self-realization. This book is available for pre-order right now. Click the book cover below to reserve your copy now…

If you have a pharmacy story or a story (heroic or challenging) of everyday life in your healthcare world, send it to me by clicking the link below…

Send David Your Healthcare Successes and Challenges

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If you find this blog entertaining and informative, please share it with your contacts and on social media through the links on this web page…if you are a pharmacist nurse or doctor, please share it with your colleagues…thank you

A Relationship Beckons: Bad News Delivered (#13) Tuesday

To read this serialized blog of A Relationship Beckons from the beginning, click here: Crisis Averted #1Then navigate to subsequent posts using the links in the upper corners.

Luca and Il Gigante

Luca Clivio and Lorenzo Esposito a.k.a. Il Gigante had watched Fernando Gomez leave his modest Norfolk domicile ninety minutes earlier. The pair had trailed–at a discreet distance–the capitan of the Gomez Familia in Luca’s Mercedes S-class sedan to three locations in the Tidewater area. Twenty-five minutes ago, Gomez and his three bodyguards stopped at a international corner market owned by a Vietnamese couple on the outskirts of the Chesterfield Heights District of Norfolk.

Luca surmised that the Cuban Gomez probably would refer to the the establishment as a bodega. Luca and his new, unwelcome partner watched the tense interaction through a pair of field glasses the mammoth man produced from inside his coat. Il Gigante peered through the glasses for thirty seconds moving his head back for forth slightly taking in the scene. The store’s windows were half-covered with colorful signs over equally colorful inventory. Even without the  binoculars, Luca could partially make out the unfolding interaction. Il Gigante offered the glasses to Luca with a solitary word, “Pizzo.” Protection money. Luca had already concluded the same.

Luca nodded once and accepted them. Raising them to his eyes, he was rewarded with a magnified view as he swiveled the glasses back and forth taking in the entire scene. Two of Gomez’s bodyguards had taken up flanking positions behind the counter on either side of the petrified couple while the third stood a post outside the door. In the few minutes since the cabal arrived, this man had barred entrance to two potential customers. Just inside the glass door, Gomez partially obscured behind a bread rack was delivering a message. The Cuban leader moved his head in a calm, but authoritative manner. His words were most likely being dispensed in a soothing yet menacing manner. The man and the woman nodded apprehensively in response.

This must have been the Cuban’s first encounter with these “protectees”. His gut roiled as a growing frustration swelled in his rib cage. Luca had come to know the Cuban’s modus operandi. He himself had used it many times.

Right now, Gomez was explaining in his heavily accented English that the bodega was now under the protection of his organization. They would be required to pay a weekly protection fee, probably somewhere in the neighborhood of $150 a week. In exchange, the Vietnamese couple would be assured that no one would bother them or their business. If anyone harassed or stole from them, Gomez’s boys would erase the problem. If they failed to pay, Gomez could not ensure a disaster would not befall their little enterprise. Luca knew these tactics well. He and his crew employed the same strategies. But Luca also knew that Gomez would ask the couple for one more assurance in exchange for their hard earned cash. Inside the crowded aisles of their establishment, drug deals and money transfers would take place whenever Gomez demanded–out of public view. And the couple would look the other way. Luca had learned this fact from one of his crew. The young man had stumbled upon a shakedown. When he told them they were on Luca’s turf he had been savagely beaten and was now recovering at Sentara Norfolk General.

Luca’s anger was not the result of sympathy for this distressed couple. This area was his territory and Gomez and his thugs were horning in, stealing his protection money and customers for drugs, whores and gambling. They were the reason his profits had shriveled. They were the reason he was in hot water with Big Tommy Romano. And this was why Big Tommy had ordered Luca to eradicate the problem, the infected vermin were to be exterminated.

Luca had not had the stones to come to the conclusion himself. No, instead, Big Tommy had given Luca the mandate, pronouncing that Luca must handle the situation. Big Tommy looked down upon him for allowing the problem devolve to this extent. For all his bluster and chest-thumping to his guys, Luca deep-down was not a killer. He was not a ruffian. He was a drug-addicted member of the Romano crime family who tried to appear tougher than he actually was.

When the Asian couple had handed over their first payment and been thoroughly terrorized, Gomez and his trio departed. They trailed the quartet to two more locations, watching them perform the same song and dance in Virginia Beach and Chesapeake. As they pulled to a stop at the last location, Luca finally summoned the courage to ask the question that had been bothering him.

“You do have some kind of plan, don’t you, Lorenzo? I mean how are we going to get past the….buffones?” Luca inserted a Hispanic racial slur before the last word.

Il Gigante’s protruding, misshapen lips spread into a malicious smile, moving like giant worms pushing the pock marked skin over his cheeks toward his ears. “I have been following this stronzo for the last two weeks,” he grunted. “I know where he’s going next. He goes there every day…same time…same place. We will take him there.” Il Gigante rotated his enormous head to the left and leveled his malevolent pair of dark eyes on Luca. “Do not use that term… again.” Il Gigante dropped a heavy mitt on Luca’s forearm. His meaty fingers squeezed until Luca winced. “It offends me. This guy is a business man. He will be treated with respect. Right up until the time you put a bullet in his head. Capisce?”

Luca felt his Adam’s apple bob as he swallowed heavily. Shit, he thought. If Il Gigante had been following Gomez for two weeks that meant that Big Tommy had ordered him to do it. And that meant Big Tommy had been aware of what was going on for longer than Luca had intimated to Luca. He felt his stock plummeting in Tommy’s dark, evil eyes. Luca nodded once acknowledging Il Gigante. He wrenched his arm free from his grasp and croaked his next question. “So what’s the plan?”

“When they get where they’re going, I will distract the buffones. You will kill…the Spaniard.”


Jake sat in the hard uncomfortable metal and vinyl chair in the medium-sized conference room in the Alliance Pharmacy’s district office in Williamsburg as he waited for Stephan Willings, his manager to materialize. The secretary, a stout gray-haired maven who performed scheduling and other various administrative duties was the gatekeeper and resident pit bull for the five managers at this location, had pointed him to the room to wait in exile. The color scheme was robin’s egg blue trimmed in a faded white. Four inspirational posters dotted the distressed walls professing teamwork, determination and taking care of the customer. Jake found them offensive. He had come to realize that Alliance Pharmacy, his employer, only cared about one thing. Profits.

He had driven north to Williamsburg directly from his breakfast with Caroline Clivio. As he slipped onto Interstate 64, Jake phoned his mother and asked her to watch Lizzie for another couple of hours. “Work had called. They need me to meet with them,” he explained. His mother required no further explanation. She was a saint, he told himself, as he pressed the accelerator encouraging more power from the Tundra’s twin-turbo V-6.

As he left the parking lot of the restaurant, Jake had decided that he wouldn’t ignore his idiot boss, Stephan Willings, any longer. Even though that’s exactly what he wanted to do. Willings would not let the matter of closing the drive thru drop. Jake knew what was going to happen. Willings was going to write him up. He’d decided he would take his proverbial medicine and get on with things. By signing the write-up Jake knew that Willings would stop riding his ass–at least–for the moment. But Jake was not about to take the reprimand lying down. His next step would be to file a complaint with the Virginia Board of Pharmacy. As the Pharmacist-in-charge, Jake was supposed to be in complete control of the practice of pharmacy at his location. Willings–and by extension Alliance Pharmacy telling him he couldn’t close the drive thru–were usurping his authority. The Board of Pharmacy would be very interested in this development. The ever-constant rolling wheels of corporate pharmacy with their labor shortages and payroll cuts and increasing workload demands were at odds with the safe practice of pharmacy. But they weren’t about to let patient’s well fare stand in the way of the bottom line. Pharmacists and their technicians were caught between a demanding public and their even more demanding corporate task masters. It was a problem that had been growing out of control like an untreated infection. Since the start of the pandemic, the crisis had swelled to ridiculous proportions and had failed to subside. The retail pharmacy industry was in deep, deep trouble.

Their efforts to trim and cut in order to cut expenses and increase profits were not working. Alliance had been hemorrhaging cash for the last five years. They were ripe to be swallowed whole by one of the pharmacy behemoths like Walgreens or CVS. But the higher ups kept pushing the same old mantra. More shots. More prescriptions. And less labor hours with which to get all of it all done.

As he sped along the highway, Jake temporarily forced that troubling work matter from his mind. He spent the remainder of his drive focusing on the woman who’d just bought him breakfast. She seemed to be a very engaged, concerned mother to her son, Peter. She was a knockout. Curvy in all the right places with sharp, intelligent eyes tinged with a malleable hardness that rested just behind her seemingly magnetic irises. Her near breakdown was inconsistent with her bearing of composure and strength. She recovered quickly and moved on, Jake recalled. His years in the Corps as an officer had blessed him with an unique ability to read people. Caroline Clivio had seen some shit in her life. And she was stronger for it.

Their encounter had been awkward, polite and–intriguing. He had mentioned the possibility of a lunch meeting at Schooners in the future just before taking her to the second restaurant. It was something one usually said to mollify a person who was upset and not knowing what else to say. A reflexive response. Perhaps, not one’s true intent. During breakfast, Caroline had asked him if he’d allow her and Peter to become his patients. It was a compliment. And Jake had to admit, he was intrigued at the thought of seeing her again even if it was professionally. The man in him was curious about this woman. The objective part of him warned to keep this potential entanglement at arms length. She had also picked up on his offhanded offer for a second meeting. The internal conflict inside him had only allowed him to manage a lukewarm response. She had also deftly managed to bring up the subject of Jake’s wife. Jake had not corrected nor informed her about the true circumstances. But she had not seemed deterred by the possibility. Caroline Clivio was a strong undeterred female. Despite the obvious unknowns and his skittish desire…his interest had been piqued–

His thoughts were quickly interrupted when two individuals breezed into the conference room. Their gait, scowls and hurried yet serious bearing struck Jake immediately. The first through the door was Stephan Willings. The slight, hunch-shouldered weasel with the crooked nose Jake had quickly come to despise. The second appeared ready to crawl up Willings’s backside. She was a tall, lithe black woman, Althea Downs, the regional vice president for pharmacy operations. In his six years at Alliance, Jake had met her only twice. About five-seven in three inch heels, she carried herself with a regal air and walked as if her spine were a steel rod. She was polite but possessed an edge when challenged could produce a razor-sharp response that withered the unprepared. When she asked questions, she demanded direct, short to-the-point answers. She had no time for unnecessary chatter. And like most of the corporate muckety-mucks at Alliance and throughout the industry, she wanted to hear what she wanted to hear. The frontline pharmacists and technicians were motivated to comply because when these entourages made their quarterly visits to inspect operations, they had prescriptions to fill and registers to ring. The visits always put them farther behind than they already were and added to the stress.

Downs’s oval face was set in perfect cocoa skin with large round piercing eyes beneath a tight-curled blonde hairstyle. Her no-nonsense comportment was amplified by her sharply-attired female physique. A stark white pants suit over a lavender blouse with the aforementioned black three-inch pumps. Both wrists sported what appeared to be a dozen metallic bracelets. When she moved her expertly-manicured hands as she spoke, they rattled like the dreaded jangle of a prison guard’s key chain.

“Good morning, Mr. Murphy,” Downs said in a silky smooth but firm tone as she dropped a file folder on the table. She lowered herself gracefully into the seat beside Jake.

Jake wanted to get this over with as quickly as possible. “Look,” he began. “I closed the drive-thru because patient safety was at risk. I was down a technician and the environment was not conducive to safety. I told Willings here exactly that yesterday.”

Downs placed the knuckles of one hand against her pursed lips. “You know the company’s policy against closing the drive-thru–”

“I’m well aware of the company’s policy,” Jake interrupted. “My policy,” he emphasized the word “my”, “is the provide a safe work environment for me, my staff and my patients. An environment that reduces the chances that we will make an error.” His eyes whipsawed between Downs and the weasel Willings, finally settling on Willings. Jake held the skinny man’s gaze until the coward looked away.

“I understand your concern–”

“No you don’t.”

The vice president bristled. She paused then said as evenly as possible. “I’m a pharmacist too, Jake. I’ve been where you are. We all have.” She cast a quick glance at her subordinate, Willings.

“Then what are you doing to fix the problem?”

“You can’t close the drive-thru. You have to increase the wait times. The drive thru must stay open. Patients depend on that service. If you wanted to close it, you need to get permission.”

“I don’t have time to wait for you or–him–” Jake pointed at his boss, “to give me permission.” Jake sighed and shook his head. “You’re here to write me up for closing the drive thru. Just give me the form. I’ll sign it and be on my way.”

Downs made a gesture of surrender. She opened the folder and produced a typewritten document. Jake had seen the likes of it before. It was the Alliance Pharmacy corporate documentation form. It was neatly filled out with several paragraphs of text. She slid it over to him along her with a fancy fountain pen.

Jake read quickly but carefully. It contained all the legal mumbo-jumbo about failure abide by corporate policy. And if it happened again, it would potentially lead to more documentations up to and including termination. Jake picked up the pen, poised it over the paper for several beats the scratched his name on the signature line.

“I promise you. This is not over. As the pharmacist on-duty and the pharmacist-in-charge, I am supposed to have complete control of what happens in that pharmacy when I’m filling prescriptions and so does my partner.” Jake’s partner was the other pharmacist assigned to his store who worked when Jake was off. Her name was Gretchen Collins. Jake dropped the pen with finality. “The Board of Pharmacy is going to hear about this.”

Downs replied without hesitation as if she had been expecting this statement from Jake. “I’d be careful about doing that. It could be bad for…you.”

“Why?” Jake shot back. Then it occurred to him that he had also made the same threat about going to the Board when he handed Willings the Pharmacy Working Conditions Document yesterday. Willings had obviously shared it with Downs. Jake’s eyes bore holes into him. He addressed the next statement to Downs but kept his eyes on Willings. “Are you threatening me?”

“I’m just saying be careful how you handle yourself, is all.”

“Again why?”

“Because you are going to want the company behind you in the next days, weeks and months.”

Jake furrowed his brow. His question was unspoken but nonetheless it hung precariously between them.

Downs smile curtly and continued. “You see, Jake. Another issue has come up.”

“Okay.” Jake turned his hands toward the ceiling in a gesture that said, “I’m listening.”

“Jake, there’s been a drug error. A serious drug error that was reported just yesterday. It appears there has been injury to a patient. And it was your drug error.”

Deb Perry

Deb Perry, Luca’s girlfriend, vixen and surveillance expert, sat slouched in her BMW in her driveway, holding her phone and wishing it could transport her to another dimension and away from this sordid, surreal affair. She could feel everything on the verge of spiraling out of control. With great effort, she alighted from the car and trudged to the front door of the north building of the Windward Towers on the northern shore of the James River a stone’s throw from the shipyard. Exiting the elevator on the sixth floor, she needed four tries to slide her key in the lock. Exhausted, every fiber in her body craved sleep.

But she had to do one thing before her head hit the pillow. She had to make the dreaded call to Luca. Inside, she dropped her bag on the sofa, toed off her ankle boots and walked into the kitchen and pulled a bottle of water from the fridge, oblivious to the gorgeous panorama for the James River bridge and the historic river spreading out beyond her large windows.

She pulled Luca’s number up from her favorites list and thumbed the call to life. It rang several times before she heard Luca’s strained, hoarse voice. “It’s about f-cking time,” he hissed.

“Where are you?” Deb asked, trying to deflect his anger.

“I’m taking care of some business.”

“Tommy Romano’s business. Are you–you know–doing it–today?”

By the background noise, she could tell Luca was in a moving car. “What did you find out?” Luca demanded.

Deb sighed. “It’s not good.”

“I’m in no mood for games, mi cara.” The term of endearment held no love in it. The sarcasm hit her like a slap in the face. He was sobering up. His words were no longer slurred. There was a keen, desperate intensity in them.

“Well, it’s like this.” She skipped the part about following Caroline to the hospital and the pharmacy. Luca had already shown up unexpectedly after she’d informed him that Caroline had taken Peter to the emergency room after leaving the pharmacy. For three minutes, she laid out what she’d over the last twenty four hours explaining that Caroline had stopped at a lawyer’s office carrying a manila envelope. She hesitated letting that information sink in and all that it implied. Luca only grunted. The sound of his breathing seemed to quicken.

“And she had breakfast this morning…with a man,” she explained. The breathing stopped. Only the distant sound of rubber on the road coming through the phone. Deb had ventured into the pharmacy yesterday following Caroline after she entered Alliance Pharmacy in a panic. She pretended to look at greeting cards as she eyed the events outside the pharmacy. The pharmacist administered a breathing medicine to Luca’s son, Peter. During the hurried chaos, she’d gotten a good look at the pharmacist. Deb plunged ahead. “It was the pharmacist that helped your son with his asthma attack.”

The silence stretched endlessly. When Luca ended it, his next words were lethal and ominous. “Figlio di puttana.” This was followed by a lengthy, sinister tirade in agitated and speedy Italian that Deb did not understand. Unfortunately, she knew exactly what the words meant.

-To Be Continued-

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A Relationship Beckons: The Roman Summit (#12) Tuesday CET

To read this serialized blog of A Relationship Beckons from the beginning, click here: Crisis Averted #1Then navigate to subsequent posts using the links in the upper corners.

Giuseppe and Jacques

The Roman Summit


Giuseppe Linguale sat across from his rival and French counterpart, Jacques L’Enfant, on the upper level of the Roman eatery Sacro e Profano. They were just finishing up the secondo course. Linguale had done some serious damage to his veal parmigiana and a bowl of gnocchi while simultaneously dominating the conversation. He paused momentarily to take a breath and sip his half-full glass of Chianti. Then he peered across the table at his Parisian guest as if suddenly surprised by his observation.

“Jacques, you have barely touched your food. Cosa c’e che non va?”

L’Enfant’s superior yet constipated visage relayed his consummate displeasure with the Italian fare of this bourgeois restaurant. A small Margherita pizza with a small wedge missing rested on a white plate before him looking like a smile minus a front tooth. The wedge in question sat askew with only a single serrated bite missing. The majority of a large meatball in a shallow bowl appeared as if it had been nibbled on by an oversized vermin. Only his glass of Prosecco had seen any semblance of consumption.  An inch remained in the crystal goblet. He mumbled something in disgust under his breath in French as Linguale who could not be wait any longer for a response stuffed the final square of a breaded meat into his mouth.

L’Enfant brushed his lips with the starched linen napkin and dropped it onto his food and was thinking about the fine Parisian meal he had foregone to attend this tete-a-tete. At this very moment, he could have been sitting in the grande brasserie traditionelle,–Le Malakoff–partaking of un cassolette de escargots de Bourgogne followed by escalope de saumon à l’oseille and a fine bottle of champagne. Perhaps a Taittinger Brut Prestige Rose or maybe a bottle of Sancerre. His table would peer out onto the half-moon traffic circle of the Place du Trocadero et du 11 Novembre and the statue of Ferdinand Foch on his proud steed on a massive concrete pedestal. In the distance, he could gaze out on a glorious view of the Iron Lady as Citroens, Peugeots, Fiats or an occasional Mercedes zipped around the semi-circular intersection. No, instead he was seated here with this macaroni. He pushed the thought from his mind and delivered his next words in a frustrated and hurried manner. “Gio, you have dragged me all the way from Paris. It’s about time we get down to business. You said this trip would be worth my time.”

Linguale had dominated the conversation since they’d been seated. He had yammered on about a multitude of topics. The subjects were not anywhere close to being germane to Linguale’s reason for calling the conference. For nearly thirty minutes, L’Enfant endured and squirmed and his Italian counterpart rambled on about: the deplorable state of Italian politics including the death of Silvio Berlusconi and his embarrassing and many controversial faux pas; the equally shameful performance of the nation’s soccer; the economy and the price of a decent pack of sigarettas.

Linguale’s lips spread into a thin, taut line. “Naturalmente. Scusa, I talk too much,” he replied. “I’ve been this way ever since I uttered my first words.” Linguale was not the least bit sorry. He hated to be sitting here with this Gaul asking for un favore. Every syllable the Italian had uttered had been calculated to irritate him and at the same time guide L’Enfant exactly where Linguale wanted him to go. “I promise you it will be well worth it.”

Sacro e Profano, the converted church once owned by the noble Roman Ficcocia family, dated to the twelfth century. The interior possessed the amber glow of golden sconces, the rugged and unyielding façades of red brick and rust-tinged tiles framed by caramel and set amongst wrought iron balustrades.

The second floor dining area was situated on an oversized balcony following the contour of the interior walls and overlooking the first floor, a centrally-located pizza oven and cooking space along with a small but well-stocked bar. Michelangelo-style frescoes set in recessed rounded arches looked down over the space. The unique juxtaposition of the ancient Roman art and the modern dining environ was not unpleasing to the eye. This upper space was unoccupied save for six men. Linguale, the Roman Don, and L’Enfant, the French Parrain and their respective security details. L’Enfant was accompanied by a single beefy Parisian stationed at the head of the stairs, standing at parade rest. The only part of his body that moved were his eyes, keeping an unwavering vigil. A visible bulge under his left armpit foretold his lethal capabilities. His dark suit, threatening to burst at the seams, failing to conceal his unyielding brawn. Linguale’s first counterpart, equally buff and armed, stood his post a few feet from the Frenchman mirroring his stolid and intimidating mien. Linguale’s second guardia del corpo overwatched the first floor at the interior corner of the balcony diametrically across from the stairs providing a clear vantage point and advance warning of potential interlopers from below. Finally, a young waiter clad in black trousers and a starched white shirt with a white apron cinched tightly around his waist waited stiffly at the waiter’s station, trying to appear nonchalant, but ready to pounce, at the next request from either of the criminal titans.

Linguale–who was well acquainted with the owner and frequented the restaurant at least twice a month–had called ahead and asked that every second story table to be completely vacated beginning the hour before his reservation and to remain unoccupied during dinner and for another thirty minutes after Linguale and his guest departed. For this privilege, the Italian crime boss paid the proprietor the equivalent of the twice the lost receipts. He also included a generous gratuity for the wait and cook staff.

“Jacques,” he began. “I have kept tabs on you and your affari. You have eliminated all your competitors and run all the rackets and drug rings in Paris from the E15 west to Normandy and north to Belgium. You have well-positioned your organization.” He beamed a broad, confident smile. Behind the genial facade, Linguale dispised this tete de noeud. He was a caricature of a traditional Frenchmen. His perpetual moue. His condescending attitude. His dress. Hell, the only thing missing was the goddamned beret.

Jacques L’Enfant was immune to the Italian’s bluster. He glared back at Linguale unflinching, waiting for him to get to the point. After nearly twenty seconds, the Italian’s smile dimmed slightly.

“We have an opportunity, amico mio.”

L’Enfant nodded once, indicating the uomo had his attention. “Continuez.”

“My capos in Virginia are rapidly losing ground to the Cubans. My don there, Tommy Romano is losing control of the region known as Tidewater. He is fat and getting lazy. He is letting his lieutenants get fat and lazy. How do you say…compiacente…complacent.” Linguale’s words were stilted and coated in heavily accented English.  Neither spoke the other’s mother tongue. Though neither were no fluent in English, it was their common language. “I would like to take back the regione and send that Spic bastard back to Havana.”

“So do it. Pourquoi are you asking for my help?”

“The mid-Atlantic area from Maryland, Virginia to Northern North Carolina is a ripe market. Many young people. The United States military is thick in that region. Lots of bases. Navy. Air Force. Lots of customers. But we are losing ground. I do not have the manpower to control the whole area. But between our two organizations, we could devour the competition. He doesn’t know it yet. But Big Tommy will be sacked. I have a man in mind in Roma who will take his place.”

L’Enfant pursed his lips, pondering the statement.

Linguale pushed two plates away to create space on the table. He removed an expensive fountain pen, unscrewed the cap and drew a crude map of Maryland, the District of Columbia, all of Virginia and a portion of North Carolina on the linen. He traced a horizontal line through the center of Virginia. “You would take the north,” he declared, tapping the nib of the pen above the line. “I would take the south. I can muster about fifteen men. With another fifteen men from your organization, we can each turn the current soldiers and recruit new Americans and take out the Cuban and his lieutenants.” Linguale paused and for emphasis said, “Big Tommy.” He stopped speaking, extended the index finger of his right hand a drew it across his throat.

Jacques L’Enfant

After Linguale signaled that his man Tommy in Virginia was as good as dead, L’Enfant held the Italian’s gaze for fifteen seconds. He could sense that the silence–as silence always did–ripped at Linguale’s soul. It was like a raging river swelling behind a dam, waiting to burst forth. L’Enfant silently enjoyed watching him squirm. He was intrigued by the offer. He had had a stranglehold on the drug, prostitution and gambling rackets in Paris and northern France for the last three years and was ready for a new challenge, more territory and greater revenues.

Six months ago his organization had eliminated the last competitor in a very gruesome fashion. The parrain of the smaller but pesky rival gang along with his top four lieutenants had been executed in royal fashion–literally. L’Enfant had arranged for the five men who were dining casually in a restaurant in the Sixth to be kidnapped by a squad of ten of his best tueurs a gages or hitmen. The hostages were taken to an abandoned warehouse near the Roland Garros tennis complex in the Sixteenth. Separately, they were tortured mercilessly for information for nearly twelve hours. As dawn broke and after L’Enfant was certain that every ounce of information had been squeezed from each man, the five were brought back together in a large central room. The chairs to which they’d been secured were set in a circle around an antique wooden guillotine. The device was old, the wood scratched and distressed. But the angled blade gleamed in the eerie wash of the assassins flashlights. One by one each man was lain on their backs on the bench under the sharp, suspended trapezoid of metal ensuring that their last vision was the heavy blade careening toward them. After the deed was done, a large basket collected the severed heads and spurting blood.

The four lieutenants were executed first, in turn, based on seniority, to a man they pissed themselves and cried for their mothers like petrified schoolboys. The top man, the parrain, was saved for last. Fruitlessly, he struggled against his bonds as he was lifted into place on the bench, face up, and his head was placed in the lunette. His arms were were fastened on his belly.  His legs and torso were also secured to the wooden bench. With the previous four, only seconds elapsed before the blade was released and each man was decapitated. But L’Enfant had ordered that the parrain be allowed to live for a seemingly endless period of minutes as the lead executioner whispered into his ears words that L’Enfant had written himself. Of course, L’Enfant was no where near the abandoned warehouse. But the scene had been recorded. Finally, the blade whooshed earthward through the wooden vertical guides toward its victim. The parrain let out a bone-chilling scream as the blade connected with the tissue of his neck. After a fleshy, split-second thunk and the snap of the spine, the scream was cut short and the severed head thunked  into the collection basket like a discarded coconut. The bodies had been hung by the feet from poles side by side like fresh catches of tuna in the wee hours of the morning and the basket of heads left on the sidewalk. When dawn broke through a misty gray haze, Parisians were horrified by the ghastly sight.  The assassins had hung a hand made sign warning all not to incur the wrath of Le Milieu.

L’Enfant knew that if he accepted Linguale’s offer, he would make money. A lot of it. But he also knew that in a few years, inevitably, he and Linguale’s organization’s in America would clash. Now they were simply businessmen in the same field who toiled in different markets. Their paths rarely crossed. It was the unspoken code. They were of different backgrounds, lived in different countries. They peddled their drugs, dispensed their whores and ran their bookies. And they left each other alone. The American offer would place them side by side. And the proximity would eventually pit him against this annoyingly verbose but lethally ruthless Italian. L’Enfant was not afraid of the fight, he just knew it lay in his future. His greed and lust for power could not be ignored. He would deal with Linguale much later. L’Enfant made a decision.

“Giuseppe, I will bring thirty men.” L’Enfant knew that Linguale’s declaration that he would take the southern part of the region was calculated to the Italian’s benefit. Just to keep the Roman off balance and show him he would not be subordinate to someone else’s orders, L’Enfant threw him a curveball. “But,” he demanded. “I will take the southern region. You,” he pointed a thin finger at Linguale’s nose, “will take the northern region. My team will be ready in one week.”

With that simple, definitive declaration, the Frenchman stood and motioned to his bodyguard. He was down the stairs with his minion in tow and out the door before Linguale could object. And L’Enfant left him to pay the bill.

Get all Four of David Perry’s Books for $10 (that’s $2.50 per book)…use Coupon Code: 4Books10

If you have a pharmacy story or a story (heroic or challenging) of everyday life in your healthcare world, send it to me by clicking the link below…

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A Relationship Beckons: The Meetings Continue (#11) Tuesday

To read this serialized blog of A Relationship Beckons from the beginning, click here: Crisis Averted #1Then navigate to subsequent posts using the links in the upper corners.

Jake and Caroline


“Shit,” Caroline blurted in frustration after tugging on the locked glass door of Schooner’s, the popular eatery on Warwick Boulevard a short drive north of Christopher Newport. The establishment was currently closed. She glanced at the signage on the glass then her Longines watch. “I forgot. They don’t open for another forty-five minutes. Damn!”

She peered over at the pharmacist named Jake as she felt her features dissolve. She pushed out a tense sigh as nervous emotion blossomed in her middle. The sensation slithered up her spine and settled in her brain. The last twenty-four hours had been chock full of mind-numbing stress and debilitating anxiety. Peter’s breathing crisis; nearly colliding with the speeding Beamer as she sped to the pharmacy; the desperate plea to the man standing before her now to save her son; the flooding relief when the color returned to her son’s lips; encountering Luca in the emergency room and their aggravated confrontation; losing her phone; realizing the lithe, well-dressed woman in the Beamer who had been following her and seeing her car parked across the street from her home; delivering the legal papers to her lawyer pleading for sole custody of Peter and all that simple act signified.

Though she knew some of these matters were not closed and would rear their hideous heads again, she was glad they were behind her for the moment. Other than her solitary ten minute breakdown after she climbed into bed last night, Caroline had taken pride in the fact that she’d handled much of the day with aplomb and composure. In the pharmacy, she had pleaded for this pharmacist to save her son. She was certain that the extreme fear had coated her words, but she’d acted with the fierceness of a lioness protecting her cub. In the emergency room, she had dealt with Luca in a calm, stoic manner though insides seem to congeal. She’d managed her rolling emotions. Only in the dark of night when Peter was asleep and she was alone, did she allow a crack in the façade to bubble to the surface. The solitary release had been cathartic. For the vast majority of the span, she’d assimilated and tamped down any visible signs of distress…until now. This minor, unanticipated setback–one of her favorite haunts being closed–hit her like an unexpected but devastating Pacific tsunami. It washed away of the crucial pebble holding together the crumbling dam of her resolve together. The tears would not be quelled.

Caroline rapidly blinked, trying ineffectually to stave off the welling moisture in her eyes. She looked away toward the humming traffic of the bustling Warwick Boulevard and gaped into middle distance. A tear escaped down her cheek. “I’m sorry,” she whispered huskily.


Jake was about to suggest an alternate location. He opened his mouth to speak but was stopped before any sound escaped. He noticed this woman’s face filling with crimson emotion. “I’m sorry,” she croaked weakly as she brushed a wayward tear from her cheek with two fingers.

“Is everything alright?”

She raised her hand toward him as if warding off the question. Her face continued to flush with a rosy hue.

“I’m sorry,” she repeated with more emphasis.

Jake fished out his key fob and unlocked the Tundra and motioned for her to move to the vehicle. He opened the passenger side door, reached into the center console and retrieved a brown fast food napkin. He held it up. “Here.” She accepted it and dabbed her eyes.

“Is there anything I can do?”

Caroline shook her head. “I’m sorry. I’m fine. It’s been a helluva last twenty-four hours.”

Jake nodded solemnly then said, “Let’s get that coffee. I know just the place. I’ll drive. I love Schooner’s too. We’ll have to try it another time.” He stepped aside and allowed her to climb in. Then he closed the door.


Ten minutes later, they were seated in a well-worn leather booth inside the Warwick restaurant.  An affable, matronly waitress with a round torso and white hair materialized. She asked if they wanted coffee. When Caroline and Jake both agreed, she left and returned with two brimming mugs of steaming java. A pair of laminated breakfast menus which had been squeezed between her arm and her torso were placed on the table before them.

Jake had slipped out of the Schooner’s empty parking lot and retraced the path they had taken. He drove past the Starbucks where they had just met, the Exxon station and hung a left into the Warwick’s parking area. This diner had been a staple in Newport News for as long as Jake could remember. The aging but well-maintained one-story flat roofed affair served three meals a day with heaping portions of meals that felt home cooked..

Caroline perused the menu. Her earlier tempest had subsided but not her embarrassment. She decided to not belabor the issue and trudged ahead. “Have you eaten? At least, let me buy you breakfast,” she asked. She was famished.

With the hectic morning that began with her knocking on Joe Beck’s door and asking the older man to do her bidding with Luca’s bitch and watch dog; getting Peter ready for school and then dropping off the legal equivalent of a ticking nuclear bomb at her lawyer’s office, she had not eaten breakfast and only managed a few sips of cold coffee.

Jake scanned the two-sided menu, flipping it over. “I only had two pieces of toast this morning after my run. I could eat.”

“Great,” Caroline beamed. “I’ve never been here before. How’s the food?”

“Excellent. Almost as good as my mom’s. I come here once a week with my daughter. She loves the pancakes.”

“How old?”


Caroline smiled. “Come on,” she chided him. “Let’s see some photos.” She truly was curious about his daughter, but she also wanted to put her emotional lapse farther in the rearview mirror.

Jake removed his phone from his coat pocket, tapped and swiped then turned the device toward her. Caroline accepted it and studied several shots of a beaming girl with crimson cheeks, dirty blonde hair and sky blue eyes. “Gorgeous,” she sighed.

The waitress returned and took their orders. When she departed, Caroline continued, “She has your mouth. Must have your wife’s eyes.”

A cloud seemed to pass over the man’s features.

“She does,” Jake replied as his voice dipped a few octaves.

Involuntarily and without reason, Caroline’s heart dipped in her chest. An awkwardness hung in the air between them for several moments. She had expected this man to elaborate on his daughter or his wife. But he didn’t.

Remembering his exceptional act of heroism yesterday, Caroline broke the silence. “How long have you been a pharmacist?”

“About eight years.”

“Do you like it?”

“It pays the bills. But the industry is killing itself.”

“That’s not a ringing endorsement.”

Jake shook his head. “No, I guess not. It’s incredibly stressful.”

“When I came running down the center aisle, I noticed you had a lot of people in line.” She dipped her head. “I’m sorry.”

For the last few minutes, she had had a chance to really study him. He was at least six-one with a lean, muscular frame that could not be  hidden by the navy blue, fleece-lined jacket, the white polo that clung to a well-toned torso over neatly pressed jean and tan leather walking shoes. His inquisitive eyes were caramel and flecked with black and hints of melancholy. Slight webs of crow’s feet had begun to take root just in front of temples which were shot with strands of gray. His hair was expertly groomed and trimmed like someone used to discipline. The jaw was strong and resolute. Caroline took no time coming to the conclusion this man was attractive.

Jake leaned closer then whispered. “You don’t have to keep apologizing.”

Caroline snuffled. “Sorry,” she sighed.

They laughed softly for a moment. Caroline crossed her heart and said, “I promise…no more.”

Jake picked up the dangling thread of conversation. “A couple of patients didn’t like it,” Jake responded. “The others understood once they saw the nature of the emergency.”

Caroline felt moisture welling again. “You were a real hero. Thanks again for saving my son.” Caroline lowered her head and blinked rapidly. Her face swam with heat. She dabbed at her eyes again with the napkin Jake had given her and which was still clutched in her hand.

A moment later, she composed herself for the third time and met his gaze again. “I need a new pharmacy and a new pharmacist. Would it be too much of an imposition to bring my son’s prescriptions to your store. Or are you too busy?”

Jake lifted one side of his mouth into a crooked grin. “That depends.”

“On what?”

“Whether or not you are going to be the kind of patient who will make my life miserable, or the kind who will be patient and appreciate that not every prescription needs to be done in five minutes.”

Caroline grinned in response. “Well, I guess the jury’s still out on that. I did cut in front of all your patients to interrupt you.”

Jake scratched his jaw with an index finger. “Well…I was quite busy and a technician down. But considering the circumstances, we’ll call that one a freebie.”

“So Peter and I can become your newest patients?”


He pursed his lips pretending to think. He paused a beat then: “Sure.” He produced his phone again and asked for her phone number. He punched in the number and hit talk. Caroline’s phone chimed in her purse. She ended the call without picking it up. “Now,” he said. “You have my number. When you’re ready, call me directly. Don’t use the store line. We’re so busy and short staffed, you’ll never get through.”

Caroline allowed herself a quick smile. “I don’t want to get you in trouble with your wife. She might get upset if she sees another woman’s phone number,” Caroline joked.

Jake had been evaluating this woman since the moment she’d jutted her hand toward him. His instinctive male response had been to size her up physically. Five-four or five-five. Distinctive, round, lambent green eyes set in a round face framed by a curtain of silky amber tresses. Her sensual but delicate lips were adorned with an understated gloss. A curvy physique with bends like a country road clad in a tight caramel chemise and hip-hugging jeans with high suede ankle boots.

Jake sipped his coffee and placed the mug back on the table. Keeping his eyes on the table, he said, “It will be fine.” He wondered what had this beautiful woman so rattled.

The waitress returned with their meals. Scrambled eggs, toast and three slice of bacon for her and a Western omelet with hash browns for him. While they ate, Jake turned the direction of the conversation toward her. He inquired about how Peter was doing and how the trip to the emergency room went. Caroline explained that Jake’s albuterol had really helped Peter’s breathing. She gave Jake a watered down version of  her experience at the hospital, leaving out Luca; his drug-soaked confrontation with her and the tall mysterious vixen who–she had learned–following her.

A thought struck her. “You used that inhaler on Peter. I didn’t have a prescription and I didn’t pay you for it?”

Jake waved away the observation. “No worries. I’m sure the Board of Pharmacy would understand.”

They finished their meals. Caroline paid the check with several bills from her purse and left a generous tip for the waitress. They walked to his truck and Jake drover her back to her car in the Schooner’s parking lot. Several cars now dotted the pavement as the lunch hour had arrived.

“Thanks for breakfast,” Jake said.

“Thanks for returning my phone…and for…Peter,” Caroline replied thickly. She licked her lips and crooked her head toward Schooner’s. “Maybe we could actually have lunch sometime.”

Jake smiled. “Uh…maybe.”

Caroline nodded then quickly fished her keys from her purse before pushing open the door. She fumbled them and the dropped to the pavement. In the open triangle of the door, she bent over  to pick them up. Jake was treated to a fine view of a curvaceous backside wrapped in tight jeans. As she stood up again, he quickly averted his eyes. Caroline gave a half-wave. Jake smiled and nodded. Caroline slipped into her Escalade.


One hundred yards south of Schooner’s, Debra Perry sat in the Beamer in front of a pizza joint, watching Caroline Clivio climb out of the unknown man’s Toyota pickup truck. Her eyelids felt like lead curtains. She needed sleep desperately. But she was coherent enough to realize that when Luca learned that his ex was seeing another man on top of the fact that she had seen her lawyer today Luca Clivio would lose his shit.

The thought that she might mislead or lie to Luca occurred to her. She quickly dismissed it. If–no when–he learned of his wife’s activities–and he would learn of them because he had eyes and ears everywhere. He would realize that she had lied to him. No, Debra told herself. She would have to level with him. But, it was a conversation to which she was not looking forward.



-To Be Continued-

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A Relationship Beckons: The Meetings (#10) Tuesday

To read this serialized blog of A Relationship Beckons from the beginning, click here: Crisis Averted #1. Then navigate to the next post using the links in the upper corners.


Jake waited in his idling Tundra in the small square parking lot of the Starbucks on Warwick Boulevard facing the massive complex of buildings that represented Christopher Newport University. He listened to a local country music station as he absently gazed out over the perfect lawns and red-brick and white-domed buildings. He was always astonished at the royal presence and unquestionable erudition seeping from the campus’s every square inch. Former United States Senator Paul Trible who went on to become the fifth president of the then-college poured over one billion dollars of capital improvements into the school transforming it from a plain, fatigued smattering of flat-roofed buildings into a nationally-renowned performing arts institution. The campus resembled a sparkling, gleaming, updated version of the prestigious College of William and Mary, the second oldest institution of higher education in the United States and the ninth oldest in the English-speaking world. The three hundred and thirty year old school was only a modest drive north in Williamsburg.

Being an amateur history buff, Jake knew that William and Mary had educated three presidents and a regiment of historic figures vital to the founding of our nation. To pass the time, he asked himself three questions: How many potentially famous and influential men and women had already been graduated from Christopher Newport University? How many would graduate in years to come and make their mark on the world? And would the list one day be as long and distinguished as their sister school to the north?

Christopher Newport University

The answers didn’t materialize. Instead, he was jarred from his reverie by the arrival of a white Cadillac Escalade in need of a good wash rolling to a stop in the adjacent spot. The woman–he knew her name to be Caroline–glanced over at him with a friendly, vivacious smile. Jake flashed an equally inviting smile. For some unknown reason, he glanced at his blue-faced Seiko DressKX. It read 10:43am. And for an equally unknown reason, the mental image of the watch face and the position of the hands were now burned into his memory.

He alighted from the pick-up at the same time Caroline descended from the luxury SUV. They met at the rear corner of his vehicle. She extended her hand in a crisp, friendly, business-like manner. “I’m Caroline.”

Jake accepted the petite, well-manicured hand. “Jake Murphy.”

Caroline pushed a few strands of her caramel hair behind her ear. She lowered her gaze momentarily then brought her eyes back to meet his. Jake’s heart gave a ever so slight bump. Inside his chest, it felt like a major earth tremor. The hazel eyes were flecked with brown and enhanced by the silky brunette tresses. Her smooth voice sounded like liquid honey. “This is the second time in twenty-fours hours I owe you a thank you. Ah…And I haven’t even properly thanked you for what you did for Peter yesterday.”

Jakes nodded with a slightly angled bow of the head. “How is he doing?”

“He’s fine. Back to his rambunctious self. The docs at the ER checked him out and gave him a breathing treatment. We were home in about four hours.”

“That’s actually a pretty good turnaround time for an emergency room. Lucky you weren’t in there for twelve.”

She nodded then said, “I suppose you’re right.”

Their eyes met again as a polite pause yawned into a zone of discomfort. Jake spoke as he pulled her phone from his back pocket. “I guess I should get around to giving this back to you. That’s a great photo of your son on your wallpaper.” He extended the device. Caroline hesitated and then accepted it.

“Thank you…I would like to…I mean…I’m not sure what the proper protocol is here. What I’m trying to say is I don’t think a simple thank you is sufficient.” Her eyes seemed to reach somewhere deep into him, blinking rapidly. Jake thought for a moment that she might break down right here. “Can we go somewhere and talk? I don’t think a handshake and a thank you is enough. And I don’t want to offend you and offer you money.”

Jake smiled and shook his head. “Money is definitely not necessary. I wouldn’t accept it.”

“Let me buy you a cup of coffee or a beer?”

Jake gave a quick guffaw. “As much as I would love a good beer, I usually wait until afternoon.”

Embarrassed, Caroline moved her hand to her forehead and gently slapped it with her palm. “Of course, so it’s coffee then?”

Jake furrowed a brow. “Wow that was very good. Nice recovery or a very well-planned transition.”

“Believe me,” she replied. “There’s nothing in my life that’s well planned at the moment.”

Jake checked the Seiko once more. 10:48am. “I have to pick up my daughter from my mother’s.” He hesitated as if considering the consequences. “But it’s not urgent. Mimmi can spoil her for a little longer.”

“Great, follow me. I know a perfect place.” Her face see brightened and her eyes held the sparkle of the Eiffel Tower light show.

Jake nodded and watched Caroline’s hour glass figure slide gracefully behind the wheel. As he turned to return to his Tundra, the black shine of a sleek BMW sedan caught his eye. It was a hundred yards away across the street on the campus of Christopher Newport University slowing down on one of the access roads. Jake’s eye caught the driver, a woman, looking in his direction. He made eye contact. But the woman looked away or simply hadn’t seen him.

Caroline’s Escalade slid behind him. She honked once and waved for him to follow.  Jake returned the wave and climbed in. He looked back toward the BMW across the way. The car was gone.


Luca sat behind the wheel of the while Il Gigante…er…Lorenzo Esposito’s girth… consumed the passenger side of his Mercedes like Andre the Giant in a circus clown car. Equally impressive and annoying, his impressive mass caused the luxury sedan to dip to the passenger side. The blunt point of his left elbow protruded across the invisible boundary of the car’s console and dug deeply into Luca’s right shoulder. Luca tried to shrink himself against the driver’s door so as not to touch Big Tommy Romano’s assassin in any way. He was unsuccessful. This lethal, extremely offensive looking man had not spoken more than ten words since appearing on Luca’s doorstep this morning. But creepiness and lethality seeped from his pores.

Two hours earlier, Luca had managed to convince Esposito to allow him a quick shower. Three minutes after ringing the bell, his hair still dripping, Esposito had Luca out the door and driving Luca’s Mercedes. Esposito navigated by pointing and grunting, “Turn here!” Now they were sitting in the listing vehicle peering through the windshield at the modest accommodation of Fernando Gomez in a unspectacular Norfolk neighborhood

It was a two-story affair with no more than a half-acre lot covered in a mixture of weeds and grass competing for notice. The building couldn’t have cost more than three hundred grand. Luca surmised Gomez like to spend his money on cars rather than his domicile. Three brilliantly polished vehicles were lined up in the drive way: a cherry red Shelby Ford Mustang with white double racing stripes down the middle,  a white Chevy Camaro with rear spoiler and, perhaps slightly more functional, a sky blue Chevy Silverado with an oversized cab and oversized knobby tires.

Luca re-adjusted himself and checked his phone. He had texted Debra five times, hoping to glean more information about his ex-wife. What the hell was she doing? It was hard for him to focus. His head hurt from a drug and alcohol hangover. His body was sore. He could feel the burn of a fever building in his chest.

He started to compose a sixth message to her. But Il Gigante interrupted his thoughts. “There he is.” He smiled. But his eyes hardened as he watched the short Hispanic drug lord leave his house with three men. Bodyguards.

Il Gigante removed a pistol with a long sound suppressor. He chambered a round and returned the weapon to his shoulder holster. He then removed a short piece of metal. His thumb depressed a lever. The sharp metallic click announced the appearance of a thin, sharp blade.

“Today,” Il Gigante groaned. “The Spanish man…he die.”

Sacro e Profano

At the same time Caroline and Jake were meeting for the first time and Luca and Il Gigante were surveilling their target, a tall, thin and dangerous man stood in a darkened claustrophobic street four thousand miles away. Because of the time difference, it was currently approaching five in the evening in Italy. Via dei Maroniti in Rome, like many of the side streets in the Eternal City, was a quaint, narrow cobblestone passageway barely wide enough to accommodate the insectile European vehicles. During the day, pedestrians rarely saw the gleaming Italian sun for the five oor six story ancient edifici crowding the narrow sidewalk. The effect was that of a claustrophobic hallway. But nonetheless, it was the quintessential Roman experience.

Tonight, a few touristi strolled along aimlessly down this isolated street. Most were oblivious to the handsome, well-dressed man. That is except for the curious females imagining the carnal pleasures of an authentic Italian lover. His midnight blue eyes were often mistaken for black, especially after the sun went down. They were set close together over a razor sharp beak of a nose. The cheeks angled to a rounded chin. All of this was covered by deeply bronzed skin which made his smoky white hair glow under the amber lights of the restaurant.

International crime boss Giuseppe Linguale wore a double-breasted, Navy suit with white pencil stripes over a starched cotton white smoking shirt. A matching Navy tie was knotted expertly and pulled tight against the spread collar. Casual was not a term ever associated with this man.


Sacro e Profano in Rome

He scratched his temple absent-mindedly with his left hand as he scanned the via across the thin rough street, revealing a gold pinky ring. Impatiently tapping his highly polished black monk shoes against the uneven cobbles. His two body guards took up rear guard positions, close enough to be one step away from their charge in case of trouble but far enough away to allow him a modicum of privacy.

As he crossed his arms and pushed out an exasperated sigh. Linguale hated to be kept waiting especially by a rival. He began to turn toward one of his guardia del corpo when a vehicle with glistening reflection cut through the shadow and ambient light. It came to a stop directly in front of the ristorante.

Languale recognized the vehicle. His French counterpart always rented the same model, color and upgraded amenities. The fire engine red Alfa Romeo Giulia Quadrifiglio. The driver exited, circled the engine compartment and opened the rear passenger door. From the backseat emerged, man younger than Linguale, shorter in stature, with a three day scruff of beard who wore circular sunglasses despite the lack of direct sunlight. His white suit coat was buttoned revealing an inverted white triangle of a pressed t-shirt. The khaki trousers and a pair tans sneakers lent the ensemble a casual air. The black thigh-length over coat draped over his shoulders announced him as l’homme Parisian.

The Frenchman scanned the scene initially not acknowledging Linguale. The Italian knew that Jacques Maurice L’Enfant saw him. The Frenchies game-playing infuriated him to no end. But Linguale needed the Frenchman. He had invited him to Rome to offer him a deal.

Linguale stepped forward and raised his hand. He’d play along for now. “Maurice, Buongiorno. Welcome to Roma!”

L’Enfant forced a stiff smile. The two men politely, but reluctantly, gave each other a tight gripped handshake. “Gio.” L’Enfant muttered.

Linguale motioned toward the restaurant. “We have much to discuss. I have need of your help in America. Virginia specifically.”

-To Be Continued-

If you have a pharmacy story or a story (heroic or challenging) of everyday life in your healthcare world, send it to me by clicking the link below…

Check Out David’s Books

Send David Your Healthcare Successes and Challenges

If you find this blog entertaining and informative, please share it with your contacts and on social media through the links on this web page…if you are a pharmacist nurse or doctor, please share it with your colleagues…thank you