This book is not for persons with weak stomachs.  It is very graphic and tells a unique story about a man, Pietro “Bearclaw” Brnwna, who finds his grandparents’ murdered bodies in their home and vows revenge on their deaths.  Ironically, the killers were in the mafia and he becomes a hitman for the family that takes him in.  Unfortunately, he pisses off his adoptive family and goes into the witness protection system and eventually becomes a doctor.

An unusual story that when you get past the violence, is a real page turner.