This is the embedded art work found at the beginning of the chapter called, “Little White (and Black) Lies” found in Volume 1 of the DNR Trilogy.  This is a picture of the novel’s anti-hero, named Dr. J.D. Brewster.  In the story, Brewster is hiding a terrible secret.  Years before, he orchestrated the vigilante conspiracy to murder a vicious hospitalized serial killer and career criminal. Brewster and his co-conspirators acted as the judge, jury, and executioner when they engaged in an act of “clinical justice” and they managed to get away with this foul deed.  Brewster is talking to a young woman who suspects he has a dark side, and he crosses his fingers behind his back to yet again tell another lie to hide the moral decay that has entrapped his very soul.


This painting is the embedded art work found at the beginning of Chapter 4 in Volume 1 of the DNR TRILOGY.  It is a picture of the home of the now elderly anti-hero in this work of fiction named, Dr. J.D. Brewster.  The name of the chapter is called, “Seismograph”.  In this chapter, Brewster has come to the realization that he is the last man standing in the act of vigilante justice that he had orchestrated over three decades earlier.  During a heavy down-pour, Brewster has taken refuge in his home which is derisively called the “Mausoleum”. He puts pen to paper to record his memoirs in an attempt to justify his actions as a judge, jury, and executioner in a deed from his remote past.  Once done, would his dark memories end up being a confession?



This painting is the embedded art work found at the beginning of Chapter 4 in Volume 1 of the DNR TRILOGY.  It is a picture of the home of the now elderly anti-hero in this work of fiction named, Dr. J.D. Brewster.  The name of the chapter is called, “Seismograph”.  In this chapter, Brewster has come to the realization that he is the last man standing in the act of vigilante justice that he had orchestrated over three decades earlier.  During a heavy down-pour, Brewster has taken refuge in his home which is derisively called the “Mausoleum”. He puts pen to paper to record his memoirs in an attempt to justify his actions as a judge, jury, and executioner in a deed from his remote past.  Once done, would his dark memories end up being a confession?



Hello, DNR Fans!


This picture is the introduction to chapter 6  in Volume I of the DNR TRILOGY. The name of the chapter is "Paracentesis".  This is the technical/medical term for a surgical procedure performed on unfortunate patients to drain free flowing  ascites fluid causing  uncomfortable pressure in the abdomen.  Like 90% of the clinical vignettes found in the DNR TRILOGY,  this is a fictionalized tale of woe based on a true story. The historical events in this drama occurred at the Texas Medical Center in Houston 40 years ago. In the fictionalized account found in the novel, the anti-hero , J.D. Brewster, has befriended a young nurse  named Kelli Krause who is dying from a mysterious infectious hepatitis. Brewster has arrived to drain the fluid  in her abdomen that is causing her a great deal of pressure and pain.  Kelli contracted her hepatitis while attending to an injured  and infected patient in a freeway accident.  One of Brewster's mentors, Dr. Colima, is an embittered cynic who explains to Brewster that the reason Kelli got infected  with a disease that will ultimately prove to be a lethal process was that she was trying to do something that was morally righteous for another person. Dr. Colima  holds the conviction that in this life, "no good deed will go unpunished".  Sadly,  Brewster will find out  time and again that there is more than just an element of truth to Dr. Colima's cautionary edict...



Merry Christmas to all the DNR TRILOGY fans!


This picture is found at the beginning of Chapter 8 in Volume I of the the DNR TRILOGY.  The name of the chapter is "Payola". In our story, the medical student (and the anti-hero) in this work fiction is named J.D. Brewster.  This character is in the prestigious MD/PhD program at the Gulf Coast College of Medicine in Houston, Texas, in the early 1980s. Brewster is involved in two research projects investigating infectious hepatitis, and his first project is an effort to isolate the then mysterious non-A/non-B hepatitis virus.  The medical student is also working on a vaccine program for the better understood hepatitis-B virus.  At this juncture in the story, Brewster is scheduled to give a verbal report to the human research committee on the progress that he and his mentor, Dr. Rabbi, have made in the hepatitis B vaccine project.  Unfortunately, as Brewster is a somewhat abrasive student, he has made more than one enemy within the medical school hierarchy. One of these individuals determined to torpedo the career of J.D. Brewster is the associate director of the research program named Dr. Bruce Beatherd.  Dr. Beatherd is about to meet with an industrial spy from a major pharmaceutical company to pay a cash money bribe for information concerning a competing entity that is also working on a hepatitis-B vaccine.  Needless to say, the intentions of Dr. Beatherd are somewhat dubious, and his ill-gotten information will likely derail Brewster’s research project!


Enjoy the read!


Hello, readers of the DNR series!  I certainly hope that everybody is doing well and are enjoying the Christmas and New Year's season.  The art work shown here is at the beginning of Chapter 9 in Volume 1 of the DNR TRILOGY, and the name of the chapter is “Terminal Corrosion”. To be honest, this was a very difficult chapter for me to write, as it is based purely on actual events that occurred at the Texas Medical Center in Houston, Texas, approximately 40 years ago.  In this particular chapter, we reveal the nefarious activity of two career criminals who terrorized the Texas Medical Center in the early 1980s.  The names of the fictionalized characters are Mumbo Apoo and Darryl Hewrett, and they’ve been on an unabated crime spree for the last twelve years.  After a botched car-jacking attempt in the employee parking lot, the two thugs take out their venomous ire upon a hapless middle-aged nurse. They proceed to beat their victim without remorse or mercy, employing a crude yet effective lead pipe as their weapon of choice.  As human beings are often driven by primal tribalism, the subject matter of trans-ethnic racism is a recurrent thematic element in the DNR TRILOGY. Sadly, the subject matter is as relevant today as it was four decades ago.  Spoiler alert:  This will not be the last that we see of these two evil characters.  At some point, our protagonist and anti-hero, J.D. Brewster, is destined to have his own rather unpleasant encounter with these individuals. Enjoy the read!


Greetings to the Fans of the DNR TRILOGY!


The following art work is found at the introduction to chapter 10, Volume 1, of the DNR TRILOGY.  The name of the chapter is, CODE GRAY!

The term, Code Gray, is taken directly from the universal hospital administrators' lexicon. It is an emergency announcement that can sometimes be heard through the overhead speakers of a hospital or other healthcare institution that signifies a physical assault has occurred somewhere on campus.   In this chapter,  the medical student, J.D. Brewster, is being grilled by the members of the  institution's Human Research Subject Committee over the shortcomings of his PhD research projects that are  attempting to unravel the mysteries of infectious hepatitis.  Brewster's administrative castration comes to an abrupt stop when the overhead speakers announce the code gray warning. A physical assault had just occurred on the parking lot on the North side of the medical school employee parking lot.  In this painting, Brewster and the members of the Human Subject Committee  can be seen looking through the top window of the institution.  In horror, they are gazing down upon Brewster's friend, Ms. Irene Segulla.  Irene is prostrate upon the parking lot asphalt, critically injured after barely  surviving a botched attempt at a car jacking.  Barely conscious, I raising is her hand in a  desperate plea for deliverance. Enjoy the read!



Greetings to all the DNR readers out there! The picture shown is the introductory art work to Chapter 11 in the 1st volume of the DNR TRILOGY.  The name of the chapter is, MD/PhD/(And A lot Of BS). In this chapter, our anti-hero, medical student JD Brewster, is emotionally tormented in a conference meeting by the members of the Human Research Subject Committee.  Brewster is enrolled in the dual-training MD/PhD program at the Gulf Coast College of Medicine, and he is scheduled to give a report to the committee members about the progress that he has made in his investigations of infectious hepatitis illnesses.  The head of the committee, Dr. Harry Reed, is a particularly nasty individual who is not pleased with the work that Brewster has been doing over the past year, and Reed is openly critical of Brewster’s experimental studies.  Brewster has many character flaws, and one of his detrimental attributes is that he does not know when to back down when he is confronted by one of his professors or college administrators.  When Brewster in return directly challenges the authority of Dr. Reed, the student’s research projects are suddenly in dire peril.  In this picture, Brewster is pulled out of the conference room by one of his mentors, Dr. Yeshua Rabbi, who slams the rebellious medical student against a wall in the hallway in an attempt to snap some sense into the student before he commits a self-inflicted act of educational suicide. Enjoy the read!


Hello, DNR readers!

The art work shown is at the beginning of Chapter 3 in Volume I of the DNR TRILOGY.  The name of the chapter is, Little White (and Black) Lies. In this chapter, our anti-hero, J.D. Brewster, is now in his sixties and he's looking back on his medical career as a doctor that admittedly turned out to be a less than fulfilling endeavor. Brewster's estranged friend, Cheryl "Feral" Mammon, has just died and the aging doctor now has the unenviable challenge of talking to Cheryl's only daughter who is named, Faith. Years before,  the now deceased Cheryl Mammon was among one of several co-conspirators with Brewster who carried out a vicious act of vigilante justice, and the deed has been an evil secret held close to the vest for many decades. With Cheryl's death, Brewster is now the only surviving member of the vigilante posse, and Faith is rightly suspicious that her mother and Brewster held a dark and evil secret for many years. Will Brewster be able to lie his way out of this predicament while accusatory questions are hurled in his direction? Enjoy the read!


Hello  Fans of the DNR series!


The following art work is the introduction to chapter 2, Volume 2 of the DNR TRILOGY.  Our anti-hero, J.D. Brewster, has had a very bad day.  He went to lunch with his friend, 

Arby Fuller, at a local buffet restaurant  and Brewster and his friend found some very unsavory items in their meal that made them both quite ill.  Brewster attempts to salvage the 

day by going to the Astrodome to watch a professional baseball game with his brother Bill, the research scientist Rip Ford, and his new friend, the medical student named Willy

Mammon.  While at the Astrodome, Brewster is introduced to Willy's father, who used to be and associate of J.D's late father, Wood Brewster.  J.D. and his brother are shocked to

learn that Brewster's late father was engaged in some illegal nefarious activities many years before. Brewster wonders if the "apple didn't fall far from the tree" and if evil behavior 

is inherited or learned.


Enjoy the read!



Hello to all the DNR Fans out there!


The picture shown is the artwork that introduces Chapter 3, Volume 2 of the DNR TRILOGY.  The name of the chapter is , Pull the Plug.  The expression,

"Pull the Plug", is a colloquial term that means the discontinuation of a current course of action.  As far as colloquial medical terminology, the term 

also means discontinuation of life support in a critically ill individual.  The title to this chapter is a multiple entendre.  In this sad chapter, Brewster's friend,

Irene Segulla, was critically injured in a botched car jacking attempt.  Unfortunately, Irene develops sepsis in the hospital and when she develops multi-organ failure, 

her niece, Stella Link, elects to pull the plug on Irene and discontinue life support.  In the same chapter, Brewster's mentor, Dr. Hank Holcombe, announces 

that he has contracted a serious form of cancer that will eventually lead to his premature demise.  With that announcement, the plug is pulled on Brewster's only

remaining research project and this will force Brewster to rejoin his mandatory clinical clerkship training.  The picture itself shows Brewster and his band members 

in their 1960 tribute band called DNR.  It shows the boys in their last performance which was held on the 4th of July.  The plug was pulled on the band because

the groups lead guitarist, Dr Colima, has finished his fellowship training and will immediately leave the Texas Medical Center once and for all.  


Enjoy the read!


Greetings DNR Fans!


This artwork is the introduction to Chapter 4, Volume 2 of the DNR TRILOGY.  The name of the chapter is Third Degree.  On a personal note, this was 

a very difficult chapter for me to compose from an emotional standpoint.  The events portrayed in this chapter were factual things that I had 

actually witnessed during my first clinical clerkship rotation in July, 1980.  I was so traumatized by what I had witnessed at that time that I actually 

considered resigning from my medical school position.  In this chapter, Brewster and his colleagues are starting their first clinical rotation and our 

anti-hero was assigned to spend a month on the burn service.  During his month on this rotation Brewster is emotionally brutalized by a 

sadistic attending and it causes a fundamental change in Brewster's personally from which he will never recover.  At the end of the chapter three

roughnecks working on an offshore oil platform are incinerated from an oil well blowout with 100% third degree burns over their entire bodies.

Flown to the Gulf Coast College of Medicine by helicopter, the three men are informed that they sustained lethal injuries from which there would

be no recovery.  The three men had one last request that was granted by the emergency room and that was to share a cold beer amongst themselves

to celebrate their lives.  Brewster was consigned the task of procuring the beer but upon his return, the three men had already died.  I know this will

be a very hard chapter for DNR fans to read, but it will set the cornerstone for the moral and emotional deterioration that will lead to Brewster's 




Hello Fans of the DNR TRILOGY!


This picture is the introductory artwork to Chapter 5, Volume 2 of the DNR TRILOGY.  The name of the chapter is "The Bone Can Clone."  This chapter is based on an historical event that I 

have secondhand knowledge of from about forty years ago.  In this chapter, Brewster's friend, Willy Mammon, was a victim of a carjacking crime and Willy was injured during the event.

The perpetrator of the crime was captured by the police and held in custody.  Willy was given the option to either press charges or have a "private interview" with the criminal.  Unfortunately,

Willy has a lapse in moral judgement and takes the second option.  Willy brutally fractures the car thief's leg by jumping on top of him from a six foot ladder.  Although this gave Willy an 

immediate sense of gratification and justice what he had done would eventually come back to haunt him as the career criminal would make it a point to seek a vicious revenge. 


Enjoy the read!

On a personal note, these are strange times that we live in.  The Coronavirus that is now marching across the planet earth appears to be a highly contagious pathogen.  It is estimated 

in a worse case scenario that eventually one-half of the United States population will get infected before an effective vaccine will be available.  Although the death rate appears to be less that 0.5%,  thousands of people could eventually succumb this infectious entity.  Be careful out there!  Strict hand washing is in order and please attempt to maintain discipline of allowing six feet or more of space between you and other people.  Stay healthy and best wishes.



Hello, fellow fans of the DNR series!


My weekly blog will be a bit different today.  As many of you may already know, the DNR TRILOGY is not the only work of fiction that I have done to date.  I had also written two books in what is known as the VAMPIRO series with my friend and co-author, Thomas M.

Cavaretta. The VAMPIRO series, as one might guess, falls directly into the genre of horror and science friction. I have very sad news to report that Tom Cavaretta experienced a sudden death event on 03/23 last week.  Needless to say, I am devastated at the loss of my friend.  Tom was in excellent shape with no body fat and he was a serious athlete and avid bike rider.  It just goes to show that life is short and completely unpredictable. Just prior to his untimely demise, Tom was already working on an outline for the manuscript for the next installment in the VAMPIRO series which we were planning on making into a trilogy like DNR. At some point, I will need to pull myself together and dedicate my energy to finishing VAMPIRO as a trilogy. I have added Tom's biography below so the readers will have a better idea as to who he really was as a human being.


A native of New York City, Thomas Cavaretta moved to El Paso, Texas, with his family when he was only two years old. The coauthor of this work of fiction learned to love the desert, and he became an avid outdoor sportsman before graduating with a BBS in marketing from the University of Texas in Austin. After completing his undergraduate work, Thomas returned to the Southwest desert and graduated with an MBA from the University of Texas at El Paso. Currently married with two sons and now living in Phoenix, Arizona, this coauthor has worked in the complex technological field of hematology and oncology biotherapeutics for more than a quarter of a century at the time that this twonovel set was crafted. Long enchanted by Hispanic lore and the legends of the early Mesoamericans, Thomas Cavaretta found the traditional customs of folk medicine that are still widely practiced among the curandera healers of the American Southwest to be most intriguing. After all, could the contents of the common chicken eggs that are employed in the ritualistic huevo limpia ceremonies portrayed in this novel actually prove to be dangerous to human subjects, as is widely believed? In addition, why does the myth of a night-dwelling creature such as the vampiro appear to be pervasive across time, cultures, and ethnic groups? Thomas Cavaretta was compelled to question these phenomena through this work of fiction. As the fund of knowledge expands in the field of biology, along with the confluent appreciation that the appearance of new and previously unrecognized infectious disease entities might be over the next horizon, the human vampirism that is portrayed in this work of fiction may indeed one day turn out to be a plausible horizontally transmitted malady to be confronted within the context of humanity’s perpetual struggle against encroaching evil in a fallen world. Thomas Cavaretta certainly hopes the readers of this treatise will find this postulate to be as frightening as it is thought-provoking.

R.I.P. Thomas Cavaretta. You'll be surely missed by all who knew you.


Hello fans of the DNR TRILOGY!

The painting shown is the embedded artwork for Chapter 8, Volume 2, of the DNR TRILOGY.  The chapter is called, The Spa.  In this chapter, our anti-hero, J.D. Brewster, and several of his colleagues are now doing an internal medicine rotation at the VA annex. It is a VA facility that had been given the rather unflattering nickname, The Spa.  As with most endeavors undertaken by the Federal government, the VA annex is a model of inefficiency which profoundly frustrates the medical students.  At this particular historical time, each VA Hospital facility received Federal funding based upon the average patient length of stay.  The higher the average length of stay, the more money a particular VA outlet would be awarded! In an effort to garnish more Federal funding for his particular facility, the Medical Director of the VA annex orders the medical students to literally drag their feet when it comes to dispensation of medical care to the veteran population. The artwork shown indicates an elderly and deranged WWI veteran who escaped the facility. When he is found wandering the streets, he is brought back to the VA annex.  Unfortunately, all hell breaks loose when it is discovered that the elderly man was indeed a WWI veteran, however he fought on the side of the Kaiser!  Enjoy the read!


Hello to the fans of the DNR TRILOGY! 

This painting is from the imbedded art work found at the beginning of Chapter 8, Volume 2, of the DNR TRILOGY. The title to this part of the story is a double entendre and also a play on words. The chapter is named "Infernal Medicine Rotation". In this grim tale, our anti-hero, J.D. Brewster, and three of his medical school colleagues, have just completed their three-month rotation on the surgery service. They are now being exposed for the first time to their new clinical assignment which happens to be a mandatory, in-patient, internal medicine clerkship. In this work of fiction, a medical student who is known as Russian Bear has been given the task to help provide medical management to a hospitalized middle-age woman who was originally from Dresden, Germany. Russian Bear learns that the woman's father was a sniper who served with the German Army on the Eastern front during WWII. Sadly, her father was killed in battle, fighting against Soviet soldiers. Russian Bear quickly comes to the shocking realization that his very own paternal uncle who served with the Russian Army during the war was killed by a sniper in that very same battle. Russian Bear draws the inescapable conclusion that the woman's father had actually killed his own uncle in that very same deadly conflict! One of the recurring themes of the DNR TRILOGY is that everything in the universe is somehow connected. Believe it or not, the dramatic interaction between Russian Bear and the German woman is based on a true event. The actual story on which this chapter of fiction was based was obviously NOT a coincidence. These people were destined to meet for some reason that is far beyond my scope of understanding on how God manipulates circumstances for reasons that we as humble mortals are unable to discern. The disturbing art work at the beginning of this chapter is sadly based on a true event that I am privy to. The German woman tells Russian Bear that she was a teenager during WWII, and she survived the fire bombing of her beloved city. To her horror, she witnessed a father clutching his small child in an attempt to flee the conflagration. They escaped from a burning building, but unfortunately the asphalt in the street had liquified from the fire storm. She watched in abject terror as the man and small child became entrapped in the burning tar! In an unspeakable testimony to man's own inhumanity, the father and his infant were subsequently incinerated while still alive. As the woman professes that she is perpetually haunted by the high-pitched screams of agony that she heard which had eminated from the doomed man and child, Russian Bear understandably adopts the cynical life view and the personal mantra of his colleague, J.D. Brewster-perhaps God indeed "backed the wrong primate" after all. I know very well that readers will find this component of the DNR TRILOGY unsettling and not particularly joyful to digest, but nonetheless appreciate that it is a meaningful and thought provoking chapter.


Hello, fans of the DNR TRILOGY!


The picture shown from this week's blog is from Chapter 1, Volume 3 of the DNR TRILOGY.  The name of the chapter is, La Mordita. When translated

into English, this means "The Bite".  Sadly, this is a reference to the all too pervasive political and legal corruption  found in Mexico. Yet again, this 

vignette is based on a true story.  Years ago, I had a senior medical student who spent a one month rotation with me to train in hematology and oncology.  

He told me a terrifying story about a time when he had gone to Mexico with the plans of scuba diving in the Sea of Cortez.  The student was accosted by two 

men who were auspiciously Mexican federal police.  They had pulled him over, claiming he had committed some minor traffic violation. They were expecting a

bribe payment from him to permit him to pass. When the student lacked the funds to pay the bribe, the two men plotted amongst themselves of killing the 

student and stealing his car!  The two men obliviously  did not know the student was fluent in Spanish.  When the student realized he was about to be murdered, 

he fabricated the story that he was engaged to the niece of the Mayor of the city of Hermosillo, and the student asked if the two men were there to accompany

him into town. He bravely claimed that the mayor had promised him a police escort!  Upon hearing this, the two men tipped their hats and vacated the scene.

Their departure afforded the student the opportunity to make a fast U-turn and speed back to the United States as fast as his high performance Mustang could 

drive! Needless to say, the student never went back to Mexico.   I have fictionalized this event to include our anti-hero, J.D. Brewster, and his friend, Russian Bear,

who had gone to Mexico to do volunteer work in a charity clinic.  As the readers of the DNR TRILOGY should realize by now, one of the recurrent dark themes

of this complex work of fiction is that no good deed goes unpunished. Brewster and his friend were almost murdered for trying to do a good deed! Enjoy the read.