Tuesday, October 20, 2026

St. Jude’s Medical Book 4: The Twin Clause by CG Macington

 

St. Jude’s Medical Book 4

Two dedicated doctors. Two terrible role models. One sudden family to build before the paint is even dry on the nursery.

Dr. Preston York can de-escalate a panicked patient using nothing but his signature charm and the name of the man's dog. But getting his husband to discuss their future? That usually ends with one of them sleeping on the couch.

Dr. Luke Silva can run a trauma bay during a Code Blue without breaking a sweat. But ask the stoic attending about his estranged father, and watch him walk right out of the room.

One year into their marriage, the two physicians are finally hitting their professional stride. Life is good, even if they're sharing a Queens walk-up the size of a spice rack with a radiator that clanks in D minor at 3:00 AM. But it’s only four hundred square feet of good life, and something is going to have to give.

Then Preston's father calls with a surprise. In the York family, that word ranges from "delightful" to "federal subpoena" with nothing in between.

Suddenly, their tiny world is overflowing. Mama Ortiz has upgraded from asking about grandchildren to aggressively planting baby brochures in coat pockets. Luke's sister Elena just arrived fresh out of college with a CPA, two suitcases, and a life plan nobody voted on. Catherine York is plotting, and has entered into an unholy alliance with Mama Ortiz. And to top it all off, an unexpected face from Luke's past has reappeared, wearing the exact same grin he had the day he walked out.

Preston reads people for a living. Luke stitches them back together. But as they face impending fatherhood, neither man has a clue what to do. The men who were supposed to teach them how to be dads left them with nothing but a masterclass in what not to do.

They will figure out this sudden family thing. Loudly. Expensively. With at least one fainting incident, and a truly upsetting amount of Tupperware.

The Twin Clause is a hilarious and heartfelt MM medical romance featuring opposite-attract doctors, sudden fatherhood, meddling family, and a guaranteed happily ever after.


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My Review: 5/5 Stars

I seriously love this series. It’s romantic comedy gold and it just keeps getting better! And it keeps going too. Turns out the last book wasn’t the last and there is even another one coming after this one. I’m so excited. So in this story! Luke and Preston have been married a year now and you know exactly what the grandparents want now: kids. Mama Ortiz has been on them for months and her strategy has only gotten better. And then we add in Preston’s mom. These poor guys really had no chance. But before decisions are made, they really will have to make time to talk to one another about it. And once they do, well all they really get to do is sit back and watch how the situation truly gets out of hand in a way only their families can. And of course, I loved every minute of it. Luke and Preston have grown a lot and are still growing as they figure out their way to fatherhood with not the best examples. But together, they can do anything. Mama Ortiz and Catherine have teamed up and oh man, you can just imagine what that brings. Then we meet Elena! Luke’s sister is awesome and I love how her and Catherine just get one another. It’s so fascinating. Just another fun and hilarious story in this series. And I can’t wait to flip it back to Max and Jax for what is coming for them next. 

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