Book Review: "The Twin Clause" by C.G. Macington

Earlier this year, I discovered C.G. Macington’s St. Jude’s Medical series. I fell in love with these books about two brothers and doctors who were raised in privilege (and tremendous dysfunction) and the men they fell in love with. The characters were flawed but beautiful people who dealt with crises both medical and emotional.

When I finished Book 3 in July, I thought the series was ending, so I was thrilled when I saw Book 4 was coming. Now that I read it on the day it was released, I was excited to see there will be a fifth book coming out at some point.

Dr. Preston York and his husband, Dr. Luke Silva, are both well-versed in their fields and exceptional in a crisis. But when it comes to planning their future, Preston pushes too hard and Luke goes silent. And in their tiny New York apartment, a little silence goes a long way.

When both of their mothers start pressuring them for grandchildren (each in different but complementary ways), they try to deflect the subject. Luke’s father left the family when he was young, while Preston was raised by warring factions who threw money at everything. Not the best role models, but the idea of fatherhood is both enticing and terrifying.

When Preston’s mother offers to pay a surrogate $1 million, Luke’s sister offers to carry the baby. And when they find more than they were bargaining for, the York and Silva families rally around Preston and Luke to support them. Fatherhood looks great on them.

While Macington brought some of his signature humor and steam to this book, it’s definitely a little more serious than the previous books. After the craziness of their love story and their wedding as well as all the York family madness, this book explored what it’s like to build a life together, and how you try not to let your past scare you from your future. Can’t wait for Book 5!