This is a funny book, but the humor is very dark. Peter Brown tells the story himself. He is an emergency room intern. His real name is Pietro Brnwa, and he's a mob hitman. Because the story is told by this former hitman, the language is pretty crude. Very crude. But it has to be, given his background. And the violence is bone crushingly graphic. Still, Beat the Reaper (2009) is really funny. Author Josh Bazell has an M.D. from Columbia (the university, not the country), giving authenticity to Dr. Brown.