I picked this up since I enjoyed the first two books in the Full Series by Janet Evanovich and Charlotte Hughes. I liked the humor and the feisty heroine. Unfortunately, Nutcase is not in the same class and I wonder if it is because no one is tempering the insanity with a degree of sanity. Dr. Kate Holly is almost as nuts as her patients. One thing after another goes wrong and our TSTL heroine is totally inept and unable to handle her life never mind her practice. Definitely not a series I will be continuing.