The novel's protagonist is Las Vegas Emergency Medicine physician Dr. Joshua Luvkin, a nice, upstanding guy from the Midwest - with a few problems. -- He falls in love with nurse Barbara Wilson, which leads to his breaking up with girlfriend Dr. Judy Berkowitz, also an emergency medicine physician. Barbara moves in. Judy shows up. What ensues is remindful of Fatal Attraction. -- He meets Jack Strawn, an obese guy who enters quickie weight reduction contests, aka The Biggest Loser, but via a bathroom break and not from dieting. This somehow leads to his investment in a Las Vegas cable porn...