presents an all-new collection of crime stories drawn from her private files and featuring the riveting case of a fraudulent doctor whose lifelong deceptions had deadly consequences.
Dr. Anthony Pignataro was a cosmetic surgeon and a famed medical researcher whose flashy red Lamborghini and flamboyant lifestyle in western New York State suggested a highly successful career. But appearances can be deceiving—and, for the doctor’s wife, very nearly deadly. Now, the motivations of the classic sociopath are plumbed with chilling accuracy by Ann Rule. Along with other shocking true cases, this worldwide headline-making case will have you turning pages in disbelief that a trusted medical professional could sink to the depths of greed, manipulation, and self-aggrandizement where even slow, deliberate murder is not seen for what it truly is: pure evil.
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Rating Breakdown
★★★★★
30%
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Most Helpful Reviews
★★★★★
5.0
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She's Baaaaack!
I read a lot of "true crime" books. IMHO, Ann Rule is probably the best living true crime writer -Truman Capote, in just one book, established himself as The Best in the genre he created, but he's deceased, hence Rule being one of the best *living* true crime writers. As in her seven prior "Crime Files" volumes, Rule has written one "Novella" length account (317/463 pages,) and several shorter sagas. In The Big Story, Ms Rule shuffles off to Buffalo, NY to chronicle a "Medico sociopath." The shorter stories return Ms. Rule to her home Northwest territories of Washington and Oregon. These include a 54 year old file in which she makes 1948 come alive again.
Those who worried with me that Rule might have jumped her shark (see www[...]com) in last year's *Every Breath You Take,* can breathe easier. Rule is back on the track she owns.
As always, readers should adhere to "Owen's Ann Rule rule:" Don't peek at the pictures in the center until the suspect has been identified by law enforcement, unless you are one of those folks who read the last chapter of any mystery first ;-) Reviewed by TundraVision
19 people found this helpful
★★★★★
5.0
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How did this guy get a medical license?
Kudos to Ann Rule for giving us a bird's eye view of another sociopath.
Anthony Pignitaro really thinks the world revolves around him; he is what you call a legend in his own mind. "Modern Day Gallileo", indeed! Anyone who has bolts inserted into his own skull so his toupee can stay on has rocks in his head to begin with. How he ever got a medical license of any kind is totally beyond my comprehension.
A couple of parents in this story blew my mind: Pignitaro's mother, Lena, who thought her son did no wrong (even after his incompetence cost a patient her life) and Deborah's father, who told her that she had to forgive Pignitaro and stay with him after he cheated on her! And where was Deborah's guts? And, sorry, I don't buy the "traditional Italian wife" excuse. Like me, Deborah grew up in the 1960s so how could she have believed such archaic nonsense?
I don't see the problem some folks have on here with this book. I thought it was a real page-turner and it didn't fail to satisfy. Ann can't write them fast enough for me.
17 people found this helpful
★★★★★
4.0
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Anne Rule gives us an interesting collection...
of stories from her case files, with her signature section of pictures from each of the cases. The longest case is the title case, which features the infamous wannabe plastic surgeon, Dr. Anthony Pignataro from Buffalo. The cases against Pignataro had unfolded throughout the 90's....and I had left Buffalo by that time and only got bits and pieces of the saga.
I'm perhaps too taken with Ann Rule to judge this objectively; I do know that from time to time she waxes so strongly for the criminal's victim that perhaps she doesn't always portray the story in the fairest light. In the case of Pignataro, we have perhaps one of the least evil criminals Rule has ever written about -- instead she presents a fascinating case study of how someone suffering from narcissism can actually allow it to draw them into cruel and criminal acts against others. Those considering plastic surgery of any kind will learn to be sure and fully check credentials of the surgeon, before agreeing to the procedure.
The remaining cases, although shorter, each will hold your interest, and here you will meet some truly sociopathic personalities. Once again, you'll be caught up in how much Rule learns and researches her true crime pieces, and how scary the world can be. In this case, Rule not only features victims
who are close relatives or acquaintances of sociopaths, but also strangers who come into the periphery of a sociopathic personality, and how they can be victimized by such a criminal.
Highly readable and another winner from Ann Rule!
17 people found this helpful
★★★★★
5.0
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another chart-topper
Ann Rule reigns as the nation's best true-crime author, and the publication of "Last Dance, Last Chance" is a must-read for her legions of readers. Rule is at the top of her form as she writes compassionately, with her remarkable insights and apt phrases. She captures the character of Dr. Anthony Pignataro, whose grossly swollen ego caused him to disregard other people entirely and led to grave injury, and even death, for his surgical patients. Eventually even his wife became a victim, as he attempted to poison her with ant-killing arsenic. Rule's compelling narrative will rivet you to your chair with her description of the suffering of his wife, both physical and emotional, as she slowly realizes who is responsible for her
months of extremely painful, crippling illness. Unlike the victims whose stories Rule has brought us before, Debbie Pignataro lives, and all readers will be uplifted by her strength and courage.
Also included in the book are more stories from Rule's files of murders in western Washington, one dating back more than fifty years. Each one is told with Rule's trademark advocacy for the victims, who were silenced by their killers. Through the pen of this gifted writer they speak to us. Highly recommended.
12 people found this helpful
★★★★★
5.0
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"A Bad Rule"? Hardly...
What kind of doctor takes the life of a young wife and mother through gross ineptitude? What kind of man attempts to take the life of his own loving wife, after decades of ill-treatment, simply for self-gratification? Read "Last Dance, Last Chance" and discover the dark side of a man intended to heal but who damaged all whom he touched.
Ms. Rule's exhaustive research has produced a concise, thoughtful account of two horrific crimes. Her treatment of the victims is thorough and compassionate-and she, as always, writes an unflinching, bitingly honest portrayal of the highly incompetent and narcissistic doctor.
One has only to read Anthony Pignataro's unctous and self-serving review of this book to realize just how accurate Ms. Rule's account of his overly flawed character is.
9 people found this helpful
★★★★★
5.0
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More Than Just A Quack-This Man Was a Killer!
When I read this book, I will have to say that it scared me a little that a so-called doctor would be that incompetent! Dr. Anthony Pignataro was dangerous, and if you were to walk through his door, watch out! With trying to perform cosmetic surgery with non-sterile tools, and arsenic in his other hand, the spirit
of this story was pure evil.
His poor wife Debbie suffered terribly at his hands not only in a medical way, but with his betrayals to her many many times as well.
A worthwhile read!
9 people found this helpful
★★★★★
3.0
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A bender with the dance macabre
Reading this was part of yet another true crime bender of mine. The thing about Ann Rule is she's got good stories and a big heart so it gets to us in a way we can digest as informative, educational and entertaining.
LAST CHANCE, LAST DANCE is a good example. The story, if it didn't involve real life victims, is almost absurd. A very bad doctor - bad in character and medical practices - operates as a cosmetic surgeon by peforming breast enlargements, spot reductions and so on, and eventually murders one of his patients. He is possessed of such a chaotic personality that everyone involved with him becomes victimized in one way or another. The most unfortunate is his wife whom he slowly poisons with arsenic. Incredibly, this woman survives despite terrible pain and the loss of the use of her hands and legs for a lengthy period. The doctor is caught, confesses and is sentenced. The wife receives loving and able assistance from police workers, relatives and neighbors. She recuperates and begins another life with her children.
I found this tale informative in its details about medical licenses and practices, entertaining in describing the region, the doctor's office and the lifestyle of these people, and educational in implying that caution must be maintained when facing any medical procedure: those framed medical certificates on the office wall are not decorations and should be checked.
As in all Ann Rule's "true crime files," the other stories are macabre and told in a deliberately succinct manner, as though the writer did not want to expand on the hideous details for fear of propoundng such grim matter as a form of entertainment. She's quite right in her brevity; the suffering of these victims is respected and not exploited.
Finally, Ann Rule's momentum is deeply rooted in justice and the people who work hard in pursuit of justice. It may appear sappy but in fact it's great stuff.
9 people found this helpful
★★★★★
4.0
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Trying to Dance Again
Last Dance, Last Chance had particular interest for me as I live and work in the Buffalo area -- followed Anthony Pignataro's antics in the news. As a writer and researcher in family violence, I attended many of the hearings and proceedings surrounding Anthony's attempt to poison his wife, his parole violations, the family court and child custody proceedings. The case swirled in and out of many courts on both the civil and criminal side; judges fought over who was in charge of which issue, especially regarding the children. Ann Rule pulled a coherent story together out of this complex story. The first purpose of telling a story well is to engage readers. In my opinion, she has succeeded with that goal. Sometimes in addition, the great writer actually changes people's lives. Anthony's attacks on Rule's book and his continued efforts years later to regain his freedom suggest that she has succeeded here as well. Given this book, Rule's careful research and excellent storytelling may help to keep this man where he belongs -- behind bars for as long as possible. Even in the courtroom, his toupee carefully bolted to his scalp each day, he exuded an evil that Rule has well described.
8 people found this helpful
★★★★★
4.0
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Trying to Dance Again
Last Dance, Last Chance had particular interest for me as I live and work in the Buffalo area -- followed Anthony Pignataro's antics in the news. As a writer and researcher in family violence, I attended many of the hearings and proceedings surrounding Anthony's attempt to poison his wife, his parole violations, the family court and child custody proceedings. The case swirled in and out of many courts on both the civil and criminal side; judges fought over who was in charge of which issue, especially regarding the children. Ann Rule pulled a coherent story together out of this complex story. The first purpose of telling a story well is to engage readers. In my opinion, she has succeeded with that goal. Sometimes in addition, the great writer actually changes people's lives. Anthony's attacks on Rule's book and his continued efforts years later to regain his freedom suggest that she has succeeded here as well. Given this book, Rule's careful research and excellent storytelling may help to keep this man where he belongs -- behind bars for as long as possible. Even in the courtroom, his toupee carefully bolted to his scalp each day, he exuded an evil that Rule has well described.
8 people found this helpful
★★★★★
5.0
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COULDN'T PUT IT DOWN!
A real page-turner. Wow, Ann Rule just gets better and better. I read it all in the space of a few hours, and though I couldn't wait for Anthony to get what was coming to him, I didn't want this book to end. Ann Rules. .....