Jump to ratings and reviews
Rate this book

St. Jude's Medical #2

Conflict of Interest

Not yet published
Expected 20 Feb 26
Rate this book
Spite is a powerful sedative. But in the ER, adrenaline is the only drug that matters.

Preston York has spent his entire life as the "Spare" to the York dynasty: the fun one, the flighty one, the one expected to do nothing more than look good in a tuxedo. But when his older brother Maxwell—the Golden Boy Chief of Cardiothoracic Surgery—makes a bet that Preston wouldn't last a week in the real world, Preston decides to prove him wrong. He trades his silk sheets for scrubs, his brunch dates for the graveyard shift, and his dignity for a pair of rubber gloves.

He’s ready for the blood, the guts, and the exhaustion. He is not ready for his boss.

Dr. Lucas Silva clawed his way up from a fourth-floor walk-up in Queens to become the Chief Resident of St. Jude’s. He runs on caffeine, grit, and the crushing weight of his family’s expectations. He has zero patience for tourists, especially not the entitled, devastatingly handsome son of the Chairman of the Board who wears Gucci loafers to a trauma activation.

Luke is convinced Preston is just slumming it before retreating to the safety of the boardroom. Preston is determined to prove that he’s more than just a last name.

But navigating residency is impossible when the entire York clan is breathing down your neck. Between Maxwell micromanaging his surgeries, Jax O’Connell treating the trauma bay like a contact sport, and a mother who tries to bribe the hospital administration to treat her dog, Preston is fighting a war on all fronts.

As the late nights turn into early mornings, the friction between the Spare and the Chief Resident sparks into something dangerous. But when the family legacy offers Preston a golden parachute back to his old life, he has to decide: Is he playing doctor, or is he finally ready to be real?

The prognosis is chaotic.

Conflict of Interest is the direct sequel to Bedside Manner. It features the return of Maxwell and Jax, an eccentric billionaire family with no boundaries, a grumpy Chief Resident, a sunshine Intern, and enough medical drama to require a crash cart.

212 pages, Kindle Edition

Expected publication February 20, 2026

2 people are currently reading
98 people want to read

About the author

C.G. Macington

15 books40 followers

Ratings & Reviews

What do you think?
Rate this book

Friends & Following

Create a free account to discover what your friends think of this book!

Community Reviews

5 stars
12 (63%)
4 stars
5 (26%)
3 stars
2 (10%)
2 stars
0 (0%)
1 star
0 (0%)
Displaying 1 - 19 of 19 reviews
Profile Image for Dani.
1,711 reviews343 followers
Review of advance copy received from Author
February 11, 2026
Again, this was totally insane, unrealistic, and unhinged, yet it was also highly entertaining, full of drama, and had me laughing so loud!

The pacing is fast, the medical descriptions are really fucking gross for someone as squeamish as I am, there's not much emotional development or connection to either MC, but somehow it works?!

Preston was hilarious and I couldn't wait to see what he did next. Luke was pretty much just clinging on for dear life but he was sneaky and a good addition to the York family.

There are some inconsistencies - especially about cape boy - and the plot is minimal, but I enjoyed this thoroughly and I can't wait for the next installment.

*****

I received an ARC of this book from Book Sirens, and this is my honest review   
Profile Image for Evelyn Bella (there WILL be spoilers) .
901 reviews199 followers
Review of advance copy
February 3, 2026
Okay, I know there's a romance to focus on but I was most excited for the return of Alistair.

Then I was sold on Preston, who for some reason I couldn't see giving up his sunny life of existing in the height of fashion. But I knew where it was headed when everyone started telling him how he totally couldn't manage the hard life of surgery and he needed to go for a board seat, where he could continue to live life mostly as he'd already been doing.

I don't know that I'd have enough spite to fuel me through an entire medical degree(especially if I didn't have to) but he clearly did, so good on him.

Loved watching him walk up to his first day of residency with a sense of accomplishment and in highly fashionable shoes, only to immediately be set to extracting objects from anuses.

Shoutout to Mr. Bromley, a frequent flier in the ER who's somehow always doing the kind of house chores that routinely end up in him slipping onto objects that then lodge themselves deeply into his anus. An entire star of this review is just for you. For your bravery and deep lack of shame while telling flagrant lies.

It's kinda obvious that Preston and Lucas would clash from their first meeting. Mostly because Lucas (as many before him) judges Preston off appearances and kinda has a chip on his shoulder from needing to work his way to where he is now so he thinks Preston doesn't really understand what it takes to be there.

Except Preston loves that kind of thing, nothing fuels him more than being underestimated. As Lucas comes to discover.

Preston's actually surprisingly solid, when people take a moment to actually see him, rather than assume who he is.

Pretty good at a certain specialty, too.

Cue the grudging understanding and respect. And doing things in inappropriate places(the on call rooms, exist, people! Everyone who's watched Grey's Anatomy knows this).

And of course, as always, meddling family. (Yay, Alistair! Still praying on a gnarly accident for Catherine).

Lucas has a very different approach with them than Jax did.

Also, I found the conflict in this more reasonable than the one from book 1. Maybe it just felt more in line with the MC's personalities.

Another funny book from the author that does not involve great pain and suffering. Starting to have hope that the author is not a sadist that feeds off the misery of readers. Jury's still out, though.

I know I'm starting and ending with Alistair but is that man even straight? Because all his anecdotes hint at a very colorful past so either I'm reading a lot into it or there's more than one reason he keeps trying to off his wife💀
Profile Image for Lily Loves 📚.
791 reviews31 followers
February 15, 2026
This was a really sweet and fun story. There is definitely the same vibe and set up as the first book but there wasn’t as much drama which I was very happy about. The York family is present and they are so over the top but it was fun this time and not too much.

Preston and Luke had great chemistry and they seamlessly went from coworkers to lovers. Preston was so good in the hospital and used interesting ways to help the patients when he had to reason with them. It was something you may not see in real life but it worked here.

I would’ve liked to see more of a growing relationship between Preston and Max. There was a glimpse of one but I hope the next book builds on that. They have so much more in common than they thought and with their significant others they can definitely cause much more trouble in the York world.

I’m looking forward to seeing what happens in the next book. The family should be causing lots of unnecessary difficulties but Jax is always there for a funny quip and Alastair is sure to be up to his shenanigans.

ARC received for review
All thoughts and opinions are my own
Profile Image for Allison.
246 reviews24 followers
Read
February 11, 2026
I recieved a copy of this book in exchange for an honest review. Thank you to BookSirens and C.G. Macington.
-ˏˋ⋆⋆ˊˎ-
Story: 3/5
Spice: Low (# of scenes, descriptions)
Characters: 3/5
-ˏˋ⋆⋆ˊˎ-
Overall reco:
Enjoyable but.. I was expecting something more along the last book with a mostly serious vibe and then spots of funny. This was like a a slapstick comedy routine and a mid90's romcom had a baby. Maybe I was just not in the right headspace to read this? It just ended up feeling a bit more eh. The parents were in it significantly more, which made me eyeroll far too often and felt like it took the book out of just fun hijinxs to 'oh, this is a Jim Carry movie' now.
I feel like Max and Jax were completely different from the characters I'd liked in the first book, and sure that's going to happen a bit with perspectives. This was mostly from Preston's POV and has felt like a spare to his brother and without the inner monologue of Max he's rather cold but I had liked Max/Jax and seeing them differently felt.. frustrating. Enough so that when we got to the preview of the next book at the end I felt very much like I didn't want to read about Max's struggles anymore.
Finally, There were a lot of inconsistencies. Characters who interacted but then later it felt like they'd never met when referenced (Cape boy, for example). It's also like this hospital is in several different regions, this one made it seem like it was actually in New York, but from a person who doesn't know New York. So, if that stuff bothers you it might affect your enjoyment.
In the end, if you enjoyed the first, this is a good follow up, it was fast and fun.

my rants...
This is about Harrison Jr/Cape boy...
Rant about inconsistencies... /rants
Profile Image for Kay Daniels (Kay Daniels Romance).
2,180 reviews75 followers
Review of advance copy
February 6, 2026
Conflict of Interest is written with wit, humility, and so many LOL moments it was hard to control all of my snorts and guffaws.

Preston York was everything I'd hoped for when he first appeared in his brother's book, Bedside Manner. Wait...I take that back...he was even better than I imagined! 🥰 Preston has a saucy flair for life, a grandiose, nonchalant way of handling things with a charismatic attitude of letting everything roll off his back. He gives off the air that he feels unpressured to do much beyond being the "spare" York, but when push comes to shove, or more like spite, Preston pushes to be more. Preston has excellent people skills, a unique outlook for dealing with patients, since he's been dealing with his mother and father for years. Helping to deflect their outrageous demands for his brother which actually makes him excellent at deescalating situations where tensions are run high in the ER. Preston brings calm within the crazy storm of medicine. His unique charm and ease with people come in handy when dealing with irate patients especially those who need a special touch. It's that charm that Dr. Silva can't say no to. 😉

Lucas Silva is the chief resident in charge of the interns, like Preston. Lucas is also the son of scary head nurse Silva. Nurse Silva makes everyone nervous, which is hilarious, and I couldn't love her more. Even Lucas trembles in his shoes when his tiny mother is around. 😂 As Chief, Lucas' job is to toughen up his interns so they turn into actual doctors and he doesn't hesitate to throw Preston right into deep water where one of his first patients involves extracting an item from his personal cavity. 😆 Preston is a total golden retriever, which makes him jump right into every opportunity, but he also has no filter, which is hilarious!!! While Lucas thought he would break Preston, just like his other interns, Preston is there taking on every opportunity, but also grumbling about dealing with sick people, fluids, or the combination of both. 😂 As much as Lucas wants to keep Preston in one box, he can't help but appreciate him. Their chemistry of working together is too cute and he finds Preston adorable even when he's deep in the messy parts, and all but practically gagging while doing it. My chuckles were rolling out so hard. Preston is hilarious for his hard won medical efforts and so is Lucas as he falls for him. 😂🥰

Truly, a wonderful second book in the St. John's Medical series that added fun, steam, and laugh out loud humor that was hard to contain. Mama Silva is brilliant and a beautiful contrast to Catherine York. It was also delightful to see Max and Jax thriving in both their personal and professional lives together. Along with interacting with both Preston and Lucas. I'm loving this world so much and can't wait for what's next.
Profile Image for Dísir.
1,750 reviews188 followers
February 5, 2026
4.5 stars rounding up

Definitely not ashamed to admit that I jumped onto this ARC as soon as it came out. Fresh from C.G. Macington’s ‘Bedside Manner’ which had me riveted, I knew immediately that I wanted a deeper dive into Max’s family. And Macington obliges in ‘Conflict of Interest’, the direct and perhaps all-too-short sequel to his first book, delivering the same amount of laughs—and more so in the realm of deadpan poshness because Preston York has finally taken centre stage.

Preston’s default response to his wildly privileged upbringing—and his parents’ expectations—is rebellion. This particular act of defiance just happens to span several years and culminates in enrolling in medical school, largely because everyone around him insists he’s best suited to well, looking pretty. As a prodigy, Preston has too much going on in his head, too much polish, and very little familiarity with the everyday mortals populating St. Jude’s Hospital. I loved watching him throw himself headfirst into the mess: cheerfully taking on the dirtiest work, ruining expensive clothes, and playing even dirtier when it comes to bending the rules to help his patients survive both illness and circumstance.

All of it of course, is unrepentantly funded by his family’s money. We sail through his rounds in hospital despite the difficult things that get thrown at him and he’s just got that way about him as he finds unorthodox solutions to problems that stump other doctors.

I did find myself however, unexpectedly on the fence about the romance developing between Preston and Luke Silva. Their connection reads more as affection and growing admiration between supervisor and trainee—a dynamic I actually found refreshing and rarely explored—so the leap from mentor/student/friends to lovers without that hot and heavy undercurrent of attraction I’m probably accustomed to reading, caught me a bit off guard.

And obviously this can't be accomplished without Preston’s very caricaturised parents. Catherine and Alistair York are the rich, demanding foils to first Max/Jax and now, Preston/Luke, and I’m wondering if they’re destined to play the very limited roles as obstacles for Jax and Luke to get past in order to earn their HEAs with their partners. Alistair, at least, hints at more potential, despite his tendency to swan about like royalty.

Overall though, ‘Conflict of Interest’ is well-paced, thoroughly enjoyable and keeps that steady state of humour which I loved. And while it may not reach the dramatic heights of the first book’s climactic moment, it’s still a solid and satisfying entry in a series I’m very eager to continue.

*ARC by Booksirens
572 reviews2 followers
Review of advance copy
February 13, 2026
4.75/5⭐

Safe to say I'm going to have nightmares about the Magic 8-ball for some time now. This book was even funnier than the first one was, I'm really falling in love with the author's writing.

I was hoping to get to know Preston more in this book and I might've just fell in love with him. The way he could solve every problem was seriously impressive, the job he got to do in the end was perfect for him. And I really loved the interactions he had with the psychiatric patients. He also seemed a lot more mature in this, taking care of Lucas, acing his job and dealing with his family. I wish we got to know Lucas more deeper, I feel like I didn't connect to him as much as I did with Preston. But I liked how hardworking he was and didn't take shit from anyone. He even managed to put Alistair in his place, but with Mama Ortiz as his mother you can't expect anything less.

The chemistry and passion between these two was unreal, I thought I was going to catch on fire through my e-reader screen. Their banter and interactions were everything. The third-act break up was handled better here than it was in the first book, but I still think that the conflict could've been created differently than making a rift between them.

The entire York family lowkey has me in stitches, but I want to throttle Catherine and Alistair at the same time (Catherine more than anything, she's ridiculous). Alistair's fear of Mama Ortiz is top tier.

One thing I'm confused about is the age difference between Preston and Max. I swear in the first book it said Max was 36 when Preston was 18, but here Preston was talking about a memory when he was 12 and Max was 16, soooo.... What is the actual age difference?

I recieved an ARC of this book from Book Sirens, and this is my honest review.

🩺 hospital setting
🩺 intern x chief resident
🩺 forced proximity
🩺 meddling family
Profile Image for DJ McCready.
512 reviews8 followers
Review of advance copy
February 9, 2026
I received an advance review copy for free, and I am leaving this review voluntarily.

I have read several books by this author and have discovered in this book another skill the author has. After reading several books by Macington, which were all serious, this has a delightful light humour throughout.

Preston, having been derided as lazy and never really going to do something useful decides to do a degree in medicine and enters into the ER/trauma centre of the Hospital that his parents are heavily involved in - not only is his father Board Chair, they have donated a wing to the Hospital. Preston was supposed to be on the Board so the family legacy could continue but in the midst of a major accident, he goes back to doing medicine in the "most important place he could be".

His boss in ER is Lucas Silva and Lucas having grown up poor despises the suits. Preston invites Luke to the golf club and some galas and fund raising events where Preston and Lucas along with Preston's brother Max and his partner Jax have a lot of fun undermining some of the rich people.

While romance blooms between Luke and Preston, Preston's father pushes for Preston to become a suit and that causes a rift between Preston and Luke. But the accident mentioned above causes Preston to rush back to ER and convinces Luke he means to stay. As Max is proposing to Jax, the implication is that Preston and Luke get engaged which should have been followed by an epilogue which is the only problem I found with the book.
223 reviews2 followers
Review of advance copy
February 8, 2026
So good! I love how nobody thinks Preston is cut out for real work, because as he is, he truly isn’t. And Preston uses spite to fuel himself (his words, not mine), but the change isn’t easy or fast, it’s gradual, and very much needed. And because he has eidetic memory, he can diagnose the most obscure Fashion Crimes ever known. I loved it! CG Macington takes a spoiled, entitled brat with a brain like Einstein’s, and throws him into the harshest world he can fathom, and he doesn’t just swim, he befriends the sharks and other predators, and makes their lives better with excellent coffee, and insurance fights. He’s perfect for the position, and thrives in it. I loved seeing his growth from so many different angles! And Mama Rosa… we need one of those everywhere! We need one for President, because she’d fix the world in a jiffy! Luke is great as well, but I loved Preston, because he learns so much, grows so much, without losing himself. And Alistair… yes, I want a book with him, because he’s so funny! I don’t know why, but I loved him in the prior book, and it carried on to this one. And I wouldn’t mind seeing the York brothers with their significant others once again, because they are such lovable characters, they stick with you long after you’ve read the last word.

I received an advance review copy for free, and I am leaving this review voluntarily.
Profile Image for Tris.
172 reviews
Review of advance copy received from Author
February 12, 2026
I received an advance review copy for free, and I am leaving this review voluntarily.

2.5 ⭐️

You know that feeling you have when you start a book and you start having giddy feelings - yep. That was me. Preston made me laugh aloud and he was so sparkly he overshadowed things that would usually irk me.

I enjoyed everything up to the 60% mark. Up to this point - I merely felt friendship vibes between Preston and Lucas: there was no tension or emotional development that I could feel. Preston was still amazing but Lucas was just another character in the book that failed to make an impression on me. The way they were suddenly together and so attached as a couple after a few pages - it didn’t work for me.

Furthermore, Mama Ortiz was annoying but she crossed the line when she entered the apartment and “caught” them. It was over the top, unnecessary and I think started to make me stop vibing with the book.

I think that which broke the camels back is the terribly rote “argument” at the end between Lucas and Preston. That felt more perfunctory than helping to progress the book. I disliked how Lucas reacted and he definitely did not grovel enough to earn back Preston.

The first book in this series is amazingly good and I think I’m just gonna go back and reread that one now.
Profile Image for Maureen.
1,469 reviews23 followers
Review of advance copy
February 12, 2026
Thank you to BookSirens for an ARC of Conflict of Interest by C. G. Macington. I received this copy for free and I am leaving this review volunatarily.

Just like Beside Manner, C.G. Macington has another winner with Conflict of Interest. This time, Preston, the Spare Heir to Maxwell is the main character. It's time for him to grow up so he decides he's going to medical school to become a doctor like big brother Max. He doesn't account for the fact that he's actually quite squeamish when it comes to cutting people open.

When he meets Luke, all bets are off. The two have immediate chemistry and as they get to know each other, they become lovers. When an opportunity to get out of being a doctor arises, Preston has to decide between his family and Luke.

I enjoyed this quick read - happy that there will be more in this series.
Profile Image for Heather.
658 reviews11 followers
Review of advance copy received from Author
February 5, 2026
4.5⭐️

Another great story. Funny, sarcastic, and very cute too.

Alastair continues to be very funny, and I absolutely love his eccentricities. I think Lucas had it right when he said the whole family was insane 😆

I loved Preston and his approach to putting his family in line and making them see he is more than a spare. Lucas was lovely, and they make a lovely pair. Their story was believable and entertaining.

I’m looking forward to the third book. I can’t wait to see Catherine and Alastair’s reaction to the wedding 😆


………………………………………………………….
I got an ARC from Book Sirens, and this is my honest review.
Profile Image for Maggie Packard.
132 reviews1 follower
Review of advance copy
February 6, 2026
on the one hand, i preferred this couple + this conflict was a lot more realistic to me than the first book. on the other hand, the continuity problems were more glaring in this book. so, its getting 3 stars from me like the first one. cute romance, love the (so completely unrealistic and in no way how ppl operate or communicate) York family dialogue as always, just got rlly bogged down in the obvious inconsistencies throughout the book/series.

I received an advance review copy for free, and I am leaving this review voluntarily.
590 reviews3 followers
Review of advance copy received from Author
February 14, 2026
"Conflict of Interest" is book two in the St. Jude Medical series by C.G. Macington. I absolutely loved this book. From the minute he was introduced in "Bedside Manner" I knew that Preston was going to be a great character, and the author did not disappoint. The story has all the feels and of course it includes the parental Yorks as well as Max and Jax. There is a great dynamic between Lucas and Preston, there are serious and hilarious moments. I could not get enough of this story. I cannot wait for book three.
Profile Image for Tara.
127 reviews2 followers
Review of advance copy
February 3, 2026
I absolutely loved Conflict of Interest!
Now we get the story of the "Spare" - Preston - and his spiteful ways to prove a point to his brother and father, and actually exceeds at being a damn good doctor.
Plus we get Luke, son of Mama Ortiz, who grew up the complete opposite of Preston.
These two were so good for each other and I cannot wait for the third book!!!


I received an ARC from Book Sirens for my honest review.
53 reviews
February 5, 2026
Page 7 and I’m grinning ear to ear. The back and forth between irreverent Preston and stone-faced Luke hooked me from the get-go. It is a must read, unstoppable, couldn’t-put-it-down quick read with plenty of heat, humor and a story line with well-developed characters. If you put nothing on your TBR but this CG Macington series this year … you won’t be disappointed.
Profile Image for Tiffany (areyoutellingstories).
647 reviews4 followers
Review of advance copy received from Author
February 3, 2026
“Dasani, Preston. They are selling Dasani. It’s essentially recycled puddle water.”
You are absolutely correct Alistair!
Preston may by the spare, but I think he's my favorite brother! He's shiny and fun and willing to get his shoes dirty, even the expensive ones!
Profile Image for Mairead.
111 reviews
February 7, 2026
I was so excited to start this book. I love these characters, I love the banter, I love the hospital setting. Preston and Luke’s story is so heartwarming. I cannot wait for the next installment. I received this ARC for free and I am leaving this review voluntarily.
Profile Image for Nifer  Waters.
433 reviews3 followers
Review of advance copy
February 8, 2026
3.5⭐2🌶️ ARC Dual POV First Person
🇨🇦 Author
Preston and Lucas
Preston was as witty as ever, but sadly Alistair was not. Also enjoyed seeing more mama Ortiz. Great banter between the MCs, and loved how their differing personalities meshed well together.
Displaying 1 - 19 of 19 reviews

Can't find what you're looking for?

Get help and learn more about the design.