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Keystone

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When Peter Kaminski was six-years old, his mother ran away from home with a prizefighter, leaving Peter and his father, an immigrant shoemaker, to fend for themselves. From that moment, Peter's life became an uphill battle.

Growing up in Wilkes-Barre, Pa., Peter learned how to work hard and sacrifice at an early age. While his friends were playing little league baseball, taking music lessons, and swimming, Peter was busy working in his father's shoe repair shop.

When he became older, Peter's responsibilities in the shoe shop increased because of his father's poor health. Although he was athletic, energetic, and popular, Peter had to forego participation in high school sports, dating, and many other normal teenage activities because of his responsibilities at home and in his father's business.

From an early age, Peter dreamed of one day becoming a doctor. Intelligent, industrious, and motivated, he appeared to possess all the prerequisites the study of Medicine required.

Upon graduating from high school, Peter decided to attend nearby King's College so he could remain at home and continue to help his father. As America waged war in Vietnam and redefined itself through the turbulent 1960's, Peter quickly discovered that his uphill battle through life was to continue.

While in college, Peter learned that getting into medical school would require a near-perfect academic performance, something he was unable to achieve because of the time he spent working in his father's shoe shop instead of studying. He also learned about the favoritism given to the children of physicians, minority students, and politically-endorsed students by many medical school admissions committees.

Against overwhelming odds, Peter fought to make his dream of getting into medical school come true. Through his epic struggle, he relied on his father's confidence, the love of his college sweetheart, and his poetry, which allowed him to express his love, vent his frustrations, and keep alive the hope of following in the footsteps of his literary hero, Yuri Zhivago, the poet-doctor.

After applying to medical school for a number of years and reading multiple rejection letters, Peter was finally accepted at the Keystone Medical College in Philadelphia. Although getting into medical school was a dream come true, Peter would eventually realize that his medical education was just another segment of his uphill journey through life.

With the help of his wife, Lori, and fellow Keystone students, Nickie Moretti, Freddy Freud, and the Reverend Big Bernie, Peter navigated the hills and valleys of medical education, gaining much along the way and losing more than he realized. Forced to deal with his father's failing health, the adverse effects of medical education on his marriage, and the unexpected and untimely occurrences that life routinely imposes on noble pursuits, Peter continued to chart his uphill course from one hospital, one patient, and one conflict to the next.

Peter learned many things in high school, college, and his father's shoe shop that prepared him for medical school. Unfortunately, nothing ever prepared him for the unusual practices, fractured personalities, and unique patients he would encounter at Keystone.

A keystone is the most important stone in an arch. Similarly, Keystone Medical College was the most important building block in Peter's medical education.

So, on May 24, 1978, the night before his graduation from medical school, Peter Kaminski would like to tell you his story. If you have the time, don't mind hearing some original poetry, and have no objections to laughter or tears, just pull up a chair and listen to the tale of one man's dream - and what it cost.

531 pages, Kindle Edition

Published July 29, 2017

4 people are currently reading
10 people want to read

About the author

Bernard Leo Remakus

7 books9 followers
BERNARD LEO REMAKUS, M.D. is a native of Wilkes-Barre, Pa. He received his B.S. degree from King's College, M.Ed. degree from East Stroudsburg State College, and M.D. degree from the Temple University School of Medicine. He completed a three-year residency in internal medicine at Abington Memorial Hospital and is certified by the American Board of Internal Medicine.

Dr. Remakus has practiced Internal Medicine in rural Northeastern Pennsylvania for 45 years. During that time, he has published six novels, The Other Disney, The Paraclete, Keystone, The Lame Duck, Mia, and Cassidy's Solution; three works of non-fiction, The Malpractice Epidemic, Medicine from the Heart, and Medicine between the Lines; and one screenplay, Mia. Many of his books have won international awards, and several have been published in foreign languages. He has also published more than 200 articles in the medical literature. From1991 to 2002, he was the featured columnist and a member of the Editorial Advisory Board of Internal Medicine World Report. His column was the longest-running and most widely-read physician-written column in America.

When not practicing medicine or writing, Dr. Remakus serves as a professional speaker. He has previously served as an Assistant Professor at the Health Science Center of the State University of New York and Temple University School of Medicine, worked as a clinical drug researcher, medical examiner and consultant, and coached his local high school baseball team to a league championship and four post-season district playoff appearances in six seasons.

The recipient of numerous awards and citations, Dr. Remakus received the Albert Nelson Marquis Lifetime Achievement Award in 2020. He is listed in multiple "Who's Who" publications, including Who's Who in the World, Who's Who in America, Who's Who in the East, Who's Who in Medicine and Healthcare, Who's Who in Science and Engineering, and Who's Who in American Education.

Dr. Remakus and his wife, Charlotte, have been married for 51 years. Their three children, Chris, Ali, and Matt, are all physicians. Their son-in-law, Mark, is also a physician, daughter-in-law, Sanda, is a Ph.D. in medical microbiology, and daughter-in-law, Sarah, is a professional artist. Their grandchildren are Jake, Betsy, Anabelle, and Charlotte.

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Displaying 1 - 25 of 25 reviews
Profile Image for Wendy Hart.
Author 1 book74 followers
September 11, 2025
Captivated by this book from the first page, I read it in a little over a day. It is the story of Peter, the son of an impoverished, immigrant shoemaker. At a very young age, he suffers trauma when his mother abandons him. He faces many challenges through a youth marred by a chain of disasters and hard times; he achieves his dream of enrollment in medical school.
The novel is beautifully written. The author powerfully conveys the underlying message of determination and perseverance conquering all obstacles. This is the first of this author's books I have read but it won't be the last.
Profile Image for ReadingIsFun.
56 reviews7 followers
October 5, 2025
I kept doubting whether I had chosen an autobiography instead of a medical drama, since it felt more like fiction.
The author wrote it so convincingly that I believed the characters were real. Bernard Remakus' other story was similarly captivating, making me wonder if it was based on real people...his prose is that compelling.
I empathized with Peter Kaminski, the son of an immigrant. The universe challenged him in ways that went beyond just being a medical student. As a nurse with over twenty years of experience, I deeply relate to what medical students and new graduates endure. This book serves both as a source of renewal and as comfort for anyone facing a difficult journey.
Profile Image for Angela.
997 reviews40 followers
December 12, 2025
good read

I really enjoyed Keystone. It’s one of those books that pulls you in without trying too hard, and I found myself reading way past where I planned to stop. The writing feels grounded and honest, and by the end it felt like I’d spent time inside someone else’s life. Definitely a solid, memorable read.
Profile Image for Anita Kirk.
Author 29 books282 followers
January 4, 2026
good

The struggles felt real in this book, I would have liked to know a little bit more about the characters, but overall, this book is a good read and I recommend it to other readers. The Poetry is okay. I am not normally a poetry fan.
115 reviews1 follower
September 26, 2017
Following Peter Kaminski through his career as a medical student after struggling to even get the chance to make his dream come true, Keystone by Bernard Leo Remakus, M.D. tells, in the end, a rather sad tale foreshadowed in the beginning of the book but how it actually ends is as much a surprise as it was prediction. It was midway through the book as I considered the conflict because I was so absorbed in the reading that I realized the first conflict was getting into medical school and the ultimate conflict was surviving it while trying not to ruin his life. Although there is sorrow in the book, the author’s tongue in cheek writing style found me belly laughing at various times. As the author is an M.D. I’m sure most of the book reflects real practices in the medical field and something everyone who has ever been a patient should read.
There was so much right with this book. I really found myself wrapped up in Peter’s character with his high standards and seemingly endless obligations he tried to meet and managed to succeed at doing so more than an average person. More importantly, I loved his growth as a doctor and how he invested himself in learning and standing up for his patients. The brief story of the boy with a brain tumor and Peter’s unconditional care for the family instantly showed his empathy and moral aptitude as a person and a doctor. His relationship with his father was also touching. I have to say I disliked Lori’s character from the beginning so although I felt sorry for Peter for what happened between them I couldn’t help feeling he got the better end of the deal.
The plot of the book was so well written I was almost done before I really started to think about why I was so invested in reading it. I felt the frustration as Peter was denied admission to medical school time and time again and then with each rotation he served in with the endless and over-realistic terms that came with all of them. It is amazing to me that this a realistic view of how doctor’s are made and how our healthcare system works. I became absorbed in the rotations and as anxious as our main character opening his test exam letters and residency assignments. I ideally would have wanted to know more about the relationship between Peter and Lori but I guess in the end the point is that it was lacking and I was honestly glad because she seemed like a ball of gloom and doom that I could have lived without anyway.
The editing and grammar are on a professional level and the book is nicely laid out. Some poetry from the characters are included and I liked the way it changed print to let you know what you were reading. I would have to say that the chapters were odd and the book needs broken up into manageable chapters. As much as I hated to, I needed stopping points and they just weren’t there. The reader will enjoy hearing the story of Peter and how he became a doctor but what it might have cost him. This is another winning novel by the author.
Profile Image for Molly.
11 reviews4 followers
October 5, 2017
Remakus writes what he knows

Every great author and English teacher says you should write what you know and it is evident in each of the character's interactions in Keystone that Dr. Remakus knows about being a doctor in training.  It wasn't until I finished the book that I read his short author bio and saw that his life and his main character's life mirrored each other quite closely.  

I enjoyed reading this novel because the author's story-telling style reminded me of reading a letter from a close friend- speaking of experiences and how they make him feel in a very personable way.  While this style was a bit overdone in certain parts, such as when he's describing various medical procedures or symptoms, it was perfect for explaining what he went through as a med student going through rounds and dealing with the various personalities throughout.  The character is a poet and his poetry is interspersed throughout to give the reader pause from the day-to-day that reflects the emotional struggle and highs and lows Peter Kaminski experiences- especially the final poem at the end of the book.  I'm not going to spoil it, but the poem he wrote was a heart-breaking but lovely way to end the novel. 

Most of all, I gave this book a high rating because it was so thoughtfully written and gave me an unexpected view into the activities and emotions that a medical student experiences. 
Profile Image for Antonio Chirico.
18 reviews
August 7, 2025
A gripping novel. With great mastery, the author manages to make the reader identify with all the events that affect the protagonist's life, because the premise alone is such that we empathize with Peter, starting when he's left alone with his shoemaker father after his mother abandons him, preferring to run away and start a new life with a boxer. So when, after much suffering,
Peter finally receives the long-awaited acceptance letter to medical school, I must confess I was moved.
Is the protagonist Peter Kaminski the alter ego of Bernard Leo Remakus? I don't know, I just know that the author perfectly succeeded in making me passionate about this story, which nevertheless seems true. Top marks!
31 reviews3 followers
September 30, 2025
Keystone is an inspiring and heartfelt memoir about Peter Kaminski’s uphill battle to become a doctor. Raised in a humble home with a father’s shoe shop to run, Peter’s dream of medical school seemed nearly impossible. The story is a beautiful blend of determination, sacrifice, and love, as Peter navigates the challenges of balancing family responsibilities, academic struggles, and the realities of medical education. Highly recommend for anyone who enjoys stories of personal struggle and ultimate triumph.
Profile Image for Mehmet Çalışkan.
Author 8 books116 followers
August 4, 2025
Bernard Leo Remakus’s Keystone is far more than a tale of personal achievement—it is a deeply layered narrative exploring how early childhood trauma and emotional deprivation shape one’s identity, values, and path in life. Abandoned by his mother at the age of six and raised in near-poverty by his immigrant father, Peter Kaminski’s journey becomes a moving testament to resilience and longing. The novel vividly captures the grueling demands of medical education, the entrenched corruption within academic and social institutions, and the isolating dynamics of elitist peer groups. Through poignant, at times humorous, and occasionally poetic storytelling—enhanced by Peter’s own verses—Remakus offers not just a character study but a nuanced social commentary. This is a novel that mourns, laughs, and reflects in equal measure, painting both the inner world of a determined soul and the broken systems he must navigate.

At its core, Keystone reads like a subtle Freudian psychoanalysis—a study in how the individual is molded by external circumstances and internalized experiences. From the weight of early responsibilities in his father’s shoemaking shop to the emotional toll of marital strain and professional sacrifice, Peter’s life unfolds as a series of battles between personal aspiration and emotional survival. As he gains ground professionally, he simultaneously confronts the costs: alienation, disillusionment, and the unhealed wounds of childhood. The novel raises timeless questions—how much of our identity is still ruled by the ghosts of our past? Can we ever truly outgrow our earliest losses? Remakus masterfully brings these tensions to light, offering readers not just a story but an emotional mirror into their own unresolved struggles.

Keystone is essential reading not only for those aspiring to practice medicine but for anyone who has fought to realize a dream against overwhelming odds. It speaks to readers who have wrestled with family burdens, social exclusion, or emotional isolation. The novel provides an unflinching look into the reality of medical training, but its true strength lies in its universal relevance. Whether you’ve survived a broken home, lost yourself in ambition, or simply seek a story that doesn’t flinch in the face of emotional truth, Keystone offers a rare and resonant experience. This is more than a novel—it is a mirror held up to the soul.
Profile Image for Ali Fadel.
Author 67 books3 followers
December 5, 2025
I had high expectations for this novel, but unfortunately, I was a little disappointed.
Keystone by Bernard Leo Remakus is an inspiring and dramatic biography about young Peter Kaminski, who starts from nothing and patiently and persistently works his way toward his ultimate dream: becoming a doctor.
Unfortunately, this is a very common theme in dozens of novels, which is why I didn't see anything new in this one.
From childhood, Peter receives his first blows when his mother runs away with a professional boxer, leaving him with his immigrant father, a shoe repair shop owner. From here begins a journey of hard work and sacrifice, where Peter finds himself working like a child while his friends enjoy their childhood. Early work, his father's illness, and the heavy responsibilities that deprived him of a normal teenage life... all of this forged a tough character who doesn't give up easily. The novel doesn't just tell a story of academic challenge or a struggle against circumstances; it also exposes the harsh reality of medical school admissions in 1960s and 70s America, where influence, favoritism, and politics played a role no less important than academic excellence. Despite this, Peter clings to his dream, fueled by his father's love, his girlfriend's support, and his passion for poetry, which soothes the harshness of reality and reminds him of his literary hero, Yuri Zhivago.
I'm giving this novel 3 stars because the characters are poorly developed, and I can easily see that the author doesn't skillfully use many narrative techniques to make the story more engaging and exciting.
Profile Image for Linda Sanchez.
Author 24 books26 followers
November 27, 2025
An Inspiring and Emotional Story of Determination

This book follows Peter Kaminski through a life filled with hardship, sacrifice, and relentless effort. His journey from working in his father’s shoe repair shop to finally entering medical school is told with honesty and heart. The struggles he faces at home, in school, and within himself make his achievements feel meaningful and earned.

The story captures the weight of responsibility he carried from childhood, the challenges of balancing work and academics, and the frustration of facing a system that favors privilege over hard work. His perseverance through multiple rejections and the pressure of medical school adds strong emotional depth. The relationships he builds, especially with his father, his sweetheart, and his classmates, create warmth and balance against the heavier moments.

The inclusion of poetry adds a personal touch, giving insight into Peter’s inner world as he fights to hold onto his dream. The writing is clear and heartfelt, and you feel the triumphs and losses right alongside him.

If you enjoy stories about resilience, personal growth, and the long road toward a meaningful goal, this book offers a moving and memorable experience.
Profile Image for Amys Bookshelf Reviews.
882 reviews69 followers
July 21, 2022
Enjoyed this story!

What a remarkable story in Keystone by Bernard Leo Remakus. The reader is introduced to Peter Kaminski. Peter has had a long, and enduring life. Dealing with obstacles throughout his entire life, and decided to go to medical school. He sacrificed a lot, by taking care of his father, and his father's business, still he wanted to be a doctor. Eventually, the story takes Peter to Keystone Medical College in Pennsylvania. Peter discovers that it is another tough part of his life, but an important part. Peter, his wife, and his friends he met at Keystone, have a medical school adventure, with the ups and downs of school, and of course, life itself. Peter story is very interesting, and for him, it's just the beginning of what is to come. The characters had a lot of depth, and were very realistic. It is a very well-written plot, and I enjoyed it. It’s one of those embraceable stories. The characterizations are engrossing and dynamic. Keystone is a definite recommendation by Amy's Bookshelf Reviews. I read this book to give my unbiased and honest review. Amy's Bookshelf Reviews recommends that anyone who reads this book, to also write a review.
Profile Image for Ashlee Mack.
Author 51 books12 followers
October 2, 2025
Keystone is one of those books that feels both inspiring and really down to earth. I liked how Peter Kaminski’s story showed all the struggles and sacrifices of chasing a dream, while still keeping him relatable and human. You really get a sense of the weight he’s carrying, between family responsibilities and trying to find his own path.

I also liked the way the author mixed in some poetic touches with the storytelling. I really feel as that gave the heavier moments a nice balance. It’s not just about medicine or school; it’s about perseverance, identity, and what it actually takes to keep going when the odds are stacked against you.

Overall, it’s a thoughtful and heartfelt read. If you like underdog stories or books that make you think about the cost of ambition, this one is worth checking out.
Profile Image for Vishnu Pingali.
Author 1 book14 followers
November 25, 2025
Keystone is an exceptional and deeply moving story. Bernard Leo Remakus brings Peter Kaminski’s life to the page with such authenticity that it often feels like you’re reading a true autobiography. Peter’s journey—from a childhood of sacrifice to the relentless pursuit of becoming a doctor—is powerful, emotional, and incredibly inspiring.

The author captures the realities of medical school with honesty, humor, and heart. The characters feel real, the struggles are relatable, and the emotional moments stay with you long after you finish reading. I laughed, felt frustrated, and even teared up while following Peter’s challenges and triumphs.

A beautifully written, absorbing, and uplifting story about perseverance and the cost of chasing a dream. Highly recommended to anyone who loves compelling character-driven fiction or has ever faced an uphill journey in life.
Profile Image for Nick Malara.
Author 2 books11 followers
September 19, 2025
Keystone is a moving drama about Peter Kaminski, a young man from humble beginnings determined to become a doctor. What makes this book stand out is how real it feels—the struggles with family responsibility, rejection, financial pressure, and the toll on his personal life are written with honesty and heart.

Peter is a character you root for even when his journey is painful. The story balances the grit of medical training with the emotional weight of ambition and loss. Some sections move a little slowly with detail, but the emotional payoff is worth it.

If you enjoy character-driven dramas about sacrifice, family, and chasing dreams against the odds, Keystone is a book you won’t forget. Highly recommended
Profile Image for Jagdish Arora.
Author 60 books1 follower
January 7, 2026
This book is a deeply moving and realistic story about resilience, responsibility, and the pursuit of a demanding dream. The journey is emotional and engaging, showing how hard work, sacrifice, and persistence shape a life over many years. The struggles feel genuine, making it easy to connect with the challenges and small victories along the way.

What makes the story especially strong is its honesty. It doesn’t romanticize success, but shows the emotional toll that ambition and obligation can take. Thoughtful, heartfelt, and quietly inspiring, this is a compelling read for anyone who appreciates character-driven stories about perseverance, purpose, and the price of following one’s calling.
45 reviews3 followers
December 10, 2025
Keystone is a compelling and well-crafted story that pulls you in with its strong characters and thoughtful pacing. Bernard Leo Remakus has a clear, confident writing style that makes the narrative easy to follow while still offering plenty of depth. The themes woven throughout — loyalty, moral tension, and personal conviction — give the story real weight without slowing it down.

I stayed engaged the entire time and appreciated how the plot unfolded with steady intrigue and well-placed reveals. A thoughtful, engaging novel that leaves you reflecting long after the final chapter.
Profile Image for Unscripted Chic.
Author 9 books12 followers
January 21, 2026
This book follows the life of Peter Kaminski, a young man who grows up in a small town and dreams of becoming a doctor. Starting from helping in his father’s shoe repair shop, Peter works his way through school, faces rejection, struggles with self-doubt, and slowly learns what it really takes to succeed. Along the way, he deals with family expectations, relationships, and the emotional toll of chasing a demanding career. It’s a down-to-earth, character-driven story about perseverance, finding your purpose, and staying true to yourself even when the path gets tough.
59 reviews3 followers
December 7, 2025
This inspiring story follows Peter Kaminski, a young man who fights for his dream of becoming a doctor while carrying the weight of family responsibility. The author captures the heartache, sacrifice, and determination that shape Peter’s journey from a small shoe shop to medical school. The writing feels honest and emotional, filled with touching moments of love, friendship, and personal struggle. It is a moving reminder that some dreams demand everything, yet remain worth the climb.
15 reviews
December 10, 2025
This book (Keystone by Bernard Leo Remakus) is a solid read with a gripping premise and a thought-provoking storyline. The writing style keeps you engaged and moves at a good pace, making it easy to follow the narrative. While I found some parts a bit predictable and wished for deeper character development in spots, the overall plot and message are strong and meaningful. All in all — a worthwhile read and a good pick for readers looking for a book that entertains and makes you reflect.
Profile Image for Marco Magiolo.
Author 39 books13 followers
August 31, 2025
Readers are drawn into a world where perseverance is tested at every turn, and where triumph comes not only from achieving one’s goals but also from enduring the personal costs along the way. It’s a moving story about resilience, sacrifice, and the price of following a calling.
Author 3 books
September 2, 2025
This is such a medical thriller. Beonard Leo is both a physician and a writer and hence the stories are so vivid. The compelling stories, ethical dilemmas and struggles are so real that as i doctor myself i cant help but agree with the situations and suspense in this book!
Profile Image for Pampy Roy.
Author 2 books9 followers
December 25, 2025
A compelling book that draws you in with its strong central idea and layered storytelling. The author does a great job of exploring meaningful themes while keeping the narrative engaging and emotionally grounded. The way the character's journey has been narrated is praiseworthy.
83 reviews5 followers
August 25, 2025
Not just about becoming a doctor, but about what it costs. Very interesting angle.
Author 2 books9 followers
December 17, 2025
Interesting story takes you through medical training and of course the ups and down of life has it goes ahead. Great characterisation. What’s a bit slow at times though but overall enjoyed it.
Displaying 1 - 25 of 25 reviews

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