In this quote from James Patterson's "Along Came a Spider," the speaker highlights the frequent discussions among psychologists or "shrinks" about VFC, an abbreviation that likely refers to a concept or case they find particularly intense or intriguing. The tone is informal and emphasizes a sense of shared excitement or amazement among professionals in the field.

The expression "Very fucking crazy, Gerry" underscores the chaotic or shocking nature of the VFC situation, showing the speaker's strong reaction. It reflects the intense and sometimes emotional response that mental health professionals might have when dealing with complex or extreme cases, creating a vivid picture of their camaraderie and the challenging cases they handle.