The irony of fate is that Scarpa did not trust the hospital blood and asked each member of his crew to donate a little. Paul Mele was a bodybuilder and regularly used steroids and had got AIDS from an infected needle, but that he didn't know, so donated the blood, and Scarpa gets AIDS (I wonder if he used a condom when having sex with linda schiro after this incident?). So Scarpa Sr. told everyone that she had cancer and his son Greg Jr. took his place as capo.