Thursday, January 23, 2014

Hospital of Death: Patients' Worst Nightmares, Come to Life


No one likes going to the hospital... not as a visitor, and certainly not as a patient. Could there be a scarier, more vulnerable position to be in, than spending time on an uncomfortable bed in a strange, sterile room, clad only in a skimpy gown that flaps open in the back... anxiously awaiting tests, treatments, or (gulp) surgery? 

That last is, I think, the absolute worst of the worst... “going under the knife”. (Who in their right minds would want to find themselves under a sharp-pointy-stabby thing?!)

Consider the near-absolute power which surgeons wield... armed with their scalpels (and all those other scary-looking things that grab, grip, swab, cut, and so on); surrounded by an array of ridiculously-expensive, beeping and humming machines; and aided by a number of other individuals, each with her or his own job to do (or not); all crammed into one small operating room, with your naked body lying helpless on the cold hard table... and your life in their hands.

The hope, of course, is that everything goes right, and your condition or problem improves... but the reality is, so many things can go very, horribly wrong.

Welcome to Boston’s prestigious University Hospital, where chief resident Steve Mitchell--a hotshot young surgeon with talent (and confidence) to spare--goes from thinking the world is his oyster... to discovering it’s the end of the world as he knows it, in newcomer Kelly Parsons’ top-notch medical thriller, Doing Harm.


It’s taken a long time to get to this point, but Dr. Steve Mitchell has finally--almost--arrived. As a chief resident he now has a pair of budding young doctors under his guidance (meaning he can shunt off the scut work to them), which in turn allows him to focus on honing his surgical skills. Even better, it looks like the hospital--the creme de la creme of teaching hospitals--is seriously considering offering him a permanent position... provided he keeps cruising along the same path during the next year. 

His home life is pretty great, too; he has a wife he adores, and two small daughters who bring him endless joy. And, with the likelihood of the coveted new job in the offing, he can envision moving out of their tiny house into a place with a little more room for a growing family. 

But then--just like that--everything changes. Following a drug mix-up during a routine surgery, the patient develops one after another increasingly-serious complications, leaving him hovering on the brink of death. 

And then, to make matters worse, it happens again. Another surgery--one in which Steve is called in to assist a senior surgeon--goes bad in a big way, as Steve’s cockiness gets him in over his head, and another patient nearly dies on the table. 

With two patients “circling the drain”--and Steve getting blamed in both instances--his job prospects (and all thoughts of a happy future) are looking less promising by the minute. He haunts his patients‘ bedsides in his free time, endlessly playing back every moment of both surgeries in his mind, wondering how things got to this point. 

Gradually, there’s a little improvement, and he dares to hope everything will work out... which is when one of them mysteriously, suddenly dies, and Steve’s world comes crashing down once more.

When he emerges from his funk (drunken stupor), though, and has time (since his surgical duties and resident responsibilities were put on an indefinite hold by the hospital) to think again, one thing is clear to him: there’s no way his patient--who’d been getting markedly better--could’ve just died... not without some help. As impossible as it sounds, he realizes the facts are telling him there’s a cold-blooded murderer walking the halls of the hospital. And, whoever it is, is almost sure to murder again.

Steve doesn’t know if he’ll have a career--or even a family, if it comes to that--once the dust has settled... but he knows he has to stop the killer before another innocent patient--someone who went into the hospital full of natural trepidation as well as realistic hope--needlessly dies. 

He can only hope he’s up to the task.


There’ve been a lot of good medical thrillers over the years, mostly full of earnest young doctors fighting against some horrible wrong--a formula which Doing Harm also follows. What sets this one apart for me, though, is Parsons‘ attention to realism... not just the technical terms for things--which are easy enough for any writer with the right background (or some research) to include--but in the sense of telling us who these people--the doctors, surgeons, medical students, nurses, and other support staff--actually are... what they think and how they feel (and why), and what they go through.

(An example? I didn’t always like Steve--particularly when he was being a smug, cocksure jerk [who didn’t even see--let alone care about--his patients as real people with lives outside the hospital]... yet I grew to understand why a certain amount of that attitude might be beneficial, or even necessary. It feels like a very honest portrayal.)

It’s when adversity comes along--when the hero is beaten down, forced to either sink or rise out of the ashes a better, stronger person--that most good stories provide the reader with the pay-off, and so does Doing Harm. The very ordinariness of the setting is gripping; the “why” behind the murder(s) is compelling; and the little twists and surprises are, frankly, pretty terrifying. 

I won’t forget Doing Harm any time soon. I doubt you will, either.


GlamKitty Catnip Mousie Rating: Worthy of Caterwauling into the Wee Hours of the Night

2 comments:

  1. I like the sound of this one. It sounds different and interesting. I like what you had to say about not liking the MC when he was smug, but that that might be a necessary trait to deal with his job. Interesting. Thanks for sharing. :)
    ~Jess

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    1. Thanks for stopping by, Jess! This one works on multiple levels, I think; there's a mystery (the who's-doin'-it) to please mystery aficionados, a fair amount of medical jargon (nicely-explained) for the more-scientific crowd, and a visceral sense of white-knuckled fear permeating everything (at the thought of the myriad things that can go wrong in a hospital without any malice aforethought, and by what, how, and why the baddie goes about executing those malicious plans). It's one of those books I found myself thinking, "This would make a great movie, if they did it right," because that's exactly the way it played out in my head.

      Hope you enjoy it as much as I did! :)
      ~GlamKitty

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