Tuesday, September 28, 2010

BOOK REVIEW TRIFECTA


This is one of those public service announcements that appear from time to time in most every blog.

We want to alert you to a special feature coming up next week. It's what we've chosen to call our Book Review Trifecta. In horse racing parlance, a Trifecta is a bet in which a player tries to correctly predict the First, Second and Third finishers in a race in the order they cross the finish line. We'll make it easy for you to be a winner by giving you the order of our reviews ahead of time.

October 4th - A Tremor of Bliss by Mark Judge - Nonfiction
October 5th - Judgment Day by Wanda L. Dyson - Fiction, Fast-Paced Christian Thriller
October 6th - Surrender the Heart by Mary Lu Tyndall - Fiction, Historical Romance

Ladies and Gentlemen: The Books are lined up at the starting gate. The Reviewers have done their work. Check your programs, take your seats, and prepare yourself. The Summit Book Reviews Trifecta is about to begin.

Don't miss it!

Wednesday, September 22, 2010

A VERY PRIVATE GRAVE by Donna Fletcher Crowe

It is time for a FIRST Wild Card Tour book review! If you wish to join the FIRST blog alliance, just click the button. We are a group of reviewers who tour Christian books. A Wild Card post includes a brief bio of the author and a full chapter from each book toured. The reason it is called a FIRST Wild Card Tour is that you never know if the book will be fiction, non~fiction, for young, or for old...or for somewhere in between! Enjoy your free peek into the book!

You never know when I might play a wild card on you!
Today's Wild Card author is:



and the book:

A Very Private Grave (Book 1: The Monastery Murders)

Monarch Books (August 1, 2010)

***Special thanks to Donna Fletcher Crow for sending me a review copy.***
ABOUT THE AUTHOR:


Donna Fletcher Crow is the award-winning author of more than 30 books, primarily novels dealing with British history.

Visit the author's website.



Product Details:

List Price: $14.99
Paperback: 384 pages
Publisher: Monarch Books (August 1, 2010)
Language: English
ISBN-10: 1854249681
ISBN-13: 978-1854249685

AND NOW...THE FIRST CHAPTER:



Felicity flung her history book against the wall. She wasn’t studying for the priesthood to learn about ancient saints. She wanted to bring justice to this screwed-up world. Children were starving in Africa, war was ravaging the Middle East, women everywhere were treated as inferiors. Even here in England—

She stopped her internal rant when she realized the crash of her book had obscured the knock at her door. Reluctantly she picked up the book, noting with satisfaction the smudge it had left on the wall, and went into the hall. Her groan wasn’t entirely internal when she made out the black cassock and grey scapular of her caller through the glass panel of the door. She couldn’t have been in less of a mood to see one of the long-faced monks who ran the College of the Transfiguration which she had chosen to attend in a moment of temporary insanity. She jerked the door open with a bang.

“Father Dominic!” Felicity was immediately sorry for her surly mood. Fr. Dominic was an entirely different matter. She was always happy to see him. “I didn’t realize you were back from your pilgrimage.” She held the door wide for him as he limped down the hall to her living room.

“Just returned, my dear. Just returned.” As he spoke he smiled with a twinkle in his eyes that belied his 85 years, but he couldn’t quite suppress a small sigh as he lowered himself stiffly onto her sofa.

“I’ll put the kettle on.” Felicity turned toward her small kitchen. “I’m so sorry I don’t have any scones.”

“No, no. Just tea today— black.”

She looked at him, puzzled for a moment, then remembered. Oh, yes— today was Ash Wednesday. Solemn fast and all that. Felicity mentally rolled her eyes as she filled the kettle with water and clicked it on.

A few minutes later she filled his cup with a steaming, amber stream of his favorite Yorkshire Gold tea. The Community had a year or two ago started serving a cheaper blend of tea and donating the money saved thereby to the African Children’s Fund Fr. Dominic chaired— a worthy cause, but the tea was dreadful.

He raised his cup, “Oh, who could ask for more? The nectar of the gods.” Still, she knew he was missing her scones for which he sometimes provided little jars of quince jam from the community kitchen. And at Christmas he had brought her favorite— slices of dark, rich fruit cake encased in marzipan an inch thick.

And yet today she wondered if he noticed what he was or wasn’t eating at all, he was so animated with his plans for the major funding drive the Children’s Fund was set to launch. “If one puts together abortion, infant mortality, AIDS and traumatic deaths, South Africa’s daily death toll is appalling. Thousands die in a matter of months. If this were a war, such troop causalities would not be acceptable. The entire future of that nation— the whole continent, really— is at stake. They simply cannot afford to lose so many of their people— especially the children who are the future. If you don’t maintain health and keep order, instability, violence and poverty tear a country apart.”

Felicity nodded vigorously. Yes, this was more like it. This was what she wanted to hear about, not some useless church history nonsense. Fr. Dominic had spent his life working in South Africa, and today his passion made every word strike her heart. “And it isn’t just South Africa, the rest of the continent looks to them— to us— for stability. If South Africa fails, millions of Africans will curse us— we who stand by and let it happen.”

Still, there was hope, Dominic had talked to key people while on pilgrimage and had secured a source for a vast amount for the fund, although he didn't say what that source was. “This will be enough to build a first rate hospital for AIDS babies in Africa and fund a research wing for prevention and cure. There are good leaders in the government. There are people working for justice. If we can just give the people hope to hold on— "

His eyes took on a dreamy look and a little smile played around his mouth. "Hope. That’s what it’s always been about. Through the centuries . . . At last, the treasure to be put to a truly worthy use. . ." He ducked his head and took a quick sip of tea. “Forgive me, I’ve said too much.” He became suddenly thoughtful and lapsed into a most uncharacteristic silence. All Felicity’s best efforts couldn’t coax any more stories from him. Perhaps it was just the solemnity of the day, but Felicity did miss his stories— even the ones she had heard multiple times.

He drained his cup and set it down. “Ah, thank you my dear. Always a pleasure to be in your bright company. But now I must be getting back up the hill. Father Superior has asked me to do the ashing at mass, so I must prepare.” He struggled to his feet, his broad-shouldered, once-muscular frame revealing gauntness under the weight of his black woolen cassock, as did the folds of flesh that hung beneath his square jaw.

“Oh, I almost forgot,” he patted the canvas scrip which hung at his side from a strap slung across his chest. “I thought this might interest you.” He held out a small parcel wrapped in brown paper and tied up with old-fashioned string. His hand shook ever so slightly as Felicity took it from him. The gesture was so endearing: his shyness charming; his eagerness humbling. If the circumstances had been vastly different he could have been a suitor offering jewels to his beloved, or perhaps in an earlier age a troubadour bestowing an ode to his lady. And oddly enough, Felicity had the distinct impression that he hadn’t at all forgotten, but rather that delivering this small package had been the sole object of his visit. One might almost say his mission.

Felicity couldn’t help herself. She stepped forward and kissed him on his cheek. “Thank you, Father.”

Unexpectedly he placed his hands on each side of her forehead. “The grace of our Lord Jesus Christ, the love of God, and the fellowship of the Holy Spirit be with you always.” She felt a warmth from his hands that infused her whole head and radiated toward her body as if she were being bathed in warm oil. She almost fancied a faint scent of spice as he made the sign of the cross over her.

Moving inside a bubble of hushed awe, she held the door for him and he walked out slowly, as if reluctant to leave, stepping carefully to avoid limping. “I’ll see you at mass, Father.”

She shut the door behind him and turned to the window to watch his slow progress down the uneven sidewalk, his grey scapular blowing in the wind. Somehow she wanted to call out to him, to cling to the moment, but already it was passing, the normality of the day moving in on a holy moment. Yet even as she turned away from the window, the warmth of his touch remained on her head. She turned back one last time, her hand held out to him, but no one was there. Only a fleeting shadow brushed the corner of her eye. She shivered, but when she blinked the sky was clear.

"Right. Back to the real world." Felicity spoke aloud to make herself focus. She looked longingly at the small brown package in her hand. It felt like a book. A very slim volume. Had Father D. found a publisher for his poetry? Her fingers plucked at the string. No. If this was a collection of her friend’s poetry perusing it must not be rushed. Reading it would be her treat when she finished the work she had set for herself for the day. Lectures had been cancelled to mark the solemnity, but essays would still be due when they were due. With a sigh she slipped the gift into one of the copious patch pockets of her skirt and returned to the tome on the Anglo-Saxon church Fr. Antony had assigned, forcing herself to concentrate on its obscure irrelevancies.

That had been the hardest thing she had found about adjusting to her first year at theological college— the constant pressure for work, the lack of time to pursue her own interests— and that in a monastery, even. You really would think, living with a bunch of monks and future priests you'd have all the time in the world. Felicity shook her head.

And besides that, there was no margin for error on her part. As one of only four women among the student body of forty-some— and the only American— Felicity felt a double burden to reach the highest standards possible. This was the first year the Anglo-Catholic College of the Transfiguration had accepted women as ordinands, although they were still housed off campus awaiting alterations to the dormitories. Before "the Great Change" a few women enrolled as students, but were not allowed equal status with the male ordinands. Last year, however, the college had submitted to the winds of change and the powers that be, so now the women had full status— and double pressure.

Felicity, however was never one to let such barriers discourage her. She could rise to any challenge and her determination to succeed in this male-dominated world knew no limits. Anyway, she had few complaints. She had been warmly welcomed— by most. A handful of ordinands and perhaps two or three of the monks or lay teachers were less warm— whether because she was female or because she was American she wasn’t sure.

Two hours later the insistent ringing of the community bell called her back from her reading just in time to fling a long black cassock on over her shetland sweater and dash across the street and up the hill to the Community grounds. Her long legs carried her the distance in under three minutes— she had timed it once. Once inside the high stone wall enclosing the Community she slowed her pace. It never failed. No matter how irritated she became with all the ancient ritual and nonsense of the place, there was something about the storybook quality of it all that got through to her in her quieter moments.

The spicy scent of incense met her at the door of the church. She dipped her finger in the bowl of holy water and turned to share it with the brother just behind her. Shy Br. Matthew extended a plump finger without meeting her eyes. They each crossed themselves and slipped into their seats in the choir.

“Miserere mei, Deus. . .” The choir and cantors had practiced for weeks to be able to sing Psalm 51 to the haunting melody composed by Allegri. The words ascended to the vaulted ceiling; the echoes reverberated. Candles flickered in the shadowed corners. She had been here for six months— long enough for the uniqueness of it all to have palled to boredom— but somehow there was a fascination she couldn't define. “Mystery,” the monks would tell her. And she could do no better.

What was the right term to describe how she was living? Counter-cultural existence? Alternate lifestyle? She pondered for a moment, then smiled. Parallel universe. That was it. She was definitely living in a parallel universe. The rest of the world was out there, going about its everyday life, with no idea that this world existed alongside of it.

It was a wonderful, cozy, secretive feeling as she thought of bankers and shopkeepers rushing home after a busy day, mothers preparing dinner for hungry school children, farmers milking their cows— all over this little green island the workaday world hummed along to the pace of modern life. And here she was on a verdant hillside in Yorkshire living a life hardly anyone knew even existed. Harry Potter. It was a very Harry Potter experience.

She forced her attention back to the penitential service with its weighty readings, somber plainchant responses, and minor key music set against purple vestments. Only when they came to the blessing of the ashes did she realize Fr. Dominic wasn’t in his usual place. Her disappointment was sharp. He had definitely said he was to do the imposition of the ashes and she had felt receiving the ashen cross on her forehead from that dear man would give the ancient ritual added meaning. Instead, Fr. Antony, one of the secular priests who lectured at the college, not even one of the monastic community, stood to hold the small pot of palm ashes while Fr. Anselm, the Superior of the Community, blessed them with holy water and incense.

Felicity knelt at the altar rail, “Remember that you are dust, and to dust you shall return.” The ashes were cold, a sooty mark of grief, gritty on her forehead.

“Amen,” she responded automatically.

She was back in her seat, turning ahead to the final hymn, “Forty Days and Forty Nights,” when she heard the soft slapping of sandals on the stone floor. Oh, there’s Fr. Dominic. She relaxed at the thought, putting away her worries that he had been taken suddenly ill. But her relief was short-lived when Fr. Clement, the Principal of the college, and Jonathan Breen, a scholar making a retreat at the monastery, slipped to the altar for their ashes.

The final notes of the postlude were still echoing high overhead when Felicity rose from her seat and hurried outside. Dinner, a vegetarian Lenten meal, would start in the refectory almost immediately and it wouldn’t do to be late. If she hurried, though, she could just dash back to her flat and pick up a book of Latin poetry for Fr. Dominic. She had a new volume of Horace, and she knew Fr. D loved the Roman's half Stoic, half Epicurean philosophy. He would have time to enjoy what he called his “guilty pleasure” while he recuperated from his indisposition.

She bounded up the single flight of stairs, flung open her door and came to a sudden halt. “Oh!” The cry was knocked from her like a punch in the stomach. She couldn’t believe it. She backed against the wall, closing her eyes in the hope that all would right itself when she opened them. It didn’t. The entire flat had been turned upside down.

Felicity stood frozen for perhaps a full minute, trying to take it all in: books pulled from shelves, drawers pulled from her desk, cushions flung from chairs. Hardly breathing, she rushed into her kitchen, bath, bedroom— all chaos— sheets and duvet ripped from her bed, clothes pulled from her wardrobe. She picked her way through scattered papers, dumped files, ripped letters. Dimly she registered that her computer and CD player were still there. Oh, and there was the Horace book still by her bed. She pulled her purse from under a pile of clothes. Empty. But its contents lay nearby. Credit cards and money still there.

Not robbery. So then, what? Why?

Was this an anti-women-clergy thing? Had she underestimated the extent of the resentment? Or was it an anti-American thing? The American president was widely unpopular in England. Had he done something to trigger an anti-American demonstration? Felicity would be the last to know. She never turned on the news.

Well, whatever it was, she would show them. If someone in the college thought they could scare her off by flinging a few books around she’d give them something new to think about. She stormed out, slamming her door hard enough to rattle the glass pane and strode up the hill at twice the speed she had run down it. Not for nothing her years of rigorous exercise at the ballet barre. When she reached the monastery grounds she keyed in the numbers on the security lock with angry jabs and barely waited for the high, black iron gates to swing open before she was speeding up the graveled walk.

Felicity's long blond braid thumped against her back as she charged onward, her mind seething. If those self-righteous prigs who posed as her fellow students thought they could put her off with some sophomoric trick—

She approached the college building, practicing the speech she would deliver to all assembled for dinner in the refectory: “Now listen up, you lot! If you think you can push me around just because your skirts are longer than mine. . .”

She punched a clenched-fist gesture toward her imaginary cassock-clad audience, then saw the Horace book still clutched in her hand. Oh, yes. First things first. She would have missed the opening prayer anyway. She would just run by Father D’s room— then she would tell them.

She hurried on up the path beyond the college to the monastery, ran her swipe card through the lock, and was halfway down the hall before the door clicked shut behind her. She had only been to Dominic’s room once before, to collect a poetry book he was anxious to share with her, but she would have had no trouble locating it, even had the door not been standing ajar.

She pushed it wider, preparing to step in. “Father D— ” she stopped at the sight of a man in a black cassock standing there praying. He jerked around at the sound of her voice and she recognized Fr. Antony, her church history lecturer.

She took a step backward when she saw the look of horror on his sheet-white face. “Felicity. Don’t come in.” He held up a hand to stop her and she saw it was covered with blood.

“Father D! Is he hemorrhaging?” She lunged forward, then stopped at the sight before her.

The whole room seemed covered in blood. Bright red splotches on the pristine white walls and bedding, on the open pages of a prayer book, on the statue of Our Lord, forming lurid stigmata on His hands extended in mercy. . .

And in the center of the floor, in a pool of red, his battered head all but unrecognizable— her beloved Father Dominic. The smell of fresh blood clogged her nostrils. Gorge rose in her throat.

“Felicity— ” Fr. Antony extended his reddened hands to her in a pleading gesture.

“No!” She screamed, wielding her Latin book as a shield against the blood, a red haze of shock and horror clouding her vision.

She couldn’t believe Antony's face could get even whiter. “Felicity, wait. Listen—”

She dimly registered his words, but the voice in her head shouted with far greater force. No! It can’t be. It's a mistake. She was in the wrong room. Must be. She shook her head against the nightmare she had seen yet couldn't accept that she had seen. Blackness rolled toward her.

She staggered backward into the hall and slumped to the floor as the room spun before her. She closed her eyes against the darkness as her mind reeled, groping for a coherent thought. How could this be?

Only a short time ago she had been reveling in the peace of this remote holy place. Where could such violence have come from? How was it possible here? In a place of prayer? To a holy man. Why?

If Fr. Dominic wasn't safe who could be?

And even as the questions tumbled, half-formed through her head, even as her mind denied the act her eyes saw, she knew she had to find an explanation. How could she continue studying— believing in— purpose and justice if such senseless irrationality reigned free?

Focusing on the questions gave her strength to get her feet under her again.

Antony was still standing dazed in the gore-splattered room looking as though he could collapse in the middle of the pool of blood. Felicity grabbed his arm, jerked him into the corridor, and shoved him against the wall where he stayed, leaning heavily. He held his hands before his face as if unbelieving they were his own. “When he missed mass I came to check on him. . . I felt for a pulse— ”

“We must get help!” Felicity looked wildly around.

“Yes, of course.” Her energy seemed to galvanize Antony. He pushed himself forward unsteadily. “Forgive me, I feel so stupid. It was the horror. I— we must tell the Superior. He’ll call the police.”

“Police? You mean an ambulance.” Felicity started toward the room again. Yes, that was it— how could she have dithered so when they must get help. “He’s lost so much blood, but maybe—”

“No!” Antony gripped her shoulder with more strength than she realized he was capable of. “Don’t go in there again, Felicity. It’s useless.”

She knew. She had seen the blood.



And now, our review:
Although Donna Fletcher Crow has written more than 35 novels, A Very Private Grave is the first one of hers I’ve read. This is Book 1 of Ms. Crow’s series “The Monastery Murders” with Book 2 A Darkly Hidden Truth to follow.

American Felicity Howard is studying theology in Yorkshire, England when her friend, Father Dominic, is brutally murdered. Along with Father Antony, she searches for answers to his murder, experiencing two more murders and attempts on her own life along the way. A Very Private Grave is a strong novel that frequently references historic events and it’s sprinkled with bits of Christian wisdom throughout.

Sometimes the narrative bogged down a bit and I found myself saying, “Move ahead faster. Let’s get with it.” I also found Felicity Howard’s desire to become a “priest” somewhat confusing. The book is set in England and the monestary setting feels, at times, very Catholic. Is she perhaps Anglican, or being an American, Episcopalian? I know they ordain women, but do they also have celibate monks? I’m not sure. This confusion could have easily been avoided by providing an explanation of her denominational status early on. Regardless, the story itself takes the reader through many delightful twists and turns on its way to a satisfying conclusion.
— Gail Lewis

Sunday, September 19, 2010

BOOK BLAST at Pony Village Mall Sept. 18, 2010

Here are photos from the "Book Blast" at Pony Village Mall on Saturday. Twenty-five authors were there to meet and greet ... sign and sell.  

E. G. Lewis is shown at his table with three of his novels: WITNESS and DISCIPLE in the trademarked "Seeds of Christianity" Series, as well as his commercial fiction novel, PROMISES. There is more information about each of them on Amazon.com, Barnes & Noble or other bookseller sites, and also from his publisher at:  


              They're excellent novels.

Thursday, September 16, 2010

Currently sitting at my computer making signs for a Book Blast at Pony Village Mall in North Bend, Oregon on Saturday, Sept. 18, from 10 a.m. to 3 p.m.

Approximately 25 authors will be there, including my husband and me. We'll be selling novels WITNESS, DISCIPLE and PROMISES by E. G. Lewis - both as hard copies and as eBooks on CD.

PETRA CITY IN STONE by T. L. Highley

Hello My Friend and Welcome.

It is time for a FIRST Wild Card Tour book review! If you wish to join the FIRST blog alliance, just click the button. We are a group of reviewers who tour Christian books. A Wild Card post includes a brief bio of the author and a full chapter from each book toured. The reason it is called a FIRST Wild Card Tour is that you never know if the book will be fiction, non~fiction, for young, or for old...or for somewhere in between! Enjoy your free peek into the book!

You never know when I might play a wild card on you!


Today's Wild Card author is:




and the book:



B&H Books (September 15, 2010)

***Special thanks to T.L. Higley for sending me a review copy.***


ABOUT THE AUTHOR:


Tracy started her first novel at the age of eight and has been hooked on writing ever since. After attending Philadelphia Biblical University, she earned a B.A. in English Literature at Rowan University. She then spent ten years writing drama presentations for church ministry. A lifelong interest in history and mythology has led Tracy to extensive research into ancient Greece, Egypt and Rome, and shaped her desire to shine the light of the gospel into the cultures of the past. She has traveled through Greece, Turkey, Egypt, Israel, Jordan and Italy to research her novels, and looks forward to more travel as the series continues.


Visit the author's website.

Product Details:

List Price: $ 14.99
Paperback: 344 pages
Publisher: B&H Books (September 15, 2010)
Language: English
ISBN-10: 1433668564
ISBN-13: 978-1433668562

AND NOW...THE FIRST CHAPTER:


The streets of Rome lay barren and empty, sucked dry by the colossal Flavian Amphitheatre that had swallowed seventy-five thousand Roman citizens in a single gulp, and would hold each one captive until they had enjoyed the horrors that Julian now raced to prevent.

More time. He needed more time. Already the crowd inside the four-story rim of stone cheered for the first event.

Julian’s sandals smacked the black basalt road that led toward the amphitheatre. The blistering Roman sun pounded the moisture from his skin and left him panting. He had run most of way, since an old servant in Vita’s house had pointed a gnarled finger toward the east, toward the Forum, toward the arena of death.

Eighty arches ringed the outside of the theatre on each of its first three stories. The bottom arches provided access to the public, and the second story’s niches held statues of the gods and emperors, who now looked down on Julian as he sprinted across the large travertine slabs that paved the arena’s edge.

He ran toward one of the four main entrances and fumbled for the tessera, the stone tile he wore around his neck. The designatores at the entrance would insist on examining it, to see the sector, row and seat to which he was assigned.

Indeed, the usher at this entrance was full of his own importance, and held a palm to Julian’s oncoming rush as though he could stop him with only the force of his arm.

“Too long in your bed this morning, eh?” His smug smile took in Julian’s hastily-wrapped toga and sweat-dampened hair.

Julian thrust the tessera before the man’s eyes. “Here, here, look at it.”

Still the amused smile. The usher opened his mouth to speak again.

“Look at it!”

Daunted, the man let his eyes travel over the tile, then took a tiny breath and stepped back. His grin faded to a look of regret over his own impudence, and he bowed his head. As if that were not enough, he bowed at the waist and extended a hand to invite Julian to enter.

Julian did not wait for an apology. He pushed past the usher and under the vaulted entrance, then straight through the arena’s outer corridor and up a ramp that led to the cavea, the wedge-shaped sections of marble seats. This main entrance led directly to the central boxes reserved for the elite.

He exploded from the dimly lit ramp onto the terrace. The morning sun slashed across half the seats, the height of the amphitheatre leaving the other half in shade. The red canvas velarium, the awning used to shade the spectators, would be raised before it got much hotter, but for now, thousands of bleached togas on white marble blinded the eye and the smell of the masses assaulted the nose.

Julian crossed the terrace in two strides, slammed against the waist-high wall that separated him from the arena, and saw a figure dash at him from the shadows.

His mother’s hands were on his arms in an instant. “Julian, what are you doing?” Her words were frantic, as clipped and terror-filled as his every movement.

“They have Vita, Mother!”

She wrenched his body fiercely to face her. Julian stood nearly a cubit taller than his mother, but Ariella had retained all the strength of her youth, along with the beauty. “There is nothing that can be done, my son.”

He yanked his arms from her grasp. “Do not say that!” Julian searched the cavea behind him, full to overflowing with the purple-edged togas of senators. “Where is Father? Is he here?”

“Julian, think! You must think.” Ariella’s voice was urgent and low and her clutching fingers again slowed Julian’s restlessness. “You will bring more harm – “

“I do not care!” His voice snagged with emotion, and he fought to harden the feelings into action. “I must end this.”

“You cannot, son.”

He turned flashing eyes on Ariella. “It is my fault! Do you not understand? I should be down in those cages.”

Ariella’s eyes misted. “I would not lose both my son and his betrothed on the same day.”

Betrothed. The word washed more guilt over Julian’s stricken soul.

A senator, one of his father’s friends, walked past and paused to hold out an arm in greeting to Julian. “Fine day for the games, is it not?”

Julian straightened at once, resuming the noble bearing trained into him since childhood, and returned the man’s grip. He nodded once in agreement, but did not speak. The senator moved on, and Julian dropped his shoulders, ashamed that he had not made a statement.

Ariella seemed to read his thoughts. Her dark eyes held his own. “It will take more than a day to change the Empire.”

Julian looked out over the yellow sand of the arena. “But this day, Mother, this day we must!” He slapped a hand against the top of the marble wall. “I am going to find Father.”

“Julian, you know that he can do nothing – “

He spun on her. “No. I am tired of both of you, always moving about your circles quietly, behind closed doors, the truth spoken only in whispers.” He lifted his own voice as an example. “There is a time to speak!”

Ariella’s nostrils flared, but she said nothing. Turning from her, Julian stalked to the nearest break in the seating and ascended the tiers alongside his father’s section. Here, the nobility did not sit on wooden planks as the rest of the citizens, but were given cushions or even chairs for comfort. He scanned the rows of seats for his father’s graying head, and instead met his dark gray eyes.

Julian shook his head and opened his mouth to shout across the intervening seats, but his father held up a hand, then stood and excused himself from his colleagues. He slid along in front of a dozen other senators, and emerged at the end of the row beside Julian.

Quietly, he spoke into his son’s ear. “I have just now heard. It is outrageous.”

Julian’s hands balled into fists at his side. “You must do something.”

“What can I do, Julian? The emperor has ruled, and Trajan is not a man to be defied.”

Across the arena, Julian watched as a trapdoor slid upward and a huddled band of men and women were prodded onto the sand at the end of Roman spears. Julian’s heart pounded with the shortness of the time left and he turned on his father with the frenzy of desperation. “She is out there, Father!”

But his father’s eyes held only grief, not anger. Not the fiery anger that could change the future, even now.

Julian pushed past him, down the steps. If his parents would do nothing from their positions of influence, then he would stop this madness from a position of strength.

It had been his fault, all of it. Trajan had made his stance clear. As long as they kept to themselves, did not flaunt their disagreement with imperial policy, did not take a public stand, they would be left alone. But that had not been enough for Julian. Passionate about the truth, eager to show himself a leader and foolish enough to believe himself invincible, he had spoken too loudly, in too many places.

And now this. Vita and the others arrested, convicted, and sentenced without his knowledge. Julian had brought this on them all, but he had escaped their fate.

At the terrace level he circled the arena toward the imperial box. The amphitheatre was one of the few places where the public had access to the divine emperor. Julian grasped at the thin hope that he could get near enough to plead for Vita’s life.

He had not loved her. Not like he should, though he had tried. He had never known a more virtuous woman. The arranged match between them was a good one. But Julian had never felt more than the flame of admiration and respect for her, and he saw nothing but the same in her eyes. Still, they would have been married.

We will be married.

The foot-stomps of the crowd rose around him like a hundred thousand drumbeats. The cadence resonated in his chest and pushed him forward. He knew that sound. It was the sound of a mob hungry for blood.

Terror drove his footsteps. He could not look to the arena. Not even when he heard more trapdoors rise and the low growl of beasts begin.

The crowd screamed as one, and their shouts lifted to the pale blue sky like a puff of evil smoke from the underworld. Julian’s bones seemed to turn to water. He raced on. The emperor’s raised box was in sight.

But then they were beside him again, both his parents this time, grasping at his arms, pulling him backward.

“It is too late, son.” His mother’s voice held the grief of both the present and the past, for she had seen much sorrow in the arena in her day.

His father turned him to the wall to face the sand. “You must say goodbye, Julian. You must say goodbye.”

He let his parents hold him there at the marble wall. He scraped his hands across the top, then gripped the white stone.

Lions. Six of them. Circling, circling the knot of friends in the center of the bright yellow sand that had been brought from one of the hills of Rome and spread on wooden planking to soak up the blood of gladiator, beast, and the condemned.

The lions charged at once, but for Julian, the moment stretched out, like a thread of silk spun from a slow-turning wheel, and though the crowd still bellowed, in his head all had gone silent and he saw only his group of friends, crumpling in on themselves like sand flowing into a sinkhole.

The lions must have roared before they pounced, though Julian heard nothing, and felt only the relentless scraping of his own hands across the stone wall. He scraped until his hands were torn and bloody, wanting to bleed with her, wanting to bleed with all of them, as he should have.

The sun had risen to pour its rays into the center of the arena, and the yellow sand beneath them turned to molten gold in the light, an oval of liquid gold with Vita and the others drowning in the center of it. He saw her face for a moment, lifted to heaven.

His mind disconnected and drifted strangely, then, to the words at the end of the Apostle John’s Revelation, and his vision of the New Jerusalem with its streets of pure gold.

Would Vita fall asleep in this golden sand and wake to streets of gold?

The beasts did their job well and quickly, and when it was over and the mutilated bodies of his friends lay scattered across the sand, Julian woke from his stupor and felt the guilt of every lost life bear down on him as though the stones around him had collapsed on his head. He tasted bile rising in his throat, and turned away from the wall to retch onto the paving stones.

His parents held his arms as he emptied the contents of his stomach. He heard the jeers directed toward him. When he stood, the tear-streaked faces of both his parents matched his own.

But he found no solace in their shared grief. They did not have to bear the guilt of it as he did. As he always would. He pulled from their embrace and escaped the amphitheatre, running back the way he had come, running like a haunted man.

Days later, when his guilt and grief had hardened into bitter anger, he tried once again to change the minds and policies of the Roman government. But in the end he brought only more disgrace, and more danger, upon his family.

In the cool of the evening three days after Vita’s death, he stood at the terrace wall of his father’s lavish villa in the Roman countryside, looking down into the flowered gardens his mother had commissioned, and listening to the fountain that trickled night and day into the central pool. He inhaled deeply of the night air, dragging in the scent of roses.

His guilt over Vita’s death had not abated, and he had added to it with his actions in the days since. His brazen words in the Senate House, and later the Forum, had identified him as one who should have also met his death in the arena that day.

Perhaps that was his wish. To be arrested himself, to be thrown before the gaping yaw of a dozen lions, to be given what he deserved.

But his family. He had not wanted the same for his family. His only brother, long since stationed in some military outpost, had never embraced the family’s beliefs, but even he could be reached by the long arm of the empire, and brought back to face condemnation with the rest.

Behind him, slaves stirred to prepare the evening meal and lit torches on the veranda. His parents would appear soon and they would all pretend that their privileged life continued.

But Julian had made a decision. His life in Rome was over. To protect his family, he must disappear.

He thought of his brother’s stories of the provinces that lay at the edges of the Empire. Of Britannia, of Judea. But even there the Roman army could search out a man. No, he must go further east than even Judea.

There was a place, a hidden city he had heard tales of since he was a boy. Stories that had sparked his imagination and given him the desire to travel across the desert sand to discover the city tucked between the rock cliffs of Arabia.

Petra. Capital of the Nabatean kingdom, wealthy center of the east-west trade route, and beyond even the Roman Empire’s reach.

Julian rubbed his hands together, palms still raw from being torn open the day Vita died. Yes, it was a good plan.

He would flee to Petra.






And now our Review…
There are some books that as soon as you hear about them you know you have to read them. For me, Petra City in Stone was such a book. I freely admit that one of the primary reasons for this was my own knowledge of ancient Petra based on research I did for my Seeds of Christianity™ Series.

Ms. Higley positions her story at a pivotal point in Middle Eastern history, the year 106 AD when Rome annexed the Nabatean Empire. Less than 40 years earlier the Romans sacked Jerusalem, destroying the Temple. Thirty years into the future, the third and final Jewish war, the bar Kokhba Revolt, would be fought.

Meanwhile, having weathered persecutions under both Nero and Domitian, the early Christians now face yet another one under Roman Emperor Trajan. All of the apostles have died. Their disciples, the second generation of leadership, have grown old. On whose shoulder will the mantle of leadership rest? Enter Julian, a reluctant hero who’s come to Petra not to lead, but to hide, and Cassia, a pagan woman who came seeking a better life for her son. Fate, or was it the hand of God, throws them together in this thoroughly enjoyable tale of political intrigue, faith, and redemption. Ms. Higley’s fine writing, attention to detail and strong characterization breathes life into this ancient city of stone.

Untilt he next time, Shalom Aleichem!

Friday, September 10, 2010

MEDICAL ERROR by Richard Mabry MD

It is time for a FIRST Wild Card Tour book review! If you wish to join the FIRST blog alliance, just click the button. We are a group of reviewers who tour Christian books. A Wild Card post includes a brief bio of the author and a full chapter from each book toured. The reason it is called a FIRST Wild Card Tour is that you never know if the book will be fiction, non~fiction, for young, or for old...or for somewhere in between! Enjoy your free peek into the book!



You never know when I might play a wild card on you!


Today's Wild Card author is:





and the book:



Medical Error (Prescription for Trouble Series)

Abingdon Press (July 12, 2010)

***Special thanks to Maegan Roper, Marketing/PR Manager, Christian Fiction, Abingdon Press for sending us a review copy.***

ABOUT THE AUTHOR:


Dr. Richard Mabry built a worldwide reputation as a clinician, researcher, author, and teacher before retiring from medicine. He entered the field of non-medical writing after the death of his first wife, with the publication of his book, The Tender Scar: Life After The Death Of A Spouse.



Richard describes his work as "medical suspense with heart." Medical Error is his second novel. His first novel, Code Blue, was published by Abingdon Press in April of 2010, and will be followed next spring by the third book in the Prescription For Trouble series, Diagnosis Death.



He and his wife, Kay, live in North Texas.

Visit the author's website.

Visit the author's blog.



Product Details:
List Price: $13.99
Paperback: 288 pages
Publisher: Abingdon Press (July 12, 2010)
Language: English
ISBN-10: 1426710003
ISBN-13: 978-1426710001

AND NOW...THE FIRST CHAPTER:





Eric Hatley’s last day alive began routinely enough.



He paused beside his brown delivery truck, shifted the bulky package, and turned in a tight circle to search for the right apartment.



Shouts filled the air. Firecrackers exploded all around him. A dozen red-hot pokers bored holes through his gut.



The package flew from his arms. He crumpled into a privet hedge at the edge of the sidewalk, clutching his midsection and recoiling when his fingers encountered something wet and slimy.



A wave of nausea swept over him. Cold sweat engulfed him.



Eric managed one strangled cry before everything faded to black.



* * *



Dr. Anna McIntyre bumped the swinging door with her hip and backed into Parkland Hospital’s Operating Room Six, her dripping hands held in front of her, palms inward. “Luc, tell me what you’ve got.”



Chief surgical resident, Dr. Luc Nguyn, didn’t look up from the rectangle of abdomen outlined by green draping sheets and illuminated by strong surgical lights. “UPS driver, making a delivery in the Projects. Got caught in the crossfire of a gang rumble. Took four bullets in the belly. Pretty shocky by the time he got here.”



“Find the bleeding source?”



“Most of it was from the gastric artery. Just finished tying it off.”



Anna took a sterile towel from the scrub nurse and began the ritual of gowning and gloving made automatic by countless repetitions. “How about fluids and blood replacement?”



Luc held out his hand, and the nurse slapped a clamp into it. “Lactated Ringer’s, of course—still running wide open. We’ve already pushed one unit of unmatched O negative. He’s finishing his first unit of cross-matched blood. We’ve got another one ready and four more holding in the blood bank.”



“How’s he responding?”



“BP is still low but stable, pulse is slower. I think we’re catching up with the blood loss.”



Anna plunged her hands into thin surgical gloves. “Lab work?”



“Hematocrit was a little over ten on admission, but I don’t think he’d had time to fully hemodilute. My guess is he was nine or less.”



Anna turned slightly to allow the circulating nurse to tie her surgical gown. “Bowel perforations?”



“So far I see four holes in the small intestine, two in the colon.”



“Okay, he’ll need antibiotic coverage. Got that started?”



Luc shrugged. “Not yet. We don’t know about drug allergies. His wallet had ID, but we’re still working on contacting next of kin. Meanwhile, I have Medical Records checking his name in the hospital computer for previous visits.”



“And if he’s allergic—“



The nursing supervisor pushed through the swinging doors, already reading from the slip of paper in her hand. “They found one prior visit for an Eric Hatley, same address and date of birth as on this man’s driver’s license. Seen in the ER two weeks ago for a venereal disease. No history of drug allergy. They gave him IM Omnilex. No problems.”



The medical student who’d been assisting moved two steps to his left. Anna took his place across the operating table from Luc.



Luc glanced toward the anesthesiologist. “Two grams of Omnilex IV please.”



Anna followed Luc’s gaze to the head of the operating table. “I don’t believe I know you. I’m Dr. McIntyre.”



The doctor kept his eyes on the syringe he was filling. “Yes, ma’am. I’m Jeff Murray, first year anesthesia resident.”



A first year resident on his own? Where was the staff man? “Keep a close eye on the blood and fluids. Let us know if there’s a problem.” Anna picked up a surgical sponge and blotted a bit of blood from the edge of the operative area. “Okay, Luc. Let’s see what you’ve got.”



In the operating room, Anna was in her element. The green tile walls, the bright lights, the soft beep of the monitors and whoosh of the respirator, the squeak of rubber soles as the circulating nurse moved about the room—all these were as natural to her as water to a fish or air to a bird. Under Anna’s direction, the team worked smoothly together. Conversation was at a minimum, something she appreciated. Do the job in the OR, talk in the surgeons’ lounge.



“I think that’s got it,” Luc said.



“Let’s check.” Anna’s fingertips explored the depths of the patient’s belly with the delicate touch of a concert violinist. Her eyes roamed the operative field, missing nothing. Luc had done an excellent job. He’d do well in practice when he finished his training in three months.



Anna stepped away from the table. “I think you’re through. Routine closure, leave a couple of drains in. Keep him on antibiotic coverage for the next few days.”



Luc didn’t need to hear that, but she figured the medical student did. She might as well earn her Assistant Professor’s salary with a little low-key teaching.



She stripped off her gloves and tossed them in the waste bucket at the end of the operating table. “If you need me—“



“Luc, we’ve got a problem. Blood pressure’s dropping, pulse is rapid.” A hint of panic rose in the anesthesiologist’s voice.



The scrub nurse held out fresh gloves, and Anna plunged her hands into them. “He must be bleeding again. Maybe one of the ligatures slipped off.”



“No way,” Luc said. "Everything was double-tied, with a stick-tie on the major vessels. You saw yourself, the wound was dry when we finished.”



“Well, we’ve got to go back in and look.” Anna turned to the anesthesiologist. “Run the IV wide open. Hang another unit of blood and send for at least two more. Keep him oxygenated. And get your staff man in here. Now!”



He snapped out a couple of requests to the circulating nurse before turning back to Anna. “He’s getting hard to ventilate. Do you think we might have overloaded him with fluid and blood? Could he be in pulmonary edema?”



“I want your staff doctor in here now! Let him evaluate all that. We’ve got our hands full.” Anna snatched a scalpel from the instrument tray and sliced through the half-dozen sutures Luc had just placed. “Deavor retractor.” She shoved the curved arm of the instrument into the edge of the open wound and tapped the medical student’s hand. “Hold this.”



Anna grabbed a handful of gauze sponges, expecting a gusher of blood from the abdomen. There was none. No bleeding at all within the wound. So why was the blood pressure dropping?



“Pressure’s down to almost nothing.” The anesthesia resident’s voice was strained. “And I’m really having trouble ventilating him.”



Dr. Buddy Jenkins, one of the senior anesthesiologists, pushed through the swinging doors. “What’s going on?”



Anna gave him the short version. “Blood pressure’s dropping, pulse is climbing. We’ve gone back into the belly, but there’s no bleeding. And there’s a problem ventilating him.”



Jenkins moved his resident aside, then slipped a stethoscope under the drapes and listened for a moment. “Wheezes. And no wonder. Look at his face.”



Anna peeked over the screen that separated the patient’s head and upper body from the operative field. Her heart seemed to skip a beat when she saw the swelling of the lips and the red blotches on the man’s face.



“It’s not blood loss,” Jenkins said. “He’s having an anaphylactic reaction. Most likely the blood. Did you give him an antibiotic? Any other meds?”



Anna’s mind was already churning, flipping through mental index cards. Anaphylaxis—a massive allergic reaction, when airways closed off and the heart struggled to pump blood. Death could come quickly. Treatment had to be immediate and aggressive.



“He had two grams of Omnilex,” Luc said. “But his old chart showed—“



Jenkins was in action before Luc stopped speaking. “I’ll give him a cc. of diluted epinephrine by IV push now, then more in a drip.” He turned to the anesthesia resident. “Get that ready— one milligram of epinephrine in a hundred milliliters of saline.”



“Luc, you two close the abdominal wound,” Anna said. “I’m going to break scrub and help Dr. Jenkins.”



Jenkins handed her a syringe. “Give him this Decadron, IV push. I need to adjust the ventilator.”



Anna injected the contents into the patient’s intravenous line. She said a quick prayer that the epinephrine and steroid would turn the tide, that they hadn’t been too late in starting treatment.



The team battled for almost half an hour, at first gaining ground, then losing it steadily. Finally, Jenkins caught Anna’s eye. They exchanged glances. There was no need for words.



She sighed and stepped away from the table. “I’m calling it.” Her voice cracked. “Time of death is eleven oh seven.”



Luc let the instrument he’d been holding drop back onto the tray. Jenkins picked up the anesthesia record and began to scribble. Murray, the anesthesia resident, turned back to his supply table and started straightening the mess. The medical student looked at Anna. She nodded toward the door, and he slipped out of the room. She didn’t blame him. This was probably the first patient he’d seen die.



Anna tossed her gloves and mask into the waste container. She shrugged, but the tension in her shoulders didn’t go away. “Any idea why this happened? The blood was supposed to be compatible. He’d tolerated Omnilex before. What else could have caused it?”



No one offered an answer. And she certainly had none. But she intended to find out.



The OR charge nurse directed Anna to the family room, where she found Hatley’s mother huddled in a corner, twisting a handkerchief and occasionally dabbing at her eyes. The room was small and quiet, the lighting was soft, the chairs as comfortable as possible. A box of tissues sat on the table, along with a Bible and several inspirational magazines. Soft music playing in the background almost covered the hospital sounds drifting in from the nearby surgical suite.



Anna whispered a silent prayer. She’d done this dozens of times, but it never got any easier. She knelt in front of the woman. “Mrs. Hatley, I have bad news for you.”



Anna stumbled through the next several minutes, trying to explain, doing her best to make sense of a situation that she herself couldn’t fully understand. When it came to the matter of permission for an autopsy, Anna wasn’t sure of the medico-legal situation here. Hatley had died after being shot, but his injuries weren’t the cause of death. Would she have to call the County Medical Examiner and get him to order one? The weeping mother solved the problem by agreeing to allow a post-mortem exam.



There was a light tap at the door, and the chaplain slipped into the room. “I’m sorry. I was delayed.” He took the chair next to Mrs. Hatley and began speaking to her in a low voice.



Anna was happy to slip out of the room with a last “I’m so sorry.” Outside, she paused and took several deep breaths.



It took another half-hour for Anna to write a chart note, dictate an operative report and final case summary, and change into clean scrubs. She was leaving the dressing room when her pager sounded. The display showed her office number followed by the suffix “911.” A “stat” page—respond immediately.



As she punched in the number, Anna wondered what else could possibly go wrong today. “Lisa, what’s up?”



“Dr. McIntyre, there are two policemen here. They want to talk with you. And they say it’s urgent.”



* * *



Nick Valentine looked up from the computer and grimaced when he heard the morgue attendant’s rubber clogs clomping down the hall. The summons he knew was coming wasn’t totally unexpected. After all, he was the pathologist on autopsy call this week, which was why he was sitting in this room adjacent to the morgue of Parkland Hospital instead of in his academic office at the medical school. But he’d hoped for some undisturbed time to get this project done.



The attendant stuck his head through the open door. “Dr. Valentine, you’ve got an autopsy coming up. Unexpected death in the OR. Dr. McIntyre’s case. She asked if you could do it as soon as possible. And please page her before you start. She’d like to come down for the post.” The man’s head disappeared like that of a frightened turtle. More clomps down the hall signaled his departure.



There was nothing new about an attending wanting a post-mortem done ASAP. You’d think they’d realize there was no hurry any more, but that didn’t seem to stop them from asking. At least she was willing to come down and watch instead of just reading his report. Nick turned to the shelf behind his desk and pulled out a dog-eared list headed “Frequently Needed Pager Numbers.” He ran his finger down the page. Here it was: Department of General Surgery. Anna E. McIntyre, Assistant Professor. He picked up the phone and punched in her number. After he heard the answering beeps, he entered his extension and hung up.



While he waited, Nick looked first at the pile of papers that covered half his desk, then at the words on his computer screen. He’d put this off far too long. Now he had to get it done. To his way of thinking, putting together this CV, the curriculum vitae that was so important in academics, was wasted effort. Nick had no interest in a promotion, didn’t think he’d get one even if his chairman requested it from the dean. But his chairman wanted the CV. And what the chairman wanted, the chairman got.



The phone rang. Probably Dr. McIntyre calling back.



“Dr. Valentine.”



“Nick, this is Dr. Wetherington. Do you have that CV finished yet?”



“I’m working on it.”



“Well, I need it soon. I want you to get that promotion to Associate Professor, and I have to be able to show the committee why I’ve nominated you. Don’t let me down.”



Nick hung up and riffled through the pile on his desk. Reprints of papers published, programs showing lectures delivered at medical meetings, textbooks with chapters he’d written, certificates from awards received. His professional résumé was pitifully small, but to Nick it represented the least important part of his job. What mattered most to him was what he was about to do: try to find out why the best efforts of a top-notch medical staff failed to save the life of some poor soul. If he did his job well, then maybe those doctors would be able to snatch some other patient from the jaws of the grim reaper.



His phone rang. “Dr. Valentine, are you about ready?” the morgue attendant said.



Nick looked at his watch. Almost half an hour, and Dr. McIntyre hadn’t responded to the page. He hated to start without her, but he might have to. “Give me another ten minutes.”



While he waited, Nick figured he might as well try to make Dr. Wetherington happy. Now when did he deliver that paper before the American Society of Clinical Pathology? And who cared, anyway?



* * *



Her administrative assistant met Anna at the doorway to the outer office. “Dr. McIntyre, I didn’t know what to do.”



“That’s all right, Lisa. I’ll talk with them.” Anna straightened her white coat and walked into her private office, where two people stood conversing in low tones. Lisa had said, “Two policemen,” but Anna was surprised to see that one of them was a woman.



The man stepped forward to meet Anna. “Doctor McIntyre?”



Anna nodded.



He pulled a leather folder from his pocket and held it open for her inspection. Anna could see the gold and blue badge pinned to the lower part of the wallet, but couldn’t read the words on it. The card in the top portion told her, though. It carried a picture beside the words, US Drug Enforcement Administration.



Lisa had been wrong. These people were from the DEA, not the police. Still, an unannounced visit from that agency made most doctors sweat. You never knew when some innocent slip might get you into trouble.



The man flipped the credential wallet closed. “This won’t take long.”



“Good. I’ve just finished an emergency case, and I still have a lot to do.” Anna moved behind her desk and sat.



“Your chairman said you’d give us as much time as we need.”



Anna glanced pointedly at her watch. “Well, have a seat and let’s get to it. What do you need from me?”



The man lowered himself into the chair, his expression slightly disapproving. His partner followed suit. “We have some things we need for you to clear up.”



“Could I see those credentials again?” Anna said. “Both of you.”



They obliged, laying the open wallets on the desk. Anna pulled a slip of notepaper toward her and began copying the information, occasionally glancing up from her writing to match the names and faces on the ID’s with the people sitting across from her. The spokesman was Special Agent John Hale, a chunky, middle-aged man wearing an off-the rack suit that did nothing to disguise his ample middle. Anna thought he looked more like a seedy private eye than an officer of the law.



The woman, the silent half of the pair so far, was Special Agent Carolyn Kramer, a woman who reminded Anna of a California surfer bunny, complete with perfect tan and faultlessly styled short blonde hair. The resemblance stopped there, though. Kramer’s eyes gleamed with a combination of intelligence and determination that told Anna she’d better not underestimate the woman. Kramer wore a stylish pants suit that had probably cost more than Anna made in a week, How could a DEA agent have money for an outfit like that?



Anna handed the badge wallets back to Hale and Kramer. “All right, how can I help you?”



Hale pulled a small notebook from his inside coat pocket and flipped through the pages. “Doctor, recently you’ve been writing a large number of Vicodin prescriptions, all of them for an excessive amount of the drug. Can you explain that?”



“I don’t know what you mean,” Anna said. “I’m pretty sure I haven’t written any more Vicodin ‘scripts than usual, and I certainly haven’t changed my prescribing practices.”



Hale nodded, stone-faced. “What are those practices?”



“I prescribe Vicodin for post-operative pain in many of my patients, but always in carefully controlled amounts, usually thirty pills at a time. By the time they’ve exhausted that first prescription I can generally put them on a non-narcotic pain reliever. It’s rare that I refill a Vicodin ‘script.”



Apparently it was Kramer’s turn in the tag-team match. She picked up a thick leather folder from the floor beside her chair, unzipped it, and extracted a sheaf of papers held together by a wide rubber band. “Would you care to comment on these?” Her soft alto was a marked contrast to Hale’s gruff baritone,



Anna’s eyes went to the clock on her desk. “Will this take much longer? I really have things I need to do.”



Kramer seemed not to hear. She held out the bundle of papers.



“Okay, let me have a look.” Anna recognized the top one in the stack as a prescription written on a form from the faculty clinic. She pulled it free and studied it. The patient’s name didn’t stir any memory, but that wasn’t unusual. She might see twenty or thirty people in a day. The prescription read:



VICODIN TABS



Disp. [#100]



Sig: 1 tab q 4 h PRN pain



At the bottom of the page, three refills were authorized. The DEA number had been written into the appropriate blank on the lower right-hand corner.



Anna squinted, closed her eyes, then looked again. There was no doubt about it. The DEA number was hers. And the name scrawled across the bottom read: Anna McIntyre, MD.



“Can you explain this?” Kramer asked.



A familiar vibration against her hip stopped Anna before she could reply. She pulled her pager free and looked at the display. The call was from the medical center, but she didn’t recognize the number. Not the operating room. Not the clinic. She relaxed a bit when she saw there was no “911” entry after the number. If this was about the autopsy, she’d have to miss it.



Hale picked up the questioning as though there had been no interruption. “What can you tell us about all these prescriptions for Vicodin?”



“I suppose the most important thing I can tell you is that I didn’t write them.” She riffled through the stack, paying attention only to the signature at the bottom of each sheet. “None of these are mine.”



“That’s your number and name. Right?” Kramer said.



“Right. But that’s not my signature. It’s not even close.”



“Can you explain how someone else could be writing prescriptions on your pads using your DEA number?” Hale asked.



“I have no idea.” Anna made no attempt to keep the bitterness out of her words. “Sorry, I’ve just lost a patient, and I’m not in the best of moods. Can’t we wind this up? I didn’t write those ‘scripts, and I don’t know who did.”



Obviously, Hale didn’t want to let the matter go. “You’re sure there’s nothing you want to tell us?”



“What would I have to tell you? I said I don’t know anything about this.”



Kramer spoke, apparently filling the role of good cop. “Take a guess. Help us out here.”



Anna felt her jaw muscles clench. These people were relentless. She had to give them something, or this would never end. “I really don’t know. I mean, we’ve got an established routine, and all the doctors here are pretty careful.”



Kramer pulled a silver ballpoint from the leather folder and began twirling it between her fingers. “Why don’t you walk us through that routine?”



Anna wanted to follow up on Hatley’s autopsy, talk with her department chair about today’s events, eventually sit down and try to relax. She was drained. The agents, on the other hand, seemed to have unlimited time and energy.



“Doctor?” Kramer’s voice held no hint of irritation. Patient, understanding, all the time in the world. Just two women chatting.



“Sorry.” Anna tried to organize her thoughts. “The prescription pads in the faculty clinic are kept in a drawer in each treatment room. That way they’re out of sight, although I guess if someone knew where they were he could latch onto one when no one was in the room.” She looked at the agents. Kramer simply nodded. Hale scowled. “Hey, we know it’s not perfect, but that’s the way we have to do it. Otherwise, we’d waste all our time hunting for a pad.”



“And do you ever forget and leave the pads sitting out when you’ve finished writing a prescription?” Kramer asked.



“Sure. Especially when we’re in a hurry.” Anna’s cheeks burned.



Hale turned a page in his notebook and frowned. “How about your DEA number?”



“You’ll notice those aren’t printed on the forms. Each of us has to fill in our number.”



“Maybe someone else had access to your number. Do nurses ever write the prescriptions for you?” This came from Kramer. Anna felt as though she was watching a tennis match, going back and forth between the two agents.



“When we have a nurse in the room with us, yes, she’ll write the prescription. I don’t know what the other doctors do, but I sign the prescriptions after she writes them. And I add the DEA number to the narcotic ‘scripts myself.”



The questioning went on for another half hour. Anna’s throat was dry, her eyes burned, she felt rivulets of sweat coursing between her shoulder blades. Finally, she’d had enough. “Look, am I being charged with something? Because if I am, I’m not saying another word without a lawyer.”



Hale replaced his notebook in his pocket. Kramer picked up her folder and purse. They let the silence hang for a moment more before exchanging glances, then standing.



“Right now, we’re simply investigating, Doctor,” Hale said. “You may be hearing from the Texas Department of Public Safety and the Dallas Police as well. Also, since your DEA number and identity have been compromised, I’d advise you not to prescribe any controlled substances for now. You’ll receive formal notification in writing tomorrow about applying for a new permit.”



The agents walked out, leaving Anna with her hands pressed to her throbbing temples.



* * *



Nick stepped back from the autopsy table, pressed the pedal under his right foot, and spoke into the microphone hanging near his head. “No other abnormalities noted. The balance of findings will be dictated after review of the histopathology specimens and the results of the toxicology tests. Usual signature. Thanks.” He turned away from the body and gestured to the morgue assistant to close the incisions. “I’ll be in the office if you need me. Thanks for your help.”



Nick removed his goggles and stripped off his mask, gown, and gloves. He was standing at the sink outside the autopsy room, drying his hands, when he heard footsteps hurrying down the corridor toward him. He turned to see a woman approaching. The attractive redhead wore surgical scrubs, covered by a white coat. As she neared him, he could make out the embroidered name above the breast pocket: Anna McIntyre, MD. She stopped in front of him, and the set of her jaw and the flash of her green eyes told Nick she was in no mood for light banter.



“Dr. McIntyre?”



She nodded.



“Nick Valentine. I paged you, but when you didn’t answer I had to go ahead and get started. Sorry.”



She waved away his apology. “No, it’s my fault. I couldn’t break free to answer your page. What can you tell me?”



“Why don’t I buy you a cup of coffee and I’ll tell you what I’ve found so far? If we go to the food court, we can get away from the smell down here. I hardly notice it anymore, but I’ve learned that my visitors aren’t too fond of the odor of chemicals.”



She hesitated for a few seconds. “Okay. Lead the way.”



It seemed to Nick there was a Starbucks on every corner of every major city in the US. Most important to him, however, was the one here in the basement of the Clinical Sciences Building at Southwestern Medical Center. As he waited to order, he sniffed the rich aromas that filled the air. The smell of coffee never failed to lift his spirits. Maybe it would do the same for the woman who stood stoop-shouldered beside him. For most doctors, caffeine was the engine that helped propel them through long days and longer nights. Maybe all she needed was a booster shot.



When they were seated at a corner table with their venti lattes Nick filled her in on his findings at the autopsy he’d just completed. “That’s about it,” he concluded. “I’ll sign the death certificate with the preliminary cause of death as anaphylaxis due to an unknown cause.”



“But you won’t have a final diagnosis until—“



“Right. I’ll review the tissue samples and the results of the toxicology screen, but I doubt that we’ll find anything there. I’m going to have some tests run on the blood samples I took, and maybe that will help us. I’ll need to research whether there’s a good blood test for a drug reaction or latex allergy. The long and short of it is that we may never know the real reason he developed anaphylaxis and died.”



“I hadn’t even thought of latex allergy,” she said. “But that’s pretty rare, isn’t it?”



“Less than one percent of the population. Seen in people chronically exposed to latex: surgeons and nurses, industrial workers, patients with lifelong indwelling catheters.” He felt himself slipping into his lecture mode and made an effort to pull back. “I mean, we could talk about all these uncommon things, but I’ll bet you learned the same thing in medical school that I did. When you hear hoof beats—“



“Think horses, not zebras.” She managed a tiny smile. “Yes, I know. So we should concentrate on the blood or the antibiotic. If it was the blood, there’s a problem in the blood bank because he got one unit of unmatched O negative, which should have been okay, and one unit that was supposedly compatible by cross-match.”



“The residuals in both bags of blood are being re-typed and cross-matched against your patient’s blood as we speak. We’ll know the answer by the time we finish our coffee.” He drank deeply from his cup. “Don’t you think an antibiotic reaction is the most likely cause?”



She took a sip of coffee. “Probably, although I hope not. Choosing an antibiotic wasn’t a routine matter, because we didn’t know if Hatley had any drug allergies. The resident—one of our sharpest ones, by the way—thought he’d see if we could get the information another way. He had medical records check for a previous visit for the patient. They found a recent emergency room visit by the patient where he tolerated Omnilex. Since that antibiotic’s the best choice to cover spillage from a perforated bowel, I agreed with Luc when he ordered it.”



“But—“



“I know. If you give that drug to a patient who’s allergic to it or to penicillin, their reaction is likely to be severe—like this one. But I thought, since we had that history of tolerance, it was okay.” She blinked hard. “I should have known better. Should have made him use a different drug.”



Nick sensed he was treading on thin ice here. Maybe he should change the subject. Besides, he wanted to know more about this woman. “You know, I’ve seen you in the halls, but we’ve never actually met. Did you train here?”



She hesitated before reeling off what had apparently become a stock answer. “Raised in Oklahoma. Graduated from med school in North Carolina. Duke, actually. Lucky enough to get a surgery residency here at Parkland, and when I finished I was offered a faculty position in the Surgery Department. I’ve been here a little less than a year now.”



Nick held up a hand, palm out. “I know better. You don’t get a surgery residency here because you’re ‘lucky.’ You get one because you’re good. Let me guess. AOA at Duke?” If Anna was Alpha Omega Alpha, she must have been in the top ten percent of her class.



“Right. But I don’t guess it’s enough to be bright if you foul up and cost a patient his life.” She drank from her cup, and Nick noticed that she kept swallowing several more times after that.



Nick was barely aware of the activity around him, the ebb and flow of people, the sounds of pagers punctuating dozens of conversations. All he saw was Anna. She was one of the prettiest women he’d encountered in quite a while. But he was certain there was more to this trim, green-eyed redhead than striking good looks. Right now she was focused on medicine—it was obvious she cared a great deal about her patients, and this loss hit her hard—but Nick had a sense that in a different setting she’d be fun to know. And he intended to see if he couldn’t arrange that. Anna shifted in her chair. He couldn’t let her leave yet.



“Wait a minute,” he said. “Aren’t you curious about me at all? There may be a prize if you can answer all the questions later.”



Did he see the ghost of a grin? “Sure. Why not? What’s your story—the Reader’s Digest version?”



Nick moved his cup aside and leaned forward with his elbows on the table. He wasn’t sure how much longer he could draw out their time together, but he was determined to give it his best shot. “My roots are Italian. Named for my grandfather. He was Nicolo Valentino when he got off the boat, changed his name when he got his citizenship. I’m Nicolo the Third.” He ticked off the points on his fingers. “Worked my way through pre-med at Texas Tech. Got into the med school there by the skin of my teeth. Managed to get a residency in pathology here at Southwestern. When I finished, they had an opening in the department.” He held out his hand, palm up, fingers spread, thumb tucked under. “So here I am—four years in the department, still an Assistant Professor. Up for promotion now, and I suspect that if I don’t make it they’ll cut me like a dead branch from a tree.”



Nick’s last sentence rang a faint alarm bell in his head. He had to finish that project or the chairman would be royally ticked off, but it only took Nick a second to put that chore out of his mind. He was sitting with the most beautiful woman he’d ever met. He wanted to get to know her better, and he intended to keep her here as long as possible, even if it meant incurring Dr.. Wetherington’s wrath.



Our Review:
If you enjoy reading hospital/medical dramas, you will like this book. Just as lawyers write the best legal thrillers, only a doctor can accurately portray the terminology and behind-the-scenes details that make a story like this ring true.

Dr. Anna McIntyre’s identity theft brings home the reality of just how problematic such a situation can be. Add danger to the equation and you’ve got a novel that keeps you interested from beginning to end.

I love books that surprise me at their conclusion. I was certain I’d figured out who the culprit was. But I was wrong…turns out Richard Mabry fooled me. See if you can guess correctly in this intriguing “who done it.”
— Gail Lewis

Wednesday, September 8, 2010

A HEART FOR ANY FATE, by Linda Crew

This is an excellent young adult novel, written by a skilled writer who is very adept at her craft. It’s not fantasy fare similar to the Harry Potter series, but is written equally as well. A Heart For Any Fate, is an accurate, entertaining historical novel about real people who traveled the Oregon Trail in 1845. It was the Literary Arts Winner of the Oregon Book Awards in 2006.

The novel is written in the voice of young Lovisa King, who really did live and traveled with her parents and siblings westward from Missouri to Oregon in 1845. Kings Valley is named for them, as is the Kings Heights district of Portland.

Linda Crew weaves fact and fiction together to form a wonderful tale of how it must have been for immigrants following the Oregon Trail. The true-to-life and imagined adventures of this young girl are filled with excitement, sorrows, and accomplishments. Although some events may bring you to tears, Lovisa’s courage and transformation from girl to woman make for a satisfying, happy ending.

Ms. Crew’s “Author’s Notes” at the end of the book add even more interest to the story as she summarizes what actually happened to many of the people in her story after they settled in the Willamette Valley and other parts of Oregon. As an Oregonian myself, I found it fascinating to read about some of our early pioneers.

Teen readers will find this a quick, easy and enjoyable read. Not a young adult myself, I still thoroughly enjoyed Linda Crew’s enchanting story and recommend it to booklovers of all ages.
— Gail Lewis

Product Details:
Hard Cover: 234 Pages (also available in Trade Paperback)
Language: English
Publisher: Oregon Historical Society Press
ISBN: 0-87595-291-7