Showing posts with label mary fernando. Show all posts
Showing posts with label mary fernando. Show all posts

08 October 2017

Hospitals and Murder in One Step or Two

by Mary Fernando
“Hospitals are a great place to kill people” said MC, during our interview, “You can kill people in one-step or two.”
I would like to reintroduce MC – Mystery Cardiologist. He is a doctor who opens up blocked heart vessels with stents, puts in new heart valves and uses defibrillators to bring people back from the brink of death. He is also a voracious reader of mystery novels. What can be more delicious than a man who saves lives and ponders how to kill people? After he read my last blog, he felt it made him sound a bit ghoulish. So I would say, unequivocally, that he is a great guy. A wonderful husband, father, puppy owner who has never murdered anyone. He is safe to have over for dinner and introduce to your children.

Although his one-step and two-step murders are worth hearing about, what is equally as interesting is the character of a hospital murderer.
“There is nothing more creepy than someone like a nurse, doctor or paramedic who kills.” said MC. “That is the person with the most access to the patient, the knowledge to kill and the person everyone trusts.”
MC is right. The best person to know what drugs could kill and at what dosages, is a person who is medically trained. Further, they would know, for example, that in death, all cells break down, release sugar, and make an insulin overdose difficult to detect. However, a sample of the vitreous humour (fluid in the eye) could be a perfect way to catch this murderer.

Setting a murder in a hospital opens up avenues of murder but also allows for the creation of a complex character. What makes someone who has devoted a great deal of time educating themselves on how to save lives, who has a career of service to patients, turn themselves into a killer?  It could be a latent aggression finally coming to the fore, or it could be a character up against hard times who changes and becomes embittered. Or it could be a character who becomes a doctor or nurse to compensate for a sense of helplessness but gradually develops a sense of arrogance and invincibility, coupled with the a distain for those who are helpless like they once were.

One-step murders in hospitals can involve numerous methods. If someone is admitted to hospital for routine surgery such as an appendectomy or even for a heart attack that they survived, then finishing them off in hospital is an interesting option.

In hospital, people have IVs that provide a portal to inject them with something deadly. An overdose, of insulin, epinephrine, or potassium are some of MC’s suggestions.

A two-step murder is another intriguing option. Perhaps a murder attempt - a car accident, or bludgeoning on the head - has failed to completely kill off the victim. Bringing them to hospital provides an opportunity to try to kill them again.

Here a principle of reversing medical treatment is key. For example, if the victim has brain swelling after a thump on the head, in hospital they will give drugs to reduce swelling. They will also raise the head, using gravity to get rid of excess fluid in the brain. A visit during which the hospital bed is positioned to lower their head will send enough fluid into their brain to kill them. It is a gruesome way to die as the brain swells and pushes into your skull and again, it takes a certain twist of character to make a person trained to save lives, now take them.

Killing via an IV line is of course an option when a murder is botched and someone wants to complete the kill. Insulin injected could bottom out their glucose and put them into a deadly coma. Adrenaline could cause a fatal heart attack. And someone who has survived a murder attempt would be frailer and more susceptible to most drugs. Air injected into an IV is a perfect way to kill someone.

Once you have decided to set up a hospital murder, either in one or two steps, there is a wealth of internet info to look at. For example, if you are set on killing someone with air injected into an IV, I would like to recommend the blog by James J Murray, Prescription for Murder, as a great starting point. Another intriguing find is a book about murder by insulin.

For me, the intriguing part of my interview with MC was the hospital setting as an opportunity for murder with a necessity of developing the kind of complex character who would murder in a hospital. I truly think this hospital killer allows a writer to develop a character that embodies the saying: ‘As we get older, we just get more so.'

All our vulnerabilities, our fears and frailties, can be hidden under work and purpose. However, in the end we all become ourselves and more so. What haunts us eventually will consume us and that, in essence, is the making of a murderer.

22 August 2017

Mystery #1: How to Balance Motherhood, Work, and Writing

by Melissa YiPatreon

Hi everyone, I want to tread lightly as we mourn the great writer and friend, BK Stevens. I'd written this post three years ago, and tucked it away for an emergency day that didn't come, although I came close many a time.

Sleuthsayers have been very kind to me, but I've struggled to balance my 'big three': medicine, writing, and my children. This summer, I realized it would be best for my family and my sanity if I gave someone else the opportunity.

Next month, you will meet Dr. Mary Fernando. I first met her through Capital Crime Writers, the Ottawa writers' association. Her first novel, An Absence of Empathy, was nominated for the Unhanged Arthur for Best Unpublished First Crime Novel, sponsored by Dundurn Press. In addition to her obvious talents as a physician and a writer, Mary likes to laugh, and I think you'll have fun together.
Shoot. Her face is cut off (perhaps fitting in a crime blog?), but that's Mary Fernando, me, a skull, and Elizabeth Hosang.

Best wishes, everyone. Perhaps it's fitting that my last column is about family. Yesterday, my eleven-year-old son, Max, turned toward me. "You said you weren't working in August."

"I said I wasn't working [at the hospital] as much. But that means I'm writing more. You know that."


"I hate your writing. I hate it. It takes you away from us."


So I'll work on getting our family back on track. Today, we watched the partial solar eclipse. Tonight was their last, despised swimming lesson. Tomorrow they'll revel at a barbecue before I start back at the hospital again.

See you online, and at Bouchercon in Toronto!
Cheers,
Melissa
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Original post:
When I was in med school and residency, I knew I wanted kids, but I had no idea how I’d make time for them AND emergency medicine AND writing. So I used to corner parent-writers at parties and say, “How do you do it?”

Dr. Ilsa Bick, a writer and a psychiatrist, said, “You have an advantage. You started writing young.”

“What does that have to do with anything?” I shook my head, genuinely confused. Writing in my twenties wouldn’t help me stay up all night with a colicky baby.

But now I see a few advantages, like before I procreated, I’d already written my million words of garbage, I’d published a handful of short stories and won a few awards (including Writers of the Future, where I met Ilsa), I’d written a few novels, and I’d perhaps most importantly, I’d learned iron-clad self discipline.
From the Kobo office. Cool place.

Still, since this spring, I’ve been wrestling with the question of how to become a more attentive mom.

Over the past two years, I’ve doubled my emergency room shifts per month. I still need to write. So motherhood was sliding on to the back burner. Now that my daughter has enough of an attention span longer than a few minutes, it’s all too easy to foist both kids off on the electronic babysitter (Netflix and/or YouTube).

So I tried a few different tactics.

I read about how other people prioritize their family life.

I wrote about balancing medicine and my family for the Medical Post.

And I started doing video diaries/vlogs (video blogs), walking my dog with my kids while talking about writing.




Last year, the fearless fantasy writer, Michael La Ronn, introduced me to #walkcasts. Those are podcasts you record while walking. Walking is a good idea for writers, who tend to be sedentary. And podcasts are fun, as you can hear on Michael's podcasts here. So I recorded ten of them, but I never got around to putting them in order, labeling them, etc.
On impulse, at the end of August, I started recording videos instead. Just a minute or two. Just long enough to say a few words about writing and show people the neighbourhood and our dog Roxy’s hind end as she trots in front of me.


I can’t say my videos are blowing up YouTube. My son Max laughed and said, “Why do you only have two views?” But you know, for once I’m not as worried how many likes or views I get. This is my way to combine two of the big loves of my life, and if the rest of the planet doesn’t see it, well, it’s probably just as well for my kids’ Internet privacy.

No matter what happens, or how many trolls give us the thumbs down, I will love my kids. And I will love writing. This feels like a win to me. It makes me more present if I’m recording my walks instead of just getting lost in my own thoughts.



If a young’un were to ask me now, “O Great and Wise Melissa, how do you do it?” I’d say supportive partner is priceless. A tight circle of family and friends will keep you afloat. But it takes ferocious will to make time for multiple serious interests. Do you let the kids weep for a few minutes while you finish your word quota for the day, or do you let the words slip away because kids come first? 

Medicine waits for no one. Are you willing to scale back your career now for the sake of your writing, or go all-out doctor and pick the pen back up in twenty years? You decide.

You can see how writing can easily drop off the to-do list. That’s why I encourage you to keep writing no matter what. Even one line, one word a day. Just keep at it, and it will add up to a song lyric, a poem, a short story, or a novel. Something beautiful for you, and maybe for the world.