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Creating the plot behind “Shell Game” is a topic that practically chose itself. As an anesthesiologist, I regularly experience commonplace issues within the medical practice that are ripe for story telling. When an anesthesiologist asks What If the story and plot possibilities come to life.

A Day in the Life of an Anesthesiologist

Grappling with what I need in terms of supplies, medications, and techniques versus what is available.
Experiencing discord between hospital management and surgeon preferences.
Disjointed time factors for when a complex procedure is available versus how badly a patient needs it.

Life Imitating Art

During the time that I decided to pen “Shell Game,” we were experiencing a drug shortage. Fortunately, it wasn’t life threatening or dangerous. It was just a temporary shortage of a drug that is usually available. My creative mind asked, “What would happen if we had a shortage of a mission critical medication?”

In real life, creative thinking and loaning of supplies was required by all involved. The characterization of an omnipotent doctor is reserved for television. In reality, doctors have to work together for the benefit of the patient. We communicate and compromise.

Plotting the Novel

But when it came to writing a medical thriller, I imagined a suspenseful plot. I began to research. Was a drug shortage plausible? Could hospital management be pitted against doctors? Could I convey medical complexities for average readers?

I began to sort through situations that people could relate to. For the record, most people who work in hospitals don’t know the ins and outs of anesthesia. That can be a good thing when writing a thriller. It’s a naturally terrifying topic. That’s when I decided to make a pharmaceutical issue the center of my book. After all, who hasn’t taken a pill or been touched in some way by the pharmaceutical industry?

Without giving all away, that’s how I developed the story of “Shell Game.” I had a career’s worth of insight coupled with unbelievable circumstances, and funny interactions to make it even more interesting. More to come…

As anesthesiologist, I regularly come across situations that seem made for a novel. But how does someone who passes gas for a living start writing? During post-residency fellowship training, I frequently helped colleagues by tinkering with the articles they wanted to submit to medical journals. I always had a fairly easy time writing and found that I enjoyed the process. I started to toy with writing fictitious tales about anesthesia or “passing gas” as we like to joke in my profession. From passing gas to novelist became a natural progression.

Critical from Beginning to End

After I decided on writing about anesthesia tales, I then had to decide on a genre and plot. Like flying, anesthesia is a profession that is critical from beginning to end. From takeoff to landing, or in my case, the start and end of the anesthetic. There is a lot of time in the middle where it’s usually calm and free of turbulence. If one is lucky, trauma and heart surgery is more rare, akin to flying through a storm.

A Novel is Born

Those calm times in the middle leave time for musing and random thoughts, naturally while keeping close track of what’s going on with the patient and the surgery. It was after weeks of intra operative and workout musings that I finally sat down and wrote out the nucleus of the plot and characters for my first novel, “Shell Game.”

To create this fictional medical thriller, I combined the skills I had acquired in writing scientific and medical articles with how I wrote less technical papers in college. The result had me spinning a yarn of a tale, allowing my medical knowledge to weave into my creativity.

However, I discovered that there was a big difference between writing scientific articles and fiction. I had great ideas, but the manner in which I wrote for science didn’t communicate as well for fiction. What was appropriate for a scholarly article was often the wrong thing to write in a fiction thriller.

My initial enthusiasm was tempered by equal amounts of frustration, rewriting, correcting, and sometimes totally trashing my work. I started working on the creative process. I took workshops, classes, and seminars. I read about the craft of writing as if I were back in school. In short, I did what I needed to do to find the bones of the story. From passing gas to novelist wasn’t as smooth a process as I imagined it would be.

An Ongoing Education

Work on the craft of writing, like any art, is an ongoing education — an experiential journey. I’m still doing it now in a variety of areas totally disconnected with fiction writing, but all of which will improve the quality of my work. Critique groups, workshopping pages, friend reads, and even stranger reads all with the intention of getting valuable feedback are part of my process. I was intent to learn what worked and what didn’t.

I also found it invaluable to evaluate other books I loved, and figure out how other authors approach writing. I even asked myself what exactly I enjoyed about their writing. After months and years of hard work, seasoned by time off for contemplation (and frustration) I started making progress.

Becoming a Novelist

I transformed myself from thinking strictly about what I do as a scientist and physician and began to immerse myself in the boundless creativity that writing represents. I took time as well as pleasure in becoming a novelist.

Questions and comments are always welcome. I’m excited to meet you and thank you in advance for showing up to read. I plan to release excerpts from “Shell Game” so stay tuned and watch this space for the release date. Coming soon!