Doctor Lucifer follows a proficient but cynical internist who becomes the target of a hacker who is killing his patients by altering their medical records. What was the initial idea behind this story, and how did that transform as you were writing the novel?

As someone who had gone through medical school and the first year of residency before calling it quits, I had seen the various ways that medical records in clinics and hospitals were maintained. Some still primarily used paper charts, another had all-electronic medical records, and others were in between. During the time I began brainstorming my own medical thriller stories after reading several by Robin Cook, I thought about cybersecurity breaches and whether they could directly impact healthcare, where a hacker could change a medication dose or something else in a medical record and ultimately leave a patient suffering or dying from a deliberately placed medical error. I proceeded to think of different ways that a manufactured error in an electronic medical record could harm or kill a patient. Then it was just a matter of placing them in the most appropriate places on the story’s fictional timeline. At first, I had spread them evenly out, but then I knew I had to turn up the stakes. That’s when I decided to shove the first three medical disasters into the beginning, making them occur nearly at the same time.

How did you come up with the idea for the antagonist in this story, and how did it change as you wrote?

I had so much fun figuring out how the computer hacker could sabotage medical records that I never thought about the villain’s identity at first. Once I finished the part of the story where the doctor protagonist has to survive in the hospital, I spent time brainstorming who the villain would be and what the motives are. Without giving anything away, I came up with all of this after thinking about another issue with the medical profession that I felt strongly about. It led me to devise an origin story for the antagonist that, if explained clearly, could ultimately be connected back to the computer hacker plot. It was like taking two pieces of metal and welding them together with a blowtorch, making sure that they connected smoothly and solidly.

I find that while writing, you sometimes ask questions and have the characters answer them. Do you find that to be true? What questions did you ask yourself while writing this story?

Many authors like to talk to their created characters like they’re real-life people in front of them, which can be fun. For me, however, the character of Mark Lin is really a version of myself, specifically me from many years ago during my darkest and most frustrating moments in medical training. I don’t find myself talking to Mark Lin as a separate imaginary person.

While writing my novel, the questions I asked were really addressed to myself. For example, I asked why Mark Lin is such a cynical and angry physician. The answer is simple: I discovered how hard it really is to be a doctor, unlike what the general public might assume, so I naturally felt the need to show everyone outside healthcare what the job is really like and how intense it can get sometimes. Another major question I asked was whether Mark Lin has the potential to grow. The answer was a definite yes because I myself opened my mind and learned things in my adult life. Surely, Mark can, too.

Can you tell us more about what’s in store for Dr. Mark Lin and the direction of the second book?

My series of medical thrillers featuring Dr. Mark Lin are all about the intersection of the world of medicine and society at large. There is a two-way relationship between medicine and society. Medicine heals people and gives them a second chance at life in society, whereas the things that happen in society determine what kinds of conditions the world of medicine treats. For example, a hospital located in a high-crime area of the city is likely to treat victims of gunshots and stabbings, and a clinic in a poor area of a city is more likely to see preventable conditions like diabetes and high blood pressure. In this context, I imagine schemes by various bad actors in society whose impacts amount to a looming public health crisis spilling into healthcare, and Dr. Mark Lin, a doctor who is also disgusted with humanity, tackles the problem both inside the hospital as a doctor and outside the hospital as a tough amateur sleuth. On the way, he may learn lessons that help him become more of a compassionate human being.

Normally, I try to avoid previewing future books before their manuscripts are finished, just to maximize the anticipation before eventual publication. But if anyone asks, I can gladly share select details. My second book will be about the intersection of healthcare and cults. Specifically, Mark faces the consequences of a secretive healing cult that is spreading medical disinformation. Besides treating patients who suffer from the cult’s dangerous practices, Mark goes undercover as a member of that cult, to find out if this group had indeed radicalized someone into murdering multiple people at a clinic, including a patient of his.

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