I am so very excited to share this book with you! Margie Miklas is a critical care nurse colleague of mine who has been lucky enough to retire and travel all around Italy! An award winning author, she has written several books depicting the colorful, less-traveled towns and villages amongst Sicily, Rome, and the Amalfi coast. But that’s not the exciting part! On her last viaggio abroad, she penned a medical thriller! I am proud to show off my nurse buddy’s debut novel! Check it out!
- What sparked off the idea of your books?
My first three books are on Italy, so my travels there and how I felt at home and fell in love with Italy sparked the idea for the books. The first book is based on my blog, which I started when I went to Italy as a solo traveler for three months. Once I returned home, I realized I had much to say about those experiences besides what I wrote on my blog.
I wrote My Love Affair with Sicily for the same reasons, except that book is based on five separate trips to Sicily, the region where my maternal grandparents were born. I wanted to share my experiences as I discovered explored their village and the other towns and cities in Sicily, a place where I almost felt a strong connection.
The main reason I wrote my third book, Colors of Naples and the Amalfi Coast, was to present Naples in a more positive light than its reputation. So, the book is a photography/coffee table book depicting life in Naples as well as the Amalfi Coast, which I truly love.
So, this newest work, Critical Cover-Up, is a work of fiction, my first novel. My years of working as a critical care nurse and witnessing the changes in the healthcare system, sparked the idea to write this book. I decided to make it more exciting than that, so I wrote a thriller set in a hospital where a critical care nurse is the main character and discovers corruption and evil around her.
2. Which character, if any, most resembles your personality?
I guess it would have to be Allison Jamison, the protagonist, although as I wrote the story, I don’t think I was consciously thinking of her like that.
3. Which character was the hardest to write and why?
Detective Derning. I don’t know any detectives personally, so his character required more research and imagination for me.
4. How do you plan/research your books?
The Italy books were nonfiction so the research consisted of checking on historical facts about places, monuments, and dates. In Critical Cover-Up, I created a loose outline based on events by chapters, which changed some as the story evolved during the writing process. As I wrote sections which included laws, places, protocols, etc. I reviewed current policy and statistics related to those.
5. What are you working on at the moment?
Right now I am taking a break. I know I will write another book, but nothing concrete is in the works at the moment, although I have been overwhelmed by the positive response and comments about a sequel.
6. Do you write for any websites?
I am a contributing writer for various online and print magazines and newspapers, including Italia Magazine, La Gazzetta Italiana, The Grand Wine Tour, and Italian Talks, the blog for Baglioni Hotels.
7. Do you prefer to read paperbacks or ebooks? Why?
I prefer paperbacks and hardback books because it seems easier to pick up and continue reading. I have so many books on Kindle that I have started and never finished. I like going into bookstores too and browsing the shelves.
8. What was your favorite book as a child and as an adult?
I liked Chaucer’s The Canterbury Tales as I was growing up, but as an adult, I prefer biographies and autobiographies. I am currently reading Bruce Springsteen’s, Born to Run.
9. Whom do you admire and why?
I admire my 91-year old mother who always encouraged me to be independent and follow my dreams and today, she still always wears a smile and is positive and encouraging. I also admire writers who can write about very personal challenges times in their lives. I find their stories inspirational and moving, and don’t know that I could write about such private experiences.
10. Name three people, dead or alive, you would invite to dinner. Why?
Wow, this is a tough one. I’d like to invite Angelina Savoca, my Sicilian grandmother who died when I was in my twenties. I have so many questions I’d like to ask her about her life in Sicily before she came to the United States. I’d like to invite Emmy award-winning writer Matthew Weiner so I could pick his brain about character development and storylines. And I’d like to invite Andrea Bocelli if he’d be gracious enough to sing. He’s one of my favorite performers.
Now, if that doesn’t get you interested….try a FREE excerpt from this awesome read!!!
Critical Care Cover-Up . . . .
The unit was full, so it looked like her shift would be busy. They were also one nurse short, since someone had called in sick and not been replaced. Word from top management was the usual explanation: “There aren’t any nurses available.” One nurse now had three patients, and the charge nurse had one patient and an empty admission bed. This was becoming the status quo lately, and Allison did not recall the staffing being so tight when she worked her clinical during nursing school. Good thing she enjoyed the work so much that she didn’t mind being busy. It was the frickin’ paperwork she detested.
By 2:00 a.m. Allison had gotten caught up with her work. Thank God Mr. Wetherly is somewhat stable. Allison doubted that anyone outside the medical field would describe a critically ill patient in those words. It seemed like an oxymoron. His blood pressure and heart rate were maintaining within the parameters ordered by the physician, although he required high doses of vasoactive medications to achieve those numbers. As Allison reviewed the electronic chart and checked his orders, she became curious as to the events which led to his respiratory arrest a couple of nights before.
Unable to find any new information from the physicians’ progress notes, she approached the central station monitors. I know there’s a reason he coded, and maybe I can find something here, she thought. Zeroing in on Mr. Wetherly’s information, she backtracked to the day in question.
She located his patient data screen and studied his vital sign trends. Her inquisitiveness became an obsession for a few minutes as she zoomed in to the time of the code. She sensed she was on the verge of uncovering something.
“What is this? Oh no. Do I really want to see this?” she said. What had triggered the alarm was not only a heart rate of forty-five, but an oxygen saturation of fifty, which was quite low. After more investigating, Allison discovered that the oxygen saturation had been low for an hour before he coded. The last time it had been within normal limits was an hour and five minutes prior to the code, and at that time it was reading ninety-five percent. The number consistently decreased from there until it reached fifty. She knew this was not good. The alarms for O2 sats were always set for ninety-two or ninety-three, since anything below that was abnormal. Why didn’t someone check on this patient when the alarms went off? she wondered as a heated flush spread up her chest and across her face.
Allison then checked the alarm review for the same time period and found close to 100 instances when the alarm had been triggered for low oxygen saturation.
Her stomach roiled, and she swallowed back the wave of nausea that followed. Why didn’t someone see this? She printed out the alarm events and also the patient’s vital signs from that terrible day and shoved the papers into her bag. Glancing around, she noticed that she was the only one at the desk and felt relieved that she was not being watched. Maybe she would reevaluate the information later when she had more time. Her gut informed her that something wasn’t right, and she knew this information was something she had to save.
The more she contemplated what she’d discovered, the more anxious Allison became. She knew that sometimes nurses just silenced the alarms when they were sitting at the desk and didn’t really investigate the reason for them. Most of the time it was insignificant and an annoyance, such as an irregular heartbeat in a patient everyone already knew suffered from the problem. But this was serious, and Allison thought she recalled a nurse sitting near the monitors for most of the night before Mr. Wetherly coded. She remembered that the nurse was Paula, an experienced ICU nurse who had worked in that unit for at least three years. Now Allison recalled that Paula had been sitting near the monitors that night and silencing alarms while she was charting. Had she silenced Mr. Wetherly’s alarms? Possibly. Probably. But Allison had not witnessed it. She could identify the nurse, but she couldn’t say for sure that this nurse had turned off any alarms, since she wasn’t specifically observing her behavior. But someone had to have silenced those alarms.
The sense of unease didn’t dissipate, and Allison wasn’t sure what she should do. If I don’t say anything, nobody will know and nothing will happen to my coworker. Allison had this gut feeling that if the alarms had not been silenced, Mr. Wetherly would never have had low oxygen saturation for a long enough time to cause him to stop breathing.
For the next two days, her stomach was killing her as she couldn’t stop thinking about Mr. Wetherly’s situation. Is it my responsibility to say something? Will it make any difference?
When she came back to work that night, she found out that Mr. Wetherly had died during the previous shift. The nurses had coded him with the family present, but the sepsis was too advanced and he didn’t survive. She tried to tell herself it was for the best, that he would never have been the same, but she knew better. Mr. Wetherly never should have arrested in the first place.
So readers? What did you think? Where can you connect with Margi Miklas?