MANNER OF DEATH

4 stars out of 5

Medical thrillers top the interest list for me, even ahead of the legal thrillers that are perhaps more common. So to be sure, this author's work is not unfamiliar to me. In fact, I've read one other in this series, but I was nonetheless surprised to learn that this is the 14th. It stands alone well, but of course I always advise starting any series at the beginning when possible. The featured characters are Laurie Montgomery and Jack Stapleton, married physicians at the New York Medical Examiner's Office (Laurie, in fact, is the chief ME), though her first love is doing the actual hands-on tasks rather than administrative chores.

Pathology residents routinely pass through the office, required to spend a month or so observing, and helping to perform, autopsies on the many bodies that pass through each day. One of the new residents, Ryan Sullivan, presents a bit of a dilemma; he absolutely loathes even being in the autopsy room - it upsets him so much that he'll try just about anything to get out of being there. In the process of trying to skirt the issue, he learns of a couple of instances in which the declarations of suicide - made both by the medical legal investigators, who make the initial prognoses, and the MEs was questionable, even though all were based on solid evidence. As it turns out, a previous resident also started to follow up on those cases but was murdered before she shared any conclusions from her investigations.

Ryan, though, is so hot to trot out of the autopsy room that he manages to get approval from his direct supervisor to take a few days for research - and no surprise, he finds another handful of cases in which the suicide/homicide decision could have gone either way with both the MLIs and MEs having niggling doubts but, for lack of conclusive evidence, went with suicide. Were any of those cases "staged" by a killer who was successful in covering up a murder? If so, how was it done? Why and by whom?

Those are questions that Ryan must deal with as his own investigation picks up steam; readers follow along while learning early on the answers to at least two of those questions. Sandwiched in between is quite a bit of "filler" into the private lives of the main characters (even if it was interesting, which it was, it was a little too much for my liking). Interesting to me was the frequent praise for the role of the medical legal investigators - a profession I must admit I'd never even heard of before. The ending brought a little surprise, but one I think will please most followers of the series. That includes me, and I'm already looking forward to the next installment. Meanwhile, I thank the publisher, via NetGalley, for allowing me to read and review a pre-release copy. 

Manner of Death by Robin Cook (G.P. Putnam's Sons, December 2023); 346 pp.