Doctors and friends

Kimmery Martin

Book - 2021

"Hannah, Compton, and Kira have been close friends since medical school, reuniting once a year for a much-needed vacation. Just as they gather to travel in Spain, an outbreak of a fast-spreading virus throws the world into chaos. When Compton Winfield returns to her job as an ER doctor in New York City, she finds a city changed beyond recognition-and a personal loss so gutting it reshapes every aspect of her life. Hannah Geier's career as an ob-gyn in San Diego is fulfilling but she's always longed for a child of her own. After years of trying, Hannah discovers she's expecting a baby just as the disease engulfs her city. Kira Marchand, an infectious disease doctor at the CDC in Atlanta, finds herself at the center of the... American response to the terrifying new illness. Her professional battle turns personal when she must decide whether her children will receive an experimental but potentially life-saving treatment. Written prior to Covid-19 by a former emergency medicine physician, Doctors and Friends incorporates unexpected wit, razor-edged poignancy, and a deeply relatable cast of characters who provoke both laughter and tears. Martin provides a unique insider's perspective into the world of medical professionals working to save lives during the most difficult situations of their careers"--

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Subjects
Genres
Medical fiction
Thrillers (Fiction)
Published
New York : Berkley [2021]
Language
English
Main Author
Kimmery Martin (author)
Physical Description
368 pages ; 24 cm
Bibliography
Includes bibliographical references (pages 361-362).
ISBN
9781984802866
Contents unavailable.
Review by Booklist Review

Vectors, transmission, antibodies, and vaccines: the language of a pandemic has become all too familiar to us after the rise of COVID-19, but Martin's latest novel, following The Antidote for Everything (2020), began to take shape before our current world was formed. As this tale charts the rise of artiovirus, an infectious agent, it follows several doctors as they confront the biggest professional and personal challenges of their lives. From the horrors of emergency room medicine to the heartbreak of infertility, each physician is tested far beyond what they imagined when they entered medical school together. Shepherding readers through the impact of Patient Zero through the still-quaking aftershocks of infection, Martin dives deep into a world that seems to run parallel to our own. With echoes of Richard Preston's The Hot Zone, John M. Barry's The Great Influenza, and Anna Hope's Expectation, Doctors and Friends is precise in details but sweeping in scope and impact. With an innate understanding of emergency room medicine, the inner workings of government agencies, and the complexities of decades-long friendships, Martin's novel is compelling to its core. Particularly poignant in our current predicament, it lays bare the consequences of misinformation and vaccine hesitancy.

From Booklist, Copyright (c) American Library Association. Used with permission.
Review by Publisher's Weekly Review

Martin's riveting latest (after The Antidote to Everything) focuses on a group of doctors during a pandemic. Infectious disease expert Kira Marchand is on vacation in Spain with her friends from medical school when she hears about an unusual illness, and the group encounters two sick people. The artiovirus, which in some cases leads to a rapid-onset dementia dubbed "AAROD" ("with apologies to Alex Rodriquez," Kira quips), turns out to be in the family that Kira and her erstwhile lover Declan, who develops vaccines, have been studying. In the days before and after their returns from their trip, the group of friends and their loved ones are felled by varying degrees: Compton, an emergency-room doctor in New York who recovers from a case of artiovirus she contracted in Spain, struggles with losing her husband and caring for her children while also working nonstop. Hannah, an OB-GYN, finally conceives after trying for years, and looks forward to delivering their friend Georgia's baby, but the virus puts them in danger. Kira, who advises the White House à la Anthony Fauci, reflects on a heart-wrenching ethical dilemma involving her ailing son and daughter. An ER doctor, Martin fills the hospital scenes with vivid descriptions and moving moments. This fully realized account of a fictional pandemic manages to convey the deeply personal as well as the bigger picture. (Nov.)

(c) Copyright PWxyz, LLC. All rights reserved
Review by Library Journal Review

Martin's (The Antidote for Everything) latest novel believes that friends can bring each other back from the depths; protagonist Kiki Marchand, a doctor, knows this all too well, having relied for years on her six friends from med school. On their annual trip, including a cruise up the Strait of Gibraltar to Tangier, they encounter a virus that will put their friendships to the test. Infectious disease specialist Kiki knows an artiovirus when she sees one; five of her friends contract the virus on their trip, spend 21 days in quarantine, then arrive back in the States to help fight the horrible virus and keep their families safe. The artiovirus will take each of Kiki's friends on a journey from which no one will return unscathed. VERDICT Some readers will find that it hits too close to reality, but there is beauty in Martin's gem of a story that confirms that friendship is a powerful force.--Jane Blue, Northumberland P.L., Heathsville, VA

(c) Copyright Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.
Review by Kirkus Book Review

Seven medical school friends navigate the emotional and physical devastation wrought by a global pandemic. Written before the Covid-19 pandemic, this book navigates the implications of a global pandemic on seven midcareer doctors who first became friends in med school. Kira Marchand is an infectious disease specialist who works for the Centers for Disease Control and Prevention in Atlanta; Candee Compton-Winfield is an emergency room doctor in New York City; Hannah Geier is an OB-GYN in San Diego, California; Georgia Brown is a urologist in San Diego; Vani Darshana is an internist in Berea, Kentucky; Zadie Anson is a pediatric cardiologist in Charlotte, North Carolina; and Emma Colley is a trauma surgeon in Charlotte. The friends are on vacation in Spain and Morocco when the pandemic first strikes, and the story follows them and the impact that the artiovirus, CARS-ArV, has on their group, the cities they live in, and their families. Kira, Candee, and Hannah are point-of-view main characters. The narrative arc of the story follows Kira, the infectious disease specialist, who finds herself in a situation in which she has to choose between the lives of her two children. Covid-19 does not exist in these pages, but it will be impossible for readers to divorce their own pandemic experiences from those they are reading about. Much time is spent discussing the virus and its effects, both initial and long-term. For some readers, the lengthy descriptions of the artiovirus and its medical effects might be too much, while others will find the details just right. The idealized societal and governmental response, however, will ring false to many. A well-written apocalyptic tale about a global pandemic that is all too realistic. Copyright (c) Kirkus Reviews, used with permission.

Copyright (c) Kirkus Reviews, used with permission.

One balmy evening near the end of a balmy winter, a man sidled up to me in a corner of an Atlanta mansion. He had a request. Before I go into detail about the repellent nature of the man's proposal, I should temper your expectations. I know very well how my voice comes across in person, let alone in the recounting of a history. I have a sense of humor, but it's sometimes mistaken for condescension. Similarly, to my dismay, my sense of compassion during tragedy has occasionally been misinterpreted as judgment. Throughout a mass calamity in which millions of people died, we were hobbled by fear and grief and hardship and isolation, yes; but at the same time, we learned humanity is resilient beyond all reckoning. We shared a mutual hope. Women still gave birth, nurturing tiny new humans first inside and then outside their bodies. We still created art and music and literature. Our scientists continued to innovate, our doctors to heal, our educators to teach. On a lighter note, we still extracted comedy from tragedy, finding new ways to laugh at ourselves. We swapped pandemic jokes. We watched late-night comedy routines. We captured funny snapshots, wrote pithy quips about them, and flung them into cyberspace. If a society can't meme itself out of a disaster, what hope is there? But this is not our collective story as a society. This is my story-and also Compton's story and Hannah's story and a little bit of Georgia's story-and it represents the most difficult circumstances of our lives. For my portion, you're stuck with my voice, such as it is. I hope you can forgive me. For the last fifteen minutes, IÕve been hovering at this party clutching my drink-a Manhattan-trying to act as if I were interested in the beads of condensation crawling down its beveled-glass surface. Earlier, IÕd attempted to infiltrate the nearest knot of people but found myself largely unable to secure any purchase in the smooth waterfall of words. Every syllable I uttered ended up the same: an aborted reach, followed by a slide back down the conversational slope. Twenty minutes before, I'd been rolling along the streets of Buckhead as they became wider and posher and leafier, navigating past Hummers and Land Rovers and various other luxury vehicles until the huge home hosting tonight's event floated into view like a glowing mother ship at the top of a hill. Ten thousand watts of incandescent bulbs burned brightly against the night sky, illuminating a pair of cream-jacketed valets trying to wave me down. I ignored them. No one drives my truck except me. My truck! My truck is really an economy hatchback from which I've removed half of the back seat. This vehicle, which I've named Herman, has been with me for twelve years over multiple continents, so he doesn't exactly boast the latest technology. He also looks like ass, having sputtered through monsoons and deserts and, in the worst of times, literal wars. I've replaced and rotated his tires, changed his brake pads and calipers, swapped out his filters, substituted his belts and hoses and batteries, and flushed his radiator and transmission. There are more than two hundred thousand miles on this sucker, and there's no way I'm getting rid of him until the tragic day when he finally and irredeemably croaks. As always, driving him makes me happy. In the house, though, I've lost a bit of my composure. I can't control my fidgeting; of its own accord, my body yearns toward the door. My foot taps, a relentless, skittish beat. My face too is a failure: I can feel it settling into the kind of gritted-teeth smile produced by young kids who are being forced to pose. Part of this reaction is physical. Even though the room, a grand, high-ceilinged sweep of space, has been cleared of furniture, the air circulates poorly. Flames roar in a ten-foot-high fireplace anchoring one end of the room, its mantel heaped with drying pine boughs and berry-encrusted twigs. The beribboned garland is clearly meant to invoke a festive yuletide spirit, but in me it produces a burning desire to figure out where the fire extinguishers are stored. Whoever decorated the mantel didn't hold back elsewhere either; even without furniture, the room appears to have been fluffed by a herd of manic elves. There's red and green shit everywhere: glass stars, hunks of mistletoe, human-sized nutcrackers standing sentinel in the corners, all of it somewhat shimmery from the radiance of the fire. But my discomfort stems not just from the ostentatious decoration, or from the oppressive warmth, or from the perfumed but acrid scent of other people surrounding me, shooting up my nose like a chemical weapons attack. It's not only the sound, the chittering and cackling of too many voices straining to make themselves heard. It's the bodies. Even if I close my eyes and block my ears, I can sense them. Mere feet from me, they span all directions, appropriating space, emitting sound waves and social urgency and, without a doubt, respiratory particles. A party, it should be obvious, is not my thing. By now, you've gleaned a few more facts about me, or you think you have. Socially awkward, you're thinking; oversensitive. Insecure. Or maybe this: too introspective. I feel the need to defend myself from your assumptions, even though they are logical. Despite my earlier warning, I'm actually good with people. My people, anyway. I like my people. I'm not a hermit or overwhelmed by sensory stimuli either; I can state without any exaggeration that I've endured some of the harshest conditions the planet has to offer. I'm just not great around a lot of people. Especially now. To my left, a blond bejeweled woman in her fifties gazes with rapt attention at an older man at her side, her fingers stroking the green circular pin at the top left of her long, floaty dress. His suit sports a corresponding pin, also on the left, at his lapel. Next to him, another couple, a beefy white man and a rail-thin, much younger woman, display their respective pins in the same spots. I reach for my pin, securely attached to the right side of my blazer. There's no mandate regarding pin placement-you can put it anywhere on your torso you like, as long as it's easily visible-but to me it's come to serve as a signal for handedness. Right-hand-dominant people tend to pin theirs on the left, and vice versa, making it easy to keep a running tally of the lefties. I've spent little time in society over the last several months, but still, I'm amazed at the ease with which these people have adapted to the fear that first gripped the world not even two years ago. The acute sickness caused by the artiovirus is rare now, vanquished by an army of public health servants, and, ultimately, a vaccine, but our world still bears the ghostly imprints of the lost: children who live with grandparents instead of parents, schools without qualified teachers, and above all, hospitals still in crisis mode because of a lack of doctors and nurses and cleaners and techs. There are, however, still plenty of hospital administrators. Despite our losses, merriment shines on most of the faces here. Please understand: I don't judge them, these people who are trying to return to the past. I understand the urge to repress the memories. Everyone lost someone. The particular hell of the artiovirus was its precise targeting of the otherwise young and healthy. It turned our immune systems against us, generating not a cytokine storm but a cytokine tsunami, sometimes felling people in a matter of hours. You could feel fine in the morning and be dead by evening. But, as everyone in the country now knows, the virus harbored an even more terrible secret, one we would not suspect for months. When a hand brushes my shoulder, I expect one of the three friends who are meeting me here tonight, or possibly somebody I know from the time when I worked at the CDC. Instead, I encounter a ferrety bald man whoÕs made the unfortunate decision to groom his mustache into a pencil-thin line. The effect is reminiscent of a cartoon villain or, perhaps, a weasel. "Artie Smert," he says, offering his hand in what appears to be a misguided reflex. Even before the pandemic I wasn't big on shaking hands, so I ignore his outstretched arm. Batting his eyes, the man attempts to execute a face-saving maneuver by raising the hand to smooth back his hair, which might seem a tad more natural if he weren't bald. After a brief awkward slide along his scalp, the hand drifts back down to his side. I hadn't intended to make this guy look stupid, so I offer him an elbow to bump. Unfortunately this doesn't go any better, as he's grabbed a business card from his pocket and apparently mistakes my gesture as an invitation to deposit the card on my elbow. I retrieve it with my other hand and study it. "You're Dr. Kira Marchand," says the man. "I've been wanting to meet you for some time." The voice rings a bell. I read the card again. "Artie Smart?" "It's Smert, actually, not Smart. Are you familiar with the Midwest? The Dakotas, maybe?" I blink at the non sequitur. "I was raised in Kentucky. I bounced around the world for a while and now I live here, but I've never lived in the Midwest. Why?" "My friend in the Dakotas pronounces smart as smert." This line of conversation is of such confusing irrelevance I do not know how to respond. No wonder I always go mute at parties. "You left a bunch of messages with my office last year," I say finally. "You're a television producer." "That's right!" says Smert jauntily, as if responding to even a modicum of positivity on my part. "We'd love to work with you on a show about female doctors during the pandemic. People recognize you from those press conferences where you explained what was happening . . ." Here, his eyes slide to the side. People don't like to mention the worst outcome that can occur if you survive ART, or if they do, it's usually in an undertone. Some months into the pandemic, certain unpleasant truths about the illness began to make themselves known. By then we knew the basics: who was most likely to contract it, who was most likely to die. Like a typical virus, ART targeted the very young, the very old, and the weak. But this particular mortality curve followed an unusual shape when it came to the age distribution of the dead. Like an ongoing M, it peaked and fell and peaked and fell and peaked again; it turned out the virus had a predilection for strapping adults in the prime of their lives. Like a food snob, it cultivated its tastes precisely. It preferred men to women, eastern seaboarders over southwesterners, people with type A blood over types O or B, and so on and so on through a range of attributes. But it would-and did-devour anyone who crossed it, if the mood struck. What we didn't know then would turn out to be far worse than the immediate deaths. ART causes a delayed but catastrophic complication in a small but significant percentage of people, brought about by an autoantibody targeting certain proteins in the brain. As of today, we cannot predict who will suffer this effect, or when, although we believe it is likeliest to occur within a year or two of recovery from the initial illness. Now that we've conquered the virus, all of humanity is united in the fervent desire to find a cure for its most infamous sequela. Barring that, they want a predictive test. Everyone wants to know who will get the complication. Artie Smert warms to his pitch. "That press conference you did with POTUS? You're a natural-born speaker." I offer him a glance of considerable skepticism. "It'd be a limited-run series," he says, one finger unconsciously tracing the line of his mustache. "But not depressing. We'd allude broadly to the details of the pandemic-the deaths, the morbidity, the cratering and recovery of the financial sector-but there's no appetite out there for another exposZ of those circumstances. Everyone on earth's already familiar with them. And you know, no need to go into detail about the . . . brain thing either: this isn't a horror film." "Then what?" I ask. "This series," he says proudly, "will focus on the personal stories of those on the front lines, especially those with an unusual story to tell. In particular, the series would focus on you." If Smert considers this approach to be an enticement, he's mistaken. I don't watch television. While I have streamed a scientific documentary or two, I've never seen a reality show. I am ignorant of celebrity news. I barely even talk to regular people, unless I already know and like them. Speaking of people I know and like, I spy my friends-Vani, Compton, and Hannah-perhaps twenty feet away, standing together but each speaking to people I don't recognize. None of them lives in Atlanta; they're here to support me when I give a speech later tonight. How had they managed to strike up such animated conversations with strangers? Vani, my closest friend, catches my eye first, but then again Vani generally catches everyone's eye first. She's my age-early forties-and infinitely more alluring. Tonight, indifferent to the attention she draws, she's dressed in an electric-yellow silk concoction with an array of jeweled bracelets crawling up her arms. Even from this distance, I can read her expression, so characteristic of Vani, somehow combining an aura of peace with a ridiculous, endearing sense of humor. She's like a human embodiment of both Xanax and one of those party drugs that make people giggly. Compton flanks her, her cap of sleek dark hair set off by an equally sleek black dress. Compton is the Ritalin to Vani's Xanax; she's beaming an intense, skeptical look to two chatty blond men who appear to be in their forties. On her other side, Hannah, pink-cheeked and fair, with her shapeless dress and messy bun, might have registered as dowdy compared to the other two were it not for the warmth in her expression, which she's aiming at an older gentleman who is apparently hard of hearing. He's got a hand cupped round his ear and I'm fairly certain the entire room can hear him shouting delightedly in her direction. Oblivious to my distraction, Artie's still going strong. "We'd want to showcase your particular, ah, style in the show, of course. You were one of the first Americans to contract the illness. You were one of the few worldwide experts on this particular virus before the pandemic. People must wonder: why does a woman want to become an expert on germs?" Excerpted from Doctors and Friends by Kimmery Martin All rights reserved by the original copyright owners. Excerpts are provided for display purposes only and may not be reproduced, reprinted or distributed without the written permission of the publisher.