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How does a person of faith deal with death everyday?
My novels always include faith based issues. I refuse to preach but the Message must be imbedded in my stories. With regard to my character, Dr. Jack Merchant, a radiologist who also consults with the coroner, how does a person of faith deal with death?
I see death every day. I’m not a medical examiner. I am a radiologist. I interpret imaging studies every day I work. On some days, I might go through up to 250 patients and their studies. While I don’t see a dead patient, at least rarely, I see the death sentence right in front of me on the study. It might be a lung cancer, or diffuse metastatic cancer throughout the body, or a large infiltrating tumor in a woman’s breast. It might be a dissection in the aorta (deadly if not treated immediately) or a massive hemorrhage in the brain with the blood devastating and destroying viable brain tissue. I might not see death at the moment. But I see it coming and often soon.
Early on in my training, I recall a young boy with multiple skull fractures. I was a student at that point and when I found out what had been done to this child to cause such damage, I almost quit medicine! Not only do I see impending death, I see the evil that lives in the hearts of all people.
How do I deal with these realities?
First, such horrific outcomes are rare. I would estimate about 10% of the cases I read every day have such a possible deadly outcome at that moment in time. There are LOTS of good news, hope, and treatable diseases. I thrive on these cases!
Second, my personal journey in my career in medicine began with a calling from God to enter the field of medicine. The story is too long for today’s post but perhaps one day I will share it. It has become a humbling experience to realize I may be the answer to someone’s prayer. I would never be in the position to help diagnose, and sometimes treat, patients as a radiologist if I had not heard and responded to the Call. This is foundational for me and continues to give me strength and endurance in the face of death.
Third, I do not take it home with me. I started out in internal medicine. In that field the pain and suffering were right in front of me in the flesh. With radiology, there is some separation. Finding this field, again because of God’s direction, led me to realize it fit my empathic personality much better. Nevertheless, I discovered Walt Disney World shortly after completing my internship in internal medicine. That internship year was the most dehumanizing, destructive experience of my life. Walking into the Magic Kingdom provided an enthralling and all encompassing escape from the daily walk among sick and dying patients. I needed that renewal. However, my strongest renewal occurs from my faith.
Being a hospital based physician, I cannot share my faith or be sanctioned for proselytizing. However, if a patient opens the door to their own personal faith, I walk through fully and enthusiastically. I live for such moments!
So, how about Dr. Jack Merchant? Is he a man of faith? How does he deal with death, not only in his practice, but as a consultant to the medical examiner? The answer to that question is the substance of his journey in the current stories and the stories to come. He starts out with a faint connection to the divine and must decide how deeply to commit himself to faith. Part of his journey through the valley of the shadow of death is story I will tell. Be patient. God is not finished with Jack yet!
Merchant of Justice — Have you been on a Jury?
Every person I have met has the same reaction when the dreaded jury summons letter arrives. Emotions border on hatred and homicidal urges. No one wants to serve on a jury! Cooped up in a room with thirteen other strangers (twelve jury members and two alternates) for possibly days and getting paid a pittance! And to top it off, we have no choice! It is the law! Unless, we can come up with a good reason not to be on a jury. Strategies abound on how to dodge jury duty.
However, recently, my efforts fell on deaf ears and I showed up for jury duty. Within hours of sitting in the dull, oppressive courtroom, I was called in the first twelve potential members of the jury. The next morning after hours of lectures on the process of a jury and a trial and the definitions of murder, I was seated on the jury.
I will never forget the first time I sat in the jury box and studied the “perp” or rather, the accused at the far end of a long table. The prosecution sat at the end of the table closest to the jury. The accused and his attorneys sat at the far end.
Clad in a flannel shirt and wearing black rimmed glasses, the man seemed like an ordinary person I might meet at Starbucks or find sitting behind me in a pew at church. He certainly didn’t look like a murderer. Looks can be deceiving. Skin cannot hide what dwells within the heart of man. See what I did there? I’m a writer!
The trial unfolded swiftly after we were seated. Heartbreaking testimony from the victim’s friends and family. Body camera footage from the police arriving just moments after the shooting. On day two, grim and disturbing photographs of the victim’s body from a pathologist with monotonal delivery. He was far too calm for the carnage exposed on the photographs. I’m a doctor and I found the photos very disturbing, nauseating, dehumanizing. I couldn’t begin to imagine what the other jurors were feeling.
Have you ever served on a jury? If so, have you been part of a murder tria? I had trouble sleeping for about a week after it was all said and done. It is one thing to read about such atrocities. It is another to see it laid out in real time before you while looking the murderer in the eyes!
When the guilty verdict was finally delivered and the courtroom was cleared of everyone but the jury and the judge, my first thought was what if the murderer’s family, friends, or cohorts came after us for this verdict? Were we safe? The patina of apparent safety had been stripped away like pain thinner on the bubbled surface of old wood! No one was safe if this seemingly calm, ordinary man had been capable of the macabre and gruesome murder. I can never look around me now without studying every individual, every movement, every possible intention. Safety is an illusion!
The judge assured us that in the thirty years he had presided over criminal cases, no jury member had every suffered from retribution.
I walked away from that experience a changed man. Here are my thoughts.
First, if I was ever accused of a crime, I would want a jury of reasonable, thinking, willing individuals to objectively assess the evidence against me. I wouldn’t want angry, anxious to be done, uncaring people. I know jury duty is a drag. But it is a necessary duty to keep our society from devolving into chaos.
Second, if I were asked to serve on a jury again, I would do it. Did it waste my time? Yes. Did I get reasonable recompense for my time? No! Was I inconvenienced? Yes. But considering that the victim lost her life and was deprived of a future with her grandchildren and friends, four days in a jury box is nothing! When we are chosen to be on a jury, we become the instruments of justice. Even unwillingly, it is a duty we should, albeit reluctantly, embrace.
Third, the experience taught me a lot about law and what really happens in a courtroom. What we see on television and the movie screen during a tense courtroom drama is NOTHING like experiencing it in real time. This man’s life was in OUR hand! We could with a cavalier attitude put the man away for life! Or we could release a monster out on the streets. At the same time, justice could only be served if we did our job objectively and willingly. The harsh reality of the choices we were called to make puts any fictional drama in its shadow.
Fourth, the experience provided me an opportunity to share with my readers. My second book about Jack Merchant was not intended to feature jury duty. I had another pathway chosen for Dr. Merchant. But circumstances in my practice group and events concerning members of my practice came dangerously close in real life to what I had intended in fiction. I had to back off and come up with another story. For now. My experience on a jury during a murder trail became the central story of “Merchant of Justice”.
So join Dr. Jack Merchant as he reluctantly becomes the “13th juror”.
Merchant of Justice – Is it all real?
Where did you get your setting, your characters, and your story elements? Are you talking about real patients and doctors?
I’ve been rewatching the early seasons of NCIS. Fascinating character creations. In one episode, the geek, Tim McGee, has written a best selling novel based on his NCIS experiences. However, McGee makes the mistake of barely changing the names of the characters from their real life inspirations. And the characters are almost carbon copies of their namesakes.
The inspiration for “Shadow Merchant” and it’s follow up “Merchant of Justice” came many years ago. In the field of medicine, there are many interesting and unique “characters”. There are some challenges in writing a story about the place you work and about the people you work with, no matter how fascinating.
First, all doctors are bound by patient doctor confidentiality to never share their patients’ situation. Every day when I came home from work, my wife would ask me about any interesting cases from that day. I carefully avoided answering her questions directly. I would only talk about a “case” in a more general sense if I felt like I needed her understanding, and sometimes solace, over a “case” that troubled me. In planning these books, I made it a rule to NEVER divulge information about real patients.
Second, because of this restriction, I would use only “interesting” cases as a basis for my fictional patients. The field of medicine is filled with “interesting” cases. At one time, I kept a running list of such cases primarily to follow up their course. In radiology, we see the imaging studies and most of the time never meet the patient behind the images. The only way we can find out what happened with the patients (and, subsequently, if our diagnosis was correct) is to keep track of them to see if they have follow up imaging studies with clinical information. This is not to pry or to snoop, but to have a real sense of closure and to learn from our involvement with the patient. Thus, there are many such “interesting” cases that have very similar outcomes and presentations. In my stories, the fictional patients are always a composite of such “interesting” findings and never based on a real patient.
Third, I had to write about my colleagues. One of the reasons I waited so long to write these stories was to give time for some of my colleagues (both within the field of radiology and out of the field) to retire. It’s very difficult to create a character that does not bear at least some resemblance to real doctors, nurses, and other health care personnel. One of the nurses in our department told me just last week she is reading “Merchant of Justice” and could see the stress I faced everyday in my practice. Did I base Dr. Jack Merchant on myself? Absolutely not! Jack and I are totally different people. I chose Jack’s personality based on a composite of differing personality traits. I would never base a character on myself or a colleague without asking permission. As I stated in earlier blogs, I asked one of my partners to give me permission to base a character almost completely on him. He agreed to and loved the character in the first book. Every other character is purely fictional. Any resemblance is only in the mind of my reader!
Fourth, the setting of my story could not be the place where I currently work. I created a fictional city and hospital system. My readers who live in north Louisiana would recognize bits and pieces of “Talako” and “Bayou City”. The setting just as easily be Shreveport/Bossier City or Monroe/West Monroe or Alexandria/Pineville. Squish them all together and place them close to Ruston and you have the location of my fictional cities. Astute readers will recognize certain landmarks such as colleges, restaurants, and so forth. In my first novel, “The 13th Demon” I mentioned the “Women’s Hospital” based on a local campus of the system I work in. At the time the novel came out, I had to give a deposition regarding my interpretation of imaging studies. During some down time when we were not “on the record” my attorney asked about my book and specifically asked about the location of that campus. The attorney representing the hospital system went ballistic! She was horrified I had mentioned our hospital in a fictional setting! She couldn’t give a good reason but I assured her I would never share hospital based “secrets”!
“Write about what you know.” A suggestion from many successful writers. I am hoping my stories are successful in bringing pleasure to my readers. No hidden agendas. No gossip or secrets revealed. All is fiction. But sometimes, “truth is stranger than fiction”. I wondered about where that saying came from and my every reliable AI search revealed: The quote “Truth is stranger than fiction” is widely attributed to Mark Twain. He is often cited as saying it in the context of his novel Pudd’nhead Wilson, where the character says, “Truth is stranger than fiction, because fiction is obliged to stick to possibilities; Truth isn’t.”.
Having stated all of these restrictions I have placed on my writing, I want the reader to understand how Dr. Jack Merchant and his partners, patients, and colleagues came to be. They exist in a fictional city in North Louisiana in a fictional medical center which gives me great latitude in my story telling. Dr. Jack Merchant is a unique creation with no relationship to a real person. He’s just an “interesting case”!
Merchant of Justice!
Today, the second book in the Jack Merchant Medical Mystery series is avaiable on all platforms in paperback and ebook format.
Much to my dismay, I held in my hands a jury summons. I was surrounded by the destruction of my home at the time. A day before, I had arrived back at my house after a trip to discover a pipe had burst in my ceiling and flooded the entire first floor of my home. There was no way I could show up the next day for jury summons! I sent an urgent message to the jury selection manager and my summons was delayed by six months. I put that date on my calendar, hoping against hope I would not be summoned. That hope was shattered and I appeared for my jury summons on a hot July morning.
Along with the 50 other odd people I sat in an aging courtroom hoping my name would not be called. I was in the first twelve called to the jury box. The experience of being asked personal questions and being told to “always tell the truth” almost threw me into a panic mode. I looked at the witness stand. Over a half a dozen times, I had sat in that very witness stand being grilled in an adversarial fashion by an attorney. Each time, the setting was a malpractice suit in which I was only a witness. But, one time, it became painfully obvious I was being set up to be added to a law suit. That story prompted the opening chapters of “Merchant of Justice”.
Of course I was selected for the jury. I was pulled into a horrific story of unrequited love, greed, and subsequent murder. That experience became the foundation for Dr. Jack Merchant’s next story. In “Shadow Merchant” Dr. Merchant, a local radiologist, is accused of murdering his wife and the story unfolds as he tries to clear his name. In the process he becomes a consultant to the local medical examiner.
In “Merchant of Justice” he has settled into this role rather uncomfortably. His practice partners are not so happy about the prior year when he was recovering from losing his wife. And now, he becomes “the 13th juror” on a murder trial. Reluctantly and not by choice, he fills his roll as an alternate and soon becomes a voting member of the jury. As the trial unfolds, his travails and hardship take second place to a growing realization he may know the perpetrator! Dr. Jack Merchant once again finds his life in danger as he seeks true justice for victims of wrong doing!
Bruce Hennigan 
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