John Bishop M.D. is an orthopedic surgeon, keyboard musician, and author of the beloved Doc Brady mystery series. The series includes “Act of Murder,” “Act of Deception,” “Act of Revenge,” “Act of Negligence,” “Act of Fate,” and “Act of Atonement.” His 30 years as a practicing orthopedic surgeon give the reader a unique glimpse into the medical world with all its problems, intricacies, and complexities, while at the same time revealing the compassion and dedication of most health care professionals. Jim Bob Brady, the series protagonist, is an accomplished orthopedic surgeon with a talent for solving medical mysteries who also moonlights as a blues musician. In “Act of Negligence,” Dr. Jim Bob Brady finds himself investigating why dementia patients with orthopedic problems are dying after surgery. It is the fourth book in the Doc Brady mystery series.

“Act of Negligence” is now set in the year 2000, whereas the previous ones take place in the 1990s. The story begins as Dr. Brady is visiting Beatrice Adams, a nursing home patient with Alzheimer’s who was transferred to University Hospital. He was sent in as a consultant because she has a bad knee but at fifty-seven years old, she is too young to have Alzheimer’s. His friend and colleague Dr. James Morgenstern refers him a series of dementia patients with orthopedic problems from Pleasant View Nursing Home. Soon, they each die, not because of Dr. Brady’s treatments, but because of irregular heart rates. This shakes him up because as a surgeon, he is not used to so many of his patients dying.  After Dr. Jeff Clarke, who performs the autopsies, finds unusual brain pathology in each patient, Dr. Brady begins investigating the nursing home and its owner and CEO, Dr. Theodore Frazier. His curiosity and tenacity have gotten him in serious trouble before, including kidnappings and beatings, but this time, his life is dangerously on the line, but thankfully, his resourceful wife Mary Louise always has his back and saves the day. Even though those he considered allies turn out to be anything but, Dr. Brady uncovers the unconscionable research that Dr. Frazier was doing on Alzheimer’s patients.

Being an orthopedic surgeon, John Bishop once again brings his knowledge of the medical field to another exciting Dr. Brady adventure. Despite being heavy in medical terminology and drama, the author makes it easy to follow along and readers end up learning more about a specific medical ailment. This time it is Alzheimer’s disease. Dr. Frazier was experimenting on his patients in the hopes of curing Alzheimer’s and even though some died, there were others who improved. This brings about the controversial question ‘do the ends justify the means?’ The overall language is easy to understand and the action flows easily from page to page. With a first person narration, the reader has a front row seat when Dr. Brady is in trouble: “So, with an unconscious Jeff Clarke and a silent, concussed Cynthia Drummond, no brakes, a stuck carburetor, a speeding car, and no way to turn off the engine, I did the only thing I knew to do. I tried to steer the vehicle.” Highlights include Chapter 5 as one of the patients coded during surgery after the epidural needle slips and her heartrate grows erratic and Chapter 27 when Dr. Brady is drugged, nearly crashes a car and almost dies. In the series, even though the good guys always win, the plot twists at the end make for excellent storytelling. With compelling characters and nail-biting action, “Act of Negligence” by John Bishop is another must-read in the Doc Brady mystery series. It is comparable to works by Robin Cook and recommended for fans of medical dramas who are open to learning more about illnesses and appreciate that in ethical matters, there are always grey areas. 

“I was interrupted by the rhythmic beeping of the pulse oximeter, showing the patient’s oxygen saturation had fallen below 50 percent. Tim Kelly and I quickly closed the skin with an unattractive continuous stitch and watched Fred Green frantically administer various drugs to increase the patient’s heart rate, and thereby increase her blood oxygen level. He had Loretta call for another anesthesiologist stat, which brought two more docs into the room.”

*The author received a copy of this book for an honest review. The views and opinions expressed here belong solely to her.