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Philip Sarkis was a good doctor—maybe a little too good. So when he is sued for malpractice after a young patient dies suddenly and unexpectedly, he sinks into an alcoholic depression, losing his family and his career. With the help of two remarkable women attorneys, Sarkis discovers some astonishing things about his patient, her husband and his diabolical mistress, and himself.

We wrote LETHAL RHYTHM to help the public understand the extreme harm the current tort system has visited upon medical care. Doctors who have been sued or who have seen their colleagues collapse under the weight of litigation, approach their patients differently—if they remain in medicine at all. Our hope is that this book will stimulate change in the malpractice system for the good of the profession, and most importantly, for our patients.

222 pages, Paperback

First published November 1, 2010

3 people are currently reading
95 people want to read

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Peter R. Kowey

13 books7 followers

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5 stars
13 (17%)
4 stars
20 (26%)
3 stars
25 (32%)
2 stars
11 (14%)
1 star
7 (9%)
Displaying 1 - 30 of 39 reviews
Profile Image for Peg.
438 reviews5 followers
January 4, 2012
Lethal Rhythm by Peter R. Kowey, M.D., with Marion L. Rox. This book was provided to me free-of-charge by GoodReads, FirstReads. This novel was written by Dr. Kowey to help the public understand how the legal system can wreck havoc on a medical professional if he/she is sued for malpractice. Since I don't have a medical background, I had a hard time getting into this novel because of the medical terminology and dialogue. However, I was determined to stick with with it and I'm glad I did. I soon found that I was fully comprehending this fictional story which got better and better as it continued. I was beginning to feel that this was a true story, not fiction and I give credit to the author for that. This novel clearly showed how much damage can be done not only to the medical professional being sued, but to others who are involved in his/her life (patients, spouse, children, etc). The ending just blew me away, I just did not see it coming. I now understand why Dr. Kowey and others in the medical field think there should be changes in the malpractice system.
Profile Image for Steve.
58 reviews1 follower
December 20, 2013
Lethal Rhythm is an interesting, educational and suspenseful novel that focuses on the issue of medical malpractice and the flaws our legal and health care systems. The novel reads a bit like a documentary in the early stages, but develops into a well conceived suspense novel with an compelling plot. I enjoyed the character development and the local Philly locales in the story, and learned a lot about cardiac ailments and treatments as well. I had the pleasure of recently meeting multi-talented author Peter Kowey at a book festival in New Jersey, and enjoyed chatting with him about his work. I look forward to reading his second novel Deadly Rhythm and his third novel which will be released in 2014. 3.5 stars.
Profile Image for Georgiann Hennelly.
1,960 reviews26 followers
December 23, 2011
This is a pretty good read Philip Sarkis was a good doctor- maybe a little too good. When he is sued for malpractice after a young patient suddenly dies unexpectedly , he sinks into an alcoholic depression, he soon loses his family and career. But with the help of two remarkable women attorneys. Sarkis soon discovers some astonishing things about his patient, her husband and the husbands diabolical mistress and about himself. Some Doctors who have been sued or seen colleagues sued collapse under the weight of litigation , they may approach their patients differently- if they even remain in the medical profession.
Profile Image for Karla.
178 reviews2 followers
December 14, 2011
To medically dependent, not very mysterious. Very stiff writing and the storyline was monotone. My sister might like it.

I won an Advanced Readers Copy of this book from the Goodreads giveaway!
Profile Image for Vivian.
1,356 reviews
June 30, 2022
I gave two stars only because I did feel the need to finish to see where this train wreck ended up. The book was so poorly edited. There were several places where words were printed twice, once almost half a sentence was repeated and there were numerous spelling errors which my pet peeve. The story itself was full of unbelievable things…too many professionals who were willing to risk everything to help out a friend. The actual ending was a let down.
Profile Image for Cindy.
512 reviews5 followers
June 5, 2022
This book kept my attention, but the author failed in his attempt to add some surprises. The ending just didn’t connect right to the rest of the story for me.
Profile Image for Mark Soone.
413 reviews45 followers
January 26, 2012
I won this book on goodreads as a giveaway (Thanks Peter!), but that in no way shape or form influenced my rating or subsequent review of this book. I am again left bemoaning goodreads 5 star rating system, as I would give this 3 and a half stars if that were an option. I wish that we had a scale of 10 where I would likely have given it 7 out of 10...however I leaned toward 3 rather than 4 although 3.5 is where I would really go. I am still trying to determine which genre I would go with...I was excpecting a medical thriller, but found it more of a medical dram although medical mystery is currently where I am leaning.

The author clearly states his agenda and bias on the back cover of writing this book to help the public understand the extreme harm the current tort system has visited upon medical care. I would say that slant is clearly evident throughout the story, and should be read with that slant in mind. Fortunately even though it is evident it did not really detract from enjoying this book.

The plot is very realistic, and you can certainly envision much of this playing out in real life. I guess my gripe would be that, this scenerio would appear to an exagerated or isolated or not common place, but is depicted almost as a normal occorance. It does serve as a reminder that we are certainly part of a sue happy culture and major reforms are needed in a our current tort system. Neglected are that major reforms are also needed in our medical care system, health care system, insurance system and legal system as a whole. In this case we have a very skilled, caring, proficent doctor who has done everything he can to save a paitent, and is subsequently sued for malpractice....he is then sued in the city of PHILADELPHIA (and gives my city a bad rap!), whereby the depiction of it's citizens are uneducated and unable to grasp the finer points of a trial, who dump a huge settlement in favor of the plantiff, and later on corruption by a Judge who gets bought out...again I am sure that all of these things happen in isolated cases, but didn't feel it was the norm that is was painted to be....But then again I am not intricately aware of all of the nuances of this system either, so who knows.

The characters were largely believable. Phillip was a likeable enough main character although the aloof description many tabbed him with during the book might be appropriate as well. My heart broke for him as I watched his proficent care for a paitent backfire upon him. It broke even more as he sought to clear his name of any damage, and was deprived of justice in a court of law. It was gut wrenching and very believable to watch as his life spiraled out of control culminating in losing his wife and almost any pretense of a relationship with his children. My major complaint about Phillip, is that he never seems to reconcile a relationship with his children during the 2nd half of the book as he makes strides to pick up the shattered remains of his life. As a parent that just seems so forign to me, although as a pastor I encounter frequently. I just would have respected him a little more, had I saw even a glimpse into this side of him. I was also disappointed at how easily he gave up on his marriage.

The antogonists Hugh and Bonnie were very well done. Anytime a book or movie can make me loathe a character I feel that they have done role very well...and I really detested Hugh and Bonnie. Hugh seemed like a spoiled rich boy, bully who felt that it was his birthright to treat people like garbage, whereas Bonnis came acroos as a brilliant psychopath/sociopath ringleader who would do anything to get what she wanted...with no remorse really to be found in either of them.

I like the ending, and although I saw it coming 10 pages away, I didn't see it coming 100 pages away. I can only hope that Dorothy was not right in her final assumption (The one I share as well). It would be a shame to see Phillip turn from a man who so valiantly battled to save a life, play a part in ending one. As one who holds dear to sanctity of life and sanctity of marriage, I would be very disappointed to see Phillip who as a doctor haveing taking the hypocratic oath, dismiss it in the name of revenge.

On the whole it was a very nice read, and I hope that the author(s) continue to writhe more books as I would be interested inchecking out more of them and watching them evolve as novelists.

I would recomend this book for fans of medical dramas/mysteries/thrillers.
522 reviews34 followers
December 23, 2011
I decided to give this 4 stars - was wavering between 3 & 4 (wish could give half-stars). Went with 4 because of the ending.

Dr. Philip Starkis is an incredible cardiologist specializing in the electrical conduction system of the heart. One of his patients, an active young mother, dies suddenly - a direct result of what he had considered a mild form of a potentially lethal arrhythmia. He cannot understand why. Then comes every doctor's nightmare - a lawsuit. A huge lawsuit where the jury must understand complicated medical issues & treatments, contradictory testimony and assessments. Where it is so much simpler for the jury to make a decision based on emotion. At the end of the trial, Philip is devastated. His huge ego is crushed - after he is a perfectionist who does not make this type of mistake. He loses everything he spent his whole life building. And he cannot stop himself from searching out just what did happen - why did his patient die. And if he can get to the bottom of the case, will he be able to prove anything?

After working in healthcare for over thirty years, I felt I 'knew' Dr Philip Starkis. Many exceptional doctors are difficult - egocentric, self-confident to the point of arrogance, impatient, a bit lacking in the bedside manner department. To lose a large malpractice case, especially when they know they've done nothing wrong, can destroy their practice & their lives. When these decisions are made by people who do not understand the facts, can be easily led by their emotions, and never really get the whole story, well there are problems. Too many lawsuits are motivated by greed - make that quick buck - and the awards are can be outrageous. Too many juries are more than ready to punish the big bad medical machine and those who run it. Too many lawyers, well, there seem to be too many lawyers out to make their fortunes. And guilty or innocent doesn't really matter to the law - just what can be manipulated in each party's best interest. And there is the luck of the draw - judges are , after all, only human. As are doctors.



Thank you, Goodreads, for the opportunity to read this story. While a review is not necessary in exchange for the book, I want to recommend it to anyone interested in medical malpractice - from either side of the lawsuit.
Profile Image for Sheri.
2,115 reviews
October 24, 2012
Lethal Rythm (Peter Kowey)

Philip Sarkis, a cardiologist is a very good doctor with an all business attitude. He maybe a bit rough around the edges but he cares about helping each of his patients. When a young wife and mother dies expectantly his whole world changes.

Soon he finds himself the subject of a law suit, he gets lost in alcohol, his wife and children leave him and he sinks into a deep depression. But something about this patient doesn't seem right. Her husband marries shortly after her death to a smart, cunning ,sly woman. DR Sarkis is determined to find out exactly how she died and clear his name.

This book affected me deeply. I could see this happen in real life, and to watch a mans life crumble due to a malpractice suit was thought provoking. In my opinion it must make it hard for doctors to do their job the the cloud of a possible law suit hanging over their heads.

Author Peter Kowey states:
We wrote LETHAL RHYTHM TO HELP THE PUBLIC UNDERSTAND THE EXTREME HARM THE CURRENT TORT SYSTEM HAS VISITED UPON MEDICAL CARE. Doctors who have been sued or who have seen their colleagues lapse under the weight of litigation, approach their patients differently – if they remain in medicine at all. Our hope is that his book will stimulate change in the malpractice system for the good of the profession, and most importantly, for our patients.
Profile Image for Erin.
953 reviews24 followers
January 23, 2012
I received a free copy as part of the Goodreads First Read Giveaway.

This is the story of a doctor that is sued when one of his patients dies. The purpose behind the book is to show how screwed up our medical and legal system is.

However, the book is not particulary well written. I am only about a third of the way in and I keep reading only because I feel that I should since I won a free copy. The very beginning is good, but now the writing is just very amateurish. The middle proved to be a bit more interesting and actually read more like a novel. The ending is really bizarre.

Several reviewers have mentioned the many characters that are introduced and then never mentioned again. I found that they were correct. Instead of keeping supporting characters to a minimum, the authors decided to throw in as many people as possible for no real purpose that I could determine.
Profile Image for Laura Z.
115 reviews6 followers
January 9, 2012
Thank you Goodreads Firstreads for sending me a copy of this book, I have enjoyed it.

A young mother dies of a lethal heart rhythm. Her husband blames her doctor even though it is clearly not his fault, takes him to court, and wins. The doctor loses his livelihood, his family, and his friends-everything that made his life worthwhile. This book was written by a doctor to show what can happen when a doctor is sued under the current malpractice system. It is a novel, but it felt very much like it is a true story. For me the first third and the last third of the book were a quick read, but the middle third was a little more difficult to get through but worth it. I liked the couple of twists in the story. It was remarkable to see what “the system” leaves some doctors open to. If you enjoy medical mysteries you will enjoy this book.
Profile Image for Jennifer.
13 reviews4 followers
December 26, 2011
First let me start by saying I won this book from Good reads. This book started off kind of slow for me and was hard to get into. Once the actual malpractice case part of the book started, it seems like there was a new character being entered into the story but then as soon as they came they were never brought up again. The ending of the story was fairly good though I thought and not what I was expecting to happen. Overall I think maybe someone that works in the medical field or enjoy reading about it or malpractice would maybe enjoy this book. Also, there was a bit of an issue in the dialogue through the book. I probably would give this 2 1/2 stars if I could. Ending was good beginning was slow.
Profile Image for Carol.
48 reviews
March 20, 2012
This story is about a high-profile cardiac doctor who falls victim to a malpractice suit, and what becomes of him when he loses everything including his career. I didn't anticipate the ending at all. Not sure yet how I feel about the ending, but I was still surprised at how everything went down. I have not come across any doctors (in real life) who care about patients this much. I'm glad the book focused on the process of moving through and after the malpractice; little was spent on trying to make this into a romance and that was good as it would have distracted from the actual storyline.

I got tired of the redundant use of "long QT", especially in the beginning. Get past that part, and I think you'll like the book also.

This is a Goodreads First Read book - Thank you!
Profile Image for Caity.
63 reviews7 followers
August 11, 2012
I really liked this book. It is a fast paced mystery about a doctor who is sued for malpractice. It has suspected murder and all cool kinds of behind the curtain views of what goes on in a doctors life. The author did a really good job of being scientific and informative, but I was still able to understand all the medical stuff.

The only part I didn't like was a little bit of character interaction at the very end.
Profile Image for Cate.
44 reviews
March 31, 2013
I got this through a Goodreads giveaway, thank you! This book was not quite was I was expecting--I think I was hoping for more of a sleuth, murder-mystery kind of story, but this seemed to be more about the problems with malpractice suits. It felt like there was some bias in the writing, which makes me think that someone in the medical field would find this more interesting than me.

I found it a bit hard to keep track of characters, as occasionally characters appeared and then never reappeared. I have trouble enough remembering important names, so being introduced to names that wouldn't come back was a bit hectic.
Profile Image for Mario.
424 reviews11 followers
December 10, 2011
This was pretty good. It's not a very mysterious mystery by any means, and I occasionally had a problem with the dialogue, but I would say this is pretty much as good as any James Patterson I have read. If I had any real complaints it would be that I felt at times like circumstances were being arranged unrealistically in order to further the plot, but that was ultimately outweighed by a really fantastic ending. This is definitely worth a read.



I received this free through Goodreads First Reads (thanks!).
Profile Image for Robert.
1,146 reviews58 followers
February 29, 2012
The following is a First Reads Winner review:

(From Salt Lake City,Utah) This was a real winner in more ways than one! It took me a while to actually get around to reading this from the time I received it but the wait was more than worth it. This is a real page turner that starts to really turn up the heat towards the end. I was actually shocked at some of the last minute twists that the author threw in here. This guy has some real talent and if he were to put out another book I would definitely look forward to reading it.
115 reviews
July 23, 2012
I received a free copy of this book from Goodreads. This is a story of a not particularly likable man, but excellent doctor, who is sued for malpractice when a patient dies unexpectedly from a heart condition. The doctor loses the malpractice suit and his marriage, career and reputation are in shambles. With the help of some friends who remain loyal to him, he tries to discover what (who) actually killed his patient. I liked this book much better by the end than I I thought I would at the beginning. The writing is a bit dry and slow-going, but the plot is interesting.
Profile Image for Susan.
2,226 reviews4 followers
October 15, 2013
The plot of this book involves a medical malpractice suit over the death of a woman with long QT syndrome. It's fairly clear from the beginning that the woman was murdered and who committed the murder and why. The only questions remaining are how the murder was committed and why the malpractice suit was brought against the doctor. The second question was left unanswered as far as I was concerned. Some of the writing is heavy-handed and contains a lot of medical terminology. However, I found the characters interesting and I enjoy books that are set in the Philadelphia area.
Profile Image for Barb Hollis.
57 reviews21 followers
December 19, 2011
Must disclose I received this via a Goodreads drawing.

A doctor is sued for malpractice, upon the death of a seemingly heathy young woman. He looses his case, his family and practice, and almost himself.

Did he really cause the death? How he goes about trying to discover
the answer, is a driving force in this book. Find out for yourself, and also get an interesting feel for the malpractice laws and how they affect the treatment you may experience.

Interesting read.
18 reviews
May 7, 2012
I won this book as a Goodreads first read. Personally, being from a medical background it was impressive and interesting how accurate the the FDA and pharmaceutical accounts were described! It is written in terms that everyone can understand and really explores the unfortunate truth of medical malpractice. The plot was interesting too, a good mystery novel. The ending was a bit predictable but overall a good easy read!

Profile Image for Jeanine.
2,439 reviews110 followers
January 9, 2012
I won this on Goodreads. It grabbed me from the first chapter and just kept going. Having a legal background probably didn't hurt. The book was fast paced and totally realistic. The ending was interesting and completely unexpected along I thought the book stopped rather abruptly. I recommend it; a good - edge of the seat read.
Profile Image for Melissa Laird.
48 reviews9 followers
December 23, 2011
I got this book from goodreads giveway
I had a real hard time getting into this book I almost put it down and didn't finish it but I always finish a book I start no matter what I'm glad I finished the book even though I guessed the end very early on in the book I liked how it ended but that was about it
Profile Image for Kerry.
92 reviews13 followers
September 13, 2016
I received this book for free in a Goodreads First Reads giveaway.

This book may be more suited for those in the medical field. The beginning has quite a bit of medical jargon and is somewhat slow moving. Once the trial comes into play...characters galore! Unfortunately, too many characters appear...then disappear. Sometimes less is more.
Profile Image for Shannon.
606 reviews
May 3, 2013
This sounds like a very good book! I'm a nurse so I just love books with a medical background of some sort. Mysteries are my favorite and I'm really looking forward to reading this. It sounds interesting and like a page turner.
Author 17 books16 followers
December 12, 2011
This is a fascinating read for anyone with an interest in the medical profession. A well written tale that brings you into the life of a doctor, and what it's like when he loses everything he holds dear; his career. (received the book for free through Goodreads First Reads)
Profile Image for Cindy.
957 reviews33 followers
October 6, 2015
I love to read medical mysteries and this one was great! Thoroughly enjoyed this book and the characters. Although I won this book through Good Reads, it is worth paying for! Hope the author has more planned!
Profile Image for Carol.
96 reviews3 followers
Want to read
December 16, 2011
I recently won this book as a part of the Goodreads Firstreads giveaway program. Thank you, Goodreads! I have the book on my nightstand just a few books from the top of my "to read" stack! I'll be back with a review in a few days.
Profile Image for Ms. Enigma.
5 reviews3 followers
Read
January 10, 2014
It was definitely different. I oddly enough was so engrossed in the book that towards the end I just gasped. I was rooting for the protagonist and it just tore me up when the book ended! I can't wait to read the sequel.
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