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Robert Macdonald #20

Case in the Clinic

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When a man drops dead in his garden during the early days of WWII it seems to be a simple case of heart failure, even though he was in fine physical shape. But once Inspector Macdonald of Scotland Yard is brought in, British mystery readers know they're in for a wild ride. Now American readers can join in the fun.

252 pages, Hardcover

First published January 1, 1941

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About the author

E.C.R. Lorac

78 books188 followers
Edith Caroline Rivett (who wrote under the pseudonyms E.C.R. Lorac, Carol Carnac, Carol Rivett, and Mary le Bourne) was a British crime writer. She was born in Hendon, Middlesex (now London). She attended the South Hampstead High School, and the Central School of Arts and Crafts in London.

She was a member of the Detection Club. She was a very prolific writer, having written forty-eight mysteries under her first pen name, and twenty-three under her second. She was an important author of the Golden Age of Detective Fiction.

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5 stars
171 (33%)
4 stars
206 (40%)
3 stars
106 (21%)
2 stars
18 (3%)
1 star
2 (<1%)
Displaying 1 - 30 of 37 reviews
Profile Image for Barb in Maryland.
2,144 reviews181 followers
July 13, 2022
Not one of the better Chief Inspector Macdonald stories, IMO.
The mystery is marvelously complicated, but Macdonald isn't on the page enough. I wasn't as fond of the amateur sleuths/potential suspects as the author seemed to be. I wanted a to see a bit more of the the basic police work in action. However, it was nice to see Inspector Jenkins and Reeves again.
Of course, Macdonald figured it all out, and the author had him deliver a nice wrap-up at the end. Though the clues were all there for the reader, I found some of them a tad vague.
thus my desire for more page time with Inspector Macdonald.
Profile Image for Shauna.
456 reviews
April 24, 2024
I got pretty bored with this Lorac book just over half of the way through. There were not enough suspects and so many tedious conversations held between the detective and the suspects which really did not add to the mystery.
Profile Image for John.
824 reviews41 followers
April 26, 2024
A thoroughly enjoyable story featuring the estimable Chief Inspector Macdonald at his best. Excellent misdirection. Strong characterisations of all the protagonists.
Profile Image for Tom Thorne.
82 reviews
December 21, 2024
Why has it taken me so long to find E C R Lorac? Thoroughly enjoyed it
Profile Image for Susan.
7,652 reviews74 followers
May 25, 2025
Suspicions are raisedi on the death of ex-vicar Anderby. Did his wife help in his death and what of the other elderly patients of this ex-nurse. Detective MacDonald investigates.
An entertaining historical mystery
Originally published in 1941
Profile Image for Lisa Kucharski.
1,090 reviews
July 18, 2025
In this story, it begins with two men staying at an osteopath’s home to receive treatment for orthopedic pain. One of the men tells the other that about a situation of a man dropping dead a a gathering and that he believes that the man’s wife is responsible for it. The man who hears this story starts to become equally interested in this case and visits the home that the one death occurred. There is another death, and this brings in MacDonald.

By this time there has been a lot of water under the bridge, the local police have forwarded info to MacDonald, but as he starts to investigate people start to prevent him from getting information.

This is a quick story, not bad, but not one of ECR Lorac’s best. However, as a fan of hers I did enjoy the story as her writing is just that good.

If you like this author, you’ll certainly find the story and the well-drawn characters as usual.

Profile Image for Eric.
1,500 reviews52 followers
April 2, 2024
Robert Macdonald does not appear until we are more than one-quarter through this mystery first published in 1941 and set a year earlier. As the assistant commissioner says:-

“They’ve waited until everything has happened that could happen—deaths, funerals and disappearance of probable delinquent. Then they ask us to come in and tidy the mess up. Here you are—if you feel like expressing yourself forcibly about it, don’t mind me, Macdonald.”

Prior to his appearance we encounter some amateur sleuthing and speculation around the sudden death of a retired vicar and are introduced to the characters who play a major role. There are rather a lot of amateur detectives around, but they are not as numerous as the rumours surrounding the late vicar’s wife, a retired nurse who appears to have specialised in acquiring inheritances from grateful patients.

Lorac is strong in depicting characters but the plot, despite some “spiritualistic” window-dressing and a few red herring is not difficult for GAD followers to fathom, with one murder featuring a method worthy of John Rhode. There are amusing moments:-

‘“Damn the jury!” responded Macdonald cheerfully, scraping away carefully at an old and much-prized briar. (His addiction to a pipe had led Jenkins to nickname the Chief Inspector “Stanley B.”—an appellation which Macdonald, as a lifelong Liberal with left-ish tendencies, duly resented.) “Twelve fools are twelve times as foolish as one fool,” went on the Chief Inspector thoughtfully…’ [Stanley B. is Stanley Baldwin, three times UK Prime Minister in the 1920s and ‘30s]

It is very entertaining, well-written and readable, but not top-notch.

3.5 stars.
1,713 reviews29 followers
August 9, 2026
Is Nurse Pewsey an Angel of Mercy or the Angel of Death?

Emma Pewsey finished her hospital training as a young woman, then became a midwife. After years of delivering babies, she turned to nursing elderly people. In the 1940's elderly invalids were cared for at home, by relatives or trained nurses. Relatives were happy to leave the unpleasant duty of caring for an old person to a professional. Few objected if Nurse Pewsey received a small inheritance, figuring she'd earned it.

But one family balked at a larger sum in the patient's will and others started talking about how Nurse Pewsey's patients had a habit of dying not long after making a will in her favor. Doctors don't look closely at the deaths of elderly invalids and who better to fake records than the invalid's nurse?

When we meet her she's no longer Nurse Pewsey, but a recent widow. She married an elderly widowed clergyman and they settled into a comfortable retirement. Then HE died suddenly, leaving his money to his new wife.

An old friend of the husband is present at the death and he's convinced it's fishy. Others try to hush him up, but Major Grendon has the tenacity of a good military man. He decides to take his story to the police, but first he'll talk to the widow. Then HE dies and it's not a natural death. Did he talk too much?

This is one of Lorac's weaker mysteries, although there are some good parts. I was interested in the "clinic" which is run by an osteopath. At that time in England, osteopaths were bitterly condemned by medical doctors. Major Grendon and Mr Falkland are patients. Max Brook has helped them when licensed practitioners failed. Falkland (a successful architect) finds Brook intelligent and likable. He sympathizes with Brook's bitterness about his lack of recognition.

Did the fact that osteopathy originate in the U.S. make it even less acceptable to the English medical community? The U.S. recognized osteopathy as a valuable medical resource decades before the English gave in.

Falkland still isn't convinced that Major Grendon's story has validity, but Scotland Yard is called in to investigate Grendon's death. This naturally leads to an investigation into Nurse Pewsey's background. But Macdonald is also considering other suspects, including Max Brook, Falkland, and the man in whose garden the aged reverend dropped dead. Perhaps the solution goes back BEFORE Nurse Pewsey's career as a nurse for the elderly.

The word I'd use to describe this book is "muddy." While I love Golden Age mysteries, I'm not a purist about the "Fair Play" thing. If an author keeps a few cards hidden, that's fine with me. However, Lorac was a proud member of the London Detection Club and sworn to give her readers all the clues. There's also the possibility that she did and I missed them.

Whatever the reason, I found the ending unsatisfactory. Still, there are some fine characters, including Falkland's widowed friend Mrs Dellaton. She's a good source of information and she's not shy about admitting that she loves to gossip. Don't we all, really?

I also loved the "spiritualist" Miss Jane Austin, a fellow boarder at the guest house where Nurse Pewsey is staying. She's a sweet-looking old lady, who's in touch with those on the other side and wants to relay their messages to those of us who aren't. Shrewd Inspector Macdonald suspects there's a good brain beneath that beautifully arranged white hair. Does Miss Austin use her talk about spiritualism to make herself seem silly and harmless? And does she know more about the deaths (three in all by the end of the book) than she lets on?

It's good, but Lorac wrote better ones. I'm in agreement with Martin Edwards in not including this one in the BLCC series. Still, worth your time if you're a Lorac fan.
Profile Image for Susan in NC.
1,144 reviews
August 15, 2023
I really enjoyed this Inspector Macdonald case, my only complaint being that he didn’t enter the case for several chapters, instead a character who eventually becomes a suspect plays “amateur detective” at first, trying to track down evidence of a suspected murder.

By the time local police call in Scotland Yard, the case is rather muddled and Macdonald and his team have to start from the ground up, interviewing suspects who’ve been caught up in the bungled investigation and are tired of answering questions, some outright hostile as the case has dragged on, and suspicions have lead to concerns about businesses and livelihoods! As always, Macdonald is ably assisted by wise Jenkins, his “favorite colleague at the Yard…an excellent gossip and a good raconteur, a great success in the saloon bar, and…a capacity for getting himself liked and trusted by the most diverse people…”, and young Reeves, the resourceful, dogged Cockney who is one of the Yard’s best shadower of suspects. He is kept on his mettle by one of the clever suspects in this case!

The case starts at an osteopathic clinic, where an elderly blowhard tells a fellow patient about a death he just witnessed; he’d been dining with a local man, a retired vicar and his wife, when the elderly vicar began watering some flowers in the garden and suddenly dropped dead. The old bore was rattled, but questions the heart failure verdict, and instead suggests the widow, a retired nurse, somehow killed her husband. During her nursing career she’d had some elderly patients die and leave her legacies, and gossip abounded. The hearer of these theories warns the old fella not to broadcast his suspicions, which could land him in legal trouble, but starts asking questions himself - he realizes the widow, in her prior career, had nursed an aunt of his - he begins to wonder if Nurse helped auntie out of this world.

An intriguing case, the solution was complex and convoluted, but the circumstances were mentioned early in the story. I thought the introduction of a seemingly minor character was odd, turns out the person was relevant! Lesson learned, pay attention to any suddenly appearing characters…

I enjoyed this but am sad, because I only have a couple of this author’s reissued mysteries left to read, and she has become a real golden age favorite. She wrote about 70 mysteries, and deserves to be be read and appreciated, in my opinion- I’ll keep looking for any reissues of her enjoyable, intelligent, well-written mysteries.
Profile Image for John Hardy.
904 reviews2 followers
February 4, 2024
I bought this some years ago as part of a project to read classic mysteries - but it fell in a heap. My attention was drawn back to this Collins Crime Club author and I dug the book out of storage. It's a very old hard cover with no dust jacket, so may even be from the original 1941 edition for all I know. I was very surprised to find out that this was a female author, and she wrote dozens of mystery novels under various pseudonyms.
This one is #20 in the Inspector Macdonald series so I guess it also classifies as historical fiction. I haven't read anything from this author before, and this one is surprisingly good. Mind you, I got annoyed with the lengthy discussions between the various persons of interest as they speculated about who had committed the murder, if indeed it was murder. This helped to drag the book out to 245 pages.
DCI Macdonald is a fairly genial officer who jollies his suspects along in the hope of finding information. The author was clearly adept at presenting realistic dialogue, and of course uses some of the language of the era. An example is the use of "inflammable" which has been pretty much replaced by "flammable" in our times. There were quite a few "look heres", which was certainly a very British locution of that time.
There is a lot of confusion about what's going on, although most participants have a severe down on the ex-nurse who seems to have left a trail of dead people who left her some money.
I did not hit on the solution, although I did identify very quickly a possible identity issue as the basis for fraud.
I'd like to have rated this 4 stars, but it isn't quite there, so rating 3.3. I'd definitely like to read more of the series, if they can be found. The library doesn't have any of them, but I put in a request.
66 reviews1 follower
August 19, 2026
At the clinic of Max Brook an osteopath, Major Grendon gossips with fellow patient Robert Falkland about the sudden death of Rev Anderby and his opinion on Anderby’s young wife, Emma who is a nurse. He implies that she had already twice committed murder for monetary gain. Falkland learns from a cousin that Emma, as Nurse Pewsey before her marriage, had been left money and goods by grateful patients – including Falkland’s own aunt Mary.
Falkland's visit to a friend who knew more of Emma’s past, strongly reinforces the suspicions.
When Major Grendon is gassed to death, Insp Lynch investigates and Falkland tells him the suspicions Grendon had about Emma Anderby. The local police call in Scotland Yard a week late, and Chief Inspector Macdonald is sent to investigate.
There is a disappearance, an unidentifiable body, an elderly woman who receives spirit messages, and someone who sends spirit messages, arson and a soaking.
“It was a tangled story” Macdonald tells us after the criminal is apprehended, though his reasoning was partially founded on presumptions and a last-minute off-stage witness. One of the murder methods was certainly original, and happily Macdonald prevented another. A good story, with Lorac’s wonderful prose, descriptions and interesting characters.

2,199 reviews17 followers
August 4, 2025
A Scotland Yard Inspector MacDonald mystery.

It is June and Robert Falkland, a successful London architect is ending his stay at Max Brook's Clinic and successful treatment on his injured knee. Falkland had a recent conversation with a fellow clinic resident who strongly believes a woman has been murdering her husband which peaks his interest. Things take a more ominous when that person ends up dead.

The triggering event is the sudden death of an elderly clergyman named Anderby, who drops dead while hosing the garden and his wife is the subject of a lot gossip who, as a former nurse, has received inheritances from patients who suddenly, but not expectedly died from heart related issues.

This is an intricate murder-mystery full of twists and turns and misdirection much of which revolves around Falkland & 2 others. Local police do their best, but are unable to make headway Scotland Yard Inspector MacDonald is called in to unravel the collected muddle of evidence.
97 reviews
February 24, 2025
This was a very complex puzzle, and not as satisfying or accessible as Black Beadle, for example. I have still given it 4 stars because all of the pieces to solve the puzzle were there for the reader to interpret, even as our eyes are oh-so-gently directed elsewhere. The main characters are interesting and well-defined individuals. The title is a bit misleading, I think, but I'll leave that observation at that, to avoid more direct spoilers.

I will add a slight warning: the Kindle version I bought from Amazon is called "Case in the Clinic. The Robert Macdonald Mystery. Illustrated." The illustrations however are simply reproductions of early 1950's style cheesecake drawings of young women, like one might have found in certain men's magazines, not obscene but very suggestive and objectifying, and in no way related to the story. I will be complaining about this to Amazon.
Profile Image for Anna Katharine.
466 reviews
January 19, 2025
Thanks to the Shedunnit podcast for reminding me of the existence of E.C.R. Lorac, and again to whoever digitized so many of her works that were previously scarce. Though very much a police procedural, various characters affected by the case spend enough time in amateur sleuthing that the reader feels drawn in to the local circle. With access to both layperson speculation and C.I. MacDonald's notebook, it seems that the solution should be obvious- but Lorac has created such a clever tale of misdirection that the final twist is a delightful surprise. Solid characters, clever puzzle, and an overall engrossing story.
Profile Image for David C Ward.
1,939 reviews43 followers
April 21, 2024
“Lorac”, with her urbane Inspector Macdonald, is a very good traditional English mystery writer. In this one the death of her husband causes suspicions about his wife, a nurse whose reputation is mixed. You’ll probably quickly spot the suspect, and catch the shadows of the plot, but the exposition is handled skillfully. Just because someone is unlikeable doesn’t make her/him a murderer. And vice versa…
Profile Image for Chavi.
131 reviews
May 16, 2023
I am put out that I didn't cotton on to the method of the murder, even when I guessed the murderer early enough. It now seems rather obvious.
Almost all the characters in this one are great, though I am partial to Brook, and not Falker or whatever his name was.
Overall, an easy, satisfying read.
Profile Image for Mark.
Author 10 books4 followers
June 16, 2024
Poor old padre, popping off whilst pimping his petunias (Zinnias actually, but never mind). But who is the murderer, and how ,and of course, why?
Soon we are in the realm of alternative medicine and voices from the ether in a yarn that is more complex than most of Lorac's output.
After this I'll be sticking to Dr. Google for my medical advice.
Profile Image for Melissa Lindberg.
793 reviews3 followers
September 7, 2024
Enjoyed this one, with it's osteopathic clinic and the addition of spiritualist elements; plus a convoluted plot that is right there but well-hidden: a good amount of obfuscation with all the amateurs saying there was only one way the plot could be constructed ... but in the end it's all smoke and mirrors and mistaken victims.
208 reviews2 followers
May 13, 2024
Another intriguing puzzle.

I enjoyed this immensely although some people might think it started off slowly. I never guessed the perpetrator until the end and never guessed the motive. An excellent story if you like that era.
49 reviews1 follower
September 5, 2024
It was, as always with Lorac, a pleasant read - but not very gripping, and while in the end everything seemed to fall into place the ending was, imho, too constructed to be believable - and at least I felt a little cheated…
304 reviews1 follower
June 27, 2025
E. C. R. Lorca Can’t Be Beat As A Mystery Writer

I can’t recommend this author high enough. This book is so interesting and I truly believe the average reader like me would find it impossible to identify the murderer. I certainly didn’t.
Profile Image for Pegah S..
34 reviews3 followers
April 28, 2024
Read in one sitting!

I read this book in one day! Very entertaining and quite clever. Interesting cast of characters and a fantastic plot.
Profile Image for Laurie.
Author 2 books7 followers
May 23, 2024
I think this is my least favorite Lorac book so far. A lot of repetitive conversations and I guessed who the killer was very early on. There were a few fun scenes though.
559 reviews1 follower
June 19, 2024
Enjoyed reading it but had trouble remembering the story after a couple of days.
Profile Image for Beth.
352 reviews1 follower
September 22, 2024
Shadows Past

Atmosphere, vivid characters, terrific story telling - a plot with great details - an excellent Case Outside the Clinic Too!!!!
Profile Image for Stephanie.
203 reviews
October 13, 2024
This wasn't my favorite Lorac (and the cover of the edition we own is horrible, to say the least), but I did get into the story and seeing how it all worked out.
3 reviews
March 8, 2025
Riveting

Excellent story line. Keeps you hooked until the end.
Highly recommended best of E C R Lorac I have read
55 reviews1 follower
July 9, 2025
Excellent.

This tale was really a work of art. Great characters all different and they came alive to the reader. Very good background details too. A most enjoyable read.
Displaying 1 - 30 of 37 reviews