A sleep-deprived anesthesiologist consults his friends on dealing severely with his wife's lover. Suspense, dark humor and physicians behaving badly.
A Cause and Manner is a noir psychological thriller. Dr. Matthias Kork is an anesthesiologist and a coroner. There is tension in the operating room between Matt and an elitist surgeon, Angelo Amodeo. There is also tension between Matt and his wife, whom he suspects of having an affair. Her alleged lover dies in what looks like a staged suicide. Angelo disappears next. Matt is either responsible for these events or wished for them hard enough.
Matt is assigned to investigate the boyfriend's death. Despite the obvious conflict of interest, he accepts the case and brings in a verdict of suicide. The decedent's family launches a wrongful death lawsuit. At the hearing, their lawyer is on the verge of discovering the love affair that would have given Matt a motive for murder. He admits to all the allegations against him to bring the proceedings to a close. This by no means confirms his guilt.
Peter Tinits is a physician in Ontario, Canada. The book title is taken from coroners’ parlance for findings made at the conclusion of an investigation. The storyline features authentic details and gallows humor that only an insider would know. The question of whether murder can be justified, if it is well earned, remains unanswered.
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The plot of this book tends to meander, but I didn’t mind, because the scenery was so interesting. Dr. Tinits has a style that settles and digests easily, so that it feels less like reading and more like experiencing. I found the dialogue to be both interesting and natural, bringing the characters out as actual people. Witty banter and genuine reactions worthy of a more restrained Tarantino. It was voyeuristic fun to watch the main character’s life unfold, interspersed with glimpses into the world of coroners and other medical professionals. My job brings me into contact with the world of coroners, murder and death investigations. The parts of that world that I’m personally familiar with ring true. The parts that I didn’t know, I found very interesting and certainly feel authentic.
I recommend this book to anyone who has ever wondered what it was like to go to a death scene in the middle of the night, anyone who has been married for any length of time, or anyone who has wondered if they could get away with murder if the need arose. Hypothetically of course.
Who said small town life lacked drama, conflict and bigger than life intrigue ? It certainly wasn’t Dr. Tinits who’s sharp insights, moral dilemmas and humorous plot twists create a tale that is well worth the read. This is an excellent novel which carries the full authenticity of an expert insider.