medical fiction – Likely Story

SETTUP by TK Thoits

I received a copy of this book from the author in exchange for my honest opinion.

Synopsis: Respected neurologist and researcher Stella Murray was confident the FDA would approve the experimental medication based on its demonstrated superior efficacy. Knowing a serious side effect would not derail the approval process, she reports that a patient had a significant reaction to the investigational drug.

Shortly thereafter, Grand Rapids Detective Troy Evans is called to investigate the suspicious death of a Site Monitor who, he learns, worked with Murray. Evans asks Murray to educate him on the unfamiliar world of medical research. She discloses that conducting investigational drug studies has become a multibillion-dollar industry, with power brokers providing more oversight than the government.

When Murray informs Evans that a second Site Monitor has been killed, they team up to take down the corruption that is mercilessly burying unwelcome researchers and results of a promising drug trial.

Summary: Overall, SETTUP is a fast, detail-heavy medical thriller that starts in the ER and expands into a layered story involving clinical trials, corporate pressure, and a criminal subplot. The medical realism is strong, and the tension builds as the threads begin to connect. The tone can shift a bit—especially with the assassin storyline—but it adds a darker, more unsettling edge. Best for readers who like medical dramas with conspiracy elements and multiple POVs rather than a single, straightforward narrative.

See the full review here: SETTUP
Purchase here

The Knight’s Last Stand by Bear Pardun

I received a copy of this book from the author in exchange for my honest opinion.

Synopsis: In a world where gods walk among mortals and divine tyranny crushes the innocent, one knight’s investigation into ritual murders uncovers a conspiracy that threatens to consume an entire city. Commander Victus Andreas discovers that the seemingly random cult killings in Lindly are part of a far darker plan—the dark elven goddess Lestar seeks to harvest the souls of every citizen to feed her master’s insatiable hunger for power.
When Victus returns from his annual pilgrimage to find his city overrun by disguised dark elves posing as holy inquisitors, he must rally a small band of loyal soldiers, his adopted son Aris, and unlikely allies to stand against overwhelming odds. As ancient magic tears through the city and divine politics threaten to destroy everything he’s sworn to protect, Victus faces an impossible choice: save his people or preserve his own soul.
With breathtaking battles, complex characters wrestling with duty and honor, and a magic system that explores the cost of power, Battle of Lindly launches an epic fantasy series that challenges the very nature of divine authority. In Bear Pardun’s richly imagined world, heroes are forged not by destiny, but by the courage to defy gods themselves.

Summary: Overall, I found this book to be a gritty, sincere fantasy that leans hard into classic themes of honor, sacrifice, and legacy. The writing had an emotional core — especially the father-son relationship and the relentless sense of duty. If you like fantasy that is sincere about honor, duty, and sacrifice, then this book could be for you.

See the full review here: The Knight’s Last Stand
Purchase here

Synopsis:

Nobody’s safe when the inner beast awakens…

Dr. Peter Palma joins the medical team of the Paradise to treat passengers for minor ailments as the cruise ship sails across the Atlantic. But he soon discovers that something foul is festering under the veneer of leisure. Deep in the bowels of the ship, a vile affliction pits loved ones against each other and shatters the bonds of civil society. The brig fills with felons, the morgue with bodies, and the vacation becomes a nightmare.

One by one, the chaos claims Peter’s allies. His mentor spirals into madness and the security chief fights a losing battle against anarchy. No help comes from the captain, who has an ego bigger than the ocean.

With the ship racing toward an unprepared New York, the fate of humanity hinges on Peter’s deteriorating judgment. But he’s hallucinating and delirious…and sometimes primal urges are impossible to resist.

The Regression Strain is a fast-paced medical thriller laced with psychological suspense, perfect for fans of Michael Crichton and Blake Crouch.

Favorite Lines:

“Right back into it, then. He was a kid on a roller coaster cresting the first big incline—the moment before the bottom fell out. He opened the closet and confronted his uniform. Sure, he’d paid for the ride, but that didn’t make it any less stomach-churning.”

“Funny how standards eroded in the face of devastation.”

“The holes in his memory were filling in like groundwater welling up in the paw prints of a rabid raccoon. Muddy and random.”

My Opinion:

I received a copy of this book from the author in exchange for my honest opinion.

What starts as a slow simmer quickly boils over in The Regression Strain, Kevin Hwang’s debut that’s equal parts medical mystery, psychological spiral, and pandemic-era existential horror. It’s not a long book, but it’s the kind that lingers—creeping into your thoughts days after you’ve closed it.

The story follows Dr. Peter Palma caught in the chaos of a rapidly spreading fungal pandemic. But Hwang doesn’t just want to tell a virus-outbreak story. He wants to pick at your nerves. The plot slips between sanity, and reality in a way that’s deliberately disorienting. Think fever dream with a med school vocabulary. And I mean that as a compliment.

What makes this novel hum is the way Hwang blends scientific precision with narrative messiness. There’s an almost surgical attention to detail in the clinical scenes—no surprise, given Hwang’s background in medicine—but it never feels like a lecture. Instead, the book immerses you in the high-stakes environment of a cruise ship in the midst of a mysterious illness, only to pull the rug out with unsettling shifts in tone and perception. At times, I questioned whether what I was reading was happening at all—much like the narrator himself. It’s a risky move, but it works.

Stylistically, it won’t be for everyone. The prose can be clipped and clinical one moment, then rush into sensory overload the next. It’s intentional and immersive, but it can make for a slightly uneven reading experience. That said, if you’re the kind of reader who doesn’t mind being dropped into the deep end—without floaties—there’s a lot to appreciate here.

Emotionally, The Regression Strain taps into something very now. The anxiety of being overeducated but powerless. The loneliness of a pandemic. The slow erosion of certainty. It’s not a comforting read, but it’s a relatable one, especially if you’ve ever tried to logic your way through a crisis and come out the other side more confused than when you started.

Summary:

Overall, is it horror? Sci-fi? Psychological drama? Honestly, it’s all of the above and then some. Hwang doesn’t seem interested in coloring within genre lines, and that’s part of the fun. The Regression Strain is sharp, strange, and surprisingly affecting. It’s not your typical outbreak story—It’s weirder (in a good way), smarter, and a bit sadder.

Can we also take a minute to acknowledge that Hwang is a whole father and doctor and still somehow found time to write this masterpiece, I am in awe! If you like horror, suspense, action, medical mysteries, sci-fi, and/or thrillers then this book could be for you. Happy reading!

Check out The Regression Strain here!

Tag: medical fiction

Monthly Features – April 2026

Review: The Regression Strain by Kevin Hwang