Kadence, a new type of implanted defibrillator, misfires in a patient visiting University Hospital
for a routine medical procedure—causing the heart rhythm problem it’s meant to correct. Dr.
Kate Downey, an experienced anesthesiologist, resuscitates the patient, but she grows
concerned for a loved one who recently received the same device—her beloved Great-Aunt Irm.
When a second device misfires, Kate turns to Nikki Yarborough, her friend and Aunt Irm’s
cardiologist. Though Nikki helps protect Kate’s aunt, she is prevented from alerting other
patients by the corporate greed of her department chairman. As the inventor of the device and
part owner of MDI, the company he formed to commercialize it, he claims that the device
misfires are due to a soon-to-be-corrected software bug. Kate learns his claim is false.
The misfires continue as Christian O’Donnell, a friend and lawyer, comes to town to facilitate the
sale of MDI. Kate and Nikki are drawn into a race to find the source of the malfunctions, but
threats to Nikki and a mysterious murder complicate their progress. Are the seemingly random
shocks misfires, or are they attacks?
A jaw-dropping twist causes her to rethink everything she once thought she knew, but Kate will
stop at nothing to protect her aunt and the other patients whose life-saving devices could turn
on them at any moment..
How did you do research for your book?
I’m fortunate to be a professor at an academic medical center and therefore have access to the
medical professionals to ask questions and gain ideas. Also, I co-developed some medical
devices over the years and have been through the patenting and licensure process so it was fun
to include some first-hand knowledge, and to pick the brains of other scientists with whom we’ve
Where do you get inspiration for your stories?
My inspiration comes from life experiences—working in academic medicine, talking with people
in technology and healthcare industries, and reading both fiction and non-fiction, and of course
the news (preferably science news, not all the other stuff).
What advice would you give budding writers?
Find a supportive group of other early career writers, read, take classes that provide
professional feedback, attend a writers’ conference if at all possible, develop thick skin, write
what you love, consider writing some short fiction for an earlier win.
Your book is set in north central Florida. Have you ever been there?
It’s where I’ve lived since undergrad. Though not Gainesville by name, and certainly not the
University of Florida, the book is set in the area, including Paynes Prairie where we’ve gone on
long walks, and Jacksonville, which we visit on occasion. It’s a great place to live and raise a
family, with springs and beaches nearby and (often) excellent collegiate sports to cheer for.
Do you have another profession besides writing?
I’m a physician, an academic anesthesiologist specializing in obstetrics. For 20+ years I’ve
taught, performed research, and cared for patients at the University of Florida’s hospital system.
I’ve now backed down to 60% so I can focus on writing…it’s never enough!
What is your next project?
Besides finishing up the third in the Kate Downey series, I’m working on a stand-alone that links
the Salem Witch Trials to a modern medical mystery. It’s based on a short story I published a
few years ago and I’m having fun plotting it out.
What is the last great book you’ve read?
In non-fiction, 4000 Weeks: Time Management for Mortals by Oliver Burkeman. In fiction,
Desert Star by Michael Connelly. I’m currently reading A World of Curiosities by Louise Penny,
my favorite series!
How are you similar to or different from your lead character?
We started out quite alike as far as careers go, but she lacks my idyllic backstory with a
charmed childhood and parents and husband very much alive. She’s also way cooler than I am!
In one sentence, what was the road to publishing like?
For the first in the series it was long, full of rejections, self-doubt, learning, and more rejections,
and finally extremely rewarding! Misfire was the second in a two-book deal, so far more straight-
Which authors inspired you to write?
Harlan Coben, Louise Penny
Favorite travel spot?
I love the mountains (said the Florida girl), especially hiking and downhill skiing. We’ve been so
blessed with incredible travel opportunities to all the major national parks in the US, Costa Rica,
the Galapagos, Europe, even New Zealand. Probably my favorite would be hiking in Wengen,
Hmmm, my husband’s home-made fruit crumbles with ice cream. Cookies and cream ice cream
with my dad. Who am I kidding – most ice cream with most anyone.
If you were stuck on a deserted island, which 3 books would you want with you?
(1) the entire Louise Penny Gamache series squished into one book cover, (2) an encyclopedia,
(3) The famous double book: “How to Make a Boat out of Sand, Salt Water and Coconuts” and
“The Joy of Cooking Without Actually Cooking”
Any hobbies? or Name a quirky thing you like to do.
My husband and I met playing flag football in college, taking turns at quarterback due to the
rules for co-ed sports. Now we still enjoy sports, but also seeking active experiences while
traveling – via ferrata, canyoning, rappelling down waterfalls, etc. We also follow the Gator
football team, though they’re trying our patience lately.
If there is one thing you want readers to remember about you, what would it be?
That I’m a physician-turned-author who highly recommends reassessing your path and
goalposts at regular intervals. It’s not quitting, it’s pivoting to something better/different/more
suited to you today.
What is the oldest item of clothing you own?
Intramural sports championship t-shirts from undergrad. We were the geeky honors dorm kids
who crushed everyone else by planning ahead with football plays printed out using the earliest
version of drafting software…oh, and not being drunk at game time.
Tammy Euliano writes medical thrillers. She’s inspired by her day job as a physician, researcher and medical educator. She is a tenured professor at the University of Florida, where she’s been honored with numerous teaching awards, nearly 100,000 views of her YouTube teaching videos, and was featured in a calendar of women inventors (copies available wherever you buy your out-of-date calendars).
When she’s not writing or at the hospital, she enjoys traveling with her family, playing sports,
cheering on the Gators, and entertaining her two wonderful dogs.
© 2014-2023- Ronovan Hester Copyright reserved. The author asserts his moral and legal rights over this work.