Pain Killers: A Year in the ER

I no sooner posted that I wouldn't be doing much reading this month when I received a message from Book Sirens about a review for the above book coming due. So I read it last night. Last year I read author Rachel Callaghan's Under Water. It was my second best book for 2024, behind a graphic novel, so it was technically my best fiction novel. Callaghan is a former ER physician. The story is in the epistolary form where the plot is revealed through physicians’ notes, ER logbook entries, and letters between the characters. It was published on July 25, 2025.

The publisher's summary:  

The year is 1978. Mary Grace Kelly flees to a new city with a set of scrubs, a nursing license, and a secret. She hopes to hide in this bustling blur of cranky patients and even crankier physicians. Complaining to her sister back home, Mary Grace’s letters describe her arrogant, infuriating colleague Dr. David Korn, who wears his sarcasm like another white coat. But when her therapy sessions land her in a waiting room with this man, her irritation turns into intrigue. Their reluctant bond deepens until her father’s illness yanks Mary Grace back into her unresolved trauma.

David’s sexual frustrations leak out with wry, Jewish humor in notes to his brother. His sibling is quick to point to David’s past relationship failures as evidence that he’s a “self-indulgent bastard.” For all his bluster, David wants something more meaningful but knows his family will never approve of his relationship with Catholic Mary Grace. She’s challenging all his preconceived notions, but does he have the patience to wait for her to find the healing she needs?

A vaudevillian uncle, a retired nun, and an elderly vagrant conspire to help Mary Grace find her way. But she must first learn to trust again.

The fast-paced, epistolary style of Pain Killers allows the reader to eavesdrop on the controlled chaos in emergency care. Before desktop computers, the relentless rhythm of the ER was documented through a heap of administrative paperwork. Callaghan skillfully weaves a story from this patchwork, revealing the humanity behind the charts and clipboards in short snatches dripping with subtext. Like the emergency room it chronicles, Pain Killers taps the vein between protocol and improv.

Rx for busy readers on the go

Prescribe this book to readers jonesing for the insider grit of medical fiction compounded with the warmth of a romantic dramedy microdosed in snippets. Severe to moderate distraction may occur: failing to notice you’ve been called to dinner, you’ve missed your subway stop, or your professor has asked what you’re reading. Take as needed to alleviate symptoms of boredom, existential nausea, or the yearning for human connection.

The story was cute. I enjoyed the epistolary form, especially the doctor and nurse notes on patients.  I know that the notes are true to life because I worked in a hospital way back in the 1970s. The book isn't a mystery as I expected it would be but rather general fiction. It was a nice break from my usual fare but I have to admit that there wasn't much suspense. Even so, I read it in one sitting. Pain Killers was a relaxing way to spend an evening. Mary Grace is the main character. She had something awful happen to her when she was a teen but it wasn't revealed until the middle of the novel. For the remainder of the story she tried dealing with her emotions, somewhat successfully. I noticed that Mary Grace was constantly writing her sister letters but that sister Kathleen never responded. Clue number one. Dr. David Korn annoys her so she tries avoiding him. As I expected, they eventually began dating. Clue number two. They are very different people but their relationship seems to work. Mary Grace is a strong Roman Catholic while Dave is a non-practicing Jew. 

Pain Killers: A Year in the ER is a sweet, uncomplicated story. I am rating it 4 out of 5 stars.

Girl, 11

Girl, 11 is a heart-pounding thriller that is difficult to put down. It is a serial killer story where young teen girls are kidnapped and killed six days later. The main character is Elle Castillo, a retired child social worker who operates a true crime podcast called Justice Delayed. The book meets the requirements of the Clock Reading Challenge for November which I am furiously trying to finish. I loved the story so I will be looking for future novels written by the author Amy Suiter Clarke. Girl, 11 is her debut novel.

The publisher's summary:

Elle Castillo once trained as a social worker, supporting young victims of violent crime. Now she hosts a popular true crime podcast that focuses on cold cases of missing and abducted children.

After four seasons of successfully solving these cases in Minnesota’s Twin Cities, Elle decides to tackle her white whale: The Countdown Killer. Twenty years ago, TCK was terrorizing the community, kidnapping and ritualistically murdering three girls over seven days, each a year younger than the last. Then, after he took his eleven-year-old victim, the pattern—and the murders—abruptly stopped. No one has ever known why.

When Elle follows up on a listener tip only to discover the man’s dead body, she feels at fault. Then, within days, a child is abducted—a young girl who seems to fit suspiciously into the sequence halted decades before. While media and law enforcement long ago concluded that TCK had suicided, Elle has never believed that. She’d hoped her investigation would lay that suspicion to rest—but instead, her podcast seems to be creating new victims . . .

The mystery is revealed and solved via information given by the guests on Elle's podcast as well as in narrative by Elle to friends and family. Most chapters begin with a transcript of a podcast. The rest of the chapter has Elle following up on leads that either she discovers or her assistant Tina Nguyen discovers. There are also chapters from Elle's perspective and TCK's perspective. I have never read an epistolary novel before. It was uncomfortable initially but I eventually became accustomed to the format. By the middle of the book I looked forward to reading the podcast transcripts as plenty of clues were contained in them. I am calling this an epistolary novel even though the definition is one where letters reveal the story. It seems to fit in my mind.

So who is Girl, 11? Eleanor Watson was 11 years old when she was abducted by TCK. She was the only victim to escape his clutches. After her escape there was a twenty year period where TCK stopped killing. Some people thought he was dead or in jail but Elle was convinced that he was still alive. She devoted the entire fifth season of her podcast into catching him. 

Elle is a strong female character. She is a favorite among local police officers for finding evidence on cold cases. On some cases she worked alongside them and was a frequent visitor at the police station. Elle is married to Martin who was formerly married to Elle's best friend Sash. Together Sash and Martin have a 10 year old daughter Natalie. Martin works at the medical examiner's office performing autopsies. Now we all know both of them are supposed to keep their cases confidential. We all also know that it probably doesn't happen that often. I think Elle and Martin make a great team and would be perfect for a series of their own. 

All in all this was a gripping read and I am rating it 5 out of 5 stars.