Showing posts with label Female Doctors. Show all posts
Showing posts with label Female Doctors. Show all posts

Thursday, August 28, 2025

A Deadly Promise (A Dr. Margaret Demery Book) by Paula Harmon; Brilliant Protagonist Outshines Convoluted Plot

 

A Deadly Promise (A Dr. Margaret Demery Book) by Paula Harmon; Brilliant Protagonist Outshines Convoluted Plot

By Julie Sara Porter 

Bookworm Reviews 

Spoilers: Sometimes the plot is the best part of a mystery. Sometimes it's the murder victim, the suspect, or even the murderer. Other times, such as in the case with A Deadly Promise, a volume in Paula Harmon’s Dr. Margaret Demery series, it's the lead protagonist. In fact, the protagonist in this book is such a memorable character that she is easily the best part of an at times confusing and convoluted mystery.

In 1914, Amos Chalkley, a young man, dies shortly after pathologist Dr. Margaret Demery gives him directions to the War Office. It seems to be a robbery gone wrong, but Margaret doesn't think so especially after another man, Luther Byrd, dies close by in a similar manner. They both have similar symptoms of some unknown contagion. Margaret and her husband, intelligence operative, Inspector Fox Foxcroft investigate while there is talk of rebellion in Ireland and predictions of a great world war especially after Astro-Hungarian Archduke Franz Ferdinand and his wife, Sophie are assassinated.

Let's start with the good stuff. Dr. Margaret Demery is the type of independent strong willed female detective that occurs often in Historical Mysteries and with good reason. Not only are they often excellent detectives with adept observation skills, empathetic understanding of the people involved, and plucky persistent spirits that pursue justice to the end, but Readers get to see what life was like for women of that era.

 In many times, women were suppressed, marginalized, either treated as fragile objects or constant workhorses, and raised to be wives and mothers and that's it. These protagonists often counter these assumptions. Some have careers of their own or are independently wealthy. Even if they take traditional paths and don't earn a living as investigators, they are able to use those skills as amateurs. The approach that these authors take are often intentionally subversive, even Feminist, in how their protagonists are written.

That is especially noticeable with Dr. Margaret Demery. She is a respected pathologist in a time period when female doctors existed but were still held under intense scrutiny and suspicion. Pathology was not looked upon as a suitable field for women as it was believed that women were too fragile and vulnerable to look at and investigate a dead body but Margaret shows that she has the stomach for it. She also works with living patients as well and uses her studies in respiratory illnesses to deduce short and long term complications.

The book explores the rampant misogyny and sexism that is not only personally experienced by Margaret herself but by other women. One of the most intense chapters involves a suffrage march which quickly becomes violent. Even before the violence occurs, the marchers are insulted and mocked by men in the crowd. Some women say that they sneaked out or had to get their husband's permission to march. Even though Margaret is happily married to a man who is empathetic to their cause, her husband, Fox reads her the riot act for being involved in a potentially dangerous situation. His concern is duly noted but he can't resist infantilizing his wife and chastising her like a child incapable of her own agency.

A very important lead that occurs in the book is the institutionalization of Iris Byrd, the wife of Luther one of the murder victims. She was institutionalized by her husband before his death after a domestic dispute. It shows that many people in that time period could have someone committed to a mental hospital for the flimsiest reasons including arguing with family members. Some men, like Luther, and we later learn another character, did this to wives and female relatives as a display of dominance if they felt that they stepped out of line or defied authority. This is the kind of world which Margaret has to navigate through to learn the killer’s identity.

When the book focuses on Margaret's individual investigation in the central murders, the book succeeds. However, it falters when combining it with the larger international picture. There are various characters and situations thrown in that represent different topics of the time such as the Irish Rebellion and WWI, some of which only have a peripheral involvement in the actual murders. There is the reappearance of a former enemy of Fox’s whose involvement with this plot only makes things more confusing. Then there are the obligatory red herrings, false leads, and betrayals which only hinder the investigation and it becomes hard to remember who is who, what their motives were, and what they had to do with the central mystery. 

It seems as though Harmon had too many ideas for this volume. Instead of focusing on one specific plot angle, she threw them all in. The results are an overwhelming Mystery which contains far too many subjects to create a streamlined focused mystery. 

Sometimes that's a good approach to focus on both the political and personal struggles particularly in an important historical time period like the days before WWI, but they need to be evenly balanced instead of thrown together. It needs to deliver a case where this point and that point lead to a specific conclusion rather than create a situation where it is hard to remember who is who. 

A Deadly Promise is not a terrible historical mystery so much as one with great potential especially with its lead character. Margaret is definitely the brightest spot in this book that needs more focus.



Thursday, November 30, 2023

New Book Alert: In The Hands of Women (A Gilded City Series) by Jane Loeb Rubin; Revealing Historical Fiction About Reproductive Rights Resonates In Modern Day

 




New Book Alert: In The Hands of Women (A Gilded City Series) by Jane Loeb Rubin; Revealing Historical Fiction About Reproductive Rights Resonates In Modern Day

By Julie Sara Porter

Bookworm Reviews


Spoilers: Some Historical Fiction novels are not necessarily about capturing the time period in which they are set. Well that's important as well. But they are written in response to current events. They show how these struggles started, why they are necessary, why people are still fighting for them, and why those who are against them fear accepting those rights. They remind us how far we have come and what still needs to be done.


It's hard to distance Jane Loeb Rubin’s novel, In The Hands of Women from the current events dealing with the controversies towards granting reproductive rights. It was certainly the nucleus of inspiration or at least a reminder of what was lost, gained, re-lost,and needs to be regained.


In the Hands of Women concerns Dr. Hannah Isaacson, an obstetrician and suffragist in 1900 Baltimore and New York City. This situation is dour as many do not take her seriously. Some midwives are even performing illegal and badly performed abortions which seriously hurt the patients more than help. When a close friend dies in childbirth, Hannah decides to take action. 


Hannah befriends Margaret Sanger, birth control advocate and founder of Planned Parenthood. Hannah joins Sanger on her crusade to provide contraceptives and safe early trimester abortions for patients, in defiance of the restrictive Comstock Laws. Unfortunately, after a patient that she is attending to dies from the results of a botched unsafe abortion, Hannah finds herself on trial for murder and is sent to the notorious Blackwell’s Island Prison.


In the Hands of Women has one foot set in the past and another foot set in the immediate present. The historical details of a female doctor's experience in the early 20th century are well written and researched. However, the themes are timeless and serve as a word of caution, a warning,maybe anger that we were not listening, and hope that we will.


Hannah's story is rich with details about the struggles that women had to go through (and some still do) to become and be taken seriously as doctors. Even though Elizabeth Blackwell became the first woman to obtain a medical degree in the United States in 1849, that was still a long way from accepting her younger successors into the medical establishment. Hannah is such an example.


Hannah is shoved to the sidelines by her male colleagues and is often mistaken for a nurse or a midwife. Many mock her ambitions and dismiss her medical advice. Even when her advice is proven right, either her colleagues take credit or the patient's husband or father downplay it.  Even Hannah's husband who was at one time supportive of her drive and career turns against her and ignores her when her alliance with Sanger lands her in prison and threatens his reputation.


The patients often have it worse. Many of Hannah’s patients are overlooked by male doctors because “everyone has babies.” Hannah isn't always called in unless the situation is dire and by then it is often too late.


Some of the patients are teenage or younger aged girls who have been raped. Some have trouble giving birth having difficult labors that could kill them. Patients have had one too many children and really don't want another one but their husbands insist and some have had miscarriages or stillbirths that are treated like abortions.


Because of the bad treatment from many of the medical professionals, these women often turn to herbalists and midwives who have had very little training, don't always know what they are doing, and are careless when it comes to saving lives. 


The book is filled with bloody surgeries, last minute life saving techniques, and terrified patients on their deathbeds or reduced to victims of PTSD because of the medical treatment. In one chapter, a woman undergoes a torturous abortion only to have a nervous breakdown and be institutionalized (and the mental health treatment is not any better so it is a certainty that she will continue to suffer). It is easy to see why Hannah wants to change things and while she and Sanger work to provide better reproductive care for women, why such a situation takes a long time to improve potentially not in Hannah's lifetime and certainly late into Sanger’s. When the entire  establishment is at fault, change can take several generations.


While this is a book about the past, it is also a call to action for the present. Even now women's reproductive rights are threatened as Roe V. Wade was overturned in several states (though the recent election has resulted in potential changes in that). Many businesses and individuals question paying for contraceptives, wanting to end not only the means to terminate a pregnancy but the means to prevent it in the first place. Planned Parenthoods are forced to charge for services, threatened by demonstrators, and even forcibly shut down so cis and trans women can't always get the proper inexpensive health care that they need. The bad old days from In The Hands of Women are unfortunately not far behind us and could be in the immediate future if we are not vigilant.


In The Hands of Women is less of a historical fiction novel than it is simultaneously a savage look over what happened in the past when reproductive rights weren't granted and a warning of the potential dark future that could happen if they are denied once more.