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This is the story of an unlikable and mentally unbalanced physician, Dr. John Kappler, who drives onto a jogging path and runs over a couple of people. It turns out he has tried to kill some patients in the past as well. The author is a physician himself who notes that knowledge of the secret handshake enables him to secure candid interviews with doctors that Kappler had worked with in the past.The book contains long stretches of rambling and undisciplined speculation and comment about the hackneyed madbad issue as applied to this particular case and whether Kappler’s working class origins and resulting drive for status was the true motivation for the killings. All of this is completely bootless and very annoying.Ablow provides some hairraising descriptions of anesthesiologists as the lowest form of medical life. Not very reassuring for readers who may be contemplating surgical procedures. This was news to me, I had thought that jailhouse doctors and psychiatrists practicing on “special licenses” in psychiatric facilities were at the bottom of the medical hierarchy.

 

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