The creation of a novel begins as a lonely endeavor. You select a scene and a character with which to commence, conjure a vague notion of how you would like the story to end, and then go about the task of connecting the two. Things, of course, do not go according to plan. Fictional characters—products of the author’s own imagination—decide to speak up for themselves and to do unexpected things without the author’s consent. The plot veers wildly this way and that like an out-of-control motorcycle in danger of crashing into the nearest tree. During the final frenzied week of editing, the largest Atlantic hurricane on record attempts to wipe out a good portion of the Eastern Seaboard of the United States—along with the offices of both the literary agency and the publishing house with which the book and its author are newly affiliated. To say that there are forces at work here beyond one’s control is, well, somewhat of an understatement. And yet, the project finds its way to completion, and there can be no other explanation for this unlikely success except to point to the numerous people who have helped to make it happen.
I would like to thank my editors, David Highfill and Jessica Williams, for their keen recognition of what did and did not serve the story well in its original form. This is a much different novel because of them, and it was their endless patience, clear vision, and untiring commitment that saw us through. Thanks also go to the folks at HarperCollins for their warm welcome and for all of the hard work that goes into a venture such as this. Paul Lucas is my outstanding agent, who shepherds me through the world of publishing with a rare combination of talent, thoughtfulness, and quiet confidence, and who calmly anchors me when the waters get choppy.
Claire Dippel reviewed my initial manuscript submission to Janklow & Nesbit and responded to my subsequent inquiries with both professionalism and uncommon kindness. Erin and Wilson Lem put me in touch with the appropriate people when the timing was right. The following individuals provided early reads of the original manuscript, proofread my work, offered sound advice, or simply bolstered me with their enthusiasm along the way: Dennis, Carolyn, and Mark Beuerle; Kristin and Kevin Lester; Leon, Dudley, and Georgana Gearhart; Shane Libby; Alicia Kramer; Artie and Margy Lynnworth; Beth Keegstra; and Heidi Troutner.
Certain medical details in this book are drawn from knowledge and experience acquired during my own training as a physician, but I have also utilized several medical texts for assistance, including Frank H. Netter’s timeless Atlas of Human Anatomy and Principles of Medical Biochemistry by Gerhard Meisenberg and William H. Simmons. As I am not a pathologist, a forensic odontologist, nor a law enforcement officer, I humbly ask for the reader’s forgiveness regarding any errors or inaccuracies related to these fields.
Finally, I want to thank my amazing wife, Dr. Lorie Gearhart, for being my first reader, for answering my questions about psychiatry, sociopathy, and mental illness, for providing creative suggestions regarding problems I encountered with plot and characters, for being a source of unwavering support, and for tolerating my obsession with this novel and the not-so-subtle intrusion it has imposed on our lives. It is to her and our young daughter that this book is dedicated.