Malice By Design
In a prestigious oncology hospital, a deadly new disease threatens children already fighting for survival. But with a cure as controversial as the cause, can a dedicated doctor balance ethics and research to save lives?
Dr. Jack Wyatt is renowned for solving the unsolvable. When a colleague approaches him about a dangerous new malady affecting only Leukemia patients at a prestigious oncology hospital, the mysterious case is too intriguing to pass up. So he and the brilliant Dr. Madison Shaw, a physician who shares not only his expertise but also his secrets, embark in a race against time to save the children as cases mount.
Within the hospital walls, they confront a labyrinth of medical conundrums, hostile colleagues guarding their territory, and a web of political intrigue. Their only clue: the cryptic journals of a brilliant scientist haunted by an atrocious past. But as they inch closer to a breakthrough, they must navigate a treacherous path where betrayal, sacrifice, and justice blur the line between right and wrong.
Their pulse-pounding race for a cure will confront the ultimate question: can medical progress justify using research born of evil for the greater good?
Gary Birken
Before I first set pen to paper as a novelist some twenty years ago, I was a fulltime pediatric surgeon. I completed eight years of surgical training at the Ohio State University and remain an ardent fan. The question I’m asked most often is; how did you find the time to write novels and attend to a busy pediatric surgical practice at the same time? The simple answer is when you spend every waking hour pursuing your life’s passions, you can always find time. But I will admit that having more time now is a luxury that I enthusiastically embrace. It affords me the opportunity to devote more time to writing, and to get more involved with my readers.
Madison Shaw and Jack Wyatt Medical Mysteries
Madison Shaw and Jack Wyatt Medical Mysteries consists of four books. The current recommended reading order for the series is provided below.


