Nursing demands vigilance about people. The sights and smells that a patient offers, their movements and their offhand comments all contribute crucial information to understanding what they need. Training and experience heighten one's ability to see what needs to be seen.

Being with a small publisher has been huge. They bat for me for everything.

A story is built on characters and reasons.

Fiction demands structures and recognizable shapes. Big surprises only draw attention to the writer's hand.

Until I became a nurse, no one had ever asked me to sign a book contract. I had been writing for decades, read thousands of books, and even worked in publishing for 10 years. Who knew that nursing would be my break?

Nursing demands vigilance about people. The sights and smells that a patient offers, their movements and their offhand comments all contribute crucial information to understanding what they need. Training and experience heighten one's ability to see what needs to be seen.

I could imagine that a character could do almost anything at any time, and that was the freedom of the whole thing. But keeping track of what was plausible for certain characters [was the challenge].