This post is a link to an article originally published in the California Society of Anesthesiologists Online First Blog, Authored by Dr. Michael Champeau:


An Anesthesia Suspense Novel by Rick Novak, MD – An Interview with the Author

I’m writing to recommend a page-turning suspense novel that stars a physician anesthesiologist as its protagonist. Authored by CSA Member and former District 4 Delegate Rick Novak, MD, The Doctor and Mr. Dylan is a mystery novel recently published by Pegasus Books that centers on the professional and personal rivalries between physician anesthesiologist Nico Antone and nurse anesthetist Bobby Dylan.

Most of us are too busy with our careers to even imagine spending our personal time reading a medical novel, but the first lines of The Doctor and Mr. Dylan will convince you this book is unlike those you’ve read before:

My name is Dr. Nico Antone. I’m an anesthesiologist, and my job is to keep people alive. Nothing could inspire me to harm a patient. Alexandra Antone was my wife. Alexandra and I hadn’t lived together for nearly a year. I dreaded every encounter with the woman. I wished she would board a boat, sail off into the sunset, and never return. She needed an urgent appendectomy on a snowy winter morning in a small Minnesota town. Anesthetist options were limited.

Life is a series of choices. I chose to be my wife’s doctor. It was an opportunity to silence her, and I took it.

The Doctor and Mr. Dylan is a medical thriller, a legal thriller, and an ode to musical icon Bob Dylan, all interwoven into a single plot line. In brief, Dr. Nico Antone is unhappily married and imagines a life without his tormenting wife, a Silicon Valley real estate tycoon whose income far outstrips his own. He’s also convinced that his son, a teenager enrolled at Palo Alto Hills High, would gain an advantage in college admissions if their family moved to the rural Midwest.  As a result, Dr. Antone moves with his son Johnny to Hibbing, Minnesota in hopes that he will graduate at the top of his class and be accepted into a prestigious Ivy League university. Johnny becomes a small town hero and academic star, while Dr. Antone befriends Bobby Dylan, a deranged nurse anesthetist who renamed and reinvented himself as a younger version of the iconic rock legend who grew up in Hibbing. The operating room death of Mrs. Antone rocks their world, and the anesthesiologist stands trial for murder—a murder he believes Mr. Dylan committed.

The Doctor and Mr. Dylan examines the dark side of relationships between a doctor and his wife, a father and his son, and a man and his best friend. Set in a rural Northern Minnesota world reminiscent of the Coen brothers’ Fargo, The Doctor and Mr. Dylan details scenes of family crises, operating room mishaps and courtroom confrontation, and concludes in a final twist that few will see coming. The prose is witty and funny, and I found myself chuckling repeatedly at unexpected times.

The book brings the issue of independent nurse anesthetist practice to a national audience, and the conflict that this at some times engenders drives the plot. Most of all, The Doctor and Mr. Dylan is a head-scratching mystery, guaranteed to keep you riveted until the last page. I read the last third of the book in a single post-midnight sitting, not able to wait for the resolution.

By way of full disclosure, Dr. Novak is one of my partners in the Associated Anesthesiologists Medical Group in Palo Alto. He has spent the past thirty-plus years at Stanford, where he served as an intern, a resident in internal medicine, an emergency room faculty member, an anesthesia resident, and finally as an Adjunct Clinical Associate Professor of Anesthesia. Rick’s writing career blossomed in the role of Deputy Chief of Anesthesia at Stanford, where he authored a monthly column on private practice anesthesia in the department newsletter. As a friend, colleague and reader, I recently interviewed Rick to gain insight into his new writing career:

Q: How long did it take you to write the novel?
A: Three years. One year to write the manuscript, one year to edit it and improve the storytelling, and one year to obtain an agent who then sold it to Pegasus Books.

Q: When did you find time to write?
A: I wrote late at night, early in the mornings, on rainy weekends and on sunny weekends—whenever I had a free hour with my laptop. I had a compulsion to write the story that first year. I didn’t sleep much.

Q; Why did you choose to write fiction?
A: I’ve been penning creative short stories, skits, and speeches since high school. I had written more than seventy non-fiction columns in the Stanford anesthesia department newsletter over the past twelve years, but I wanted to write something more substantial and more entertaining. I believe a lot of people are curious about anesthesia, and I know there are stories to be told.

Q: Describe the style of this book.
A: My aim was to write a fast-paced page-turner that would appeal to both non-medical as well medical audiences. After the first draft, I edited the manuscript and cut out every scene and every sentence that wasn’t essential to the story. My style is conversational. The book is written in the first person and it reads as if the narrator is telling you an oral story. The dialogue is genuine—characters talk the way people really converse in an operating room, in a tavern, or in a courtroom.

Q: What can an anesthesiologist learn from the book?
A: First off, it’s a mystery that anesthesiologists and physicians will have an advantage in solving, because of our experience and training. Beyond that, you’ll learn about life and medicine in small town Minnesota, you’ll learn about the history and legend of Bob Dylan, who grew up in Hibbing, Minnesota, and you’ll learn to love the memorable characters who populate the pages.

Q: Any advice to other aspiring anesthesiologist authors?

  1. Write what you enjoy writing, whether your dream is to create fiction or medical non-fiction. I’ve spent thousands of hours writing columns for the Stanford anesthesia department, for my website, and penning this novel, yet not one minute of the time felt like work to me.
  2. I chose to read 15 – 20 books on the art of writing fiction and also on the business of querying an agent. I didn’t have the inclination or the time to enroll in a Creative Writing Master’s of Fine Arts program, so these resource books were my database for learning. I also picked the brain of every published author I ever met, in an effort to learn the craft and the business.
  3. You’ll need perseverance, because the publishing industry is based in New York City, not California, and every one of us is an unknown in their industry. I received 207 rejections from agents before I was offered a contract, and I think that’s not an atypical experience for most first-time authors.
  4. Once you’ve completed and polished your manuscript, invite every friend who has any interest to read it and critique it. You don’t want your first critical audience to be an agent or a publishing house. Get as much as advice and input as you can before you submit your work to the professionals.
  5. Read a lot of the genre you’re interesting in writing, to develop an feel for what successful plotting, pacing, and dialogue look like.
  6. And lastly, read The Doctor and Mr. Dylan … to see what kind of tale a fellow anesthesiologist weaves about operating rooms, courtrooms, murder, music, success, failure, life, and love in our 21st century world.

Read further articles on the California Society of Anesthesiologists Online First Blog at


Introducing …,  THE DOCTOR AND MR. DYLAN, Dr. Novak’s debut novel, a legal mystery. Publication date September 9, 2014 by Pegasus Books.

On October 2, 2014 THE DOCTOR AND MR. DYLAN became the world’s  #1 bestselling anesthesia Kindle book on

The first four chapters are available for free at Amazon. Read them and you’ll be hooked! To reach the Amazon webpage, click on the book image below:


Stanford professor Dr. Nico Antone leaves the wife he hates and the job he loves to return to Hibbing, Minnesota where he spent his childhood. He believes his son’s best chance to get accepted into a prestigious college is to graduate at the top of his class in this remote Midwestern town. His son becomes a small town hero and academic star, while Dr. Antone befriends Bobby Dylan, a deranged anesthetist who renamed and reinvented himself as a younger version of the iconic rock legend who grew up in Hibbing. An operating room death rocks their world, and Dr. Antone’s family and his relationship to Mr. Dylan are forever changed.

Equal parts legal thriller and medical thriller, The Doctor and Mr. Dylan examines the dark side of relationships between a doctor and his wife, a father and his son, and a man and his best friend. Set in a rural Northern Minnesota world reminiscent of the Coen brothers’ Fargo, The Doctor and Mr. Dylan details scenes of family crises, operating room mishaps, and courtroom confrontation, and concludes in a final twist that will leave readers questioning what is of value in the world we live in.


5.0 out of 5 stars The Doctor and Mr Dylan, March 3, 2015
prabha venugopal (chicago, il USA) – See all my reviews
Verified Purchase(What’s this?)
Gripping from the beginning to the end. Very well written, bringing to the forefront all the human emotions seen in an operating room spill over into real life. I cannot wait for Dr. Novak to wrote another book! As another physician in the same profession, my admiration for his book knows no limits.

Bang-Up Debut Novel, November 16, 2014

By Norm Goldman “Publisher & Editor of Bookpleasures”

This part legal and medical thriller is structured with a mixed bag of situations involving relationships, jealousy, evil, lies, courtroom drama, operating room mishaps as well as moments that engender conflicting and unexpected outcomes. Noteworthy is that as the suspense builds readers will become eager to uncover the truth involving a mishap concerning Nico and a surgical procedure that has unanticipated ramifications.

This is a bang-up debut from a writer who understands timing and is able to deliver hairpin turns, particularly involving the courtroom drama,that you would expect from a book of this genre. PIONEER PRESS Entertainment

by Mary Ann Grossman, Entertainment Editor, St. Paul Pioneer Press, January 4, 2015

“The Doctor & Mr. Dylan” by Rick Novak (Pegasus Books, $17.50)

Dr. Nico Antone doesn’t hide the fact he hates his wife, but he says he didn’t kill her during an operation. The authorities think otherwise and his trial is the riveting suspense in this novel that is part medical thriller, part legal thriller, part exploration of family relationships.

Nico is an anesthesiologist (as is the author) who leaves his wife, their plush life in California and his job at Stanford to move to his hometown of Hibbing so their son, Johnny, has a better chance of getting into a prestigious college. Johnny hates the idea of moving to a small, cold town, but he’s popular from the first day in school. Nico doesn’t do so well. He’s envied by Bobby, an anesthetist who’s jealous of the better-educated Nico. But it’s hard to take Bobby seriously, since he thinks he’s the young Bob Dylan and lives in the house where Bobby Zimmerman grew up. To complicate matters, Nico is attracted to the mother of the young woman his son is dating. When the two teens get in trouble, Nico’s furious, rich wife comes to Minnesota and needs an emergency operation that puts her on Nico’s operating table.

Novak grew up in Hibbing, where he worked in the iron ore mines and played on the U.S. Junior Men’s Curling championship teams of 1974 and ’75. After graduating from Carleton College, he earned a medical degree at the University of Chicago and spent 30-plus years at Stanford Hospital, where he was an associate professor of anesthesia and Deputy Chief of the Anesthesia Department. His courtroom scenes are based on his experiences as an expert witness.

The Physician’s Late-Night Reading List

Two Pritzker alums pen captivating tales

By Brooke E. O’Neill, University of Chicago Pritzker School of Medicine, editir, Medicine on the Midway Magazine

For most physicians, writing — patient notes, case histories, perhaps journal articles — is part of the job. But for anesthesiologist-novelist Rick Novak, MD’80, and neurosurgeon-memoirist Moris Senegor, MD’82, it’s a second career that consumes early morning hours long before they step into the OR.

Fans of John Grisham will find a kindred spirit in Novak, whose fast-paced medical thriller, The Doctor & Mr. Dylan (Pegasus Books, 2014), transports readers to rural Northern Minnesota, where an accomplished physician and a deranged anesthetist who thinks he’s rock legend Bob Dylan see their worlds collide in the most unexpected ways.

Delivering real-life twists and turns — and a love letter to the Bay Area — is Senegor’s Dogmeat: A Memoir of Love and Neurosurgery in San Francisco (Xlibris, 2014), a coming-of-age tale chronicling the author’s away rotation with renowned neurosurgeon Charles Wilson, MD, at the University of California, San Francisco. Brutally honest, it spares no details of a time Senegor, who also served as a resident under the University of Chicago’s famed neurosurgery chair Sean Mullan, MD, describes as “one of the biggest failures of my life.”

One a vividly imagined nail-biter, the other an intimate peek into the surgical suite, both books deliver an ample dose of intensity and drama.



The Doctor and Mr. Dylan (Pegasus Books, 2014) by Rick Novak, MD’80

“I thought it was a novel way of killing someone,” said Rick Novak, deputy chief of anesthesiology at Stanford University, describing the imagined hospital death that was the genesis of his dark thriller The Doctor & Mr. Dylan. A huge Bob Dylan fan — the rock icon was born in Novak’s hometown of Hibbing, Minnesota, where the story takes place — he then dreamed up a possible culprit: a psychotic anesthetist who thinks he’s Dylan.

From there, the words flowed. “I would write whenever I was with my laptop and had a free moment: in mornings, in evenings, in gaps between cases,” said Novak, who also blogs about anesthesia topics. “I don’t sleep much.”

After finishing the manuscript — one year to write, another to edit — came the challenge of finding a publisher. “In anesthesia, I’m an expert,” Novak said. “In the literary world, I’m an unknown.” After 207 responses of “no, thanks” or no answer at all, he landed an agent. Two months later, she informed him that Pegasus Books had bought his debut novel.

“I started crying,” Novak admits. “I have a third grader and at the time the big word the class was learning was ‘perseverance.’ That was it exactly.”

Dr. Joseph Andresen, Editor, Santa Clara County Medical Association Medical Bulletin, from the January/February 2015 issue:


This past month, Dr. Rick Novak handed me a hardbound copy of his debut novel The Doctor and Mr. Dylan. Rick and I go way back. It was my first week of residency at Stanford when we first met. A newcomer to the operating room, all the smells and sounds were foreign to me despite my previous three years in the hospital as an internal medicine resident. Rick, a soft spoken Minnesotan at heart, in his second year of residency, took me under his wing and guided me through those first few bewildering months, sharing his experience and wisdom freely.

Fast-forward 30 years later. Dr. Rick Novak, a novel and mystery author? This was new to me as I sat down and opened the first page of The Doctor and Mr. Dylan. I have to admit that I didn’t know what to expect. Few books highlight a physician/anesthesiologist as a protagonist, and few books feature a SCCMA member as a physician/author. However, a medical-mystery theme novel wasn’t at the top of my must read list. With my 50-hour workweek, living and breathing medicine, imagining more emotional stress and drama was the furthest thing from my mind. However, three days later, as I turned the last page, and read the last few words. “life is a series of choices. I stuck my forefinger into the crook of the steering wheel, spun it hard to the left and …” This completed my 72-hour journey of and free moments I had, completely immersed in this story of life’s disappointments, human imperfections, and simple joys.

Rick, I can’t wait for your next book. Bravo!

Hibbingite writes twisted medical tale

HIBBING — Readers who are looking for a whodunit that will keep them up all night are in for a treat.

Hibbing native Rick Novak recently released his first book “The Doctor and Mr. Dylan,” a fiction set in Hibbing that merges anesthesia complications, a tumultuous marriage and the legend of Bob Dylan.

“The dialogue is sometimes funny, and there are lots of plot twists,” he said.

Novak said the book will not only entertain readers, but teach them about anesthesiology, Dylanology, the stressful race for elite college admission, and life on the Iron Range.

“The book is very conversational and streamlined,” he said. “I try to write as one would tell a story out loud.”

Novak said “The Doctor and Mr. Dylan” took him three years to perfect. He is currently working on his second book.

5.0 out of 5 stars I Sense We Have Another F.Scott Fitzgerald Emerging on the Literary Scene, December 1, 2014
Deann Brady (Sunnyvale, CA USA) – See all my reviews
I found Rick Novak’s first novel, “The Doctor and Mr. Dylan,” a most exciting combination of biting sarcasm, mystery and daily activity spun with fresh new phrases that made me turn my ear back to listen to the literary cadence of his words again and again even though, on the other hand, I was anxious to turn the pages to see what would happen next. His brilliant handling of scenes is reminiscent of The Great Gatsby by F. Scott Fitzgerald. A compelling read!Deany Brady, author of “An Appalachian Childhood”


allan mishra

This review is from: The Doctor and Mr. Dylan (Kindle Edition)

Just finished Dr. Novak’s delightful novel. I sincerely enjoyed his honest take about the pressures and values that exist within California’s Silicon Valley. He also brought the North Country of Minnesota to life with memorable characters and a twisting, addictive plot. Buried beneath the fun and funny story is a deeper message about how to best care for your kids, your relationships and yourself. Very well written and highly recommended.

Learn more about Rick Novak’s fiction writing at rick by clicking on the picture below:



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