Posted in Cozy, Giveaway, mystery, Spotlight on December 6, 2019

 

 

Death on the Danube: A New Year’s Murder in Budapest (Travel Can Be Murder Cozy Mystery Series)
Cozy Mystery
1st in Series
Traveling Life Press (November 28, 2019)
Print Length ~200 Pages

Synopsis

Who knew a New Year’s trip to Budapest could be so deadly? The tour must go on – even with a killer in their midst…

Recent divorcee Lana Hansen needs a break. Her luck has run sour for going on a decade, ever since she got fired from her favorite job as an investigative reporter. When her fresh start in Seattle doesn’t work out as planned, Lana ends up unemployed and penniless on Christmas Eve.

Dotty Thompson, her landlord and the owner of Wanderlust Tours, is also in a tight spot after one of her tour guides ends up in the hospital, leaving her a guide short on Christmas Day.

When Dotty offers her a job leading the tour group through Budapest, Hungary, Lana jumps at the chance. It’s the perfect way to ring in the new year and pay her rent!

What starts off as the adventure of a lifetime quickly turns into a nightmare when Carl, her fellow tour guide, is found floating in the Danube River. Was it murder or accidental death? Suspects abound when Lana discovers almost everyone on the tour had a bone to pick with Carl.

But Dotty insists the tour must go on, so Lana finds herself trapped with nine murder suspects. When another guest turns up dead, Lana has to figure out who the killer is before she too ends up floating in the Danube…

Introducing Lana Hansen, tour guide, reluctant amateur sleuth, and star of the Travel Can Be Murder Cozy Mystery Series. Join Lana as she leads tourists and readers to fascinating cities around the globe on intriguing adventures that, unfortunately for Lana, often turn deadly.

Feel-good stories about friendship, travel, and celebrating new experiences. Coming soon: Books 2 and 3 in the Travel Can Be Murder Cozy Mystery Series!

 

 

AmazonAmazon Worldwide

 

 

About the Author

Jennifer S. Alderson was born in San Francisco, raised in Seattle, and currently lives in Amsterdam. After traveling extensively around Asia, Oceania, and Central America, she moved to Darwin, Australia, before settling in the Netherlands. Her background in journalism, multimedia development, and art history enriches her novels. When not writing, she can be found in a museum, biking around Amsterdam, or enjoying a coffee along the canal while planning her next research trip.

Jennifer’s love of travel, art, and culture inspires her award-winning mystery series—the Zelda Richardson Mysteries and Travel Can Be Murder Cozy Mysteries—and standalone stories.

 

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Posted in Cover Reveal, Cozy, mystery on December 5, 2019

 

 

Lone Star Literary Life EXCLUSIVE!

Lone Star Literary Life is honored to present the cover

of the fifth book in the Gethsemane Brown Mysteries

by Alexia Gordon & Henery Press.

To be released March, 2020

 

 

 

PRESENTING . . .

 

 

 

Synopsis

Romance is in the air. Or on the ‘gram, anyway.

When an influencer-turned-bridezilla shows up at the lighthouse to capture Insta-perfect wedding photos designed to entice sponsors to fund her lavish wedding, Gethsemane has her hands full trying to keep Eamon from blasting the entire wedding party over the edge of the cliff.

Wedding bells become funeral bells when members of the bride’s entourage start turning up dead. Frankie’s girlfriend, Verna, is pegged as maid-of-honor on the suspect list when the Garda discover the not-so-dearly departed groom was her ex and Gethsemane catches her standing over a body.

Gethsemane uncovers devilish dealings as she fights to clear Verna, for Frankie’s sake. Will she find the killer in time to save Frankie from another heartbreak? Or will the photos in her social media feed be post-mortem?

 

EXECUTION IN E

TO BE FEATURED ON

LONE STAR BOOK BLOG TOURS

MARCH, 2020

Visit the tour page now on Lone Star Literary Life 

 

 

About the Author

A writer since childhood, Alexia Gordon won her first writing prize in the 6th grade. She continued writing through college but put literary endeavors on hold to finish medical school and Family Medicine residency training. She established her medical career then returned to writing fiction. Raised in the southeast, schooled in the northeast, she relocated to the west where she completed Southern Methodist University’s Writer’s Path program. She admits Texas brisket is as good as Carolina pulled pork. She practices medicine in North Chicago, IL. She enjoys the symphony, art collecting, embroidery, and ghost stories.

  Website ║ Facebook ║ Instagram

BookBub  ║ Twitter ║ Goodreads

 

 

 

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Posted in Cozy, Giveaway, mystery, Spotlight on December 5, 2019

 

 

 

Death By Library (Pismawallops PTA Mysteries)
Cozy Mystery
4th in Series
Independently Published (December 6, 2019
Number of Pages — ~280

Synopsis

The library can save your life… can it kill you, too?

JJ has a new job at the library, which ought to make her happy. But with all those books to shelve, the PTA to run, and a 16-year-old son to raise, there’s never enough time to spend with her sweetheart, police chief Ron Karlson. That’s especially true with Thanksgiving on the horizon and her mother coming to visit, not to mention the PTA’s Holiday Bazaar looming ahead.

When things turn deadly in the library stacks, JJ needs some answers fast, before she loses her job—or her life. She’s determined to learn everything about the victim, and for once the library doesn’t hold all the answers. JJ and Kitty may have to face the ultimate peril: a visit to Mrs. Halsey, the oldest—and crankiest—person on the island.

 

 

Amazon – Apple Books – SmashwordsKobo –  B&N

 

About the Author

After a lifetime of reading, and a decade or more of slinging books at the library and herding cats with the PTA, Rebecca began to turn her experiences into books of her own, publishing her first in 2012. That failed to quiet the voices in her head, but seemed to entertain a number of readers, so she wrote some more, which generated still more voices. Despite the unlimited distractions provided by raising sons to the point of leaving home (and preparing to move without forwarding address if necessary to retain that empty nest), not to mention the mountains that keep calling (very hard to resist the urging of something the size of the Sierra Nevada), she has managed to pen a total of 9 books so far.

For those who enjoy murder and mayhem with a sense of humor, Rebecca’s Pismawallops PTA mysteries (Death By Ice Cream and Death By TromboneDeath By Adverb, and Death By Library) provide insights into what PTA moms are really like. If you prefer tall tales and even less of a grip on reality, visit Skunk Corners in The Ninja Librarian and the sequels Return to Skunk Corners and The Problem of Peggy. For those who’ve always thought that fantasy was a bit too high-minded, a stumble through rescues and escapes with Halitor the Hero, possibly the most hapless hero to ever run in fear from any and all fair maidens, should set you straight.

Why does Rebecca write so many different kinds of books (there’s even an alphabet picture book in the mix!)? We could argue that it’s because she has a rich lifetime of experience that requires expression in—squirrel!

Amazon Author Page * Smashwords Author Page * Facebook

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Posted in Cover Reveal, romance on December 5, 2019

 

 

Synopsis

They meet under impossible circumstances.

She is kidnapped by terrorists blackmailing her father, a Supreme Court Judge. He leads the team sent to rescue her.

Trekking to safety through Ladakh… They are in danger of falling in love. But, Lt. Col. Arjun Rathod knows that Naina Ahuja, engaged to politics’ rising star, is not meant for him.

Forever changed by her trauma, Naina walks out of her controlling family and forges a new life.

And then, she meets Arjun again. But this time, he is engaged to someone else.

Can they save their love or is it too late?

 

 

About the Author

Shilpa Suraj wears many hats – corporate drone, homemaker, mother to a fabulous toddler and author.

An avid reader with an overactive imagination, Shilpa has weaved stories in her head since she was a child. Her previous stints at Google, in an ad agency, and as an entrepreneur provide colour to her present day stories, both fiction and non-fiction.

 

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Posted in 4 paws, paranormal, Review, Science Fiction, Supernatural, Young Adult on December 4, 2019

 

Brown Books Publishing

Paperback: 200 pages

April 23, 2019

Genre: YA, Sci-fi, paranormal

 

Synopsis

Eric Horton sees fire.

When he sleeps, he dreams of a world screaming in the midst of devastating explosions. These dreams terrify him, and as more strange happenings unfold around him, he’s unable to shake the feeling that what he’s seeing isn’t just a dream.

When a new student, Renee, appears in his science class, he could swear he’s known her forever. But how could that be? As they get to know each other, he meets her father, who explains the experiments he’s been conducting involving “the Universal Energy Field” and “Collective Consciousness”—two things Eric has never heard of before. They seem to be tied to the idea that we are all connected by the same energy and are all more powerful than we realize. Eric begins to learn more about these groundbreaking concepts—but can they be real?

As his life continues to shift and his knowledge of the Field increases, Eric will be tested beyond anything he’s experienced before. He must decide whether he believes in that part of himself which ties him to the world around him, and he must access it—or lose everything he’s been working to keep.

 

 

Amazon * B&N * BookBub

 

Review

This book actually surprised me because sometimes sci-fi/paranormal books are hit and miss with me.  But this story of a young man’s ability to absorb the energy around him and see or sense things intrigued me.  Since this is a YA book, it wouldn’t be complete without the usual teenage drama and young love.

This story follows Eric, an up and coming goalie for the high school he attends.  He has a younger sister and brother with whom he has a good relationship.  Actually, he has a good relationship with all of his family which is refreshing to see considering what we see in the news.  The drama or angst comes from his friends and their shenanigans, which is not uncommon for a teenager.  Eric has some strange dreams and has no idea what they could possibly mean until events prove his dreams to be a reality and not just some weird dream.

I enjoyed the science aspect of this story and the explanations of matter, energy, and harnassing it for the betterment of mankind.  I think that all of this could be possible one day, perhaps sooner than we think.  I also appreciated that the science in this book was thoroughly explained and not just glossed over.  The author definitely put her degree to good use in this book.

There is romance between several of the characters and of course northing runs smoothly as is usual with teens.  However, I felt that the advancement of the various relationships felt solid and realistic.  The relationships were subdued and did not progress too much more than kissing.

We give this book 4 paws up and if you enjoy YA with a sci-fi or paranormal flair, you might want to pick this book up for your next read.

 

 

About the Author

Tracy wasn’t always a writer, but she was always a reader. Her favorite book growing up was A Wrinkle in Time by Madeleine L’Engle. In a weird way, her life reflects the book through odd synchronicities. She has a degree in Biology like Mrs. Murry and without realizing it she named her children Alex and Katie after Meg’s parents. (Really, it was not intentional, because that would be weird)!

Tracy uses her science background in her writing through her emphasis on environmental issues and metaphysics. Growing up, Tracy’s younger brothers called her ‘sarge’ and once when she took a personality test for a job, the evaluator said she could give a Drill Sargent a run for his money. If you need someone to boss you around, Tracy’s your gal! Tracy lives in Indianapolis.

 

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Posted in excerpt, Giveaway, Romantic Suspense on December 3, 2019

 

Title: In The Dark
Author: Loreth Anne White
Release Date: December 1, 2019
Publisher: Montlake

Synopsis

The promise of a luxury vacation at a secluded wilderness spa has brought together eight lucky guests. But nothing is what they were led to believe. As a fierce storm barrels down and all contact with the outside is cut off, the guests fear that it’s not a getaway. It’s a trap.
Each one has a secret. Each one has something to hide. And now, as darkness closes in, they all have something to fear—including one another.

Alerted to the vanished party of strangers, homicide cop Mason Deniaud and search and rescue expert Callie Sutton must brave the brutal elements of the mountains to find them. But even Mason and Callie have no idea how precious time is. Because the clock is ticking, and one by one, the guests of Forest Shadow Lodge are being hunted. For them, surviving becomes part of a diabolical game.

 

 

Q&A: Author Loreth Anne White

You are very well known for your romantic suspense tales, but your new title, IN THE DARK, is all about mystery — a real whodunit! Tell us a bit about the story.

I like to think there is still a strong echo of my earlier romantic suspense books that ripples through IN THE DARK. Yes, it’s a locked-room mystery/thriller — wilderness style, but the mystery narrative is wrapped inside a romantic suspense-style narrative that follows a budding friendship between Detective Mason Deniaud and Search & Rescue manager Callie Sutton who must not only piece together what happened as they hunt for survivors, but also must race against time to save who might be left. The story leaves off with a promise of more ahead in the relationship between Callie and Mason, so my roots are still showing, I hope.

Your story definitely has shades of Agatha Christie as well as a nod or two to Stephen King. Did these authors act as inspirations for this book?

IN THE DARK is not only a homage to Agatha Christie’s AND THEN THERE WERE NONE, but Christie’s story becomes a plot device, a psychological tool that the villain uses to instill fear in the victims trapped in the lodge because the victims know what transpired in the book, and they anticipate the same will happen to them.

And yes, a teensy nod to master of atmosphere and horror, Stephen King’s THE SHINING where characters are trapped in a remote and snowbound hotel and become mercy to the psychological horror that descends on them.

A rural, isolated lodge is always a great place to start a suspenseful novel. How exactly did your characters all come to be at Forest Shadow Lodge?

The characters are invited for an all-expenses stay at the brand new, high-end, fly-in wilderness lodge and spa. They are lured by an offer to enjoy a ‘soft opening’, so to speak, where they can assess the accommodation and potentially negotiate lucrative contracts with the new lodge owners. Each guest runs a business that would be suitable for such an establishment. Each is excited by a possible lucrative contract. But not all is quite what meets the eye, of course.

Your story is told from multiple points-of-view as you take deep dives into the characters’ lives and histories. Does everyone have something to hide?

Don’t we all have something to hide? My characters in this book certainly do. Some of their secrets are more powerful than others.

Mason and Callie are two of the law enforcement responders that are trying to piece together exactly what happened at The Lodge. Tell us more about these characters and what makes them so good at what they do.

Mason Deniaud was a top homicide detective before relocating to the remote north for personal reasons. He lost a young son and a wife and he’s searching for a way to live, or exist, if not heal. Callie Sutton is a young mother who is single, but also isn’t because her husband lies in hospital and is brain dead. Her husband is there, but he also isn’t there for Callie and her young son. Like Mason, she’s in limbo, a place where she can’t move forward, or back. It’s through this they find a bond. And the search for the missing lodge party pushes them together.

IN THE DARK is a pivotal novel in your career. What does it have in common with your previous writing and how is it different? How does this inform your next steps as a writer?

Pivotal sounds cool. I’ll take it! Thank you. But yes IN THE DARK is a bit of a departure from my previous romantic suspense books. If readers enjoy it, however, and if my publisher remains happy, I’d like to keep growing in this direction. But I do think my crime stories will always revolve around strong women, or women who might be victims to start with, but who find agency and take back their lives and become strong and survive through the arc of a story. (As with my forthcoming work IN THE DEEP). I do love to include a relationship element in my crime novels, but bonding with a potential love interest comes out of the personal growth of the protagonist. I like to tell—and read—stories of women who find ways to rescue themselves.

 

 

In The Dark Excerpt

“The gas stove and the gas water heaters work,” Nathan said. “And there’s plumbing.” He turned his back on them and busied himself taking mugs out of the cupboard in an exaggerated fashion. His heart hammered in his chest. Sweat prickled across his lip.

“And there’s tea, coffee, tins of tuna, and soup,” Steven said as he hurriedly opened more cupboards.

Bart frowned. “Well, at least we won’t go hungry.” He made for the living area, paused. “I found a path. It looks like it leads around to the other bay, but it was getting too dark to follow without a flashlight.”

“Do you think it might lead to the real lodge?” Steven asked.

Nathan blinked. It was like the doctor was reaching for straws by asking—as if hoping, still, that their pilot had just made some terrible screwup with the GPS coordinates.

Bart said, “We can check again in the morning to see if—”

“There is no real lodge.” Jackie appeared in the doorway that led from the great room into the kitchen.

They all turned to look at the solid woman with intense eyes.

“This is no mistake,” she said curtly. “This is a con, some sick game.”

“What do you mean?” Bart asked.

“Did you guys not see the plaque outside, next to the front door? This place is called Forest Shadow Lodge. As in Forest Shadow Wilderness Resort & Spa. Here, look at this.” She pulled a brochure from her pocket and smoothed it out on the kitchen island.

“I printed it off the website before I left home.” She jabbed a photo of the luxury lodge. “It’s fake. It’s photoshopped, because it’s using the same location. See this bay here? And the shape of this one here? This mountain? This is how the terrain looked from the air. It’s this spot, but someone has photoshopped the spa into the location. They’ve erased parts of the forest, added cabins and trails, plus interior shots from some other spa and lodges.” She met their gazes. “This whole thing was faked from the get-go. We were lured here. All of us. And now we’re trapped.”

A sinister cold seemed to enter the kitchen. A shutter banged upstairs, and wind whistled. Mist, cloying and wet, pressed up against the windows. It grew darker inside.

“Why?” Bart asked, still holding his wood.

“God knows.” Jackie dragged her hand over her hair. “But right now, we’re stuck. We’ve been baited and lured into some weird kind of wilderness prison.”

“We are not trapped.” Stella entered the kitchen. “We have a plane. And you guys have a pilot—me. We have fuel. We—”

“We have no bloody radio!” Jackie snapped, whirling round to face Stella, her eyes furious.

“What?” said Steven.

“That’s right,” Jackie said. “Go on, tell them, Stella.”

Stella’s gray eyes flashed, shooting daggers at Jackie.

“Go on. Tell them. The radio is broken. Sabotaged, wires cut.”

“But I heard you speaking to your dispatch on the radio,” Nathan said.

“But it wasn’t working, was it, Stella?” Jackie said. “Your dispatch couldn’t hear you, could they? No one even knows where we are, do they?”

Stella’s features went tight.

“So when were you going to tell us this, Stella?” Steven asked.

“I didn’t want to say right away. Fear, worry, is not a good thing when—”

“When what? Jesus. Who are you to decide what’s right and wrong for us to know?” Steven barked. “You’re just the pilot, not the boss of our lives, for Chrissakes.”

“There’s a chance I could fix it in the morning. If I can—if it’s an easy fix—you’d never have to have known about it.”

“So you thought you’d play God?” Steven snapped. “Because we would all panic.” He wagged jazz hands at the sides of his face.

“And you’re not panicking?” she said.

Silence swelled in the kitchen. It felt for a bizarre moment as though the house was listening. Alive. Hostile. Nathan felt hairs rise along his arms. He was sensitive to these things. He could feel trees in the forest watching and listening to him.

 

 

About the Author

Loreth Anne White is an internationally bestselling author of thrillers, mysteries, and romantic suspense. A three-time RITA finalist, she is also the 2017 Overall Daphne du Maurier Award winner, and she has won the Romantic Times Reviewers’ Choice Award, the National Readers’ Choice Award, and the Romantic Crown for Best Romantic Suspense and Best Book Overall, in addition to being a Booksellers’ Best finalist and a multiple CataRomance Reviewers’ Choice Award winner. A former journalist and newspaper editor who has worked in both South Africa and Canada, she now resides in the Pacific Northwest with her family.

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Posted in 5 paws, Book Release, Children, Review on December 1, 2019

 

Synopsis

The wolf huffed and he puffed.

But the pigs had built wolf-proof houses.

The pigs couldn’t go out. The wolf-couldn’t get in.

They were all hungry.

The pigs knew that a problem can be a solution

out-of-place.

Could they make good

use of all that

huffing

and

puffing?

A problem can contain its own solution. Enemies can become good neighbors.

 

 

 

Review

I have enjoyed the children’s books by this author.  She takes common children’s stories but then adds STEM components and kindness into each one.

This book is the three little pigs and the big bad wolf but with a few twists.  The pigs have studied architecture in school and build strong solid homes that withstand the huffing and puffing by the wolf.  They are also smart as they escape out the back door while the wolf is occupied and run to their fellow pig brother’s home.  Now, you can’t blame the wolf for wanting to eat the pigs, he was hungry (and bacon is quite tasty) but the pigs have something else in mind and perhaps they can convince the wolf to become an ally vs an adversary.

This book was cute, made me chuckle (the pigs are named Stella, Hal, and Brad), and even gave me something to think about when it comes to people in our lives that are like the wolf.  This could be a very educational book for children in both STEM and kindness to our neighbors.  The illustrations are effective in the book and certain words on each page are highlighted with a different and bold font to make them stand out from the others.  If you read this book to your children, it gives you the opportunity to talk about those words from a STEM perspective and even a kindness perspective.

We give this book 5 paws up.

 

 

 

About the Author

Lois Wickstrom earned her BA in biology with Chemistry and English minors. She is the creator of the Imagenie videos on YouTube and “Starting With Safety” available from the American Chemical Society. She also co-authored the Nessie’s Grotto Books with Jean Lorrah, and the Orange Forest Rabbit books with Lucrecia Darling.

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Posted in Cozy, Giveaway, mystery, Spotlight on November 30, 2019

 

 

Scarlet Fever: A Novel (“Sister” Jane)
Cozy Mystery
12th in Series
Ballantine Books (November 26, 2019)
Hardcover: 304 pages

Synopsis

Winter blizzards bring a flurry of cases to solve in this riveting new foxhunting mystery featuring “Sister” Jane Arnold and her incorrigible hounds from New York Times bestselling author Rita Mae Brown.

Frigid February air has settled into the bones of the Blue Ridge Mountains, making for a slow foxhunting season, though “Sister” Jane Arnold’s enthusiasm is not so easily deterred. With the winter chill come tweed coats, blazing fireplaces—and perhaps another to share the warmth with, as the bold hunting scarlets worn by the men in Sister Jane’s hunting club make the hearts of women flutter—until someone’s stops entirely.

Harry Dunbar, a member of the Jefferson Hunt club with a penchant for antique furniture, is found with his skull cracked at the bottom of the stairs to a local store. There are no telltale signs of foul play—save for the priceless (and stolen) Erté fox ring in his pocket. Sister and her hounds set out to uncover the truth: was this simply an accident—a case of bad luck—or something much more sinister?

Steeped in the deep traditions of Virginia horse country and featuring a colorful cast of characters both two- and four-legged, Scarlet Fever is another spirited mystery from Rita Mae Brown.

 

 

Amazon – B&N – Kobo – IndieBound

 

 

About the Author

Rita Mae Brown is the bestselling author of the Sneaky Pie Brown mysteries; the Sister Jane series; the Runnymede novels, including Six of One and Cakewalk; A Nose for Justice and Murder Unleashed; Rubyfruit Jungle; and In Her Day; as well as many other books. An Emmy-nominated screenwriter and a poet, Brown lives in Afton, Virginia, and is a Master of Foxhounds and the huntsman.

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Posted in excerpt, health, nonfiction, self help on November 29, 2019

 

Synopsis

Virtually every American will suffer from back pain at some point. Back pain is the second most common neurological ailment in the United States—only headaches are more common. And, after colds and influenza, it’s the second most common reason Americans see their doctors.

Dr. Stern brings relief to these millions of sufferers (including himself) who literally ache for help. Based on scientific data, Dr. Stern developed a five-step solution with a multidisciplinary, holistic perspective that’s been missing from conventional back pain wisdom. And it may not require surgery or another form of another invasive therapy.

In the book, he explains the six major anatomical sites that often generate pain, while also identifying other potential sources that people (and doctors) can easily overlook, such as commonly used drugs, undiagnosed illnesses or disease, and even depression.

With diagnostic self-tests, checklists to take to your next doctor’s appointment, advice on treatment options, preventative strategies and much more, Ending Back Pain will help you pinpoint the specific causes of your own back pain issues so you can get on the road to healing.

According to Dr. Stern, “Ending back pain begins with you. Diagnosing back pain is a tricky combination of art and science. Indeed, lots of high-tech tools are available to us in medicine, but that doesn’t mean that diagnosing, let alone curing, back pain is a black-and-white endeavor. Unfortunately, it’s very much to the contrary—complex, imprecise, and immensely vexing. So, the more you can contribute to the story of your back pain, the more you can shift your experience to one that’s less reliant on art and more based on science.”

 

 

Amazon * B&N * IndieBound

 

Excerpt

Most feelings of discomfort in life have clear solutions. For a stuffy nose, decongestants do the trick. For a pounding headache, aspirin or Tylenol comes in handy. But what do you do about a relentlessly aching back? As most of us know, the answer is not nearly as clear-cut as we’d wish. And unlike infectious diseases that often have targeted remedies (think antibiotics for bacterial infections and vaccines for viruses), ailing backs are like misbehaving, obnoxious family members—we can’t easily get rid of them or “fix” them. They also have a tendency to stick around and bother us nonstop, lowering our quality of life considerably and indefinitely.

Perhaps nothing could be more frustrating than a sore or hurting back. It seems to throw off everything else in our body, and makes daily living downright miserable. With the lifetime prevalence approaching 100 percent, virtually all of us have been or will be affected by low back pain at some point. Luckily, most of us recover from a bout of back pain within a few weeks and don’t experience another episode. But for some of us, the back gives us chronic problems. As many as 40 percent of people have a recurrence of back pain within six months.

At any given time, an astounding 15 to 30 percent of adults are experiencing back pain, and up to 80 percent of sufferers eventually seek medical attention. Sedentary people between the ages of forty-five and sixty are affected most, although I should point out that for people younger than forty-five, lower back pain is the most common cause for limiting one’s activities. And here’s the most frustrating fact of all: A specific diagnosis is often elusive; in many cases it’s not possible to give a precise diagnosis, despite advanced imaging studies. In other words, we doctors cannot point to a specific place in your back’s anatomy and say something along the lines of, “That’s exactly where the problem is, and here’s how we’ll fix it.” This is why the field of back pain has shifted from one in which we look solely for biomechanical approaches to treatment to one where we have to consider patients’ attitudes and beliefs. We have to look at a dizzying array of factors, because back pain is best understood through multiple lenses, including biology, psychology, and even sociology.

The Challenge

So, why is back pain such a confounding problem? For one, it’s lumped into one giant category, even though it entails a constellation of potential culprits. You may have back pain stemming from a skiing accident, whereas your neighbor experiences back pain as the consequence of an osteoporotic fracture. Clearly, the two types of back pain are different, yet we call them “back pain” on both accounts, regardless. Back pain has an indeterminate range of possible causes, and therefore multiple solutions and treatment options. There is no one-size-fits-all answer to this malady. That is why diagnosing back pain, particularly persistent or recurrent pain, is so challenging for physicians.

Some people are able to describe the exact moment or series of moments when they incurred the damage to their back—a car accident, a slip and fall, a difficult pregnancy, a heavy-lifting job at work, a sports-related injury, a marathon, and so on. But for many, the moment isn’t so obvious, or what they think is causing them the back pain is far from accurate.

The Two Types of Back Pain

If you are going to experience back pain, you’d prefer to have the acute and temporary kind rather than the chronic and enigmatic kind. The former is typically caused by a musculoskeletal issue that resolves itself in due time. This would be like pulling a muscle in your back during a climb up a steep hill on your bicycle or sustaining an injury when you fall from the stepladder in the garage. You feel pain for a few weeks and then it’s silenced, hence the term self-limiting back pain. It strikes, you give it some time, it heals, and it’s gone.

The second type of back pain, though, is often worse, because it’s not easily attributed to a single event or accident. Often, either sufferers don’t know what precipitated the attack, or they remember some small thing as the cause, such as bending from the waist to lift an object instead of squatting down (i.e., lifting with the legs) or stepping off a curb too abruptly. It can start out of nowhere and nag you endlessly. It can build slowly over time but lack a clear beginning. Your doctor scratches his head, trying to diagnose the source of the problem, and as a result your treatment options aren’t always aligned with the root cause of the problem well enough to solve it forever. It should come as no surprise, then, that those with no definitive diagnosis reflect the most troubling cases for patients and doctors.

What Are the Chances?

Chances are good that you’ll experience back pain at some point in your life. Your lifetime risk is arguably close to 100 percent. And unfortunately, recurrence rates are appreciable. The chance of it recurring within one year of a first episode is estimated to be between 20 and 44 percent; within ten years, 80 percent of sufferers report back pain again. Lifetime recurrence is estimated to be 85 percent. Hence, the goal should be to alleviate symptoms and prevent future episodes.

Excerpted from Ending Back Pain: 5 Powerful Steps to Diagnose, Understand, and Treat Your Ailing Back. Copyright © by Jack Stern, M.D., Ph.D. Published by Avery. All rights reserved.

 

About the Author

Jack Stern, M.D., Ph.D., is the author of Ending Back Pain: 5 Powerful Steps to Diagnose, Understand, and Treat Your Ailing Back. He is a board-certified neurosurgeon specializing in spinal surgery, and cofounder of Spine Options, one of America’s first facilities committed to nonsurgical care of back and neck pain. Dr. Stern is on the clinical faculty at Weill Cornell Medical College and has published numerous peer- and non peer-reviewed medical articles. He lives and practices in White Plains, New York.

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Posted in fiction, Giveaway, Historical, Spotlight on November 28, 2019

 

 

Book Title: Cecilia House by Simon Gandossi

Category: Adult Fiction, 322 pages

Genre: Historical Fiction

Publisher: Xlibris

Release date: September 2019

 

Synopsis

Life is a precious gift and it can change within the blink of an eye, something Patricia discovered at a young age. After an extremely tragic event her loving family, good friends and many dreams and aspirations were all gone. An unwanted child was sent to what was supposed to be a place of lovingness and warmth. Instead she soon discovered that those responsible for her care added so much more pain and sadness to many lives. What occurred within the walls of Cecilia House was one of the most despicable and unimaginable acts to ever happen within an organization whose duty it was to protect innocent children.

 

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About the Author

Born and raised in Western Australia, author Simon Gandossi grew up on a small quiet farm. Very early on in his life he began to visit museums. As he looked at the various antiques, he created stories about each of them in his mind. When his father bought him his first computer, those stories came to life. That passion for history grew over the years making him one of the best up-and-coming historical fiction writers.

His first two books Elsa and For Beau – The Sarah Ashdown Story have gained outstanding reviews from several major bookstores and critics. His unique perspective shocks and inspires those who read them. This has carried over into his newest novel Cecilia House when yet again Simon has created a confronting and powerful story.

Simon will continue to write on that same peaceful farm from which he wrote his first story so that for a long time to come we all will be captivated by his work.

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Giveaway:

Win a $25 Amazon Gift Card courtesy of Simon Gandossi, author of CECILIA HOUSE (open to wherever Amazon.com delivers)

(ends 12/13/2019)

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