Peter Spiegelman’s Dr. Knox is an immensely satisfying noir thriller. Though the details of the plot add up to your typical potboiler story of conspiracy and corruption, of the rich and powerful preying on the poor, Spiegelman’s slight (but distinctive) twist on the formula elevates Dr. Knox above its competition.
Dr Adam Knox is a hero in the Philip Marlowe mould — but armed with a stethoscope instead of a gun. Abiding by the tropes of the noir hero, he is a well-intentioned man with a dark past, using his skills and his limited facilities to provide medical care for prostitutes, junkies, and other street dwellers of Los Angeles for whom visiting a hospital is not an option. To help make ends meet — to pay his staff, as well as rent — Knox provides an ambulatory service for LA’s shadier elements, working alongside his friend and former Special Forces operative Ben Sutter.
Knox’s life — and quite literally everyone he knows — is thrown into turmoil when a young woman named Elena deposits her son at the clinic, rushing out the door before questions can be asked. Clearly frightened, and visibly injured, Knox is certain Elena’s life is in danger — and therefore her son’s, too — so instead of contacting child services or the police, he hides Alex, and decides to unravel the mystery of Elena’s whereabouts, and her reasons for abandoning her child. The trail leads Knox into the path of violent Russian gangsters and an overtly corrupt corporation —both of whom will stop at nothing to terminate Knox’s investigation, and locate the mother and son.
Adam Knox is an enjoyable and compelling lead. We are in his headspace for the entirety of the novel, and’s the right mix of capable and completely out of his depth to make him likable. And while some of his past is unshrouded during proceedings, there’s plenty left for Spiegelman to uncover in future novels. The action and medical procedures are suitably hard-core, but never gratuitous (or overplayed), and while there’s some occasional monologuing, it’s thankfully never plodding.
Gritty, intense, and wildly entertaining, Dr. Knox is a damn fine crime novel. If Peter Spiegelman wasn’t on your radar before, he should be now.