Hackers in the Hospital

Innocent-looking bedside computer!(photo: c1.staticflickr.com)

Innocent-looking bedside computer!(photo: c1.staticflickr.com)

Seven years after the Vice President Dick Cheney’s cardiac defibrillator was disconnected from the net to protect him from a wireless attack, hospitals have done little-to-nothing about the security problems in a myriad of medical equipment and devices, according to a recent Wired article by Kim Zetter. Worse, they seem unaware of the risks.

The defibrillator problem resurfaced in a 2012 episode of Homeland, but the thriller-writing community has yet to explore the full horror of this catastrophe in waiting. The problem? All the old familiars: hard-coded passwords, simple easily-guessed passwords, problem notification features that can be turned off, and lack of authentication systems. With equipment networked to provide medical records with test and x-ray results, placing false information in the record is comparatively easy. Even if equipment and devices aren’t themselves connected to the internet, the easily hacked internal systems they are connected to may be externally accessible—and certainly internally accessible if one employee responds to a phishing attack.

Additional examples of potentially lethal equipment hacks include: changes to morphine or other drug dosages delivered to patients via drug infusion pumps; adjustments to temperature settings on refrigerators that store blood and drugs; and alterations in electronic medical records.

It might be difficult to target specific patients with such rogue equipment and documentation changes, at present, but “random attacks causing collateral damage would be fairly easy to pull off,” the article reports. Some devices, unique to an individual, such as the implantable defibrillators, are targetable now.

Medical thrillers using these vulnerabilities as plot devices might do an inadvertent public service by sensitizing hospitals and the public to the risks.

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***** An Officer and a Spy

Emile Zola, DreyfusBy Robert Harris (read by David Rintoul) –This novelization of the infamous Dreyfus affair in turn-of-the-20th Century Paris starts slowly, then builds powerfully. French Army Officer Alfred Dreyfus, a Jew, was sentenced to life imprisonment on aptly named Devil’s Island on flimsy and trumped-up evidence that he was a spy. As the book’s narrator, Lt. Col. Georges Picquart, gradually discovers, a spy remains in the French military command and, if so, he begins to suspect and then believe that Dreyfus is innocent.

As in the present day, it isn’t so much the original crime—in this case, convicting an innocent man—that creates all the problems, it’s the cover-up. The book is full of real-life characters of the time with whom I was passingly familiar—Georges Clemenceau, Émile Zola (J’Accuse!), Picquart, who rose to be Minister of War after Dreyfus’s release, and of course, Dreyfus. Learning how they out-maneuvered the army’s top generals is riveting, even though you know they ultimately succeed. Alphonse Bertillon, the originator of concepts of scientific policing reappears, with some dubious handwriting analyses; his contributions were explored more fully in The Crimes of Paris, which I read last year.

Louis Begley’s New York Times review would have had the book provide more context about French society at the time, though some of his examples are to me pretty clear: the high position of the army in society and “the extraordinary wave of virulent anti-Semitism that had washed over France since the 1880s.”

The Dreyfus case still resonates today, not least because of the resurgence of anti-Semitism in Europe from both the left and right wings and the growing Muslim communities. Coincidentally last weekend, I attended a reading and discussion of a new play by McCarter Theatre’s Emily Mann, Hoodwinked, about the shootings at Ft. Hood and the friction between tolerance and intolerance within radical Islam and outside it. Looking back on Dreyfus, it’s easy to see where the players went wrong out of prejudice, self-interest, and absolutism. We see events in our own time through these same distorting lenses and, therefore, unclearly.

Best Mysteries and Thrillers

book cover

(photo: catalog.lambertvillelibrary.org)

How many of the “best” in mysteries and thrillers have you read? I’ve read about 30 of the Amazon 100 best list, though if I could count the movie versions the number would rise to about 42. No double-counting for both reading From Russia with Love and falling for Sean Connery. Especially note how the cover for Mary Roberts Rinehart’s The Circular Staircase could be mistaken for a “Carolyn Keene,” represented in the Amazon list by The Secret of the Old Clock, my very first Nancy Drew.

The compilers seemed to go for the first in a series, like the first Jason Bourne or the first Inspector Gamache, perhaps thinking that a strong beginning will lead people to subsequent books in the series.

We’ve read the statistics about how Americans are reading fewer books. But they still love mysteries and thrillers. Some people are drawn to reading because they can identify with the characters and others because of “that excitement of trying to discover that unknown world,” said author Azar Nafisi. That might be a foreign country, a foreign planet, a foreign psyche. Mystery and thriller readers get both. A protagonist they can identify with and a journey through that foreign world (of crime, of spies).

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**** The Reversal

Michael Connelly, Mickey Haller, Lincoln Lawyer

If you’ve read the Lincoln Lawyer series, you know Mickey Haller does most of his legal work from the back seat of his Lincoln Town Car, which has the vanity plate NT GLTY

Got my Michael Connelly fix for the year—The Reversal—a 2010 crime thriller that alternates chapters between brash lawyer Mickey Haller and his half-brother (or did you miss that one?) cynical LAPD detective Harry Bosch. Both men have teen daughters so are especially anxiety-prone when a man convicted of abducting and murdering a young girl is released from San Quentin as a result of DNA evidence and must face trial again after 24 years.

It’s interesting how Haller—working for the prosecution this time—must introduce old evidence without revealing to the jury the prejudicial information that the accused has already been convicted once. Nor can he say why some witnesses are unable to appear (dead or demented) and interviews with them, actually their previous trial testimony, must be read aloud.

While this isn’t Connelly’s best, he never disappoints and received four Amazon stars from readers. If you like every plot angle tied up with a bow, in this one, that doesn’t happen, and the author leaves Harry still pursuing leads as to the convict’s possible involvement in other crimes. It’s as if Connelly was leaving the door open for a never-written sequel.

Matthew McConaughey, Lincoln Lawyer

Matthew McConaughey stars in the movie version – note vanity plate!

For a fun Netflix pick, Matthew McConaghey in The Lincoln Lawyer. Rotten Tomatoes Critics rating: 83%. I thought it was better than that, and I’d read the book! Also notice how the movie poster changed the license plate to “NT GUILTY,” thinking viewers were too dim to figure it out, I suppose.

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**** Midnight in the Garden of Good and Evil

Midnight in the Garden of Good and Evil, John Berendt, Savannah, Georgia

Savannah (photo: wikimedia.org)

As it seems I’m one of the last people in America to read Midnight in the Garden of Good and Evil, John Berendt’s 20-year-old best-seller, I’d heard enough sly references and snippets—especially when the movie (trailer) came out–to have a pretty good idea of what I’d encounter in its Historic District (free map!). I was not disappointed. While many people gravitated to the over-the-top drag queen, The Lady Chablis, my favorite character was Minerva, the purple-glasses wearing juju expert. Berendt allows that, although his book is nonfiction, he did mess with the time sequence a bit and disguise a few characters who needed a veil of privacy. Savannahians surely know when and who.

I hadn’t realized Savannah was so geographically and topographically isolated and that its residents used that isolation to their advantage, wanting “nothing so much as to be left alone,” Berendt says. “Every nuance and quirk of personality achieved greater brilliance in that lush enclosure than would have been possible anywhere else in the world.” It’s sadly ironic, then, that his book has inspired so many tourists and Midnight-themed tours.

And the perfect, related cocktail?

Lay on, Macduff!

Macbeth, Sargent

Ellen Terry as Lady Macbeth by John Singer Sargent (photo: farm2.staticflickr.com)

Word is out that Norwegian thriller writer Jo Nesbø, who writes a mystery series featuring brilliant and unorthodox Oslo police detective Harry Hole, is developing a crime noir, prose retelling of Macbeth. It’s part of the Hogarth Shakespeare project in which noted writers—including Pulitzer-winner Anne Tyler, noted Canadian author Margaret Atwood, and Man Booker prize-winner Howard Jacobson–are reinventing Shakespeare plays “for modern readers.”

It will be hard for Nesbø to top mystery writer David Hewson and Shakespeare scholar A.J. Hartley’s Macbeth: A Novel, which I have endlessly encouraged my friends and readers to immerse themselves in—especially the initial, audiobook version narrated by Alan Cumming. As a person who has listened to several hundred audio books, I can attest that this is one of the Very Best. You’ll never feel the same about Macbeth or those three witches, hereafter.

(The painting of actor Ellen Terry portraying Lady Macbeth is by one of my most revered artists, John Singer Sargent, who painted my favorite painting of all time, at London’s Tate Gallery.)

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**** The Cold, Cold Ground

By Adrian McKinty (narrated by Gerard Doyle) – In the bleak Belfast spring of 1981, hunger strikers in HM Prison Maze are starting to die. Paramilitaries are setting off bombs and gunfire rakes the streets at night. Police detective Sean Duffy–a rare Catholic in the Royal Ulster Constabulary–is presented with what looks like a “normal” murder case that soon blossoms into the possibility of a serial killer at work, targeting homosexuals. At that time, homosexuality was still illegal in Northern Ireland and not tolerated. In the mix is the apparent suicide of the beautiful ex-wife of one of the hunger strikers. Mysterious mail begins to arrive. The backdrop of violence is persuasively portrayed and hearkens back to real events and people. First of a trilogy (actually, now probably a quartet).

Guilty Until Proven Otherwise

house fire

(photo: Wikimedia.org)

4-28-14 update – New research published in the Proceedings of the National Academy of Sciences estimates that the number of innocent people on death row is about twice that of previous estimates–or about 120 of the approximately 3,000 people on death row in the United States, as reported by TIME. “Each quest for mathematical clarity only serves to underline the troubling paradox at the heart of the modern death penalty,” says reporter David Von Drehle. “We want the option of execution (every poll confirms this, even as the percentages in favor of capital punishment appear to be trending downward). But we also want certainty.”

The Michigan Innocence Clinic, a project of the U-M Law School, takes on cases of individuals wrongfully convicted in the state’s courts. The Clinic is modeled on Innocence Projects in many other states, with one difference. (Check what’s going on in your state.) It’s the only project in the country that focuses on cases that cannot be solved with DNA evidence.

In most felony convictions, DNA or other biological evidence is simply not available, so investigators must dig for other causes of how a prosecution went awry. Typical flaws in cases are eyewitness misidentification—with the shortcomings of eyewitness testimony repeatedly demonstrated—improper forensic science, false confessions, prosecutorial misconduct, unreliable or coerced police informants, and bad lawyering.

Take as an example the prosecution that sent David Gavitt to prison for 27 years. In 1985, his wife and two young daughters died in an overnight fire at their home, and David was hospitalized with burns and cuts. Police and prosecutors spent their energies attempting to prove a case of arson. Arson science has come a long way in recent decades, and many of the old theories about the burn patterns of fires as they spread have been soundly disproved. The Innocence Clinic brought modern experts into the analysis of Gavitt’s case, which convinced the current county prosecutor to drop the charges and release him from prison. Despite his quarter-century-plus in prison, he was luckier than Cameron Todd Willingham, convicted of arson in Corsicana, Texas, for a fire that took the lives of  his three tiny daughters. The faulty evidence that convicted Willingham also was refuted by subsequent, more scientific investigators, but the State of Texas refused to reexamine the case and executed him.

The Michigan Innocence Clinic has received some 4,000 applications (each 20 pages long) from inmates, and has a more than a dozen active cases. It has succeeded in exonerating eight prisoners so far. For a case that has previously been unsuccessfully appealed to be re-examined, not only must evidence must be strong, it must fit certain legal requirements. A video shows the kinds of holes in the prosecution that the Clinic uncovers.

According to an article by Alice Rhein in the Spring 2014 Michigan Alumnus magazine, a Clinic staff member is creating a documentary about one of its successful cases. He is attempting to crowdfund it, and so far has raised about a third of the projected $25,000 budget.

 

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In Secret

3-6-14 In Secret

Oscar Issac, Elizabeth Olsen, Tom Felton, Jessica Lang, In Secret, movie, Emile Zola, Therese Raquin

If you don’t remember the 1940’s film noir classics Double Indemnity (Fred MacMurray, Barbara Stanwyck) and The Postman Always Rings Twice (Lana Turner, John Garfield), you might enjoy the new suspense movie In Secret (trailer) more than I did.  All three films share a basic plot line, with the latter based on the Émile Zola novel of obsessive love, Thérèse Raquin.

The new movie stars Elizabeth Olsen, Oscar Isaac, Tom Felton, and Jessica Lange in an affecting performance as a domineering mother-in-law who becomes sympathetic after a stroke leaves her unable to speak a terrible secret. In Secret is a period piece, set in 1860’s France (not only does mum-in-law smell a rat, we get to see them, too!), but the familiar plot made it less fun than it might have been. Rotten Tomatoes rating: 47.

 

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Amanda Knox Redux

Amanda KnoxUnbelievably (or rather, not), the Italian Supreme Court this week reinstated the murder conviction of American Amanda Knox and her Italian former boyfriend, Raffaele Sollecito for the 2007 murder of Knox’s British flatmate, Meredith Kercher, in Perugia, Italy. Knox and Sollecito’s original conviction was overturned in late 2011. The new verdict comes in spite of an overwhelming lack of evidence of the pair’s guilt and in spite of the conviction of another man for the crime, for whom plenty of evidence was present. His bloody finger and handprints were found all over the apartment and his DNA “inside” Kercher’s body. He has said, variously, that Knox/Sollecito are innocent, that they are guilty, and that he is innocent. He has told fellow inmates that he did the crime.

U.S. journalist Nina Burleigh’s The Fatal Gift of Beauty provides an excellent rundown of the facts of the case, including some of the reasons behind the Italian media and public’s apparent eagerness that “Foxy Knoxy” be found guilty. The compelling insights of former FBI man, Steve Moore, in his “Mind the Gap” blog post provide some understanding of why the Kercher family has likewise maintained its vehement insistence on Knox/Sollecito’s guilt.

After the murder, Knox was subjected to repeated lengthy interrogations and, though treated as a suspect, no lawyer was provided her. Her Italian was not good, and the “translators” assigned to her was actually working with the police and were, Burleigh says, “inclined—at least after the arrest—to put a certain spin on her voluminous writings in English.”

The interrogations went on for hours and, according to Knox’s description, involved many of the intimidation techniques—techniques known to produce false confessions—described in a December 9 New Yorker article by Douglas Starr. “The interrogator’s refusal to listen to a suspect’s denials creates feelings of hopelessness,” Starr wrote, “which are compounded by [fake information] and lies about the evidence.” A session of all-night questioning produced Amanda’s description of a “vision” in which Meredith was murdered, but which she soon recanted, blaming her statement on exhaustion and confusion

Up until this most recent phase of the legal wrangling, the prosecution was handled by a poster-man for Italian jurisprudence gone off the rails, Giuliano Mignini, whose erratic logic was amply documented in Douglas Preston’s book, The Monster of Florence. Preston has said the case against Knox is “based on lies, superstition, and crazy conspiracy theories.”

This case has been interesting on so many counts. I read Preston’s book as I was starting to write Witness, a suspense novel set in Rome that involves a number of crimes, and a sense of the way Italian jurisprudence works was essential. Along the way, I also received help from several experts in Italian law in order to clarify the powerful role the pubblico ministero (Mignini) plays in an Italian courtroom.

The case is a tale with many confusing elements—Amanda’s changing story, which is one of the chief marks against her, the mistakes in securing evidence from the crime scene, the conflicting interpretations of the DNA evidence, the clash of cultures when privileged foreign students indulge their freedoms far from home, oblivious to their conservative environment.

The story has fascinating characters, irredeemable tragedy at many levels, and the ability to evoke partisanship for or against out of proportion to the definite facts of the case. Every court proceeding seems to muddy the water further. While Amanda believes the truth is out there and wants people to find it, I’m not sure it will ever come to light, although in a U.S.-based extradition hearing, it might.