I chose to read In The Midnight Hour because I work in the medical field and love novels, and TV shows depicting people like myself in that kind of familiar setting. This is written by a debut author and I was not sure if he would be able to compare to other Medical Thriller authors I enjoy reading like Robin Cook, Peter Clement or Tess Gerritsen. This novel did not disappoint. It grabs you from the first chapter scene and keeps you invested from the beginning until the end. It is a hard to put down page turner. I found the medical descriptions realistic and the terminology accurate yet not overbearing. I especially enjoyed the budding love story between the two protagonists, and really liked their well written and believable characters. They get thrown into life or death predicaments at times and you find you are holding your breath. The killer who stalks the halls of a prestigious medical center is like a modern day jack the ripper. Although he has a sympathetic quality to him and you can almost forgive him for wanting to seek revenge against certain people who have caused the ruination of his life, his marriage and his medical carrier. I was drawn in to this well written character like a Hannibal Lector in Silence of the Lambs. Many of the murder scenes and expository dreamlike flashbacks are seen through his own eyes and from his point of view, which is unnerving at first, but at the same time enjoyable. The plot reminded me of the phantom of the opera as the killer is able to move about undetected in a large hospital, doing his heinous acts yet able to blend in and be invisible in the dark corners, because he is mostly all alone due to the lateness of the hour, and he has a familiarity of the labyrinthine nature of of his surroundings. I recommend this novel for anyone who is seeking a griping new medical thriller with interesting characters and intriguing plot twists.