69 pages 2-hour read

Dead Med

Fiction | Novel | Adult | Published in 2024

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Prologue-Part 1Chapter Summaries & Analyses

Content Warning: This section of the guide includes discussion of mental illness, substance use, graphic violence, and death.

Part 1: “Heather”

Prologue Summary: “The Night Before the Anatomy Final Exam”

Close to midnight on a Sunday, Danielle, a first-year medical student at DeWitt Medical School, dissects her cadaver, Agatha, in the anatomy lab while her lab partner, Victor Pereira, watches and talks. The final exam is tomorrow, and Danielle hopes to match into dermatology. Victor leaves for the vending machines, and Danielle hears gunshots from outside the lab. A male classmate enters the room, wearing bloodstained scrubs. He approaches with a blank expression and a gun in his hand. The classmate orders her to do exactly as he says if she wants to live.

Part 1, Chapter 1 Summary: “The First Day”

At DeWitt Medical School orientation, Dean Bushnell welcomes the incoming class. Heather McKinley sits beside her unfriendly new roommate, Rachel Bingham, who reveals the school’s nickname is “Dead Med” because its students have a reputation for flunking out or dying. Rachel claims one student dies every year and mentions a drug overdose the previous year in the bathroom near the anatomy labs. A crack still marks the sink where the student’s head struck it. Anatomy professor Dr. Matt Conlon, who walks with a cane, gives an enthusiastic speech. Wellness counselor Dr. Patrice Winters then announces mandatory counseling sessions for all students. At lunch, a large student named Abe Kaufman accidentally steps on Heather’s foot and apologizes profusely.

Part 1, Chapter 2 Summary

That evening, Heather waits for her boyfriend Landon’s call. Rachel irritates her by mocking long-distance relationships and her plan to specialize in pediatrics. She suggests Heather might overdose on pills if Landon breaks up with her and theorizes that a professor is supplying drugs at the school. When Landon finally calls, Heather feels reassured.

Part 1, Chapter 3 Summary

On the first lab day, Heather hesitates to change into scrubs in the coed locker hallway. A handsome classmate changes in front of her and teases her for waiting. Flustered, she flees to the ladies’ room. While changing, she grips the sink and feels a large crack in the porcelain. She remembers Rachel’s story about the student who overdosed and died there.

Part 1, Chapter 4 Summary

Terrified, Heather enters the anatomy lab. Abe finds her and promises to catch her if she faints. At their assigned table, numbered 13, Abe accidentally splashes Heather with fluid from the cadaver. She rushes to wash up. Two more lab partners arrive: the handsome student from the lockers, Mason Howard, and a quiet student named Sasha. Abe and Mason are roommates. Heather’s roommate, Rachel, arrives as their fifth group member.


Mason suggests naming the cadaver Frank, but Rachel objects, calling it disrespectful. Mason asks for a scalpel, and Heather instinctively hands it to him. Rachel criticizes her for acting like Mason’s scrub nurse. Mason makes the first incision. To her surprise, Heather does not feel sick.

Part 1, Chapter 5 Summary

Medical school proves extremely difficult for Heather, and her relationship with Landon deteriorates. She fails the first two anatomy quizzes and barely earns a low pass on the third. Her lab partner, Sasha, is knowledgeable, but Heather’s attempts to befriend her fail. Overwhelmed, Heather wishes for something to help her stay awake and study longer. She considers and quickly dismisses the idea of taking drugs.

Part 1, Chapter 6 Summary

Heather researches the drug abuse claims about DeWitt online. She learns that the student who most recently overdosed, Darcie Peterson, was failing anatomy and died from a burst brain aneurysm related to amphetamine use.

Part 1, Chapter 7 Summary

At the library, Heather waits to study with Abe. Mason arrives first, displaying a perfect quiz score. He jokes that Heather will return with a shotgun if she fails and touches her hand, causing a spark. Abe arrives, annoyed to find Mason there. Mason leaves after chatting with Sasha. After dark, Abe insists on walking Heather to her car. A second-year student approaches them, awkwardly introduces himself to Abe, then leaves. Abe seems confused by the encounter.

Part 1, Chapter 8 Summary

During a lab session, Mason notes their cadaver’s heart is unusual as it shows no obvious causes of death. Abe joins them, hyper-caffeinated and shaking. When Heather asks if he knows where the school’s pills come from, Abe denies any knowledge.

Part 1, Chapter 9 Summary

Exam day arrives. Heather is exhausted after staying up all night studying. A classmate named Phil offers her a caffeine tablet, which she turns down. Mason reads the motto on Rachel’s T-shirt, which declares, “I am the doctor my mother wanted me to marry” (52).


During the practical exam, Heather panics when her lucky pen runs out of ink. Abe gives her a spare. Convinced she has failed, Heather runs to the restroom and collapses on the floor. She calls Landon for support, but he does not answer. Abe finds her in the hallway and comforts her, insisting he also found the test difficult. Relieved and validated, Heather agrees to go out for pizza and beer with him.

Part 1, Chapter 10 Summary

Days later, anxious for her grade, Heather goes to Dr. Matt Conlon’s office. Mason exits just as she arrives. Dr. Conlon reassures her that she passed and reveals that he dropped out of medical school before earning a doctorate in anatomy. He makes her promise not to tell other students he disclosed her grade and encourages her to have more confidence.

Part 1, Chapter 11 Summary

Heather calls Landon to share the news, and he ends the relationship over the phone. Devastated, she goes to Abe and Mason’s dorm, intending a rebound hookup with Mason. Mason is out, and Heather breaks down, telling Abe about the breakup. He comforts her and then kisses her. After the kiss, he apologizes and confesses his long-held feelings. Heather tells him to kiss her again.

Part 1, Chapter 12 Summary

Heather and Abe begin dating. He is romantic and attentive, consistently prioritizing her happiness. They study together constantly, and Heather’s academic performance improves significantly. After the second anatomy exam, she receives a score of 76, a solid pass, and is thrilled. Abe receives a 91, considered an honors grade. Heather is puzzled by his lack of elation.

Part 1, Chapter 13 Summary

After Thanksgiving break, Heather returns to school and goes to surprise Abe. Mason answers the door, looking extremely disheveled and possibly intoxicated or high. He tells her Abe is in the shower, suggests she join him, and leaves. Heather undresses in the bathroom and spots Abe’s scrubs on the floor, covered in still-damp blood stains. Abe opens the shower curtain and screams at her to leave. Afterward, Abe claims the blood came from a messy procedure at the clinic where he works. Heather notices dried blood caked under his fingernails and knows he is lying.

Part 1, Chapter 14 Summary

Abe sends flowers with a card asking for Heather’s forgiveness. Troubled, Heather goes to see wellness counselor Dr. Patrice Winters. She overhears Dr. Winters speaking flirtatiously with Dr. Conlon before he leaves. Heather tells Dr. Winters about the bloody scrubs and her belief that Abe is lying. Dr. Winters suggests Heather may be mistaken and that Abe’s explanation could be true.


To avoid Abe, Heather stops studying at the library. In the ladies’ room, she again looks at the cracked sink, reminding her that her life could be worse. Her classmate Victor enters and anxiously asks where Abe is. Victor’s desperation deepens Heather’s suspicion about what Abe is hiding.

Part 1, Chapter 15 Summary

The night before the final exam, Heather decides to confront Abe. She goes to his dorm, but no one is home. Entering the apartment, she finds stacks of papers on Abe’s desk that are not related to schoolwork. Heather then spots something that terrifies her.

Prologue-Part 1 Analysis

The novel’s narrative structure establishes a framework of suspense and dramatic irony. By opening in medias res with the prologue’s life-or-death confrontation, the narrative reveals the story’s violent endpoint before flashing back to the beginning of the academic year. This non-linear approach imbues the subsequent chapters, which detail the pressures of medical school, with a sense of dread, as every interaction is colored by the reader’s knowledge of the impending tragedy. Heather’s first-person perspective enhances this tension, as her limited viewpoint contrasts with the sinister outcome the reader anticipates. Her journey becomes a tense progression toward a semi-known conclusion, reframing a story of academic struggle as a whodunnit from its inception.


The core cast of first-year students is constructed through archetypal roles and foils, creating a microcosm of the competitive medical school environment. Heather is the relatable protagonist whose earnest struggles stand in contrast to the calculated cynicism of her roommate, Rachel. Mason embodies the arrogant yet brilliant surgeon-in-training, while Abe represents the gentle giant. Sasha’s quiet intensity positions her as the enigmatic dark horse. These character dynamics highlight competing values such as ambition versus empathy and competition versus collaboration, setting the stage for the different paths the characters take later in the narrative.


The theme of The Destructive Power of Academic Pressure on Identity is central to Heather’s character arc and the setting of DeWitt Medical School. The institution’s nickname, “Dead Med,” and the tale of Darcie Peterson’s fatal overdose transform abstract academic stress into a lethal threat. The cracked sink in the women’s restroom is a recurring symbol that serves as a constant reminder of the stakes. Heather’s identity becomes contingent on her academic performance; her self-worth plummets with poor quiz grades and soars when Dr. Conlon reveals she passed her first exam. His admission that he “dropped out of med school” (62) further complicates this dynamic, suggesting the institutional definition of success is not the only path and that failure is survivable—a nuance Heather cannot yet grasp. These academic anxieties eclipse her personal life, contributing to the end of her long-distance relationship.


The anatomy lab functions as a primary setting for exploring the dehumanizing aspects of medical training, primarily through the symbol of the group’s cadaver. The conflict over naming him—with Mason’s casual suggestion of “Frank” and Rachel’s retort that “he looks like a human being who had a name of his own” (29)—establishes an ethical tension. This act of naming, or refusing to, reflects each student’s method of psychological distancing.


Alongside academic pressure, the narrative develops The Corrupting Influence of Secrets and Deception as a driving force of the plot. While Heather navigates her academic and social life with transparent vulnerability, Abe is introduced as a character with a hidden existence. His strange encounter with a second-year student and Victor’s desperate search for him suggest duplicity and a possible link to drug dealing. Meanwhile, Abe’s blasé description of his honors-level grade (“Pretty good, I guess” [76]) signals his detachment from the academic pressures consuming his peers. The discovery of his blood-soaked scrubs marks the climax of the mounting suspicion surrounding him, marking the narrative’s shift from academic drama to mystery. Heather’s subsequent decision to search his apartment illustrates how others’ secrets can corrupt one’s own moral integrity.

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