I asked my characters what they wanted and they answered. My goal was to write a book about middle America during the opioid epidemic. I ran cars full of dope boys with fake MRIs from Ohio to Florida.

Most patients aren’t in as dire straits as the narrator of “Car Crash While Hitchhiking,” no. But due to embarrassment or fear of being judged, lying to one’s doctor is prevalent.

As a member of the St. Olaf Choir, I spent a lot of time on concert stages in a purple velvet robe, nude hose, and a pair of black, smelly flats—smelly because all the women’s shoes traveled in the same trunk from tour venue to tour venue, to limit the risk of someone violating the strict dress code during performance.

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