
While researching what kind of disease might wipe out an entire town, sending the gunslingers of Red Ridge in a reluctant truce with the new town doctor one didn’t really trust, I was reminded of fever and ague.
I was just a little girl when I first read about fever and ague, and it was in a Little House on the Prairie book. Perhaps you remember the story? The entire family came down with an illness. First, intense chills, and then a fever and body aches.
Pa Ingalls thought it came from night air. Others thought it was the watermelons growing nearby. No one realized that fever and ague was actually malaria, and came from mosquitoes.
Fever and ague was a common but also debilitating illness in the 1800s, particularly in the United States. In the 1830s in Oregon, two Native American tribes, the Kalapuya of the Willamette Valley and the Chinookan people along the Columbia River were nearly wiped out, losing an estimated 80-95% of their peoples. One estimate I saw said they went from 14,000 lives to just over 1,000. Can you imagine? There wouldn’t have been any family spared the devastation of loss.

While today, we understand fever and ague to be malaria, in the early 1800s that wasn’t known. There was speculation about how it started but one thing was certain. It was deadly once it struck.
The only effective treatment (other than time and luck) was quinine, which came from the bark of the South American Cinchona tree. It was scarce, expensive, and ground up, but it was also incredibly bitter. However, it saved many lives.
Science Museum Group. Quinine sulphate bottle. A664060 Science Museum Group Collection Online. Accessed 3 November 2025. https://collection.sciencemuseumgroup.org.uk/objects/co189273/quinine-sulphate-bottle.%5B/caption%5D
It was sobering to write parts of The Doctor. When it comes to medicines and doctors and the fears of what might happen, I sometimes have trouble because it’s rather close to home. Many of you know that I have a child with a chronic illness and a suppressed immune system, and we spend a lot of time in the children’s hospital. Just recently, because his body, even after three months of antibiotics, can’t fight off a skin infection, he had to have a surgery to remove it, in hopes that it will finally respond to the medicine, and avoid the placement of a PICC line in him. Though it’s been scary and hard and there’s been so, so much stress, I can’t help but feel grateful that today, we have tools and knowledge and medicines to help. Back in the 1800s, so many towns didn’t have doctors, and they didn’t have medicines. When something like fever and ague raced through a town, there was little more than false hope that could be given, if there wasn’t a way to treat it. That’s something that the doctor in this book has to grapple with, and I pray none of us ever do.
Thankfully, this is fiction, where HEAs exist, but tears still might pop up.
If you’d like a chance to read The Doctor, it releases later this month in ebook, paperback, and large print.

Today, one of you is going to win an ebook from this series. You can choose if you’d like book 1, book 2, book 3, or…if you’ve already read those, if you’d like me to send you book 4 when it releases. (I promise, I won’t forget!)
You can click right here, to see the books to choose from.
To have a chance at winning, just tell me: Based on this blurb, how do you think the doctor will get the medicine he needs to treat the town?
Nora Madison returns to Red Ridge seeking a decision about her future, but when her overprotective brother tries to tell her what she can and can’t do, Nora resists; especially as a spark ignites between her and the enigmatic physician. Something is drawing her closer, and she’d like to find out what it is.
Dr. Aiden Rycroft’s plan is simple: practice medicine in a town far from his troubles, ignore the town’s drama (especially the possessive gunslinger), and leave when his contract ends. Yet, the more Billy Madison tries to keep him away from his intriguing sister, Nora, the more their paths seem destined to cross.
When a mysterious illness sweeps through the town, Aiden and Billy find their paths intertwined in a reluctant truce. The stakes become deeply personal when Nora falls victim to the very illness Aiden’s been unable to get medicine for. Now, any hope for their future faces its ultimate test as Aiden fights not only to save her life but also to prove his own worth, to himself and to the woman who sees beyond his guarded exterior.




