Doctor Lee is a surgeon gone mad. John Lee is riddled with guilt and psychologically traumatized by the unexpected postoperative death of a special patient ten years before. Heavily medicated, impoverished, and on the county dole, Dr. Lee lives alone in a ramshackle single-wide trailer with his dog, Sunny, on the banks of a Virginia river. One hot summer day he is visited by Sarah, a nurse and past lover, who confesses that all this time she has known that "Thumbs" Berringer-her husband and Dr. Lee's surgical rival-murdered the patient out of spite. This revelation enrages Dr. Lee and unleashes a series of events that lead to Sarah's death and the disappearance of Dr. Lee and Sarah's husband...and the local sheriff must seek the help of two most unlikely individuals in solving the case. Insanity of Murder is a humorous yet riveting mystery novel about guilt, madness, and murder.