How do you get inspired to write?
My inspiration primarily comes from combining my decades of
experience as a doctor with my passion for storytelling. Early on, I attempted
to write novels that had nothing to do with medicine, but I eventually realized
that the advice to "write what you know" was sound, so I decided to
lean into my medical background. This clinical expertise gives me unique
insight into the life-saving potential and darker possibilities of modern
science. During times of consistent writing, I find that a lot of ideas will
hit me when I’m driving or taking a walk.
How do you deal with writer’s block?
Dealing with writer's block or long periods of self-doubt
was a major challenge, especially as a first-time author balancing a
high-demand job. There were long months when I didn't do anything. To keep the
story moving, even in small ways, I found that writing for just 5 to 30 minutes
in the morning helped keep the story in my head. When ideas would strike me, I
would quickly dictate or email myself notes on my phone. Finding a peer group
was key; joining a series of writing seminars where we read each other's work
was the jump start I needed to overcome the self-doubt and finish the novel.
How much is the book or characters based on your own life?
While I draw on interactions with patients and colleagues,
The Regression Strain is not a thinly veiled dramatization of a specific
personal event. I tried to write an everyman protagonist in the sense that
Peter Palma is struggling with relatable issues. Friends and colleagues have
told me they see a lot of my attitudes, sayings, and personality in Peter,
though hopefully only the "good parts".
Let’s talk about your writing process. Do you plot or pants?
Outline? How?
For this book, I was a hybrid. A plotter and a pantser. I
laid out the major plot points of the book, defining where the protagonist,
Peter Palma, should be by specific percentages of the novel (e.g., the 25% mark).
This structure served as necessary guidance so I didn't go "off the
rails". I wrote freely between these points, often seeing the story shift,
which contributed to the numerous drafts needed. There were many revisions. I
went back to plant clues that I might not have originally planned. I also
realized that the first draft was simply a necessary stepping stone; I needed
to commit to rewriting the whole thing a few times to achieve the final quality
I wanted.
What kind of research did you do for this novel?
The research fell into two main categories:
1. Cruise Ship
Logistics: I have been on cruises with my family and took specific notes on
observations during those trips. I have not worked as a doctor on a cruise
ship, although it sounds like it would have been fun for a younger me. I
conducted a ton of online research. I watched a lot of YouTubes posted by
nurses, doctors, and other staff members detailing their experiences working on
cruise ships. I also looked at travel forums to glean information about
passenger issues and emergencies. I later visited a cruise ship medical center
in the late stages of editing and was relieved that I didn't find anything
major that required changing the manuscript.
In general, what emotions did you wish to elicit with your
writing in The Regression Strain?
I hope to write an entertaining story. I tried not to be
preachy. The novel explores complex themes like human nature, morality, loss,
grief, and perseverance. I want the reader to engage with Peter Palma, who
struggles to figure out his own worldview and fights against an antagonistic
force that presents a view he doesn't agree with. Whether readers agree with
Peter's actions isn't my main concern; I just want them to experience it as an
authentic story that made them think and feel intensely.
Best advice on writing you've ever received?
There are many different ways to write a novel. At first, I
focused only on rigid plotting and outlining, which was painful. Once I felt
the freedom to use a hybrid method that fit my creativity, I moved forward. I
also learned that getting words on paper is a necessary stepping stone. Having
a first draft, even if it needed massive revision, was an accomplishment and
something I could work from, rather than expecting the first draft to be the
final product.
What else would you want readers to know about you? Where
can readers find you online?
I'm an internal medicine physician and professor at
**Where to Find Me:**
Readers can find more information and sign up for my newsletter at KevinHwang.com


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