No matter how painful, truth is served first. From an ethical point, one can hardly fault this. Proponents of this view feel any other approach assumes a larger-than-life role for the doctor, who then makes decisions not only about diagnosis and treatment, but also as to what knowledge might be best for the patient.
an excerpt from the book
“Hybrid” by R. J. Mikelionis, MD delivers a compelling medical novel that explores the fragile intersection of science, ethics, and human responsibility. Proudly published by Citi of Books, this is now available on Amazon, Barnes & Noble, and other major retail platforms.
Dr. Raymond J. Mikelionis received his Medical Doctor degree from the University of Washington School of Medicine and served in the U.S. Navy as a Lieutenant. R. J. Mikelionis, MD writes with the authority of lived experience. His prose is measured, grounded, and observant—never sensationalized, yet deeply engaging. The medical settings feel authentic, and the ethical conflicts emerge naturally from the realities of practice rather than contrived plot devices.
At the center of the story is Dr. John Cameron, a physician navigating a healthcare system shaped by bureaucracy, technological ambition, and deeply personal patient encounters. As medical advancements push beyond traditional boundaries, Cameron is forced to confront questions that extend far beyond clinical protocols: Just because something can be done—should it be done?
The early chapters establish the demanding environment in which Dr. Cameron works—hospital wards filled with urgency, institutional pressure, and patients whose lives hang in delicate balance. Cameron’s professional life is shaped by constant negotiation between care and compliance, as he works within systems

that often prioritize efficiency over humanity. Through patient interactions and internal reflection, the novel reveals the emotional toll of practicing medicine in such an environment.
As experimental medical research begins to surface, the narrative introduces the concept of biological intervention that blurs the line between healing and enhancement. These developments challenge Cameron’s understanding of his role as a physician, placing him at the crossroads of innovation and restraint.
As the story progresses, ethical dilemmas intensify. The experimental procedures at the heart of Hybrid raise profound questions about identity, consent, and unintended consequences. Cameron must weigh scientific progress against the potential harm it may cause—not only to patients, but to society as a whole.
“Hybrid” is not a story about villains or heroes—it is a story about choices. Through Dr. John Cameron’s journey, R. J. Mikelionis, MD invites readers to confront the moral weight carried by modern medicine and to consider the human lives that exist behind every clinical decision.
“Hybrid” by R. J. Mikelionis, M.D. is now available for purchase below:

