Tess Gerritsen is the child of a Chinese immigrant and a Chinese-American seafood chef. While growing up in San Diego, California, Gerritsen often dreamt of writing her own Nancy Drew novels. Her first name is Terry; she decided to feminize it when she was a writer of romance novels. Although she longed to be a writer, her family had reservations about the sustainability of a writing career, prompting Gerritsen to choose a career in medicine.
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