Robin Cook - Fatal Cure

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Fatal Cure: краткое содержание, описание и аннотация

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From Publishers Weekly
If Cook's skills as a writer were as finely tuned as his sense of timing, his 14th medical thriller (after Terminal) would be a lot more rewarding. Current political events guarantee that a suspense novel centering on health care management will be topical and at least potentially fascinating. Unfortunately, stock characters, stilted dialogue and improbable heroes and villains make for difficult reading here. Idealistic young doctors David and Angela Wilson take positions at a state-of-the-art medical center in a small Vermont town partly because they see it as an ideal spot for their daughter, who suffers from cystic fibrosis. But the town is not as idyllic as it seems, and the hospital is in a desperate financial bind due primarily to its contract with a local HMO, David's new employer. Worse still, patients are dying unexpectedly almost daily, and no one seems to care very much. The deaths are not normal, of course, and astute readers will quickly determine who is behind them, why and-most likely-how. Cook raises troubling questions about the conflicts between medical and financial priorities in managed care (albeit in a somewhat distorted fashion), but it's difficult to get emotionally involved in a scenario as improbable as this one. Literary Guild and Doubleday Book Club main selection; Mystery Guild alternate; Reader's Digest Condensed Book.
From Library Journal
Recent medical school graduates David and Angela Wilson find the perfect setting for both their careers and family in rural Bartlet, Vermont. Not even the recent suicide and disappearance of two other physicians dampen their enthusiasm as they begin their jobs and buy their dream house. David's confidence is soon shaken, however, as his patients begin dying-not from their terminal diseases but from a mysterious illness. The deaths, coupled with attacks in the hospital parking lot, give the Wilsons the uneasy feeling that Bartlet is not what it seems. When a gruesome discovery prompts the Wilsons to hire a private investigator, the lives of several patients-and they themselves-are in danger. Physician and writer Cook once again terrifies and intrigues with this realistic and intense-to-the-end thriller, which is enhanced by actor Barry Bostwick's remarkable range of voices. For most popular collections.

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Avoiding the misty rain as much as possible, she dashed from the main hospital building to the Imaging Center. Once under the projecting eaves she slowed to a fast walk. Inside she went directly to Cantor's office.

Not having called beforehand, Angela had to wait almost a half hour before Dr. Delbert Cantor could see her. While she waited she calmed down considerably and even began once more to question if she were partly to blame for Wadley's behavior. She wondered if she should have anticipated it and not have been so naive.

"Come in, come in," Cantor said agreeably when he could finally see her. He'd gotten up from his disordered desk to escort Angela into the room. He had to move a stack of unopened radiology journals from a chair for her to sit down. He offered her some refreshment. She politely refused. He sat down, crossed his legs and arms, and asked what he could possibly do for her.

Now that she was face to face with the chief of the professional staff, Angela was not encouraged. All her misgivings about the man and his attitude toward women came back in a rush. His face had assumed a smirk as if he had already decided that whatever was on her female mind was of little consequence.

"This is not easy for me," Angela began. "So please bear with me. It was hard for me to come here, but I don't know what else to do."

Cantor encouraged her to continue.

"I'm here because I'm being sexually harassed by Dr. Wadley."

Cantor uncrossed his legs and leaned forward. Angela was encouraged that at least he was interested, but then she noticed that the smirk had remained.

"How long has this been going on?" Cantor asked.

"Probably the whole time I've been here," Angela said, intending to elaborate, but Cantor interrupted her.

"Probably?" he questioned with raised eyebrows. "You mean you're not sure?"

"It wasn't apparent initially," Angela explained. "At first I just thought he was acting like a particularly enthusiastic mentor, almost parental." She then went on to describe what had happened from the beginning; how it started as a problem of boundaries. "He always took advantage of opportunities to be close to me and touch me seemingly innocently," Angela explained. "He also insisted on confiding in me about personal family issues that I felt were inappropriate."

"This behavior you are describing can all be within the framework of friendship and the role of the mentor," Cantor said.

"I agree," Angela said. "That's why I allowed it to go on. The problem is that it has progressed."

"You mean it has changed?" Cantor asked.

"Most definitely," Angela said. "Quite recently." She then described the hand-on-the-thigh incident, feeling strangely embarrassed as she did so. She mentioned the hand brushing her backside and Wadley's sudden use of the appellation "honey."

"I personally don't see anything wrong with the word 'honey,' " Cantor said. "I use it all the time with my girls here in the Imaging Center."

Angela could only stare at the man while she wondered how the women in the Center felt about his behavior. Clearly she was in the wrong place. She couldn't begin to expect a fair hearing from a doctor whose views on women were probably more archaic than Wadley's. Nonetheless, she figured she should finish what she started, so she described the most recent incident: Wadley's pulling her onto his lap to announce their trip to Miami.

"I don't know what to say about all this," Cantor said once she finished. "Has Dr. Wadley ever implied that your job depends on sexual favors?"

Inwardly Angela groaned, fearing that Cantor's comprehension of sexual harassment was limited to the most overt circumstances. "No," she said. "Dr. Wadley has never intimated anything like that. But I find his unwanted familiarity extremely upsetting. It goes way beyond the bounds of friendship or a professional relationship, or even mutual respect. It makes working very difficult."

"Maybe you're overreacting. Wadley is just an expressive guy. You yourself said he's enthusiastic." When Cantor saw the look on Angela's face he added, "Well, it's a possibility."

Angela stood up. She forced herself to thank him for his time.

"Not at all," Cantor said as he pushed himself upright. "Keep me informed, young lady. Meanwhile, I promise I'll talk with Dr. Wadley as soon as I have an opportunity."

Angela nodded at this final offer and walked out. As she returned to her office, she couldn't help but feel that turning to Cantor wasn't going to help matters any. If anything, it was only going to make the situation worse.

Throughout the afternoon David had dashed over to check on John Tarlow every chance he had. Unfortunately, John hadn't improved. At the same time he hadn't deteriorated since David had made sure his IV's had kept up with his fluid loss from his vomiting and diarrhea. As David entered his room late in the afternoon for his final visit of the day, he hoped he would at least find John's mental status improved. But it wasn't. John was as listless as he'd been that morning, perhaps even a degree more so. When pressed, John could still say his name, and he knew he was in the hospital, but as to the month or the year, he had no clue.

Back at the nurses' station David went over the laboratory and diagnostic results that he had available, most of which were normal. The blood count done that day showed some decrease in John's white count, but in light of John's leukemic history, David had no idea how to interpret the drop. The preliminary stool culture which was now available was negative for pathological bacteria.

"Please call me if Mr. Tarlow's temperature goes up or his GI symptoms get worse," he told the nurses before he left their station.

David and Angela met in the hospital lobby. Together they ran for their car. The weather was getting worse. Not only was it still raining, it had gotten much colder.

On their way home, Angela told David about the latest incident with Wadley and Cantor's reaction to her complaint.

David shook his head. "Wadley I give up on. He's an ass. But I'd expected more from Cantor, especially in his position as chief of the professional staff. Even if he's insensitive you'd think he'd be aware of the law-and the hospital's liability. Do you think he's slept through the last decade's worth of legal decisions on sexual harassment?"

Angela shrugged. "I don't want to think about it anymore. How was your day? Has Marjorie's death been on your mind?"

"I haven't had time to dwell on it," David said. "I've got John Tarlow in the hospital and he's scaring me."

"What's wrong?"

"That's just it: I don't know," David said. "That's what scares me. He's become apathetic, much the way Marjorie was. He has a lot of functional GI complaints. That's what brought him into the hospital, and they have gotten worse. I don't know what's going on, but my sixth sense is setting off alarm bells. The trouble is I don't know what to do. At this point I'm just treating his symptoms."

"That's the kind of story that makes me glad I went into pathology," Angela said.

David then told Angela about his visit to Werner Van Slyke. "The man was more than rude," David complained. "He hardly gave me the time of day. It gives you an idea of the doctor's position in the new hospital environment. Now the doctor is just another employee, merely working in a different department."

"It makes it hard to be a patient advocate when even the maintenance department isn't responsive."

"My thoughts exactly," David said.

When David and Angela arrived home, Nikki was happy to see them. She'd been bored for most of the day until Arni stopped over to tell her about their new teacher.

"He's a man," Arni told David. "And real strict."

"I hope he's a good teacher," David said. He felt another stab of guilt about Marjorie's passing.

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