Robin Cook - Fatal Cure

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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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Setting off at a brisk pace, Angela quickly slowed. Not only was she carrying a heavy briefcase, but she was exhausted. Halfway across the lot she had to transfer the briefcase to the other hand.

There were a few cars in the parking lot belonging to the night-shift personnel, but they soon fell behind as Angela trudged toward the path that led to the upper lot. Angela noticed that she was entirely alone. There were no other people; the evening shift had long since departed.

As Angela approached the path she began to feel uneasy. She was unaccustomed to being out at such an hour, and had certainly expected to see someone. Then she thought she heard something behind her. When she turned she saw nothing.

Continuing on, Angela started thinking about wild animals. She'd heard that black bears were occasionally spotted in the area. She wondered what she would do if she were suddenly confronted by a bear.

"You're being silly," she told herself. She pushed on. She had to get home; it was after midnight.

The lighting in the lower parking lot was more than adequate. But as Angela entered into the path leading up to the upper lot, she had to pause for a moment to allow her eyes to adjust to the darkness. There were no lights along the path, and dense evergreen trees on both sides formed a natural archway.

The barking of a dog in the distance made Angela jump. Nervously she moved deeper into the tunnel of trees, starting up a run of stairs constructed of railroad ties. She heard crackling noises in the forest and the rustling of the wind high in the pine trees. Feeling frightened, she recalled vividly the episode in the basement when David and Nikki had scared her, and the memory made her even more tense.

At the top of the stairs the path leveled and angled to the left. Up ahead Angela could see the light of the upper parking lot. There was only another fifty feet to go.

Angela had just about calmed herself when a man leaped out of the shadows. He came up on her so suddenly she didn't have a chance to flee. He was brandishing a club over his head; his face was covered by a dark ski mask.

Staggering back, Angela tripped on an exposed root and fell. The man flung himself at her. Angela screamed and rolled to the side. She could hear the thump of the club as it sliced into the soft ground where she had been only seconds before.

Angela scrambled to her feet. The man grabbed her with a gloved hand as he began to raise his club again. Angela swung her briefcase up into the man's crotch with all the strength she could muster. The man's grip on her arm released as he cried out in pain.

With the route back to the hospital blocked by the wheezing man, Angela ran for the upper lot. Empowered by terror Angela ran as she'd never run before, her flying feet crunching on the asphalt. She could hear the man behind her, but she didn't dare to look. She ran up to the Volvo with one thought in mind: the shotgun.

Dropping the briefcase to the pavement, Angela fumbled with her keys. Once she got the trunk open, she yanked the manila paper from the shotgun. Snatching up the bag of shells she hastily dumped them into the trunk. Picking up a single shell, she jammed it into the gun and pumped it into the firing chamber.

Angela whirled about, holding the gun at waist level, but no one was there. The lot was completely deserted. The man hadn't given chase. What she heard had been the echo of her own footfalls.

"Can't you do a little better than that?" Robertson asked. " 'Sorta tall.' Is that it? That's hardly a description. How are we supposed to find this guy if you women can't describe him better than that?"

"It was dark," Angela said. She was having a hard time keeping her emotions even. "And it happened so quickly. Besides, he was wearing a ski mask."

"What the hell were you doing out there in the trees after midnight anyway? Hell, all you nurses were warned."

"I'm not a nurse," Angela said. "I'm a doctor."

"Oh, boy!" Robertson said haughtily. "You think this rapist cared whether you were a nurse or a doctor?"

"The point I'm making is that I wasn't warned. The nurses may have been warned, but no one warned us doctors."

"Well, you should have known better," Robertson said.

"Are you trying to imply that this attack was somehow my fault?"

Robertson ignored her question. "What kind of club was he holding?" he asked.

"I have no idea," Angela said. "I told you it was dark."

Robertson shook his head and looked at his deputy. "You said Bill had just been up there in his cruiser?"

"That's right," the deputy said. "Not ten minutes before the incident he'd made a routine sweep of both parking lots."

"Christ, I don't know what to do," Robertson said. He looked down at Angela and shrugged his shoulders. "If you women would just be a little more cooperative, we wouldn't have this problem."

"May I use the phone?" Angela said.

Angela called David. When he answered she could tell he'd been asleep. She told him she'd be home in ten minutes.

"What time is it?" David asked. Then after a glance at the clock, he answered his own question. "Holy jeez, it's after one. What are you doing?"

"I'll tell you when I get home," Angela said.

After she'd hung up, Angela turned to Robertson. "May I leave now?" she asked testily.

"Of course," Robertson said. "But if you think of anything else, let us know. Would you like my deputy to drive you home?"

"I think I can manage," Angela said.

Ten minutes later, Angela was hugging David at their door. David had been alarmed not just by the late hour, but the sight of his wife coming from the car with a briefcase in one hand and a shotgun in the other. But he didn't ask about the gun. For the moment, he just hugged Angela. She was holding him tightly and wouldn't let go.

Angela finally released David, removed her soiled coat, and carried the briefcase and the shotgun into the family room. David followed, eyeing the shotgun. Angela sat on the couch, embraced her knees, and looked up at David.

"I'd like to stay calm," she said evenly. "Would you mind getting me a glass of wine?"

David complied immediately. As he handed her the glass he asked if she'd like something to eat. Angela shook her head before sipping the wine. She held the glass with both hands.

In a controlled voice Angela began to tell David about the attempted assault. But she didn't get far. Her emotions boiled over into tears. For five minutes she couldn't speak. David put his arms around her, telling her that it was his fault: he never should have let her work at the hospital so late at night.

Eventually, Angela regained her composure. She continued the story, choking back tears. When she got to the part about Robertson coming in to talk to her, her anger kicked in.

"I cannot believe that man," Angela sputtered. "He makes me so mad. He acted as if it were my fault."

"He's a jerk," David agreed.

Angela reached for the briefcase and handed it to David. She wiped the tears from her eyes. "All this effort and the slides didn't show much at all," she said. "There was no tumor in the brain. There was some perivascular inflammation, but it was nonspecific. A few neurons appeared damaged but it could have been a postmortem change."

"No sign of a systemic infectious disease?" David asked.

Angela shook her head. "I brought the slides home in case you wanted to look at them yourself," she said.

"I see you got a shotgun," David commented.

"It's loaded, too," Angela warned, "so be careful. And don't worry. I'll go over it with Nikki tomorrow."

A crash and the sound of breaking glass made them both sit bolt upright. Rusty started barking from Nikki's room, then he came bounding down the stairs. David picked up the shotgun.

"The safety is just above the trigger," Angela said.

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