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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"Another reason is that they might be somehow involved," Angela said. She then told Calhoun about the brick through the window, the threatening notes, and the police's response.

"Doesn't surprise me," Calhoun said. "Robertson's on my list. He couldn't stand Hodges."

"I knew that," Angela said. "I was told that Robertson blames his wife's death on Hodges."

"I don't give that story a lot of significance," Calhoun said. "Robertson's not that stupid. I think the sorry episode about his wife was just an excuse. I think Robertson's anger toward Hodges stemmed more from Hodges' behavior which we know was less than diplomatic. I'd bet my last dollar that Hodges knew Robertson for the blowhard he is and never gave him any respect. I sincerely doubt that Robertson killed Hodges, but when I was talking with him, he gave me a funny feeling. He knows something he wasn't telling me."

"The way the police have been dragging their feet they have to be involved," Angela said.

"Reminds me of a case when I was a state trooper," Calhoun said after another long pull on his cigar. "It was also a homicide in a small town. We were sure the whole town, including the local police, knew who'd done it, yet no one would come forward. We ended up dropping the case. It's unsolved to this day."

"What makes you think Hodges' case is any different?" David asked. "Couldn't the same thing happen here?"

"Not a chance," Calhoun said. "In the case I just told you about the dead person was a murderer and a thief himself. Hodges is different. There are a lot of people who hated him, but there's also a bunch who think he was one of the town heroes. Hell, this is the only referral hospital in New England outside of the big cities, and Hodges was personally responsible for building it up. A lot of people's livelihood is based on what Hodges created here. Don't worry, this case will be solved. No doubt about it."

"How will you manage to get copies of Hodges' papers if you can't do it yourself?" Angela asked.

"You have to do it," Calhoun said.

"Me?" Angela asked.

"That's not part of the deal," David said. "She has to stay out of this investigation. I don't want her talking to anyone. Not with bricks coming through our window."

"There will be no danger," Calhoun insisted.

"Why me?" Angela asked.

"Because you are both a physician and an employee of the hospital," Calhoun said. "If you show up at the crime-scene division up in Burlington with the appropriate identification and say that copies of the papers are needed to take care of patients, they'll make you copies in a flash. Judges' and doctors' requests are always honored. I know. As I said, I used to work there."

"I guess visiting the state police headquarters couldn't be very dangerous," Angela said. "It's not as if I'm participating in the investigation."

"I suppose it's okay," David said. "Provided there's no chance of getting into trouble with the police."

"No chance," Calhoun said. "The worst thing that could happen is they wouldn't give her the copies."

"When?" Angela asked.

"How about tomorrow?" Calhoun suggested.

"It will have to be on my lunch hour," Angela said.

"I'll come pick you up at noon in front of the hospital," Calhoun said. He stood up, thanking them for the beers.

Angela offered to walk Calhoun to his truck while David went back in the house.

"I hope I'm not causing trouble between you and your husband," Calhoun said as they approached his vehicle. "He didn't seem at all pleased about my investigation."

"It won't be a problem," Angela said. "But we'll have to stick to the one-week agreement."

"Should be plenty of time," Calhoun said.

"There is something else I wanted to tell you," Angela said. She explained her new theory on her assault.

"Hmmm," Calhoun said. "This is getting more interesting than I thought. You'd better be doubly sure to leave the sleuthing to me."

"I intend to," Angela said.

"I've been careful about not letting it be known that you've retained me," Calhoun said.

"I appreciate the discretion."

"Maybe tomorrow I should pick you up in the parking lot behind the library instead of in front of the hospital," Calhoun said. "No sense taking chances."

20

WEDNESDAY, OCTOBER 27

To David's and Angela's dismay, Nikki awoke with congestion and a deep, productive cough. Both were fearful that she might be coming down with the same illness that had briefly afflicted Caroline. David was particularly concerned because it had been his decision to allow Nikki to visit Caroline the previous afternoon.

Despite extra attention to Nikki's morning respiratory therapy, she failed to improve. To Nikki's keen disappointment, David and Angela decided she shouldn't go to school. They called Alice, who agreed to come over for the day.

Already tense from events at home, David was edgy as he started his rounds. With so many recent deaths, he was spooked to see his patients. But his worries were groundless. Everyone was doing fine. Even Sandra was much better.

"Your swelling is down," David told her as he tenderly palpated the side of her face.

"I can tell," Sandra said.

"And your fever is below one hundred," David said.

"I'm pleased," Sandra said. "Thank you. I won't even pressure you about when I can get out of here."

"Very clever," David said with a laugh. "The indirect approach is often far more effective than the direct. But I think we have to keep you until we're one hundred percent sure this infection is under control."

"Oh, all right," Sandra said, feigning irritation. "But if I have to stay, could you do me a favor?"

"Of course," David said.

"The electric controls of my bed stopped working," Sandra said. "I told the nurses, but they said there wasn't anything they could do about it."

"I'll do something," David promised. "It's a chronic problem around here, I'm afraid. I'll go out and ask about it right away. We want you to be as comfortable as possible."

Returning to the nurses' station, David found Janet Colburn and complained about the bed situation. "There's really nothing that can be done?" David asked.

"That's what maintenance told us when we reported it," Janet said. "I wasn't about to argue with the man. It's hard enough talking with him. And frankly, we don't have another bed to spare at the moment."

David couldn't believe that he'd have to go to see Van Slyke over another maintenance detail. But it seemed his choice was either to go ask why the bed couldn't be repaired, or go to Beaton directly. It was an absurd situation.

David found Van Slyke in his windowless office.

"I have a patient upstairs who was told her bed couldn't be repaired," David said irritably after a cursory knock. "What's the story?"

"The hospital bought the wrong kind of beds," Van Slyke said. "They're a maintenance nightmare."

"It can't be fixed?" David asked.

"It can be fixed, but it will break again," Van Slyke said.

"I want it fixed," David said.

"We'll do it when we get around to it," Van Slyke said. "Don't bother me. I have more important work to do."

"Why are you so rude?" David demanded.

"Look who's talking," Van Slyke said. "You came down here yelling at me, not vice versa. If you have a problem, go tell it to administration."

"I'll do that," David said. He turned around and climbed up the stairs intending to go directly to Helen Beaton. But when he got to the lobby he saw Dr. Pilsner coming into the hospital, heading for the main stairs.

"Bert," David called. "Can I speak to you a moment?"

Dr. Pilsner paused.

David approached him, described Nikki's congestion, and started to ask whether he thought Nikki should start some oral antibiotics. But David stopped in mid-sentence. He noticed that Dr. Pilsner was agitated; he was hardly listening to what David was saying.

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