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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"You won't believe it," Angela said. "Come on!"

Angela dragged David into the kitchen and showed him the boxes. He took out a few pages to look at them. "You're right," he said. "I don't believe it. This will take us hours to go through."

"It's a good thing we're unemployed," Angela said. "At least we have plenty of time."

"I'm glad to hear your humor's back," David said.

They made dinner together. When Nikki woke up she joined in, though it was difficult for her to move around since she still had an IV running. Before they sat down to eat, David called Dr. Pilsner. Together they decided that Nikki's IV could be pulled and the antibiotics continued orally.

During dinner David and Angela talked about having to break the news about their employment status in Bartlet to their parents. Both were reluctant.

"I don't know what you're worried about," David questioned. "Your mother and father will probably cheer. They never wanted us to come up here anyway."

"That's the problem," Angela said. "It will drive me bananas when they start in with the 'I told you so' routine."

After dinner while Nikki watched television, David and Angela began the chore of going through the computer data. David was progressively amazed and appalled at the wealth of the material accessible to hackers.

"This will take us days," David complained.

"Maybe we should concentrate on those with connections to the hospital," Angela said. "There are only five."

"Good idea," David said.

Like Angela, David found the criminal information the most provocative. He was particularly taken by the news that Clyde Devonshire had not only served time for rape but had also been arrested in Michigan for loitering outside Jack Kevorkian's house. Assisted suicide and euthanasia shared some philosophical justifications. David wondered if Devonshire could be their "angel of mercy."

David was also amazed to learn that Peter Ullhof had been arrested six times outside Planned Parenthood centers and three times outside of abortion clinics, once for assault and battery of a doctor.

"This is interesting," Angela said. She was looking through the social security material. "All five of these people served in the military, including Claudette Maurice. That's a coincidence."

"Maybe that's why they all have tattoos," David said.

Angela nodded. She remembered Robert's comment about tattoos being a rite of passage.

After helping Nikki do her respiratory therapy, they put her to bed. Then they returned downstairs and brought the computer printouts into the family room. They began to sift through again, creating a separate pile for each of the five hospital workers.

"I expected Calhoun to have called by now," Angela said. "I was looking forward to getting his opinion on some of this information, particularly regarding Clyde Devonshire."

"Calhoun's an independent sort," David said. "He said he'd call when he had something to tell us."

"Well, I'm going to give him a call," Angela said. "We have something to tell him."

Angela only got Calhoun's answering machine. She didn't leave a message.

"One of the things that surprises me," David said when Angela was off the phone, "is how often these people have changed jobs." David was going over the social security data.

Angela moved next to him and looked over his shoulder. All at once she reached over and took a paper that David was about to put on Van Slyke's pile.

"Look at this," she said, pointing to an entry. "Van Slyke was in the navy for twenty-one months."

"So?" David questioned.

"Isn't that unusual?" Angela asked. "I thought the shortest stint in the navy was three years."

"I don't know," David said.

"Let's look at Devonshire's service record," Angela said. She leafed through Devonshire's pile until she found the appropriate page.

"He was in for four and a half years."

"My God!" David exclaimed. "Will you listen to this? Joe Forbs has declared personal bankruptcy three times. With that kind of history, how can he get a credit card? But he has. Each time he's gotten all new cards at another institution. Amazing."

By eleven o'clock, David was struggling to keep his eyes open. "I'm afraid I have to go to bed," he said. He tossed the papers he had in his hand onto the table.

"I was hoping you'd say that," Angela said. "I'm bushed too."

They went upstairs arm in arm, feeling satisfied they'd accomplished so much in one day. But they might not have slept so soundly had they any inkling of the firestorm their handiwork had ignited.

24

SUNDAY, OCTOBER 31

Halloween dawned clear and crisp with frost on the grimacing pumpkins perched on porches and windowsills. Nikki awoke feeling entirely normal physically, and with the festive atmosphere of the holiday, even her spirits were much improved. Angela had made it a point earlier in the week to stock candies and fruits for possible trick-or-treaters.

Angela had no interest in going to church. The idea of trying to fit into the Bartlet community had lost its appeal. David offered to take them to the Iron Horse Inn for breakfast even if they didn't go to church, but Angela preferred to stay at home.

After breakfast Nikki began to agitate to be allowed to go trick-or-treating herself. But Angela was not enthusiastic. She was concerned about letting Nikki out into the cold so soon after she'd gotten over her latest bout of congestion. As a compromise, she sent David into town to try to buy a pumpkin while she got Nikki to help her prepare the house for the children coming to their door.

Angela had Nikki fill a large glass salad bowl to the brim with miniature chocolate bars. Nikki carried it to the front hall and placed it on the table by the door.

Next, Angela had Nikki start making Halloween decorations out of colored construction paper. With Nikki happily occupied, Angela called Robert Scali in Cambridge.

"I'm glad you called," Robert said as soon as he heard Angela's voice. "I've gotten some more financial data like I promised."

"I appreciate your efforts," Angela said. "But I've another request. Can you get me military service records?"

"Now you're pushing it," Robert said. "It's much more difficult to hack into military data banks, as you might imagine. I suppose I could get some general information, but I doubt I could get anything classified unless Peter's colleague is on line with the Pentagon. But I doubt that very much."

"I understand," Angela said. "You've said exactly what I thought you'd say."

"Let's not give up immediately," Robert said. "Let me call Peter and ask. I'll call you back in a few minutes."

Angela hung up and went over to see how Nikki was doing. She'd cut out a big orange moon and now was in the process of cutting out a silhouetted witch on a broomstick. Angela was impressed: neither she nor David had any artistic talent.

David returned with an enormous pumpkin. Nikki was thrilled. Angela helped spread newspaper on the kitchen table. David and Nikki were soon absorbed in carving the pumpkin into a jack o' lantern. Angela helped until the phone rang. It was Robert calling back.

"Bad news," he said. "Gloria can't help with Pentagon stuff. But I was able to get some basic info. I'll send it up with this additional financial material. What's your fax number?"

"We don't have a fax," Angela said. She felt guilty, as if she and David had not joined the nineties.

"But you do have a modem with your computer?" Robert said.

"We don't even have a computer, except one for Nikki's video games," Angela admitted. "But I'll figure out a way to get the material. In the meantime, can you tell me why Van Slyke was in the navy for only twenty-one months?"

There was a pause. Angela could hear Robert shuffling through papers.

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