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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"How did you know about Phil Calhoun?" Van Slyke demanded. He began to shake again.

"I told you I know what's happening," David said. "The whole affair is about to destruct. As soon as your sponsor finds out about Phil Calhoun, it will be over. And he doesn't care about you, Van Slyke. He thinks you are nothing. But I care. I know how you are suffering. Let me help you. Don't let this person use you as a dupe. You are nothing to him. He wants you to be hurt. They want you to suffer."

"Shut up!" Van Slyke screamed.

"The person who is using you has told lots of people about you, Van Slyke. Not just me. And they have all had a good laugh over the fact that Van Slyke will be blamed for everything."

"Shut up!" Van Slyke screamed a second time. He lunged at David and rammed the barrel of the gun against David's forehead.

David froze as he peered at the gun cross-eyed. He let go of the shovel and it fell to the floor.

"Get back in the root cellar," Van Slyke screamed. He kept the tip of the gun pressed against David's skin.

David was terrified the gun would go off at any second. Van Slyke was in a state of frenzied agitation that bordered on absolute panic.

Van Slyke backed David into the root cellar. Only then did he withdraw the gun. Before David could reiterate his desire to help Van Slyke, the heavy wood door was slammed in his face and re-locked.

David could hear Van Slyke running through the basement, crashing into objects. He heard his heavy footfalls on the cellar steps. He heard the cellar door slam shut. Then the lights went out.

David stayed perfectly still, straining to hear. Very faintly he heard a distant car engine start, then quickly fade. Then there was only silence and the pounding of his own heart.

David stood motionless in the total darkness thinking about what he'd unleashed. Van Slyke had dashed out of the house in a state of acute manic psychosis. David had no idea where Van Slyke was headed or what he had in mind, but whatever it was it couldn't be good.

David felt tears well up in his eyes. He'd certainly managed to evoke the man's psychotic paranoia, but the result was not what he'd hoped. He'd wanted to befriend Van Slyke and get him to talk about his problems. David also wanted to free himself in the process. Instead David was still imprisoned and he'd released a madman into the town. David's only source of solace was that Angela and Nikki were safely in Amherst.

Struggling to control his emotions, David tried to think rationally about his predicament, wondering if there were any chance of escape. But as he thought of the solid stone walls encircling him he had an acute rush of claustrophobia.

Losing control, David began to sob as he vainly attacked the stout wooden door to the cellar. He hurdled his shoulder against it multiple times, crying for someone to let him out.

At length David managed to regain a modicum of self control. He stopped his self-destructive batterings against the unyielding door. Then he stopped crying. He thought about the blue Volvo and Calhoun's truck. They were his only hope.

With fear and resignation, David sank to a sitting position on the dirt floor to wait for Van Slyke's return.

26

MONDAY, NOVEMBER 1
LATER THAT DAY

Angela slept much longer than she'd planned. When she awoke around four-thirty, she was surprised to hear that David had neither returned nor called. She felt a pang of concern, but dismissed it. But as the time crept toward five, her concern grew with each passing minute.

Angela finally picked up the phone and called Green Mountain National Bank. But she only got a recording that told her the bank's hours were nine to four-thirty. Frustrated, Angela hung up. She wondered why David hadn't called on his portable phone. It wasn't like him. He'd surely know she'd start worrying if he were late.

Next Angela called Bartlet Community Hospital. She asked to be connected to the front information desk, then inquired there about David. She was told that Dr. Wilson had not been seen all day.

Finally Angela tried their home in Bartlet. There wasn't any other place she could think to try. But after letting the phone ring ten times, she gave up.

Replacing the receiver for the third time, Angela wondered if David had decided to play sleuth after all. The possibility only made her more concerned.

Angela went to the kitchen and asked her mother-in-law if she would mind if she borrowed the car.

"Of course not," Jeannie answered. "Where are you going?"

"Back to Bartlet," Angela said. "I left some things in the house."

"I want to go too," Nikki said.

"I think you'd better stay here," Angela said.

"No," Nikki said. "I'm coming."

Angela forced herself to smile at Jeannie before going over to Nikki. She took her daughter by the arm and walked her into the next room.

"Nikki, I want you to stay here," Angela said.

"I'm scared to stay here by myself," Nikki said. She broke into tears.

Angela was stymied. She much preferred that Nikki stay with her grandmother, yet she didn't have time to argue with the child. Nor did she want to explain to her mother-in-law why Nikki would be better off staying. In the end, Angela gave in.

It was close to six by the time Angela and Nikki entered Bartlet. It was still light out, but night would follow soon. Some of the cars already had their headlights on.

Angela only had a sketchy plan of what to do, and it mostly involved hunting for the Volvo. The first location she wanted to search was the bank, and as she neared the institution she saw Barton Sherwood and Harold Traynor walking toward the town green. Angela pulled over to the curb and jumped out. She told Nikki to wait in the car.

"Excuse me," Angela said as she caught up with the two men.

Sherwood and Traynor turned.

"I'm sorry to bother you," Angela said. "I'm looking for my husband."

"I have no idea where your husband is," Sherwood said irritably. "He missed our appointment this afternoon. He didn't even phone."

"I'm sorry," Angela said.

Sherwood touched the brim of his cap, and he and Traynor moved off.

Angela dashed back to the car. Now she was convinced that something bad had happened.

"Where's Daddy?" Nikki questioned.

"I wish I knew," Angela said. She made a rapid U-turn in the middle of Main Street that sent the car's wheels screeching.

Nikki reached out and steadied herself against the dash. She'd sensed that her mother was upset, and now she was certain.

"Everything will be all right," Angela told Nikki.

Angela sped to their house, hoping to see the Volvo parked near the back door. Maybe David had gone there by now. But as she pulled into the driveway, she was immediately disappointed. There was no Volvo.

Angela jerked to a stop next to the house. A quick glance told her it was just as they had left it, but she wanted to be sure.

"Stay in the car," she told Nikki. "I'll just be a second."

Angela went inside and called for David, but there was no answer. Taking a quick run through the house, she checked to see if the master bed had been disturbed. It hadn't. On her way back down the stairs Angela spotted the shotgun. She snatched it up and checked the magazine. There were four shells in it.

With shotgun in hand, Angela went into the family room and took out the phone directory. She looked up the addresses of Devonshire, Forbs, Maurice, Van Slyke, and Ullhof and wrote them down. Carrying both the list and the shotgun, she returned to the car.

"Mom, you're driving crazy," Nikki said as Angela left a patch of rubber on the road.

Angela slowed a little. She told Nikki to relax. The problem was, Angela was more anxious than ever and Nikki could sense it.

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