Although the Heartless Corporate Giant as Villain is old hat, one final plot twist raises this medical thriller from the norm.

A character in Palmer's latest medical chiller (after Silent Treatment) refers to the industrial enclave of Patience, Calif., locked among mountains above San Francisco, as "Faustville." It certainly seems as if the town has made a pact with the devil in order to thrive. Emergency room doctor Abby Dolan has been at Patience Regional Hospital for only a few months when she begins totting up "NIWWs"-her shorthand for patients whose complaints offer her "no idea what's wrong." The hospital and town are literally overshadowed by the manufacturing giant Colstar, a cliff-dwelling international battery-making concern whose security rivals that of the Pentagon. After Abby's fiance, Josh Wyler, a new Colstar employee, suddenly exhibits alarming manic symptoms and threatens her with violence, Abby begins to wonder if Colstar is exposing its employees to the toxic heavy metal cadmium, a battery component. It doesn't take her long to cross Colstar security chief Lyle Quinn, or to be approached for help by an earnest group known as the Alliance, headed by Abby's handsome ER colleague Lew Alvarez, who also suspects that Colstar's chemicals are harming the town. If the soulless but many-eyed corporation, secret underground labs and evil experiments on unwitting patients are familiar elements to medical suspense fans, Palmer, an M.D. who worked in emergency medicine, renders them, for the most part, gripping and fresh. Scenes of medical terror (particularly one involving a claustrophobic patient who suffers an allergic reaction inside an MRI cylinder) are wrenchingly scary, and the imaginative final twists confirm that Palmer is reaching the top of a demanding craft. Doubleday Book Club main selection; Literary Guild and Mystery Book Club alternates.
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This book kept me up all night so that I could finish it. Actually, any of Michael Palmer's books can do that to me. You might want to add him to your favorite mystery writers list.

good book

this was a lot better than I expected.

His books holds one attention. I if you like medical mysteries this is the author to follow.

I am a big fan of Michael Palmer. This one had unexpected twists, action, drama, little romance and mystery (of course!).

In the tiny town of Patience, California, newcomer Dr. Abby Dolan has noticed a frightening syndrome among her emergency room patients. It begins with a baffling, seemingly minor set of symptoms, but builds relentlessly until it plunges its victims into insane, murderous rages. As she searches for clues to this deadly mystery, Abby's superiors make it clear her probing is unwelcome.

A must read book, I loved it.

Very good medical thriller. This one has a strong female main character and a frigtening premise that makes one a little scared to visit a hospital anytime soon. I have enjoyed
other books by Michael Palmer as well.

I have enjoyed most of Michael Palmer's books. Usually pretty clean and while suspenseful, not overly "dark".

I like a good thriller, and I don't mind if it's not great literature, but I thought this one was a little silly at times. That said, it held my interest with a lot of action, so I'm not sorry I read it.

Wonderful book! I reccommend this book to anyone!

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