Fatal (Lib)(CD) [Audio CD]

Michael Palmer (Author)

Book Description

Publication Date: March 2002

From The Sisterhood, Michael Palmer's first New York Times bestseller, to The Patient, his ninth, reviewers have proclaimed him a master of medical suspense. Recognized around the world for original, topical, nail-biting suspense, emergency physician Palmer'swork has been translated into more than thirty-five languages. Now he reaches controversial and startling new heights in a terrifying tale of cutting-edge microbiology, unbridled greed, and murder, where either knowing too little or trusting too much can be FATAL.

In Chicago, a pregnant cafeteria worker suffering nothing more malevolent than flulike symptoms begins hemorrhaging from every part of her body. In Boston, a brilliant musician, her face disfigured by an unknown disease, rapidly descends into a lethal paranoia. In Belinda, West Virginia, a miner suddenly goes berserk, causing a cave-in that kills two of his co-workers. Finding the link between these events could prove FATAL.

Five years ago, internist and emergency specialist Matt Rutledge returned to his West Virginia home to marry his high-school sweetheart and open a practice. He also had a score to settle. His father died while working for the Belinda Coal and Coke Company, and Matt swore to expose the mine’s health and safety violations.

When his beloved Ginny succumbed to an unusual cancer, his campaign became even more bitterly personal. Now Matt has identified two bizarre cases of what he has dubbed the Belinda Syndrome--caused, he is certain, by the mine’s careless disposal of toxic chemicals. All he needs is proof.

Meanwhile, two women, unknown to one another, are drawn inexorably to Belinda, into Matt’s life--and into mortal danger. Massachusetts coroner Nikki Solari comes to attend the funeral of her roommate, killed violently on a Boston street. Ellen Kroft, a retired schoolteacher from Maryland, seeks the remorseless killer who has threatened to destroy her and her family.Three strangers--Rutledge, Solari, and Kroft--each hold one piece of a puzzle they must solve, and solve quickly. If they don’t, it will be far more than just their own lives that are at risk.

Michael Palmer has crafted a novel of breathtaking speed and medical intricacy where nothing is as it seems and one false step could be FATAL.


From the Hardcover edition.

--This text refers to the Kindle Edition edition.

Editorial Reviews

From Publishers Weekly

almer's 10th medical thriller rides on his usual wave of unrelenting adrenaline, and will make readers think twice the next time they're due for a routine vaccination. The physician-hero this time is Matt Ruttledge, a doctor in bucolic Belinda, W.Va. When several of his patients turn up in the emergency room, babbling incoherently and sporting unsightly lumps on their faces, Ruttledge blames the town's main employer, a large mining operation with a history of safety abuses and environmental neglect. As more patients turn up with the same fatal symptoms, Ruttledge discovers that a larger culprit may be responsible: a new supervaccine that's about to hit the market. Backed by powerful political interests and drug companies, the vaccine, called Omnivax, had been tested in Belinda a decade earlier, and its deadly side effects are now finally surfacing. Joined by a group of like-minded medical professionals and a colorful cast of civilians, Ruttledge sets out to stymie the makers of the vaccine. Omnivax's backers, however, have no intention of letting a lone doctor and a gaggle of bumpkins kill their cash cow. As with Palmer's other popular thrillers (The Patient, etc.), the plot at times turns wild to the point of disbelief, and the occasional red herring practically screams its presence the moment it swims into view. But the former ER physician's ability to craft gripping suspense, likable heroes and hateful villains as well as a thought-provoking dialogue about the risks of the nation's vaccination program keep the pulse pounding.
Copyright 2002 Cahners Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.

From School Library Journal

Adult/High School-Palmer excels at packing current medical issues into a web of suspense. The action begins immediately as people in various cities become afflicted with some unknown malady with bizarre symptoms. Some die quickly from seizures and blood loss, others develop a progressive mental illness along with "Elephant Man"-like growths on their faces and bodies, culminating in uncontrollable violence. Dr. Matt Rutledge is certain that a case he has seen, involving a mine worker for the Belinda Coal and Coke Company, is related to the mine's criminal offenses. He was raised in the West Virginia town and lost his father to alleged safety violations, and his wife to a rare cancer. Certain that her illness was induced by groundwater contamination, Matt has a double score to settle with BC&C. Meanwhile, in Washington, DC, Ellen Kroft, member of the advocacy group PAVE (Parents Advocating Vaccine Education), is struggling with her vote as part of a group evaluating a new megavaccine, Omnivax. In Boston, medical examiner Dr. Nikki Solari has watched the mental deterioration of her talented roommate as strange growths appear on her face. Both Ellen and Nikki travel to Belinda in search of answers. As expected, the three protagonists get together and set about solving the medical mystery, with danger, attempted murder, and bureaucratic strangulation surrounding them. Palmer skillfully juggles many subplots, integrating colorful characters and using current bioscience topics. FDA testing, vaccines, environmental toxins, spongiform encephalitis, greedy pharmaceutical executives, and bad cops-all contribute to the novel's action, suspense, and intrigue.
Carol DeAngelo, Kings Park Library, Burke, VA
Copyright 2002 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.

See all Editorial Reviews

Product Details

• Audio CD
• Publisher: Books on Tape; Library Edition edition (March 2002)
• Language: English
• ISBN-10: 0736686886
• ISBN-13: 978-0736686884
• Product Dimensions: 6.9 x 6.6 x 1.9 inches
• Shipping Weight: 1 pounds (View shipping rates and policies)
• Average Customer Review: 4.0 out of 5 stars  See all reviews (43 customer reviews)
• Amazon Best Sellers Rank: #2,483,335 in Books (See Top 100 in Books)

More About the Author

Michael Palmer, is the author of sixteen novels of medical and political suspense, all international bestsellers. His 17th medical and political thriller, OATH OF OFFICE is now available. In addition to writing, Palmer is an associate director of the Massachusetts Medical Society Physician Health Services, devoted to helping physicians troubled by mental illness, physical illness, behavioral issues, and chemical dependency. He lives in eastern Massachusetts.

Customer Reviews

Most Helpful Customer Reviews

8 of 8 people found the following review helpful:

4.0 out of 5 stars 4 1/2 stars, May 13, 2002

By 

Konrad Kern (OFallon, MO United States) - See all my reviews
(VINE VOICE)    (REAL NAME)   

This review is from: Fatal (Hardcover)

I always enjoy reading a Michael Palmer novel because it always seems to combine controversial medical topics, along with thrills that will please all suspense fans.

Matt Rutledge is a small town doctor in Belinda, WV. He believes the local mining company is causing illness and death (such as his wife's and father's), and is looking real hard for the reason to get the mine shut down. Not a real popular idea amongst the folks in town.
Ellen Kroft is a retired school teacher who believes that a new vaccine that's being introduced nationwide (endorsed by the First Lady) is deadly.
Nikki Solari, a coroner from Massachusetts, is in the town of Belinda to attend her best friend's funeral, when an attempt is made on her life. It seems she might have received some suspicious information about her best friend's death, and somebody wants that information real bad.

As these individuals come together in the story, you get a very exciting and suspenseful novel that should put Palmer on the top of his genre (I think he's already on the top). Lassa fever, Prion diseases and possible problems with vaccinations are just a few of the interesting topics covered. You'll enjoy many of the characters as well. I got a kick out of the dialogue with the mountain men.

Highly recommended.

13 of 15 people found the following review helpful:

5.0 out of 5 stars don't miss the message in the action...., May 14, 2002

By 

Dr Sherri "tooza2" (Cleveland, Ohio USA) - See all my reviews

This review is from: Fatal (Hardcover)

BOOK REVIEW: "Fatal" by Michael Palmer

This is a well-written, fast-paced, action-packed thriller. (I kept seeing a screen play with Harrison Ford or Michael Douglas as "Dr. Rutlidge" in my mind's-eye!) But the most important issue that is tackled in his book --the potentially harmful effects that vaccines have on our health --is the real message behind the plot.

His concern is accurate and those who have researched and studied the vaccination issue know that his statements are exactly on target. This may be the first time that problems associated with vaccines, including the incestuous relationship between the pharmaceutical industry, government and big money, has been tackled in a fictional arena. Who better to do this than
a NY Times Best Selling author who happens to be a physician?

With the potential of mandatory mass vaccination for smallpox looming on the horizon and the growing vaccine controversies related to autism and other childhood diseases, the story of Ominvax, a 30-in-one vaccine that is to be forcefully injected in all babies and children, is not solely fiction. Neither
are the fears of unknown, long term complications.

Here's a quote from the book by the character (Ellen) that was the consumer advocate on the vaccine approval committee (p.160):
"...My research has shown that not once has a vaccine--any vaccine--been evaluated by a prolonged double blind study. The pharmaceutical houses are powerful, and fund much of the drug research done at our universities and medical centers. They also have polished, highly effective public relations offices that have, on a number of occasions, set out to convince the general public that we cannot afford to deprive the placebo group of the lifesaving benefits of a vaccine while waiting until statistically meaningful double blind study can be
completed.

"Has this shortcut in the scientific process hurt us in any concrete, medical way? That I cannot answer with any certainty. What I can say is that as vaccination rates have climbed, there as been an alarming increase in the incidence of a number of so-called immune-mediated diseases and conditions such as asthma, allergies, and juvenile diabetes, as well as others --autism,
ADD and other learning disablities --whose classification as immune-mediated remains to be established. Is there a connection? Do vaccinations in some instances disrupt the normal development of the body's immune system? Until long-term, double blind studies are performed on vaccines, we may never know."

The deeper message, beyond the "who-dun-it", the complex web of
characters and the love story, is a plot to make us think. He has chosen to use his incredible fiction-writing talents to open the door of this controversial issue to the masses.

This is an entertaining, quick-read that is really enjoyable and does what a thriller is "supposed" to do. But beyond that, the book makes a profound statement about the potential for vaccine-injury when safety is abandoned due to the self-interests of a few.

7 of 7 people found the following review helpful:

4.0 out of 5 stars Not his best., May 23, 2002

By 

bob "ryanu" (WVC, UT United States) - See all my reviews

This review is from: Fatal (Hardcover)

One of the great things about Michael Palmer is that he does not feel he has to pump out a book every year, if it is good or not. So when I learn he is putting out a new book I really look forward to it. This book around I just did not feel the need to read every free second I had, like I did with The Patient. Fatal has likeable characters and brings up some things that will make me think next time I take my kids to the doctor, but it just didn't grab me like his earlier novels. It is worth
reading and I believe most people will find this book enjoyable.