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Isolation Ward [Mass Market Paperback]

Joshua Spanogle (Author)
4.2 out of 5 stars  See all reviews (43 customer reviews)

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Book Description

December 26, 2006
Straight out of today’s hospitals and labs–and tomorrow’s headlines–comes a frightening, scalpel-sharp thriller from medical insider Joshua Spanogle. In an astounding debut, Spanogle takes us on an all-too-real race against time…as a young doctor enters the dark side of scientific research, desperate to stop a terrifying epidemic before it is too late….

In Baltimore’s St. Raphael’s Hospital, three newly admitted patients are among society’s most helpless citizens: female residents of Baltimore’s group homes for the mentally impaired, their bodies racked by a virus the likes of which no one at St. Raphael’s has ever seen.

Dr. Nathaniel McCormick is one of the first on the scene. A young investigator from the Centers for Disease Control, Nate is paid to explore the bizarre, the exotic, and the baffling–from superviruses to bioterrorism. But as soon as Nate begins to investigate the lives and habits of the victims, he knows something is terribly wrong. Using all his skills as a medical detective, Nate soon zeroes in on the “vector”–the one person who had sexual contact with the first victims. And when that suspect is found murdered, Nate fears that the disease he’s chasing may not be an act of nature, but of man.

With his brash style angering his superiors and fellow investigators alike, Nate turns to an old colleague and former lover, Dr. Brooke Michaels, for help. Together the two investigators follow a twisting trail of clues to a discovery that is at once groundbreaking and unspeakable. And as a circle of treachery tightens around him, Nate is about to confront the most chilling revelation of all–and a past Nate himself has been trying to escape.

At once a taut medical thriller and a riveting psychological portrait of a young doctor on the edge, Isolation Ward is a tale of runaway tension–with a brilliant “what-if” premise that is harrowing…heartbreaking…and impossible to wrench from your imagination.


From the Hardcover edition.

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Editorial Reviews

From Publishers Weekly

Young and brash Dr. Nathaniel McCormick, a maverick investigator for the Centers for Disease Control, leads listeners through Spanogle's fever-paced debut novel. Rummel lends a vocal mixture of naïve exuberance and postgrad snarkiness to the action- and technology-packed adventure. A ghastly, impossible-to-diagnose or combat viral outbreak at a Maryland hospital (perhaps too lovingly described in all its flesh-peeling details) sends Nate rushing off in a reckless search for the source of the virus. The journey takes listeners deep into Robin Cook–misuse-of-science country, traveling in the company of a couple of stunning beauties—one naughty, one nice—and a villain sadistic enough to make James Bond's nemeses seem merely playful. With the witty repartee, relentless action, stomach churning violence and mind-melting techno-lingo, it's something of a surprise to discover that Spanogle has also written an oddly affecting coming-of-age novel. Rummel displays a fair amount of versatility, capturing tender moment as efficiently as he handles the less credible confrontations: namely sequences of profound physical abuse from which Nate recovers with jaw-dropping speed. Ah, to be young, romantic, heroic and a fast healer.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. --This text refers to an out of print or unavailable edition of this title.

Review

"Combines a wonderfully flawed yet stereotypically smart-ass hero with a plot that moves as rapidly as a lethal virus."—Entertainment Weekly, grade A-

"[A] tightly woven debut thriller.... engrossing and intellectually wrought.—Kirkus Reviews, starred review


From the Hardcover edition.

Product Details

  • Mass Market Paperback: 544 pages
  • Publisher: Dell (December 26, 2006)
  • Language: English
  • ISBN-10: 0440242282
  • ISBN-13: 978-0440242284
  • Product Dimensions: 4.2 x 1.3 x 6.8 inches
  • Shipping Weight: 5.6 ounces (View shipping rates and policies)
  • Average Customer Review: 4.2 out of 5 stars  See all reviews (43 customer reviews)
  • Amazon Best Sellers Rank: #427,727 in Books (See Top 100 in Books)

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Customer Reviews

43 Reviews
5 star:
 (25)
4 star:
 (8)
3 star:
 (6)
2 star:
 (1)
1 star:
 (3)
 
 
 
 
 
Average Customer Review
4.2 out of 5 stars (43 customer reviews)
 
 
 
 
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Most Helpful Customer Reviews

23 of 23 people found the following review helpful:
5.0 out of 5 stars An excellent "first novel" by a promising new talent..., January 13, 2007
This review is from: Isolation Ward (Mass Market Paperback)
Even though I had packed a fair share of books on my recent roadtrip, my flight back from Orlando to Portland was lacking some mind-candy reading. I visited the airport book store and picked up Isolation Ward by Joshua Spanogle. This is an excellent first novel, and it made the trip back a whole lot shorter...

Dr Nathaniel McCormick works for the Centers For Disease Control, and he's out in Baltimore when a strange virus outbreak occurs. The symptoms look like a cross between a flu and a hemorrhagic fever, and it's got a high mortality rate. Furthermore, it's only appearing in mentally handicapped individuals who reside at group homes. The medical tests are not finding anything currently in the books, but some old-fashioned legwork is showing a web of sexual partners with a single individual at the center. The harder McCormick pushes to question people and test the homes, the more interference he gets from high-powered officials. And when "patient zero" is found murdered, McCormick knows that there's a major cover-up taking place. He just doesn't know what it is or where the virus will show up next. Together with a prior love interest, he turns his sights on a biotech firm associated with the medical college he was thrown out of earlier in his life. Far too many of the people he visits end up dead shortly afterwards, and he's not quite sure if he'll discover his answers before they get to him also...

Generally speaking, I cut new authors a little slack when it comes to their first published work. Writing a mainstream novel is not easy, and getting the pacing down usually comes with time. In this case, Spanogle cut to the head of the class. The depiction of a new virus threat seemed very realistic, as well as the constant questioning as to whether this was a bio-terrorist threat or just a new bug. It also showed that there are no easy answers when it comes to the detective work, and sometimes luck plays a more important role than skill. Just about the time you think you know where his story is going, there's a twist that takes you off in another direction. And although you think there are people in the story you can trust, each one has just a slight edge to them that makes you wonder if there's something that you don't yet know...

A very good, entertaining read, and an excellent first effort... Spanogle will be an author I keep on my "must read" list...
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20 of 20 people found the following review helpful:
4.0 out of 5 stars A new Cook????, February 28, 2006
This review is from: Isolation Ward (Hardcover)
Joshua Spanogle's Isolation Ward is a gripping and suspenseful read. The plot is fairly loose throughout the book but does eventually come together. Dr. Nathaniel McCormick (Nate) is an in your face doctor that works for the Centers for Disease Control. The guy doesn't know how to back down, even from his boss and will use a caged rat if necessary (read the book, it'll make sense) to defend himself. Though I like Nate, I'm not sure he's realistic.

As I read Isolation Ward, I kept drawing comparisons with the other doctor turned bestselling author, Robin Cook. This is unfair on my part, but I remember reading Cook's first bestseller Coma way back when and the comparison is natural enough. Spanogle is talented, and in time may become as good an author as Cook. Certainly, Isolation Ward is a good start.

Good plot, tight dialog, and interesting characters make Isolation Ward a good read.

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15 of 15 people found the following review helpful:
5.0 out of 5 stars A fascinating and memorable debut novel, March 7, 2006
By 
Bookreporter (New York, New York) - See all my reviews
This review is from: Isolation Ward (Hardcover)
Joshua Spanogle is currently a student at Stanford Medical School, but he has already acquired quite a bit of backstory. A Yale graduate, Spanogle has also served as a researcher at the University of Pennsylvania's Center for Bioethics. As if medical school wasn't time-consuming enough, Spanogle has written a medical thriller, ISOLATION WARD, that infuses elements of medical acumen and detective work to result in one of the more memorable books of recent note in any genre.

Spanogle's creation is Dr. Nathaniel McCormick, an officer of the Epidemic Intelligence Service, which in turn is a branch of the Centers for Disease Control and Prevention. The title "officer" connotes hierarchy and bureaucracy, and McCormick does not play well with others. Additionally, his personality is closer to that of Gregory House than Marcus Welby. These traits do not mesh well with his supervisors in the CDC, the hospitals he visits, law enforcement...well, you get the idea. This guy has an authority problem. And what makes it additionally tough for his superiors is that McCormick, more often than not, is right.

When a number of people begin showing up at a Baltimore Hospital emergency room with extremely nasty symptoms, McCormick --- loose cannon that he is --- goes rolling across the deck and over a number of toes. It doesn't take long to figure out that the patients are all residents of group homes. McCormick himself notes that he doesn't like being stuck in examining rooms --- an interesting attitude for a physician --- and is soon out in the streets and neighborhoods of Baltimore, investigating the patients, their employers and their friends, and kicking over rocks in the best manner of Robert B. Parker's Spenser and Raymond Chandler's Marlowe.

When an individual with a link to all the patients is found brutally murdered, McCormick's unauthorized investigation takes him to Northern California, where he not only uncovers the bizarre and frightening etiology of the mystery disease, but is also forced to confront and resolve issues from his own past that have a bearing on his present.

Spanogle has created a unique character here; McCormick is slightly irritating yet ultimately likable, and there is no question that he is an irresistible force attracted toward the truth. Considering that medical research and detective work are quite similar, it is somewhat surprising that characters such as McCormick are not more common in fiction. Spanogle, with McCormick and ISOLATION WARD, has raised the bar for future creators his first time out. Recommended.

--- Reviewed by Joe Hartlaub
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Inside This Book (learn more)
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
isolation ward, freezer room
Key Phrases - Capitalized Phrases (CAPs): (learn more)
Joshua Spanogle, Douglas Buchanan, Harriet Tobel, Alaine Chen, Tim Lancaster, Otto Falk, Gladys Thomas, Baltimore Haven, Brooke Michaels, Helen Jones, John Myers, San Jose, Ian Carrington, San Francisco, Deborah Fillmore, Jean Madison, Randall Jefferson, Janet Margulies, Health Department, Open Arms, Bethany Reginald, West Nile, East Coast, Santa Ana, Ben Vallo
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