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Unnatural Causes [Hardcover]

Leah R. Robinson (Author)
5.0 out of 5 stars  See all reviews (1 customer review)


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Book Description

August 3, 1999

The life-and-death struggle waged daily in the ER is a constant, integral part of Dr. Evelyn Sutcliffe's existence. Her home is her refuge from the frenzy, the anxiety, the uncertainty, and the blood. But now a dear friend clings to life by the barest of threads: a colleague struck down by poison he ingested while cooking in Evelyn's Manhattan apartment kitchen.

On a night when she was supposed to be celebrating her anniversary with her significant other, psychiatrist Phil Carchiollo, and a few of their closest chums, Evelyn instead finds herself back in the emergency room, frantically trying to save a friend-and haunted by the knowledge that the deadly mushrooms he consumed were intended for on or more of her invited guestsor for Evelyn herself.

A murdered striking perilously close to home is not the only event disturbing Dr. Sutcliffe. She and the rest of the staff of University hospital are bracing for sweeping internal change, and for a proposed union walkout that could cripple the great institution. Evelyn fears the assassin may be using the ensuing chaos to mask any number of dark deeds. And now sordid secrets about colleagues she thought she knew suddenly come to light-as well as the contrivances of a beautiful stalker with lethal designs on Evelyn. And as a maelstrom of intrique, lies, deadly internal politics, treachery, and murder threatens to drag her under, Evelyn's own investigation reveals two unnerving but inescapable facts: a killer is near at handand the killings have only just begun.

The life-and-death struggle waged daily in the ER is a constant, integral part of Dr. Evelyn Sutcliffe's existence. Her home is her refuge from the frenzy, the anxiety, the uncertainty, and the blood. But now a dear friend clings to life by the barest of threads: a colleague struck down by poison he ingested while cooking in Evelyn's Manhattan apartment kitchen.

On a night when she was supposed to be celebrating her anniversary with her significant other, psychiatrist Phil Carchiollo, and a few of their closest chums, Evelyn instead finds herself back in the emergency room, frantically trying to save a friend-and haunted by the knowledge that the deadly mushrooms he consumed were intended for on or more of her invited guestsor for Evelyn herself.

A murdered striking perilously close to home is not the only event disturbing Dr. Sutcliffe. She and the rest of the staff of University hospital are bracing for sweeping internal change, and for a proposed union walkout that could cripple the great institution. Evelyn fears the assassin may be using the ensuing chaos to mask any number of dark deeds. And now sordid secrets about colleagues she thought she knew suddenly come to light-as well as the contrivances of a beautiful stalker with lethal designs on Evelyn. And as a maelstrom of intrique, lies, deadly internal politics, treachery, and murder threatens to drag her under, Evelyn's own investigation reveals two unnerving but inescapable facts: a killer is near at handand the killings have only just begun.


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Editorial Reviews

Amazon.com Review

If you like your mystery mixed up with fast-paced emergency room action, this latest medical thriller by Leah Ruth Robinson (an emergency room technician herself) is just what the doctor ordered.

In between treating a wide variety of walk-in disasters, Dr. Evelyn Sutcliffe of Manhattan's University Hospital has to sleuth out who poisoned the mushrooms that her close friends consumed at a dinner party. Her friend and colleague Gary Seligman, a nurse who is heavily involved in a nasty labor battle between two rival hospital unions, lies gravely ill in the hospital. Gary has enemies in high-up places. Another possible suspect is Elise, a troubled young woman and a former patient of Dr. Phil Carchiollo (Evelyn's boyfriend). But there could also be a connection to a top doctor at the hospital--who has his own dirty secrets to hide.

As Robinson did in Blood Run and First Cut, she first stuns us with a whirlwind of detail about daily life in an emergency room, and then, when she has our full attention, drops in extra characters and plot to dazzle and baffle us. Guess what? It works. --Dick Adler

From Publishers Weekly

There's enough medical traumaAeverything from gunshot wounds and drug overdoses to exploding appendixes and diabetic comasAin Robinson's latest novel about Dr. Evelyn Sutcliffe to fill a year's worth of ER and Chicago Hope episodes. There's also a moderately interesting mystery: just who is trying to kill Sutcliffe and several of her friends with exotic poisons? Is it the gorgeous young woman who's obsessively stalking Ev's psychiatrist boyfriend, stealing Ev's clothes and even dressing up as a Third World beggar to eavesdrop on private conversations? Does the threat have something to do with the anger surrounding the possible merger of Sutcliffe's hospital with one of two competing institutions? Could there be a connection between the poisonings and some financial hanky-panky involving a couple of rich and powerful Yalies? Through it all, Sutcliffe remains a solid island of medical and spiritual strength around which all troubled waters flow. An experienced emergency room technician herself, Robinson (Blood Run; First Cut) fills her narrative with obviously hard-earned wisdom, like this mantra mentally chanted over a poison victim: "The first pulse to take is your own. Distance, distance. Treat the patient, not the poison. Lavage, absorption, catharsis." She also can create characters who come to instant, vivid lifeAsuch as Gary Seligman, the activist nurse who's the first to die from poison. The novel ultimately contains too many friends and family members for all to breathe easily on the page, but nary a reader will complain of a shortage of gripping medical action.
Copyright 1999 Reed Business Information, Inc.

Product Details

  • Hardcover: 384 pages
  • Publisher: William Morrow; 1st edition (August 3, 1999)
  • Language: English
  • ISBN-10: 0380974592
  • ISBN-13: 978-0380974597
  • Product Dimensions: 9.3 x 6.2 x 1.1 inches
  • Shipping Weight: 1.6 pounds
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (1 customer review)
  • Amazon Best Sellers Rank: #3,780,573 in Books (See Top 100 in Books)

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17 of 20 people found the following review helpful:
5.0 out of 5 stars If you like Cornwell you will like this book, June 9, 1999
By A Customer
This review is from: Unnatural Causes (Hardcover)
Evelyn Sutcliffe works as a third year resident at the University Hospital on Manhattan's Upper West Side. Her significant other, psychiatrist Phil Carchiollo, has lately turned moody and argumentative. Ironically, his withdrawal occurs even as their friends and family plan to celebrate the couple's one-year anniversary together. Guest Gary Seligman, RN, tries mushrooms from a food platter anonymously sent as a gift and soon dies from respiratory shock.

Evelyn believes the poisonous mushrooms were intended for her to sample, especially since she received a threatening note just a few weeks before Gary's death. Phil admits that a former patient has recently been stalking him. At first, Evelyn feels the woman wants her out of the way so she can attain her obsession, Phil. However, new evidence points towards Gary being the actual target by a criminal who will kill Evelyn and her cohorts to keep his identity quiet.

Leah Ruth Robinson is renowned for her entertaining medical thrillers. Her trademark, similar to that of Patricia Cornwell, is to leave readers feeling they are visiting old friends as characters return in new story lines. The lead couple is a delightful pair, especially Evelyn. UNNATURAL CAUSES is a winning medical thriller that will leave readers wanting more tales starring effervescent Evelyn.

Harriet Klausne

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