Life Support FROM THE PUBLISHER
The overnight ER rotation at Springer Hospital is a calm one, which suits Dr. Toby Harper just fine. While Toby is fiercely proud of the stripes she earned as a resident in a big-city ER, she's come to appreciate the pace at Springer. But no hospital could have been prepared for the man Toby admits one quiet night. Delirious and in critical condition from a possible viral infection of the brain, he barely responds to treatment. And then he disappears without a trace. Under fire from the hospital administration for literally losing a patient, and fearful that she's missed a life-threatening diagnosis, Toby knows she must find the patient. Her hunt is intensified when a second delirious patient dies in the hospital's care. But even more chilling is the discovery that the infection can only be spread through direct tissue exchange.
FROM THE CRITICS
People
Richly drawn hospital scenes....Chilling science...and breathless ER-style pacing....A quick, delightfully scary read.
Publishers Weekly
Proving that the world of microbiology is a fertile medium for horror, Gerritsen follows Harvest, her bestselling hardcover debut, with this spine-tingling medical chiller. Toby Harper, an overworked 38-year-old night-shift ER physician at a private Boston hospital, inadvertently allows a 76-year-old man with strange neurological symptoms to wander off and disappear into the night. She soon finds herself caught in a web of intrigue that centers around experimental anti-aging treatments administered by Dr. Carl Wallenberg, an imperious endocrinologist at Brant Hill, a retirement community catering to aging but upscale clientele. After a second elderly man from the same residential population dies with similar symptoms, Harper, fearful of a threat to public health, demands an autopsy over Dr. Wallenberg's objections. The postmortem reveals the cause of death as Creutzfeldt-Jakob (Mad Cow) Disease, and Harper wins an ally in the medical examiner. Despite the best efforts of the Brant Hill management to thwart her, Harper uncovers a trail pointing to the "age rejuvenation" experiments. Suddenly but not surprisingly, her already overburdened life falls apart. A sympathetic Brant Hill doctor is murdered while trying to reach her; and she is accused of the physical abuse of her Alzheimer's-afflicted mother. Underlying the chase is a subplot involving a pair of mysteriously impregnated prostitutes. The pieces in this adeptly crafted medical Rubik's cube don't click into place until the final page. Gerritsen, who was a practicing physician, and who honed her novelistic skills writing Harlequin Romances, adeptly integrates medical details into a taut and troubling thriller. Author tour; simultaneous S&S audio release. (Sept.)
Library Journal
Another medical thriller from Gerritsen, who one-upped Robin Cook with her best-selling first novel, Harvest.
Kirkus Reviews
Former internist Gerritsen follows Harvest (1996) with another far-fetched but effective medical thriller.
Toby Harper is an idealistic emergency-room physician who has chosen to work the graveyard shift so she can care for her Alzheimer's-afflicted mother. When a disoriented old man walks out of the ER and disappears, Toby finds that she cannot let the case go. She sniffs around Brant Hill, the ultra-upscale retirement village where he lived. Then another Brant Hill resident ends up in the ER with symptoms of disorientation and seizures: Toby worries that some unknown toxin at Brant Hill might be to blame. Or perhaps there's a problem with an experimental hormone protocol being used to restore youth to elderly residents? When the new patient dies, the snooty and evasive medical director for the complex denies the need for an autopsy, but willful Toby diverts the body to the medical examiner, Daniel Dvorak, who also happens to be handsome and divorced. Daniel finds that the old man died of Creutzfeldt- Jakob Disease, an extremely rare condition. When another CJD autopsy report shows up for a Brant Hill resident, Toby steps up her investigation. But she is also having trouble at home: The woman she's just hired to help care for her mother has told police that Toby has been physically abusing her parent. However beleaguered, Toby continues her detecting. A local prostitute gives birth to a strange one-eyed baby, who turns out to be a genetically altered factory of sorts, producing multiple pituitary glands. Could the Brant Hill gang be using this fetal tissue as part of their fountain-of-youth protocol, and could an unhealthy embryo have been behind the CJD outbreak?
The climactic showdown hyperventilates to the point of silliness, but realism's not the point here. A satisfyingly nefarious scheme, some tentative romance, and enough medical rushing-about to satisfy hardcore ER fans add up to a lively ride.