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3.94 of 5 stars 3.94  ·  rating details  ·  2,889 ratings  ·  116 reviews
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 height ...more
Audiobook, 0 pages
Published March 27th 2002 by Random House Audio (first published March 1st 2002)
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Well what can I say? I had heard a lot about Michael Palmer’s books over the years, so when I found this one in my stacks I picked it up. I was extremely disappointed in this book.

The story starts out with a good premise, the possibility that toxic waste in a mine is causing serious illness in a number of people. Dr. Matt Ruttledge has an axe to grind with the mine owner’s and is bound and determined to prove his theory. When a doctor from Boston comes to town for a friend’s funeral an attempt i
Rob Dinsmoor
I loved this books as I love all of Michael Palmer's books that I read. As Palmer trained as an ER physician and I'm a medical writer, I ate up all the medical detail, including his hero's performing dicey surgical procedures on the fly. This book follows the adventures of ER doctor Matt Rutledge, who returned to his hometown of Belinda, West Virginia, to marry his high school sweetheart and open a practice. After his wife Ginny dies from an unusual cancer, he starts to suspect that some unusual ...more
Rai Chu
This review has been hidden because it contains spoilers. To view it, click here.
Lauren Stoolfire
It took me quite a while to really get into this novel - probably somewhere around the 100 page mark. There is a possibility that what kind of through me off in the prologue was the bit about "explosive diarrhea"... I had dinner shortly before I began the story. Anyways, of the three lead characters I particularly enjoyed reading Matt and Nikki; I found that I wasn't really all that interested in Ellen; she did grow on me to some extent near the end. However, one thing that irked me about Matt a ...more
Joyce McKune
Two mysteries in one. A coal mine dumping toxic waste and a vaccine that hasn't been properly tested and could kill like a time bomb. Great book.
I decided to take a break from medical thrillers by Tess Gerritsen, so what do I read? A medical thriller by Michael Palmer, a new author to me. This was perhaps not the best book to be read by a new grandmother whose grandchild is in the process of going through all those baby vaccinations.

The country is about to release an "omnivirus," which will protect everyone against some 30 diseases. Ellen Kroft, a grandmother whose granddaughter suddenly because autistic after receiving one of the baby v
4.5/5 stars.

I truly adored this book overall!

As a very seasoned & experienced RN (20+ yrs already!), I tend to really pick apart any story written in or about any type of healthcare situation. Obviously, the fact that Michael Palmer is a physician himself lends a whole entire level of credibility and "realness" to his writings; there isn't a bunch of silly or exaggerated medical situations that are glaringly unbelievable or just not accurate (which makes me CRAZY! Lol). Instead, the things
This book took me a week to read unlike most of Palmer's books I go through in a couple hours -- because of interruptions, not because I wanted to put the book down. if I believed in guilty pleasures, Palmer would be mine, but since I don't, it's just a favorite form of escapism. Fatal didn't disappoint, but to be fair I haven't been picking up the ones that sound like they will. (Obviously, these are social networking notes far more than real 'book reviews.' I'm sure people are glad to not have ...more
Only half way thru & it is very tough to keep reading... bought this book as it got so many good reviews, however, I find it boring... there are too many stories going on at the same time & he goes into detail with all the medical & scientific terms... hoping it gets better soon, but doubt I will be reading any other books by him
Laronica Conway
Overall, it was a good 'story'...trying to link what everyone thought were three random medical issues, despite the fact that these three cases were located in different parts of the country. It started out really can a case of paranoid patients with neurofibromas (one in W. Virginia and the other in Boston) be linked to a pregnant woman in Chicago who thought she had the flu, but ended up with a fever and diarrhea that caused bleeding from every part of her body? What I like a ...more
David Alkek
As a physician myself, I really enjoyed this fast-paced story of conspiracy, action, and murder. Palmer painted a realistic picture of the scene and characters.
Gerald Kinro
Five years ago, emergency physician Matt Rutledge returned to Belinda, West Virginia to Marry Ginny and to open his practice. Things were not all that rosy, however. Ginny succumbed to an unusual cancer. Furthermore, Matt’s father died in Belinda’s coal mines. Thus Matt has made it a mission to expose the Belinda Coal and Coke Company’s health and safety conditions.

Matt has identified two bizarre cases of what he has dubbed the Belinda Syndrome--caused, he is certain, by the mine’s careless dis
Tim Titolo
Michael Palmer is a medical doctor with vast experience in Emergency medicine and currently practicing in addiction. He is also the gifted writer.
This novel focuses on lead character Matt Rutledge M.D. Dr. R has been suspicious of mining practices causing fatal disease outbreaks for years.
Another story is that of a new vaccine that is fast tracked through studies to get to market. With the help of the first lady and police chiefs on the take, the drug Omnivax will be administered to thousands a
A huge thriller saga. At first I couldn't see how the author would get all the disparate stories and characters to link up, but they do. Plenty of twists and scary moments for the characters, making you want to read on and on.

The theory behind it is also conceivable - big business, pharmaceuticals, corrupt officials etc.
I listened to 'Fatal' as an audiobook and loved it. Compared to Palmer's other books, this had only a fraction of the medical thriller genre used in its composition, replaced instead by more all-out action-thriller genre instead. It was a "I want to find out what happens next" type of book, but wasn't quite a "I can't stand to set it down" read, if that makes sense. Some parts of the book were well written and fit the story line perfectly, but had serious "is it believable" issues. Overall I lov ...more
I enjoyed this book. It was well written and detailed enough to get the feel of what was going on. I am very glad my children are grown because the part about vaccines was scary.
Abby Johnson
Dr. Matt Rutledge suspects that the local coal mine is behind a series of strange illnesses in his West Virginia town. Grandmother Ellen Kroft fights against a super-vaccine that's about to be implemented as the standard of care. Dr. Nikki Solari mourns the loss of her best friend and travels to West Virginia for her funeral... All of their stories come together as they are thrust into a deadly adventure to find the truth behind the disfiguring disease that's popping up in Belinda, WV. An action ...more
Michael Palmer weaves excellent medical thrillers, this one involving the the health consequences of improper disposal of toxic substances. Always exciting -- and educational.
Jan 12, 2015 Jerry-mac marked it as to-read  ·  review of another edition
I registered a book at!
A medical thriller in coal mining country, bringing together a pathologist, an bereaved widower who is the local er/primary care doctor and an anti-vaccine activist. Seemingly unconnected victims suddenly develop a fevers, facial tumors and a raging paranoia and an illness similar to mad cow. The local doc thinks it's related to toxic chemicals hidden by the mining company and poisoning the victims. A quick, page turning read (except for a few sections where descriptions of bureaucratic process ...more
Gary and I always enjoy listening to a Michael Palmer book while traveling. This was no exception. We both enjoyed it!
Cathy Jarvis
Another excellent book by this author...I have read 6 previous books and will be looking for more.
Rupesh Goenka
An enjoyable & entertaining medical suspense thriller...
This was an ok book, but I think I enjoyed many of Palmer's previous books much better.
I was very impressed with how Palmer weaved such great and interesting stories into one big plot. I couldn't put down the book because I wanted to uncover how these different characters from different parts of the U.S. were connected. I also appreciated Palmer including some of his medical knowledge into the book. It was interesting to read about Lewis's chest tube insertion with a condom (not sure if it's 100% true, but I was entertained nonetheless.) I would definitely be reading more Michael ...more
John Bastin
When you or your children get a vaccination, do you ever wonder about the safety of the medicine that is given, or how much testing it has really been subjected to, or how much money a pharmaceutical manufacturer has paid to get that medicine on the market?

This is an engrossing story centered on that question, a tale that you won't want to put down until it's finished. The twists and turns along the way and the characters you meet make this a very interesting book that holds you until the very e
Feb 03, 2014 Alan marked it as to-read  ·  review of another edition
Shelves: cd, own
Kindle: $5.99
I generally enjoy Palmer's books. On occasion his over-arching themes can get repetitive, but he is a good writer and he usually provides a good twist in his stories.

I particularly loved the characters in this book. I felt that he did a great job of bringing out the essence of each one. The brothers in particular were my favorites (don't want to put in any spoilers). I found myself wondering why this was never made into a movie.
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Michael Palmer, M.D., 1942-2013, was the author of Political Suicide, Oath of Office, A Heartbeat Away, The Last Surgeon, The Second Opinion, The First Patient, The Fifth Vial, The Society, Fatal, The Patient, Miracle Cure, Critical Judgment, Silent Treatment, Natural Causes, Extreme Measures, Flashback, Side Effects, and The Sisterhood. His books have been translated into thirty-five languages.

More about Michael Palmer...
Silent Treatment Natural Causes The Last Surgeon The First Patient The Fifth Vial

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