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Fiction. Literature. Suspense. Thriller. HTML: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 show more 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.
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11 reviews
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 at any cost.

The book can very well be reality in today's show more society. It is sad and scary, but it is extremely well written and gives the reader something very real to consider regarding a very real and dangerous situation. show less
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 interesting...how 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 about Mr. Palmer is his ability to explain medical procedures and and healthcare policies with ease. what I don't like about him is his tendency to ramble on and on seemingly going nowhere with his explanations. This book (the paperback) was 509 show more pages! The story should have ended around page 321...it dragged on unnecessarily. It was a REAL struggle to finish it. I plowed through because I was ready to connect the dots. He seemed to add incidents just to make it a bit more convoluted to throw us off, but it only served to make things more boring. I don't know if I can recommend it unless you are truly fascinated by environmental issues (toxic dumps, coal mines) and vaccine-related illnesses and the supposed connection to autism and other similar diseases. The first Michael Palmer book I read was A Heartbeat Away and I really enjoyed it so I set out to read all of his books. Fatal was my second book and I think I need to take a quick break and read something more fast-paced before I dive back into the rest of his books. show less
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 interesting...how 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 about Mr. Palmer is his ability to explain medical procedures and and healthcare policies with ease. what I don't like about him is his tendency to ramble on and on seemingly going nowhere with his explanations. This book (the paperback) was 509 show more pages! The story should have ended around page 321...it dragged on unnecessarily. It was a REAL struggle to finish it. I plowed through because I was ready to connect the dots. He seemed to add incidents just to make it a bit more convoluted to throw us off, but it only served to make things more boring. I don't know if I can recommend it unless you are truly fascinated by environmental issues (toxic dumps, coal mines) and vaccine-related illnesses and the supposed connection to autism and other similar diseases. The first Michael Palmer book I read was A Heartbeat Away and I really enjoyed it so I set out to read all of his books. Fatal was my second book and I think I need to take a quick break and read something more fast-paced before I dive back into the rest of his books. show less
Matthew Rutledge is convinced that the coal mine near his hometown of Belinda, West Virginia is dumping harmful chemicals, especially since the death of his wife of a rare form of cancer.
Nikki Solari, a Boston coroner comes to Belinda to attend the funeral of her roommate, Kathy. Nikki is run over by a car and is convinced someone is chasing her. When Kathy is autopsied, she has strange bumps on her face.
Matthew and Nikki are thrown together and must find out the truth of how these events are related. They soon find out they cannot go to the police. Where will they turn?
½
I particularly loved the characters in this book. I felt that Palmer 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.

I generally enjoy his books, and I will continue to read them. 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 like that he doesn't right series books (don't get me wrong I like a good series, but until I'm out of school I won't be able to keep up with a series . . . or worse yet I hate waiting for the next in a series to come out).
For most of the book, you had two storylines that didn't really seem related. They both had to do with medical issues, but there was no visible link. I really enjoyed how the two paths were joined together. It was unexpected, and I like being surprised when I read a book. This was the first Michael Palmer book I've read, and I'd definitely read more. I think a lot of them are medical thrillers, which I'm a sucker for anyway!
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-packed thrill ride set in the mountains of West Virginia. Interesting characters and the scenic mountain backdrop add to this medical thriller that kept me turning the pages.

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Novels Set Underground
28 works; 7 members
Books Read in 2008
335 works; 8 members

Author Information

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47+ Works 11,588 Members
Michael Palmer was born in Springfield, Massachusetts on October 9, 1942. He graduated from Wesleyan University in Connecticut and Case Western Reserve University in Cleveland, Ohio. He trained in internal medicine at Boston City and Massachusetts General Hospitals. Afterwards, he conducted research for the National Air Pollution Control show more Administration in Cincinnati in order to fulfill his two-year military obligation. He spent 20 years as a full-time practitioner of internal and emergency medicine and is currently an associate director of the Massachusetts Medical Society's physician health program. His has written numerous books including 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. Palmer died at the age of 71 on October 30, 2013 after suffering a heart attack and stroke. His novels Resistant (released May 20, 2014) and Trauma (released May 12, 2015) were released after his death. (Bowker Author Biography) show less

Awards and Honors

Common Knowledge

Canonical title
Fatal
People/Characters
Matthew Rutledge; Nikki Solari; Ellen Kroft; Bill Grimes; Frank Slocumb; Lyle Slocumb (show all 13); Lewis Slocumb; Kyle Slocumb; Kathy Wilson; Sara Jane Tinsley; Harold Sawyer; Rudy Peterson; Vinyl Sutcher
Important places
Belinda, West Virginia, USA; Boston, Massachusetts, USA; Washington, D.C., USA
Dedication
For Nicholas Aleksandar Palmer Believe it or not, once upon a time, your grandpa wrote this book. And for Danica Damjanovic Palmer, Jessica Bladd Palmer, and Elizabeth Hanke For taking such good care of my boys
First words
It had started with a sore throat.
Last words
(Click to show. Warning: May contain spoilers.)"I think," he said, "it was a tanager. A scarlet tanager."

Classifications

Genres
Fiction and Literature, Suspense & Thriller, Mystery
DDC/MDS
813.54Literature & rhetoricAmerican literature in EnglishAmerican fiction in English1900-19991945-1999
LCC
PS3566 .A539 .F38Language and LiteratureAmerican literatureAmerican literatureIndividual authors1961-
BISAC

Statistics

Members
763
Popularity
36,845
Reviews
9
Rating
½ (3.72)
Languages
10 — Czech, Danish, Dutch, English, Finnish, French, German, Norwegian (Bokmål), Portuguese, Spanish
Media
Paper, Audiobook, Ebook
ISBNs
27
ASINs
4