Terrorism in the operating room!
In THE PATIENT, Palmer has hypothesized ARTIE (Assisted Robotic Tissue Incision and Extraction), a technology that will assist surgeons in the removal of previously inoperable tumors and crafted a high voltage suspense thriller set in the arena of the neurosurgery operating rooms of EMMC, Eastern Massachusetts Medical Center. When Carl Gilbride, the tyrannical head of the department overrules the decision of Jessie Copeland, his finest surgeon, and successfully uses ARTIE to save the life of a world class Olympic gymnast, a veritable firestorm of publicity results attracting the attention of other surgeons, scientists, foundations, grant-giving authorities and dying patients desperate to get in line for a life-saving operation with this new technology.
It also comes to the ears of Claude Malloch, a shadowy, ruthless, mercenary assassin known to the CIA and the FBI as responsible for the deaths of over 500 people. Malloch has decided that, whatever it takes, nobody will stand in the way of his getting to the front of the line for the removal of a growing brain tumour that will certainly be his own call to the grim reaper. Alex Bishop, the relentless and obsessed CIA agent who has spent five years on the heels of Malloch after his brother's murder, tracks him to the hospital and tricks Jessie Copeland into helping him with his plans to capture Malloch.
Standing tall beside other tales such as Tess Gerritsen's HARVEST or Robin Cook's COMA, Palmer has given us a breathtaking look at the operation of a large metropolitan hospital - the controlled chaos and compelling urgency of a "Code 99"; the exhilaration of success or the shattering heartbreak of failure when the hospital's "product" is the life or death of its patients; the ethical dilemmas confronted by the desire to bring cutting edge technology into use on live human patients as quickly as possible; the unforgiving and demanding long hours; the compassionate involvement, caring and humanity that must often be held in check in order for medical staff to perform as competent, objective professionals; and, of course, the political tension between administrators, department heads, doctors, residents, and nurses as employees of the hospital as an extraordinarily complex and multi-faceted corporation.
The first two thirds of the novel is a workmanlike but very compelling and fascinating description of life in the hospital. Frankly, with the plot all but in the sack, I was wondering how Palmer was planning on spinning out a further 100 pages. But, at that point, Palmer blindsides his readers with a completely unpredictable twist, ratchets the action into high gear and packs the finale with all the intensity of the finest page-turning thriller.
But, sadly, the novel ultimately failed to satisfy and what might have been great ended as merely good. Palmer brought us to the climax and ended his novel with the intensity, speed and suddenness of a NASCAR driver hitting a wall at 200 mph and disintegrating into a ball of flames. In the course of developing his main plot and fleshing out his characters, Palmer started a number of sub-plots and every dad-blasted one of them is left hanging unfinished in mid-air. When I got to the final paragraph, I actually flipped back three or four pages and re-read them suspecting that perhaps I had actually missed something. How disappointing is that?
Paul Weiss