A quick-reading medical thriller that focuses on a futuristic medical center where computers are completely in charge. Once you check in for your procedure, you don't see a human again until the autobots deliver you in a wheelchair to your loved ones waiting at the front door at the end of your stay. Everything seems to be going well at The Center until a 4 year-old girl, Christine, goes in for a tonsillectomy and doesn't come out. When her older sister and custodian, Maks, probes into the disappearance, she is told her sister experienced complications and died, but Maks cannot get her sister's body released to a funeral home or even a death certificate. Maks eventually meets Chad Dunston, a surgeon who was part of the central development committee who designed The Center and promises to get to the bottom of Christine's death.
While his professional, and personal, relationship with Maks grows, Chad finds himself developing a hernia and checks into The Center, both because he feels that The Center's otherwise unblemised track record makes it the safest place to go and to get a look at the inner workings of the place in hopes of gaining insight into what happened to Christine, as even his role in the design of The Center doesn't gain him access to the human-free zone. All goes well until Chad is delivered to the OR and the program on the computer screen indicates it has scheduled him for a testicular biopsy instead of hernia repair. Now he knows there is something messed up at The Center, but trying to infiltrate the computer system may be harder than it seems, if the computers that were designed to 'learn' have since outpaced human learning and are now turning on us.
The plot of this book was not as medically oriented as I would have liked, as it focused more on computers and its futuristic sci-fi plot loses some of its luster in that it was written in 1997 and the 'way out there' medical and computing technology that the author proposed, has already been well-surpassed in less than 20 years. Granted, I haven't heard yet of a hospital that requires no humans but the patients, but advances like the Da Vinci robot have thinned the dividing line that used to separate wholly human things like surgery from the capabilities of computers. Also at the time the book was written, the Human Genome had yet to be sequenced, which these days feels like it happened forever ago, and the genome's sequencing is an ongoing theme over the course of the book.
Overall, a decent read, but clearly dated. Did make me think about the possibility of the time when technology created by humans takes over the world and makes our existence unecessary. In the meantime, I'll be satisfied with what we have.