There are three things I want to say about this book, and they are things that I rarely say:
1. It made me cry (hard to do).
2. I learned a lot.
3. This book is a MUST READ.
I debated for a long time about how much to reveal about this story. I have decided that since it is a true story that was in the news (though I’d never heard of this particular case), that it was okay to share details. If you want to go into it fresh, stop reading my review now - but know that you should definitely read the book.
Dr. Vince Gilmer was a rural doctor in the Appalachian area of southern America. He was gentle, kind, well-loved and very respected by all who knew him … until one day, when he took his father out of his healthcare facility, strangled him with a dog leash, cut off his fingers, and dumped his body on the side of the road.
Dr. Ben Gilmer (no relation) soon took his spot at the small clinic, and was horrified to hear what his predecessor had done. He was worried this tight-knit community wouldn’t accept him, especially since he is also Dr. Gilmer, and also worried that the “other” Dr. Gilmer would somehow get revenge while serving his life sentence. However, after hearing about the elder doctor and how much his patients loved him, he decided to visit the other doctor in prison to get his side of the story.
Long story short, he soon realized that Vince Gilmer was a man who was suffering. Shortly before killing his father, Vince went off the SSRI antidepressant he was on, Lexapro. As anyone who has been on an SSRI knows, when you start or stop taking them abruptly, you can literally go crazy. Was this a case of serotonin withdrawal? The other Dr. Gilmer had also been sexually abused by his father as a child, and had PTSD from that abuse. He ALSO had recently received a traumatic brain injury, which can certainly make people irrational and completely change their personalities. Was this a man with a brain that was severely damaged, or a psychopathic killer trying to make excuses for his behavior?
With all of these factors in play, Dr. Ben Gilmer realized that this doctor, who ended up defending himself in court, may not have been in his right mind when he murdered his father. He began visiting Vince more, and one day brought a colleague who noticed some disturbing physical symptoms that mimicked Huntington’s Disease. I had never heard of this, but it is kind of similar to having both Parkinson’s Disease and Alzheimer’s at the same time. It causes tics, tremors, walking issues and mental instability. The only way to find out for sure if he had it was to do genetic testing … which came back as positive for Huntington’s.
With this new knowledge, and after getting to know Vince, Ben realized that this entire situation was a miscarriage of justice. This man had multiple factors that could have caused him to “snap” and kill. He was allowed to defend himself, when it should have been clear to most people that he was suffering from a mental illness. He was sentenced to life in prison, and was left with no physical or psychiatric care - very common in the American prison system. Soon, Ben realized that he needed to step in and advocate for this man.
The rest of the book goes through the years-long process of trying to get clemency for this once kind and gentle man, and get him into a mental health facility that could help him. Huntington’s has no cure, but there are treatments that can bring some comfort as the victim’s mind and body are ravaged until they die a horrific death. I won’t spoil how it turned out, in case you are like me and had never heard of this story, but this book will keep you captivated and hoping for some justice.
I learned a lot while reading this book - not only about Huntington’s Disease, but about how so many mentally ill people fall through the cracks in our legal system. I know it happens all the time, but the specifics of this situation are shocking. I found myself rooting for an admitted killer, and hating the people who failed him. He had been telling people that his brain wasn’t working properly, but it was brushed off as malingering. Had anyone intervened sooner, the murder may have been avoided. Why didn’t anyone see that this man was suffering? Why didn’t the legal system investigate the situation more thoroughly? Why did they automatically assume he was faking the physical symptoms he was having? WHY DID THIS HAVE TO HAPPEN?
As an advocate for mental health, I was shocked and saddened by how everything went down, as was Dr. Ben. He spent years getting to know Dr. Vince, and trying to get him out of prison and into someplace more appropriate for his situation. Again, I won’t spoil the very end, but it is very emotional and heart-wrenching. As I said earlier, this is a must-read book, and the case should be highly publicized as an example of how the American prison system just does not work. I can’t give this book anything less than five stars - it was involving, intriguing and very, very illustrative. I could not recommend it more highly, and I hope this book helps affect major changes to our legal and prison systems.
(Thank you to Random House Publishing Group - Ballantine, Dr. Benjamin Gilmer, and NetGalley for the ARC in exchange for my review. I’m kicking myself for sitting on it for so long.)