Dr Abby Dolan was on the fast track at a major San Francisco hospital when she made a critical choice: to follow her fiance, Josh Wyler, to the picturesque California town of Patience, where he has a new job with the manufacturing giant Colstar. Working in a small-town emergency room, knowing her every move sparks gossip, Abby nonetheless begins to feel at home-until the first undiagnosable patients start to showing up. Abby calls them NIWWs: No Idea What, s Wrong. And despite her cosiderable skills, she can, tcrack these baffling, seemingly random cases. When Josh too begins to suffer disturbing symptoms, followed by manic, even violent behaviour, she wonders: could Colstar somehow be poisoning the town? Warned by a colleague that her predecessor in the ER died in a dubious accident after makink similar allegations, Abby refuses to back off. She begins to question everyone and everything around her in the now hosti le town of patience-while her most dangerous enemy is far closer than she thinks.
Michael Stephen Palmer, M.D., was an American physician and author. His novels are often referred to as medical thrillers. Some of his novels have made The New York Times Best Seller list and have been translated into 35 languages. One, Extreme Measures (1991), was adopted into a 1996 film of the same name starring Hugh Grant, Sarah Jessica Parker, and Gene Hackman.
Abby Dolan was a highly skilled female physician with plenty of upward mobility on the horizon at a major San Francisco teaching hospital. With no small amount of trepidation and introspection, she reluctantly changed jobs in order to be with her boyfriend, Josh, and accepted a position as head of the emergency room at Patience Regional Hospital, a much smaller hospital located in the mountains north of San Francisco that caters to the localized needs of the citizens of Patience.
It isn't long before Abby realizes that something simply isn't right. She's seeing an alarming number of NIWWs - her medical black humour shorthand for charting symptoms when she has "No Idea What's Wrong"! Like so many other small towns and cities North American, Patience is portrayed as an economic entity in which employment and survival depends on a single source. In this case, the driver is Colstar Industries, a battery manufacturer, that's part of the conglomerate empire belonging to multi-billionaire, Ezra Black. Colstar's survival, in turn, seems to depend in large part upon government contracts and the continued largesse of the incumbent senator.
As the plot began to unroll, circumstances begin to lead Abby into hypothesizing that Patience is being subjected to cadmium exposure by something or someone at Colstar and that the cause of her NIWWs is heavy metal toxicity. Uh oh ... I rolled my eyes and sighed, thinking I was wading into that aging medical thriller chestnut of the heroic sole practitioner waging battle against some evil megalomaniacal corporate demon. When Robin Cook first wrote COMA in 1977 almost single-handedly creating the medical thriller genre, this might have been new and exciting fare. But, since then, it's been beaten to death and I was convinced that CRITICAL JUDGMENT was bound to be a derivative dud.
How wrong could I have been? Even if the premise at its most basic isn't particularly new, Palmer's treatment of the story is exciting and fresh. CRITICAL JUDGMENT is a bona fide page-turning thriller with red herrings, lots of cliff-hangers, plenty of excitement and hold-your-breath moments plus an ending twist that nobody will see coming. Bravo, Michael Palmer!
His description of the professional politics and atmosphere of a small town regional hospital is interesting and informative with a clear ring of authenticity. In the context of a medical thriller, this makes for an innovative and most refreshing change from the usual setting of general hospitals in a major metropolis like Boston or Los Angeles. A regional hospital is clearly an entirely different environment with a multiplicity of challenges and opportunities that set it apart from its bigger city counterparts.
Last but not least, while we've seen other thrillers put a magnifying glass on surgery or obstetrics, for example, this is the first medical story I've seen that focused so completely on the emergency room. Even as the story was moving forward, Palmer treated his readers to a number of absolutely electric emergency room crises that put me into only one frame of mind - absolute awe at the skill and ice-cold decision making prowess of the medical staff that work in emergency room facilities across the continent.
Another great job, Michael Palmer! Highly recommended.
I liked the way the book started (scenario setting, gradual build-up of atmosphere etc), and the integrity of the medical details (OK, the author is a doctor). However, this was a bit like gobbling down a Big Mac when you think you're starving: it seems great at the beginning, but gets steadily worse as you go on. Substitute the trans-fats and high sodium content for a convoluted and slightly out of control plot, and you get my drift. In short, there was no sense of satisfaction at the end, nor a reflection on the exercise with pleasure. BTW, as I haven't eaten a Big Mac for 20 years, I apologise to MacDonalds if they have since modified the nutritional content of the said product.
Palmer never disappoints me. This story seems predictable but it's anything but. When you are sure you know who the bad guys are and what they have done, turn the page to find another. Another Palmer book finished in less than 36 hours because I couldn't put it down.
"Once I shoot this thumb off, I guarantee you, as only a doctor can, that it's not going to grow back." Wow, powerful stuff from Dr. Abby Dolan. I don't think I can write a serious review as this book was just, how do I say, dumb. It was laughably bad. I've read one other Palmer book and I remember liking it. Did my cadmium poisoning erase my memory of it? The characters so poorly written. Dialogue so unnatural. The "Love" story between Abby and Lew painfully hokey. The plot was obvious and left little to the imagination. Gee, I wonder if Dr. Oleander is in on the poisoning. Oleander is literally a toxic plant. Wait, Lew turns out to be a fraud? No! Didn't see that coming from the top of Colstar International. And what was with the immediate rapport with Ives? He Hates hospitals and doctors. Is a recluse who lives in a remote cabin but is somehow totally fine with Abby showing up one day to treat his leg infection in the woods? Probable. Final thoughts: Palmer should've shown critical judgement and left this story in the vault.
This entire review has been hidden because of spoilers.
Roller coaster ride of a read. Can't put down, read all night, action packed, slide into home base thriller. If all Drs were like Abby there would be no sick people left to treat in the States. Part detective, part scientist, part physician. Well done. Extremely well done.
This is a good, solid read. Michael Palmer's story about a female doctor who moves to a town with her fiance. She is employed in the emergency room and comes across patients tht she has no idea what is happening to them. At the same time her fiance is showing indications of the same thing and she wonders if his employer could somehow be involved. Then, the rest of the story.
J. Robert Ewbank author "John Wesley, Natural Man, and the 'Isms'"
As I am about to finish a book I can determine if the book has been good or not by peaking at the Table of Contents to see how many chapters are left in the book from the point that I am currently reading at..... if the book has really been good I will not want the book to end any time soon. That was the case with this book. It was captivating until the very end.
Dr. Dolan, Abby to friends, had moved to Paridise, CA when her boyfriend got a job at Colstar lab. Now working as an ER doctor at the local hospital, she kept treating patients with similar symptoms, but no causes. Her boyfriend Josh was exhibiting severe mood swings, somewhat like a few of her patients. She and another doctor think they have figured out the possible cause. Read on, for a great ride!
Michael Palmer does not disappoint! I followed Abby throughout the story, cheering her on, fearing for her...I have to admit I was conflicted about her budding relationship with Dr. Alvarez in view of her relationship with her fiance Josh, but it turned out brilliantly. Critical Judgment was my third Micheal Palmer novel after Silent Treatment and the Fifth Vial, and the one I am just starting is also a Michael Palmer: Fatal. I am already sold out.
I enjoyed the intrigue of this - some of the medical stuff was a bit complicated for me and some of the decisions weren't realistic. (And I worked out the ending!) I was keen to find out what happened next so I guess that means I got caught up in the story. I've not read anything by this man before - I'd read more.
This book had a really strong start, but just failed to live up to it.
I liked that the main character was female. Unfortunately she wasn't a very believable one. I don't think that the author gave her a lot of depth, she was just his puppet to walk the reader through his storyline.
Book #6 by Michael Palmer . This one was longer than the others & got a little bogged down in all the characters but still left you wondering NIWW (No Idea What’s Wrong) and who done it ! Michael Palmer Always gives you mystery, excitement, love, medicine , etc. Not tired of him yet ! On to book 7 !
This was a great book. Kind of like something Robin Cook would write, about the medical field...mystery in the hospital. YIKES! Possible cadmium poisoning by a company that is making batteries "up on the hill" and seems to have the whole town "in its pocket."
It took me two tries to get interested in this book. The beginning just didn't grab me the first time I picked it up. Luckily I tried it again. This is a medical thriller and includes plenty of detail on all things medical.
Excellent!! Dr. Abby dalton, er doc, turned investigator....wondered why so many patients had vague symptoms no one could put a finger on....could the big colsar company be poisoning them....especially when josh the love of her life did an about face in his thoughts and actions...another goodie...
It’s been a long time that I stayed up till 5 am reading a book but I did with this one! Lots of action twists and turns and surprises. Loved the heroine.
Este libro es una recomendación de una amiga mía, lectora de buenos gustos si se me permite decirlo.
Y aunque cuando ella lo leyó me iba contando retazos y ya sabía de que iba la historia me sorprendió bastante y debo decir que para bien.
La historia tiene un ritmo tranquilo sin grandes giros y sobresaltos, a excepción de los momentos en que Abby Dolan tiene que actuar en la sala de emergencias del pequeño hospital de Patience, y es que te sumerge tanto en la urgencia con que se trata a los heridos y la velocidad de acción que requiere, siendo este el punto fuerte de la historia, la capacidad de narrar con esa viveza las experiencias médicas de la sala de urgencias. Siento que el escritor, al ser un apasionado médico que disfrutaba de atender las más precarias emergencias médicas, tiene esa habilidad para contagiarte la emoción de atender a los pacientes, y por ello las escenas que manejan este tipo de situaciones son las que mas enganchan y aunque son cortas te mantienen en vilo.
Los personajes, además, son muy cercanos, y siempre hago énfasis en la necesidad de proponer personajes realistas y con quienes puedas imaginarte una interacción, personas a quienes podrías conocer en la vida real. Y la trama esta muy bien diseñada, pues aunque al principio puede parecer que el lector sabe todo lo que ocurre y solo acompaña a la protagonista a descubrirlo, al final ambos se llevan una sorpresa y en definitiva es poco predecible, aunque de algún modo se puede intuir.
El epílogo es muy interesante porque no concluye de una forma convencional, en realidad hace ver que la historia no concluye en sí misma, como suele pasar en los casos reales, donde a pesar de que algo termine siempre habrá esa otra cosa sucediendo o a punto de suceder.
Altamente recomendado, sinceramente creo que sería agradable volver a leer algo de este autor.
Les debo su frase porque al parecer no guardé ninguna...
Dr. Abby Dolan has followed her boyfriend Josh to a small California community, Patience, where he has been hired at a major facility and she finds work in the emergency room of the local, extremely well-appointed, hospital. But Josh is acting strangely now, some of Abby’s patients are exhibiting puzzling symptoms, and a few individuals seem to be experiencing psychotic rages so extreme that people are getting killed. Abby begins searching for the truth, with the help of handsome colleague Dr. Lew Alvarez, but there are many in the town who don’t want them to discover what is really going on and who are willing to do anything to prevent them from learning about it…. This is a typical medical thriller, a genre I don’t read very much but which I find can be quite perfect as a lazy summer read. The author was himself a physician and the medical aspects, particularly the type of training needed to make a good emergency room specialist, are quite interesting; the thriller aspect of the book is indeed fast-paced and cinematic. Having been published in 1996, some particular elements seem quaint (his treatment of MRI machines, for example, but then I’m reading the book 25 years later, when such machines are far more common and well-understood), and despite having lived there for almost two decades I still can’t for the life of me place a downtown high-rise in San Francisco from which one could see both Alcatraz and the Golden Gate Bridge, but these are minor quibbles. Mostly, a fairly mindless and entertaining way to spend time in the summer - on a beach, perhaps, or in a sultry backyard. Mildly recommended.
Critical Judgment is a page-turning medical thriller with red herrings, lots of cliff-hangers, plenty of excitement and hold-your-breath moments plus a surprise ending twist!
Palmer's description of the professional politics and atmosphere of a small town regional hospital is interesting and informative with a clear ring of authenticity. In the context of a medical thriller, this makes for an innovative and most refreshing change from the usual setting of general hospitals in a major metropolis. A regional hospital is clearly an entirely different environment with a multiplicity of challenges and opportunities that set it apart from its bigger city counterparts. Enjoyable, interesting and medical thriller that teaches about Emergency Medicine and Cadmium.
In the tiny town of Patience, California, newcomer Dr. Abby Dolan has noticed a frightening syndrome among her emergency room patients. It begins with a baffling, seemingly minor set of symptoms, but builds relentlessly until it plunges its victims into insane, murderous rages. As she searches for clues to this deadly mystery, Abby's superiors make it clear her probing is unwelcome.
Soon Abby will learn just how high the cost of the truth may be--and how far someone will go to keep a lethal secret. But she may not find the answer until it's too late to save her patients, her career...her life.
Es primera vez que leo un libro que mezcle la medicina con el suspenso y me encantó! El personaje principal de Abby una doctora que trabaja en urgencias demostrando un fuerte poder de determinación al momento de tomar decisiones difíciles y acertadas. Muy apasionada por su profesión que se encuentra con estos extraños casos sin diagnóstico… me gustó como podías entender su personalidad y luego de algunas páginas ya estaba completamente atrapada en la historia. En un punto me costó un poco seguir los nombres de los pacientes pero ya a la larga no fue tan complejo. Me gustó mucho también como se describían los espacios.
No le doy 5 estrellas solamente porque se me hizo un poco obvio que Lew estaba engañado a Abby, el hecho de que se preocupara por ella pero no tomara las riendas de la situación y que nadie sospechara de él como lo hacían de Abby era muy obvio que algo estaba ocultando. También sentí un poco innecesario el personaje de Josh, fácilmente se pudo desarrollar la historia si el.
El final me gustó, me mantuvo leyendo sin parar con apenas pestañear y si, me hubiese gustado saber qué pasó con Abby después de todo ese caos.
Para finalizar si lo recomiendo muchísimo!
This entire review has been hidden because of spoilers.
Gut Instinct Rating: 4 Characters: 3.75 Believability: 5 Uniqueness: 5 Writing Style: 4.5 Excitement Factor: 4.5 Story Line: 5 Title Relevance: 5 Artwork Relevance: 5 Overall: 4.63🏳️🌈 • Review: This was just as medically filled as it was action packed. Much like Palmer's other books, this was filled with medical lingo. Sometimes it was a bit overwhelming, but if you've ever found yourself watching ER or any other medical drama, you know things like this are probably more plausible than we wish believe. The lack of diversity in this one hurt, and I really didn't have a fondness to any of the characters except for Abby. But overall, this was one I was rushing to finish because I had to know how it was going to end.
Starts off interesting, gets worse as the story progresses. Protagonist's sense of self preservation was too potent for her to be seen as a hero, and the most likeable character got turned into a villain because a billionaire killed his wife and he wants revenge. Yes, I know Alvarez's methods were unethical, but I didn't like how Ezra Black was primarily seen as uninvolved with his company's evildoing. Especially after epilogue proves nothing changed in the end.
The ending felt rushed and inconclusive. The only thing I took from this book was to never trust large corporations or billionaires.
This entire review has been hidden because of spoilers.