Coma—reimagined for the twenty-first century from the undisputed king of medical thrillers.
Lynn Peirce, a fourth-year medical student at South Carolina’s Mason-Dixon University, thinks she has her life figured out. But when her otherwise healthy boyfriend, Carl, enters the hospital for routine surgery, her neatly ordered life is thrown into total chaos. Carl fails to return to consciousness after the procedure, and an MRI confirms brain death.
Devastated by Carl’s condition, Lynn searches for answers. Convinced there’s more to the story than what the authorities are willing to reveal, Lynn uses all her resources at Mason-Dixon—including her initially reluctant lab partner, Michael Pender—to hunt down evidence of medical error or malpractice.
What she uncovers, however, is far more disturbing. Hospitals associated with Middleton Healthcare, including the Mason-Dixon Medical Center, have unnervingly high rates of unexplained anesthetic complications and patients contracting serious and terminal illness in the wake of routine hospital admissions.
When Lynn and Michael begin to receive death threats, they know they’re into something bigger than either of them anticipated. They soon enter a desperate race against time for answers before shadowy forces behind Middleton Healthcare and their partner, Sidereal Pharmaceuticals, can put a stop to their efforts once and for all.
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Robin Cook, M.D., is the author of more than thirty books and is credited with popularizing the medical thriller with his groundbreaking and wildly successful 1977 novel, Coma. He divides his time among Florida, New Hampshire, and Massachusetts. Cook’s most recent bestselling novels include Cell, Death Benefit, and Cure.
Spring in Charleston, South Carolina, is a resplendent affair, and by the beginning of April, it is always well underway. As if competing for attention, the azaleas, the camellias, the hyacinths, the early blooming magnolias, and the forsythias all contribute their riot of color and fragrance. And on this particular day, as the sun prepared to rise there was the promise that it would be glorious day for most everyone in this scenic, historic town. Everyone, that is, except Carl Vandermeer, a successful, young lawyer who had grown up in nearby West Ashley.
Most mornings, regardless of the time of the year but particularly in the springtime, Carl would be part of a sizable group of joggers who ran along the Battery that was located at the southern tip of Charleston’s peninsula. The Battery fronted that portion of the expansive Charleston Harbor formed by the confluence of the Cooper and the Ashley River. Lined with period mansions and boasting a public garden, the Battery was one of the most attractive and popular locales of the city.
Like most of the other runners, Carl lived in the surrounding and charming residential neighborhood called SOB to the locals as the acronym for ‘South of Broad Street.’ Broad Street was a thoroughfare that ran east-west across the Charlestown peninsula between the two rivers.
The reason Carl was not jogging this beautiful, spring morning was the same reason he had not been jogging for the previous month. He had torn his anterior-cruciate ligament in his right knee during the final basketball game of the past season. He and a half dozen other athletically inclined lawyers had formed a team to play in a city league.
Carl had always been into sports through high school and Duke University where he played Division 1 lacrosse with considerable renown. Having made it a point to keep himself in shape even during law school, he thought of himself as generally immune to injury, especially since he was only twenty-nine years old. Throughout his athletic career he had never suffered more than a couple of sprained ankles.
So the knee injury had come as an unwelcome surprise. One minute he was perfectly fine having played the entire first half of the game and scored eighteen points in the process. With the ball in his possession, he had faked the fellow guarding him to the left and then went to the right to drive to the basket. He never made it. The next thing he knew he was sprawled on the floor unsure of how he had gotten there. Embarrassed, he got right to his feet. There was some discomfort in his right knee, but it wasn’t bad. He took a few steps to walk it out and immediately collapsed for the second time. That was when he knew it was serious.
A visit to Dr. Gordon Weaver, an orthopedic surgeon, had confirmed the diagnosis as a torn anterior cruciate ligament. Even Carl, a complete medical novice by choice, had been able to see it on the MRI. The bad news was he’d have to have surgery if he wanted to play any kind of sports. Dr. Weaver said the best operation involved diverting a portion of his own patellar tendon up through his joint. The only good news was that his health plan would cover the whole deal including the rehab. His bosses at the law firm where he worked were not thrilled about the necessary down time, but missing work was not what bothered Carl. What bothered Carl was that he had a particularly strong distaste for having anything to do with medicine and needles. He had been known to pass out merely having blood drawn and didn’t even like the smell of rubbing alcohol because of its associations. He had never been hospitalized, but he had visited friends who had been and the experience had freaked him out so going into the hospital that morning for surgery was going to be a challenge to say the very least.
The irony of his embarrassing and secret medical phobia was that his steady girlfriend for the last two years, Lynn Peirce, was a fourth year medical student. She often made him lightheaded with her stories of her daily experiences at the Mason-Dixon Medical Center where Carl was scheduled to have his surgery in a few hours. It had been she who had recommended Dr. Weaver and had explained in agonizing detail on exactly how his knee was going to be repaired.
It also had been Lynn’s insistence that he request to have his operation be Dr. Weaver’s first case on a Monday morning, saying that everyone was fresh and there was less chance for mistakes. Carl knew that Lynn meant well through all this, but her comments only made him even more nervous.
Lynn had offered to spend the night as she had Saturday night to make sure Carl followed his pre-op orders and got to the hospital on time, but Carl had begged off. He was afraid she might end up innocently saying something that would make him even more nervous than he already was. But he didn’t tell her that. He said he thought he’d sleep better alone and reassured her that he would follow his pre-op instructions to the letter. She had accepted gracefully and said that she’d come and visit him in his hospital room as soon as he came back from the PACU or post-anesthesia care unit.
Carl had never mentioned his medical-phobia to Lynn for fear that she, at a minimum, would laugh at him. Nor did he let on how anxious he was about his up-coming surgery. For ego preservation, there were some things that were better left unsaid.
Carl let the alarm ring unabated for a time for fear of falling back asleep. He’d slept poorly and had trouble getting to sleep the night before. His instructions from Dr. Weaver’s nurse were not to eat after midnight except water and take a good, hot shower with antimicrobial soap when he got up, paying particular attention to his right leg. He was supposed to arrive at the hospital no later than seven, which was going to be a rush since it was already six-thirty. He wanted it to be a rush, thinking he’d have less chance to think, but here he was not even out of bed and already anxious.
As if sensing his distress, Pep, his nimble eight-year-old Burmese cat, awoke at the foot of the bed and came up to rub her wet nose against Carl’s stubbled chin.
“Thank you, girl,” Carl said, tossing back the covers and making a beeline into the bathroom. Pep tagged along as always. Carl had saved the cat at the end of his undergraduate senior year at Duke when one of his classmates was going to abandon the feline at the pound after graduation with hopes it would be adopted. Carl couldn’t abide by the plan, thinking it a possible death sentence. He took the cat home for the summer, got hopelessly enamored and ended up taking it to law school with him. Frank Giordano, a close friend and fellow basketball-playing lawyer, who was going to be arriving shortly to drive Carl to the hospital, had volunteered to take care of the cat by coming to Carl’s house and making sure it had food and water until Carl’s homecoming in three days. Everything was in order or so Carl thought.
*
As Carl Vandermeer eased into a hot shower, Dr. Sandra Wykoff leapt out of her BMW X3.She was in a hurry because she loved her work. In contrast to Carl Vandermeer, she loved medicine so much she had not taken a real vacation in the three years she’d been on staff of the Mason-Dixon Medical Center. She was a board certified anesthesiologist who had trained across town...
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