📖 Overview
A serial killer targets patients at a Manhattan medical clinic where doctors are developing a breakthrough treatment for AIDS. TV journalist Sara Lowell and her husband Michael Silverman, a basketball star, become entangled in the investigation when Michael receives treatment at the facility.
The story connects multiple worlds - medical research, professional sports, journalism, and politics - through Sara and Michael's high-profile relationships. As patients begin achieving remarkable recoveries, the murders escalate, creating a race against time.
Sara pursues leads through her investigative reporting while Michael undergoes treatment, placing both of them in the killer's crosshairs. The investigation reveals deep conflicts surrounding medical research, public health policy, and social attitudes toward AIDS in the early 1990s.
The novel examines how personal and professional lives intersect during a medical crisis, while exploring themes of trust, power, and society's response to epidemic disease. Through its multiple plotlines, it raises questions about who controls access to medical breakthroughs and at what cost.
👀 Reviews
Readers note this is one of Coben's earlier works and consider it less polished than his later novels. The medical thriller plot keeps readers engaged, though many found the ending predictable.
Likes:
- Fast-paced storytelling
- Medical research backdrop feels authentic
- Strong chemistry between main characters
- Multiple plot threads that come together
Dislikes:
- Characters lack depth compared to Coben's later works
- Several unrealistic plot points and coincidences
- Some dated 1990s references and technology
- Romance elements feel forced
Ratings:
Goodreads: 3.7/5 (17,000+ ratings)
Amazon: 4.2/5 (2,800+ ratings)
Common reader comments:
"Good beach read but not his best work"
"You can see glimpses of his future writing style"
"The medical details make it interesting but the plot gets convoluted"
"Fun thriller if you don't overthink the plot holes"
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A Conspiracy of Faith by Jussi Adler-Olsen A cold case investigation into missing children intersects with medical institutions and forces detectives to unravel connections between religious beliefs and healthcare practices.
The First Family by Michael Palmer, Daniel Palmer The President's son falls ill with mysterious symptoms, leading White House physician and CDC specialist to uncover a plot involving experimental medical treatments.
The Death of Kings by Rennie Airth A murder investigation at a London hospital reveals a web of corruption involving medical research, pharmaceutical profits, and institutional power struggles.
Critical by Robin Cook A medical researcher investigating suspicious deaths at a prestigious hospital discovers a connection between clinical trials, corporate interests, and patient fatalities.
🤔 Interesting facts
🔍 The novel was originally published in 1991, making it one of Harlan Coben's earliest works, released well before his breakthrough Myron Bolitar series.
🏥 The book's portrayal of AIDS treatment and research accurately reflects the medical knowledge and social attitudes of the early 1990s, when AIDS was still largely considered a death sentence.
🏀 The character of Michael Silverman was inspired by Magic Johnson, who shocked the world by announcing his HIV-positive status in November 1991, the same year the book was published.
✒️ Harlan Coben wrote this book while working in the travel industry, before becoming a full-time author. He composed much of it during his lunch breaks.
🎯 Unlike most of Coben's later works which are set in New Jersey, this novel takes place primarily in Manhattan, marking one of his few departures from his signature New Jersey settings.