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Robin Cook - Contagion

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Amazon.com Review When not one but three different extremely rare diseases kill several patients at a New York hospital, forensic pathologist Jack Stapleton suspects its more than just coincidence. He thinks theres a connection between the appearance of the mysterious microbes responsible for the deaths and the HMO that owns the hospital-the same HMO that once destroyed his flourishing medical practice. Is Americare deliberately killing off its sickest patients-those who cost the most money to treat? Or is there an even more sinister motive behind the strange goings-on at Manhattan General, not to mention the attempts on Jacks life? And what is beautiful Terese Hagen, the hard-driving creative director of a Madison Avenue ad agency, doing in the middle of this slightly muddled, but still engrossing, tale of greed, medicine, and mayhem? Like Michael Crichton, whose Andromeda Strain remains the classic in the genre, Cook is sometimes heavy-handed when it comes to character development, and his fulminations about the dangers of managed care often get in the way of the plot. Still, Contagion will make you think twice about taking your next case of flu to the ER instead of your own bed. -Jane Adams From Library Journal In Cooks numerous best-selling medical thrillers, the nasty microbes and lethal diseases are never as loathsome as the greedy villains who spread illness for profit. Here, a cynical forensics doctor suspects that a for-profit medical firm is murdering its more costly subscribers. A Literary GuildR main selection.

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Robin Cook Contagion FOR PHYLLIS STACY MARILYN DAN VICKY AND BEN Our - photo 1

Robin Cook

Contagion

FOR PHYLLIS,

STACY,

MARILYN,

DAN,

VICKY,

AND BEN

Our leaders should reject market values as a framework for health care and the market-driven mess into which our health system is evolving.

JEROME P. KASSIRER, M.D.

New EnglandJournal of Medicine

Vol. 333, No. 1, p. 50, 1995

I would like to thank all my friends and colleagues who are always graciously willing to field questions and offer helpful advice. Those whom Id particularly like to acknowledge for Contagion are:

DR. CHARLES WETLI, Forensic Pathologist and Medical Examiner

DR. JACKI LEE, Forensic Pathologist and Medical Examiner

DR. MARK NEUMAN, Virologist and Virology Laboratory Director

DR. CHUCK KARPAS, Pathologist and Laboratory Supreme Commander

JOE COX, Esquire, Lawyer and Reader

FLASH WILEY, Esquire, Lawyer, Fellow Basketball Player, and Rap Consultant

JEAN REEDS, Social Worker, Critic, and Fabulous Sounding Board

PROLOGUE

June 12, 1991, dawned a near-perfect, late-spring day as the suns rays touched the eastern shores of the North American continent. Most of the United States, Canada, and Mexico expected clear, sunny skies. The only meteorological blips were a band of potential thunderstorms that was expected to extend from the plains into the Tennessee Valley and some showers that were forecasted to move in from the Bering Strait over the Seward Peninsula in Alaska.

In almost every way this June twelfth was like every other June twelfth, with one curious phenomenon. Three incidents occurred that were totally unrelated, yet were to cause a tragic intersection of the lives of three of the people involved.

11:36 A.M.

DEADHORSE, ALASKA

Hey! Dick! Over here, shouted Ron Halverton. He waved frantically to get his former roommates attention. He didnt dare leave his Jeep in the brief chaos at the tiny airport. The morning 737 from Anchorage had just landed and the security people were strict about unattended vehicles in the loading area. Buses and vans were waiting for the tourists and the returning oil company personnel.

Hearing his name and recognizing Ron, Dick waved back and then began threading his way through the milling crowd.

Ron watched Dick as he approached. Ron hadnt seen him since theyd graduated from college the year before, but Dick appeared just as he always did: the picture of normality with his Ralph Lauren shirt and windbreaker jacket, Guess jeans, and a small knapsack slung over his shoulder. Yet Ron knew the real Dick: the ambitious, aspiring microbiologist who would think nothing of flying all the way from Atlanta to Alaska with the hope of finding a new microbe. Here was a guy who loved bacteria and viruses. He collected the stuff the way other people collected baseball cards. Ron smiled and shook his head as he recalled that Dick had even had petri dishes of microbes in their shared refrigerator at the University of Colorado.

When Ron had met Dick during their freshman year, it had taken a bit of time to get used to him. Although he was an indubitably faithful friend, Dick had some peculiar and unpredictable quirks. On the one hand he was a fierce competitor in intramural sports and surely the guy you wanted with you if you mistakenly wandered into the wrong part of town, yet on the other hand hed been unable to sacrifice a frog in first-year biology lab.

Ron found himself chuckling as he remembered another surprising and embarrassing moment involving Dick. It was during their sophomore year when a whole group had piled into a car for a weekend ski trip. Dick was driving and accidentally ran over a rabbit. His response had been to break down in tears. No one had known what to say. As a result some people began to talk behind Dicks back, especially when it became common knowledge that he would pick up cockroaches at the fraternity house and deposit them outside instead of squishing them and flushing them down the toilet as everybody else did.

As Dick came alongside the Jeep, he tossed his bag into the backseat before grasping Rons outstretched hand.

They greeted each other enthusiastically.

I cant believe this, Ron said. I mean, youre here! In the Arctic.

Hey, I wouldnt have missed this for the world, Dick said. Im really psyched. How far is the Eskimo site from here?

Ron looked nervously over his shoulder. He recognized several of the security people. Turning back to Dick, he lowered his voice. Cool it, he murmured. I told you people are really sensitive about this.

Oh, come on, Dick scoffed. You cant be serious.

Im dead serious, Ron said. I could get fired for leaking this to you. No fooling around. I mean, we got to do this hush-hush or we dont do it at all. Youre to tell no one, ever! You promised!

All right, all right, Dick said with a short, appeasing laugh. Youre right. I promised. I just didnt think it was such a big deal.

Its a very big deal, Ron said firmly. He was beginning to think hed made a mistake inviting Dick to visit, despite how much fun it was to see him.

Youre the boss, Dick said. He gave his friend a jab on the shoulder. My lips are sealed forever. Now chill out and relax. He swung himself into the Jeep. But lets just buzz out there straightaway and check out this discovery.

You dont want to see where I live first? Ron asked.

I have a feeling Ill be seeing that more than I care to, he said with a laugh.

I suppose its not a bad time while everybody is preoccupied with the Anchorage flight and screwing around with the tourists. He reached forward and started the engine.

They drove out of the airport and headed northeast on the only road. It was gravel. To talk they had to shout over the sound of the engine.

Its about eight miles to Prudhoe Bay, Ron said, but well be turning off to the west in another mile or so. Remember, if anybody stops us, Im just taking you to the new oilfield.

Dick nodded. He couldnt believe his friend was so uptight about this thing. Looking around at the flat, marshy monotonous tundra and the overcast gunmetal gray sky, he wondered if the place was getting to Ron. He guessed life was not easy on the alluvial plain of Alaskas north slope. To lighten the mood he said: Weathers not bad. Whats the temperature?

Youre lucky, Ron said. There was some sun earlier, so its in the low fifties. This is as warm as it gets up here. Enjoy it while it lasts. Itll probably flurry later today. It usually does. The perpetual joke is whether its the last snow of last winter or the first snow of next winter.

Dick smiled and nodded but couldnt help but think that if the people up there considered that funny, they were in sad shape.

A few minutes later Ron turned left onto a smaller, newer road, heading northwest.

How did you happen to find this abandoned igloo? Dick asked.

It wasnt an igloo, Ron said. It was a house made out of peat blocks reinforced with whalebone. Igloos were only made as temporary shelters, like when people went out hunting on the ice. The Inupiat Eskimos lived in peat huts.

I stand corrected, Dick said. So howd you come across it?

Totally by accident, Ron said. We found it when we were bulldozing for this road. We broke through the entrance tunnel.

Is everything still in it? Dick asked. I worried about that flying up here. I mean, I dont want this to be a wasted trip.

Have no fear, Ron said. Nothings been touched. That I can assure you.

Maybe there are more dwellings in the general area, Dick suggested. Who knows? It could be a village.

Ron shrugged. Maybe so. But no one wants to find out. If anybody from the state got wind of this theyd stop construction on our feeder pipeline to the new field. That would be one huge disaster, because we have to have the feeder line functional before winter, and winter starts in August around here.

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