Title:
Charlatans
Author:
Robin Cook
Publisher:
Macmillan, 2017 (First)
ISBN:
9781447298557
Pages:
435
Rarely
do you find reviews of fiction in these columns and the plain truth behind this
fact is that I am quite awkward in evaluating that genre of literature.
Non-fiction is slightly more difficult to read but reviewing it is quite
straightforward as you only have to check the facts, how it relates to the
established opinion and/or whether the author has support of enough material to
against it. At least, that is the way I do it. On the other hand, reading fiction
is really easy, but analyzing it in light of the emotional content of the cast
is really formidable. Fiction has infinite range as it is constrained only by
the author’s imagination. But once in a while, excellent works of fiction reach
one’s hand quite unintentionally, just like this book by Robin Cook sought me
out at the library. I thought hard for a moment, but the name of Cook was
simply irresistible and outweighed all other considerations. After the sad
demise of Michael Crichton, there is no other like Cook who can elevate readers
to heights of thrill and excitement, while handling topics within the
possibilities offered by science.
‘Charlatans’
is a medical thriller which unfolds in the Boston Memorial Hospital where the
chief surgical resident Noah Rothauser is forced to investigate three recent surgical
deaths in which his colleague and sweetheart Ava London is involved in the
capacity as an anesthesiologist. Trying hard to prove her innocence and
competence, Noah is hurled into a whirlwind of events that put the readers at
the pinnacle of expectation and interest. His investigation of the avoidable
deaths follows through within the confines of leg space afforded by the
hospital’s administrative politics and hierarchy. He also gets involved in a
brush with the nutritional supplement industry that casts its long shadow on
the medical world. The book ends with a rather pessimistic note on how medicine
is going to be practiced in the coming decades.
Readers
are awed by the complexities of surgical procedures that can go awry even by the
patient’s seemingly innocuous negligence of the surgeon’s instructions. So, if
your doctor advises you not to eat anything immediately prior to a surgery,
just don’t do it. Those who feel that they can get away with a little fooling
around should read the first preventable death narrated in the book where a
simple hernia procedure turns complicated when the patient vomits the full
content of his breakfast into the respiratory system, which kills him. Though
fiction, the scenario is entirely plausible and the protagonist terms the
practice of eating before a surgery suicidal. Those who have read this book
fully understand why.
Going
from the particular to the general appeal of the work, the author marks the
addiction to social media that is going to have lasting and somewhat deleterious
effects on the society. Instant and too frequent communication has affected
people’s ability to confront situations which was evolved over eons of time,
but is suddenly faced with a novel kind of selection pressure. Cook expounds
the wisdom saying ”we are products of the
digital age, where truth and intimacy are becoming less and less important.
Thanks to the ubiquity of social media in all its forms, we’re all becoming
narcissists. Everyone is becoming an elaborate fusion of the real and the
virtual”. Free and universal access to knowledge is slowly putting formal
education at a disadvantage. Charlatans train with simulators and high-tech sources
of information and can easily camouflage their ineptitude. In fact, the whole novel
revolves around such an episode. Even though a little put off by the onslaught
of technical innovations, the author finally admits that “large scale change is inevitable in the current expensive, long
drawn-out, overly competitive path of four years of college, four years of
medical school and up to seven years of hospital-based residency, all of which
was instituted in 1910 and hasn’t changed much since, will have to be
drastically updated”.
Cook
raises alarm at the increasing might of the food supplement industry which
fools people into purchasing costly snake oil preparations instead of leading a
healthy life and having a balanced diet. It is implied that the lobbying powers
of this cartel is so pervasive that the DSHEA Act of 1994 is said to have been
enacted to let the industry go off hook from administrative and statutory
oversight by federal agencies. The lobby indulges in criminal acts in the book’s
storyline, but we get an uncanny premonition that fact may not be too far away from
fiction, at least in the near future. Here, the growing clout of a group of Ayurveda
products promoted by a leading yoga guru in India having connections at the top
levels of bureaucracy and politicians cutting across party lines should be food
for thought for Indians.
Altogether,
the book provides a pleasant reading experience for all categories of
connoisseurs. It is a page-turner and it is possible that a few of us can
finish it in one go.
The
book is highly recommended.
Rating: 4 Star