The Fifth Vial [NOOK Book]

Overview


From the blockbuster, eleven-time New York Times bestselling author comes a novel of medical suspense that begins with these chilling questions: Who ends up with the blood samples you routinely give for tests? What else are they being used for? Why don't you know?

Take a Deep Breath. . . .
In Boston, a disgraced medical student is sent to deliver a research paper that could save her career. . . . Four ...

See more details below
The Fifth Vial

Available on NOOK devices and apps  
  • NOOK Devices
  • NOOK HD/HD+ Tablet
  • NOOK
  • NOOK Color
  • NOOK Tablet
  • Tablet/Phone
  • NOOK for Windows 8 Tablet
  • NOOK for iOS
  • NOOK for Android
  • NOOK Kids for iPad
  • PC/Mac
  • NOOK for Windows 8
  • NOOK for PC
  • NOOK for Mac
  • NOOK Study
  • NOOK for Web

Want a NOOK? Explore Now

NOOK Book (eBook - First Edition)
$9.99
BN.com price

Overview


From the blockbuster, eleven-time New York Times bestselling author comes a novel of medical suspense that begins with these chilling questions: Who ends up with the blood samples you routinely give for tests? What else are they being used for? Why don't you know?

Take a Deep Breath. . . .
In Boston, a disgraced medical student is sent to deliver a research paper that could save her career. . . . Four thousand miles away, in a jungle hospital in Cameroon, a brilliant, reclusive scientist, dying from an incurable disease that threatens to make each tortured breath his last, is on the verge of perfecting a serum that could save millions of lives, and bring others inestimable wealth. . . . In Chicago, a disillusioned private detective, on the way to his third career, is hired to determine the identify of a John Doe, killed on a Florida highway, with mysterious marks on his body.
Three seemingly disconnected lives, surging unrelentingly toward one another. Three lives becoming irrevocably intertwined. Three lives in mounting peril, moving ever closer to the ultimate confrontation against a deadly secret society with godlike aspirations and roots in antiquity.
Medical student. Scientist. Private eye. Three people who will learn the deeper meanings of brilliance and madness, truth and deception, trust and betrayal.
Three lives linked forever by a single vial of blood--the fifth vial.


Read More Show Less

Editorial Reviews

From Barnes & Noble
Deep in the Brazilian rainforest, corrupt surgeons are trafficking in illegal transplant organs. Three independent investigators are on the case, attempting to pry beneath the seemingly benign front of the Whitestone Foundation. Michael Palmer combines scientific savvy and plotting skills to construct a medical thriller that sustains its suspense throughout.
Publishers Weekly
Bestseller Palmer (The Society) tackles the illegal transplant organ trade in his entertaining 12th medical suspense novel. What do three very different people-Harvard medical student Natalie Reyes, Chicago PI Ben Callahan and scientific genius Joe Anson-have in common? Natalie, in Brazil for a conference, is attacked, hospitalized and loses a lung; Ben gets hired to discover how a mutilated anonymous body died; Joe, the inventor of an untested medical breakthrough, is forced into an operation for his life-threatening pulmonary fibrosis. All three seek answers connected to the Whitestone Foundation, a conglomerate that's a front for the Guardians, a secret cabal of medical specialists. At a hidden hospital in the Brazilian rain forest, Natalie and Ben learn of the Guardians' insidious methods. Huge sums are at stake as the arrogant Guardians make medical decisions largely motivated by greed. The action, which begins plausibly, becomes less so as the tension builds. Still, Palmer, himself an M.D., does a good job of informing the reader on an important ethical issue. 225,000 printing; author tour. (Feb.) Copyright 2006 Reed Business Information.
Library Journal
A kidnapped medical student, left for dead. A brilliant scientist rushing to perfect a miracle cure for others before he himself dies. A detective investigating a bizarre murder. They're all connected in this tale of a secret society (of course) intent on world conquest (what else?). With a national tour. Copyright 2006 Reed Business Information.
Kirkus Reviews
M.D.s hurry the organ transplant along a little faster than would naturally be the case. Medical-thriller specialist Palmer (The Society, 2004, etc.), a doctor himself, sets 35-year-old Boston medical student Natalie Reyes against a worldwide association of transplant specialists who think they know best how to allocate the organs, regardless of the wishes-or even the knowledge-of the donors. Natalie, a former Olympic runner, was suspended from her program when she second-guessed a resident in the E.R. With time on her hands, she is available to deliver a paper in Rio for her research supervisor and mentor. The Brazilian jaunt turns nightmarish immediately: Upon landing, she hops into a cab that takes her to the dark heart of the city and winds up losing a lung after being shot. Back in the U.S., private investigator Ben Callahan, a sweet former schoolteacher, starts on a track that will eventually hook him up with Natalie when he is hired by Organ Guard International, an under-funded association of physicians doing combat against organ trafficking. Professor Alice Gustafson of Organ Guard asks him to identify the battered body of a young man found in Florida bearing scars that suggest bone marrow donation. Meanwhile, Dr. Anson, a reformed rake doing research in tropical Africa, fights to keep working while his diseased lungs threaten his life. Anson's research is funded by the Whitestone Foundation, an arm of a medical conglomerate with which Ben will become familiar as he sorts out the very few clues available to identify that involuntary marrow donor. Then Natalie's insurance claim turns out to be odd enough that she calls the hospital in Rio where she lost her lung only to discoverthat she was never a patient there. She'll have to go back to very scary Brazil. Nothing creepier than a bad doctor. First printing of 225,000
From the Publisher
"An ingenious medical thriller, suspenseful and cleverly plotted."

—Kathy Reichs, author of Break No Bones

"A terrifying vision of the Hippocratic oath gone very wrong."—Entertainment Weekly

"Palmer taps a real medical issue for storytelling thrills."—Boston Magazine

"A tale set at the very edge of our medical knowledge. I loved it!"—Tess Gerritsen

"Palmer is adept at tapping into people's natural fear of disease, doctors, and hospitals and converting that fear into unnerving suspense…If medical thrills are what you're after, he delivers."—Booklist

"In his entertaining 12th medical suspense novel…Palmer, himself an M.D., does a good job of informing the reader on an important ethical issue."—Publishers Weekly

"Palmer is adept at reaching into the psyche...and knows how to wield a scalpel…chilling."

—Ottawa Citizen

"Gripping and topical."—The Toronto Sun

"Palmer's latest has thrills and chills aplenty, while conveying a sobering—make that terrifying—message. Not only is this one heck of a medical thriller, it's a scary wake-up call to what could happen if a few individuals decided to play God, a premise that scared the daylights out of me. Could this happen? Palmer makes you think so."—Sandra Brown, author of Ricochet

"The Fifth Vial is a nail-biting thriller you don't want to miss."—Catherine Coulter, author of Point Blank

"Michael Palmer delivers a complex plot, fascinating characters, and plenty of action. The Fifth Vial is a roller-coaster ride that winds its way through the United States, Africa, India, and Brazil on the way to a terrific surprise ending."—Phillip Margolin, author of Proof Positive

"Brilliant storyteller Michael Palmer is at the top of his game, and gives us a compelling and thought-provoking tale that will have you looking over your shoulder. It's both realistic and terrifying, and it will keep you up all night!"—Iris Johansen, author of On the Run

"There's a compelling truth at the center of this high-octane thriller. The twists keep you reading and the questions Palmer poses keep you thinking all night long."—Tami Hoag, author of Prior Bad Acts

"Michael Palmer, perhaps the best of our medical-thriller writers, has penned an action-packed tale that will have you checking all your body parts for days afterward."—Terry Brooks, author of Armageddon's Children and The Sword of Shannara

Read More Show Less

Product Details

  • ISBN-13: 9781429917018
  • Publisher: St. Martin's Press
  • Publication date: 2/20/2007
  • Sold by: Macmillan
  • Format: eBook
  • Edition description: First Edition
  • Edition number: 1
  • Pages: 384
  • Sales rank: 35,808
  • File size: 407 KB

Meet the Author

Michael Palmer

Michael Palmer (1942-2013) wrote internationally bestselling novels of medical suspense, including The First Patient, The Second Opinion, The Last Surgeon, A Heartbeat Away, Oath of Office and Political Suicide. His book Extreme Measures was adapted into a movie starring Hugh Grant and Gene Hackman. His books have been translated into thirty-five languages. Palmer earned his bachelor’s degree at Wesleyan University, and he attended medical school at Case Western Reserve University. He trained in internal medicine at Boston City and Massachusetts General Hospitals. He spent twenty years as a full-time practitioner of internal and emergency medicine. In addition to his writing, Palmer was an associate director of the Massachusetts Medical Society Physician Health Services, devoted to helping physicians troubled by mental illness, physical illness, behavioral issues, and chemical dependency.  He lived in eastern Massachusetts. 

Read More Show Less

Read an Excerpt


Chapter One The partisan, when he is engaged in a dispute, cares nothing about the rights of the question, but is anxious only to convince his hearers of his own assertions. --Plato, Phaedo Go ahead and sew him up, Ms. Reyes." Natalie stared at the slice down Darren Jones's forehead, across his eyebrow, and down his cheek. Until this moment, the largest knife wound she had ever seen was one she had accidentally inflicted on her own finger. Treatment then had been a couple of Band-Aids. She forced herself not to make eye contact with Cliff Renfro, the surgical senior resident in charge of the ER, and followed him out to the hallway. In her three years and one month as a medical student, she had sutured countless pillows, several varieties of fruit, some ragged stuffed animals, and recently, at what she considered great peril, the seat of a pair of her favorite jeans. Renfro's order didn't make much sense. She was only two hours into her second day on the ER rotation at Metropolitan Hospital of Boston, and although Renfro had checked her diagnostic skills out on several patients, he had yet to see her sew. "Dr. Renfro, I . . . um . . . think maybe I should go over things with you before--" "Not necessary. When you're finished, write a scrip for him for some antibiotic--any one. I'll sign it." The resident turned and was gone before she could respond. Her classmate and good friend, Veronica Kelly, who had already finished her surgical rotation at Metropolitan, had told her that Renfro was in his final year before taking over as chief surgical resident at White Memorial, the flagship of the medical school's many famous teaching hospitals. After years of training, he had the air of one who had seen it all and was burnt out on what he considered the lowlife patient population of Metro. "Renfro's smart and damn competent," Veronica had said, "and he'll take the really messy trauma cases. But he couldn't care less about the routine stuff." Apparently he considered a black teenage loser in a gang fight to be routine. Natalie hesitated outside the boy's room, wondering what the fallout would be if she chased Renfro down and asked for a demonstration of his skill. "You okay, Nat?" The nurse, a gravel-voiced veteran of years in the ER, had given a portion of yesterday's student orientation, including the tradition that in a hardscrabble place like Metro, almost all the staff used first names. Hers was Bev--Bev Richardson. "I asked for this rotation because I heard the students got to do a lot of procedures, but sewing up a kid's face on my second day is a bit more than I had expected." "Have you sutured before?" "Nothing that was ever alive, except a few unfortunate oranges." Bev sighed. "Cliff's a darn good doc, but he's a little immature at times and can be hard on people. And the truth is, I don't think he cares all that much for our clientele." "Well, I do," Natalie said, stopping short of a litany of the many times earlier in her life when she had been wheeled or carried or dragged into this very ER. "We like having people working around here who care. The patients have it hard enough everyplace else. Their hospital ought to be something of a sanctuary." "I second that. Well, Dean Goldenberg has told me that he's heard I'm going to be accepted into the White Memorial surgical residency. Maybe Dr. Renfro has heard the same thing and he's just testing me." "Or maybe he senses that you're not like him and he wants to see if you'll back down from the challenge." "He wouldn't be the first," Natalie replied, already setting her jaw and mentally ticking through the pages of the plastic surgery text she had reviewed during the week before this rotation. "You're the runner, aren't you?" The question didn't startle Natalie in the least. Her tragic accident during the Olympic trials was chronicled on the local and national news and the cover of Sports Illustrated. From the day she started med school as a thirty-two-year-old first-year student, people knew who she was. "Past tense," she said, her terse response requesting a change in subject. "Think you can do this boy's face?" "At least he'll have someone working on him who gives a hoot, if that means anything." "It means plenty," Bev said. "Go ahead in there. I'll get you set up with some six-oh nylon suture. Even though most of them aren't, we assume everyone down here who is bleeding is HIV-positive, so best wear a gown and plastic face shield. If I think you're going wrong in any way, I'll clear my throat and you can come away and we can talk. Keep your fingers away from the needle. Straight instrument ties, double overhand knots about an eighth of an inch apart. Don't pull them so tight that the skin edges bunch, and don't shave his eyebrow because they never grow back right." "Thank you." "Welcome to the ER," Bev said. "You doin' a good job, Doc?" Natalie looked up at Bev Richardson, who nodded proudly that she was. From the moment Nat had numbed up the skin edges, Darren Jones had been talking nonstop. Nerves, she guessed. If he only knew that he was hardly the only one. The procedure had taken probably three times what it one day would, and Natalie was still just through the forehead and eyebrow, with the cheek yet to go, but the repair looked quite decent. "Yes, I'm doing a good job," she replied matter-of-factly. " 'M I gonna have a scar?" "Every time skin is cut there's a scar." "Women like scars. They're mysterious. Besides, I'm tough, so why not announce it. Right, Doc?" "You seem pretty smart. Smart is more important than tough." "Tough men like me scare you?" "The guy who cut you would probably scare me," Natalie said, smiling beneath her mask. "You still in school?" "I have a year to go, but I quit." "You should think about starting up again." "Fat chance." Darren laughed. "You wouldn't know about such things, Doc, but where I come from, the only thing that matters is being tough." Again, Natalie grinned. Matched up against this boy in almost any measure of toughness, she would win hands down. She reminded herself that it wasn't the first person who had suggested she get back into school that had led her to the Edith Newhouse Academy for Girls, or even the second. But somewhere along the line, thanks to those who had tried before, someone had finally been able to breach the ramparts of her own toughness. "Tough is swimming against the stream and having the courage to be different," she said, tying off the last of the sutures. "Tough is realizing that this is the only life you're going to have, so you might as well do what you can to make the most of it." "I'll keep that in mind, Doc," the teen said with little sincerity. Natalie glanced over her shoulder at Bev, who gave her technique a thumbs-up and mouthed the words, "Steri strips," motioning at the packets of paper stitches she had placed on the instrument tray. After ineptly fumbling several of the strips into useless balls, Natalie figured out how to cut and place them across the incision to reduce scarring by taking the tension off of her suture line. "Five days," Bev mouthed, holding up one open hand. "These stitches will probably be ready to come out in five days," Natalie said, grateful for the hedge inherent in the word "probably," at least for the time being. "You got soul, Doc," Darren said. "I can tell." Natalie stripped off her face protector and gloves. Another milestone, she was thinking. It was a huge advantage to be thirty-five and a med student--especially one who had seen more than her share of life. Decisions came easier to her than to most of her classmates, many of whom were a decade younger or, in a few cases, even more. Her perspective was often more finely honed; confidence in her convictions was stronger. "Don't sell yourself short, my man," she replied. "Stick around, Darren," Bev said. "I have a tetanus shot, some instructions, and some medication for you." "Pain meds?" Darren asked hopefully. "Sorry, antibiotics." "Hey, you claim you're tough," Natalie said, heading out the door. "Tough guys don't need no steenking pain medicine." She wrote her note at the nurses' station, feeling very pleased with the way she had performed under pressure. Renfro had issued the challenge and then had walked away, but she had more than measured up. She had set high school, college, and national records on the track, and had made it to within one unfortunate step of being on the Olympic team. Along the way, she had dealt with any number of Cliff Renfros, bent on feeding their egos off the insecurity of others. Well, she was still the same woman who had run 1,500 meters in 4:08.3. Let this particular Cliff Renfro keep trying. She hadn't knuckled under to any of the others, and she wasn't going to be intimidated by him either. Bev materialized at her elbow. "Saralee just came over from room four. You know what that is?" "Yes, for the alcoholics." "And other street people," Bev added. "Patients are put there when they're particularly . . . um . . . grimy." "I know. I worked in there for a while yesterday. It wasn't so bad." "Well, apparently the ER got a little backed up while you were off suturing and a code was going on in the other wing. So, much to his chagrin, Cliff is holding down the fort in room four. He wants you to take over in there as soon as you're done." "I'm done now." "Good. You handled that kid well, Nat. I think White Memorial made a good choice. You're going to make a fine doctor." "That hospital may be the best of the best, but they're still a decade or two behind when it comes to accepting women into their surgical programs." "So I've heard. Well, like I said, you'll do great. Take it from one who's seen them all come and go." At that moment, they turned toward the sound of a commotion coming from down the hallway. "I'm telling you, Doc, you're wrong! There's something the matter with me. Something bad. Right here behind my eye! I can't stand the pain!" A man was being escorted out of room 4 by an orderly. Even at some distance, there was no doubt that he qualified to have been there. Grizzled and worn, he was in his forties, Natalie guessed, or maybe even his fifties. He had on a tattered windbreaker, stained chinos, and sneakers without laces. An oily Red Sox cap with its brim pulled low still failed to hide the sad hollows of his eyes. Hands on hips, Cliff Renfro appeared in the doorway and glanced to where Natalie and Bev stood before addressing the man. "What's wrong with you, Charlie, is that you need to stop drinking. I would suggest you get yourself over to the Pine Street Inn and get them to show you to the shower. They'll probably have some clothes for you, too." "Doc, please. This is serious. I've got lights flickering in this eye and the pain is killing me. Everything keeps going black." Clearly irritated almost beyond words, Renfro ignored the man and stalked down the hallway past where the two women were standing. "You've got to move faster down here, Dr. Reyes," he paused long enough to say. "Now, please take over in four. I'm going to get washed up and," he muttered, "maybe fumigated." Natalie caught the briefest spark of anger and frustration in the patient's eyes before he turned and allowed the orderly to lead him toward the waiting room, and beyond that, the street. "I'll bet Renfro didn't even examine him," Natalie whispered. "Possibly, but he usually--" "There's something seriously wrong with that man, I just know it. Horrible pain, flickering lights, lost vision. I just finished six weeks on neurology. That guy has a tumor, or maybe a leaking aneurysm, or even a brain abscess. These people deal with pain and discomfort every day. If his symptoms are bad enough to have him drag himself in here, something's the matter. Did Renfro order any tests?" "I don't know, but I don't think--" "Listen, Bev, I want to check that guy over and then get a CT scan. Can you arrange that?" "I can, but I don't think it's such a good--" "And some bloods. A CBC and Chem-Twelve. I've got to catch him before he gets away. Believe me, if he were a well-dressed businessman at White Memorial, he'd be over having a CT scan right now." "Maybe, but--" Before Bev could finish the sentence, Natalie was off. She checked the waiting room, then hurried out the doors to Washington Avenue. The man was a dozen yards away, shuffling slowly toward downtown. "Charlie, wait!" The derelict turned. His eyes were bloodshot, but he held his head erect and met her gaze evenly, perhaps even with some defiance. "What is it?" he growled. "I'm . . . Dr. Reyes. I want to check you over a little more and maybe order a test or two." "Then you believe me?" Natalie took his arm and gently led him back toward the ER. "I believe you," she said. Bev Richardson was waiting just inside the door with a wheelchair. "Room six is empty," she said in a conspiratorial whisper. "Hurry. I have no idea where Renfro is. Lab is on the way. Hopefully we can get his blood drawn and get him over to CT without anyone seeing." Natalie helped the man out of his clothes and into a blue johnny. Renfro was right about one thing, she was thinking, Charlie really did smell. She did a modest neurologic exam, which disclosed several definite abnormalities in strength, eye movements, hand-eye coordination, and gait, any and all of which could be due to a brain tumor, abscess, or leaking blood vessel. A technician had just finished drawing blood when Bev backed into the room hauling a stretcher. "I pulled some strings," she said. "They're ready for him in CT." "He has some clear-cut neurologic abnormalities. I'll get him over there, and then get to work in room four." "I'll clean up in here." Natalie wheeled the stretcher into the hallway. "Thanks, Bev, I'll be right b--" "What in the hell is this?" Cliff Renfro, livid, stormed toward her from the nurses' station. "I believe there is something seriously wrong with this man," Natalie said. "Maybe a tumor or a leaking aneurysm." "So you chased him down after I had discharged him?" Renfro's voice was raised to the point where staff and patients alike stopped and stared. Several people emerged from the examining rooms, several more from the nurses' station. Natalie held her ground. "I wanted to do the right thing. He has some neurologic findings." "Well, this isn't the right thing. The findings, like everything else about him, are the result of alcohol. You know, I had heard from a number of people that you were too arrogant and hard-edged to be a good doctor. Just because you had fifteen minutes of fame doesn't mean you can step in here and act as if you're in charge of the place." "And just because you like to keep your clinic coat from getting soiled doesn't mean you can brush off patients like this man," Natalie shot back. Bev Richardson quickly inserted herself between the two combatants. "It was my fault, Cliff," she said. "I was worried about this man, and thought it would be a good learning experience for--" "That's nonsense, and you know it. Don't protect her." He stepped to his left to get a clear line of sight at Natalie. "There is no place in medicine for anyone as self-absorbed and conceited as you are, Reyes." Natalie's jaws clenched. She was furious at being rebuked so publicly, and anxious to have all the witnesses know why Renfro's prejudices had led him to do an inadequate job in evaluating this down-and-outer. "At least I care enough about people like Charlie here to do a complete evaluation on him." "Five years as a doctor have made me perfectly capable of deciding what is and is not a complete evaluation. I intend to make sure that anyone at the medical school who will listen learns about you and what's happened here." "Well, I think before you do that, you should see what this man's CT scan shows." Renfro's glare could have melted block ice. He looked as if he were going to say something else, then turned and stalked off toward X Ray. Two exquisitely tense minutes later, a CT tech came and wheeled Charlie away. Natalie sighed her relief. "Whew. I was certain he was going to cancel the test out of spite," she said, as she and Bev walked back to the nurses' station. The seasoned nurse looked at her and shook her head. "I'm sorry I couldn't get him to calm down," she said. "There was probably a better way to have done this." "Renfro could have admitted he was wrong," Natalie said. "The fact that he went ahead with the scan says as much. When they find a tumor behind poor Charlie's eye, he's going to be grateful I saved his bacon." Tumor, abscess, leaking aneurysm. In her mind, Natalie was already projecting the reactions of Renfro and the staff when her approach to the man was vindicated. Hopefully, whatever the poor guy had would be operable. She thought about how her mentor, surgeon Doug Berenger, would react to her coup. Midway through her undergraduate years at Harvard, well before the incident that tore her Achilles, he had sought her out and offered her a position working in his lab--a job she still held. Later, he had brought together the best sports medicine people around to aid in her recovery, and still later, he had talked her into attending med school. Berenger, perhaps the foremost cardiac transplant surgeon in Boston, if not in the country, was already talking about a fellowship in his department when her surgical training was complete. He had a framed sampler hung on the wall behind his desk chair: believe in yourself. He would be damn proud of the way she had believed in herself and held her ground against Renfro's unnecessary onslaught, especially when Charlie's diagnosis became known. Natalie went into room 4 and worked up the three patients waiting there. Her pulse continued to race--in part fallout from the acrid exchange with Renfro, and in part from the excitement of soon getting the results of the lab work and scan on her patient. Finally, through the doorway of room 4, she saw Renfro pass by, wheeling Charlie on his stretcher. A manila X-ray envelope was tucked under the thin mattress. Moments later, the resident called out her name. "Dr. Reyes, staff," he said quite loudly. "Could I have you all out here, please?" A group of perhaps a dozen stepped quietly into the hallway. Renfro waited until it seemed there would be no more, and then continued, holding up the envelope with the CT scan for emphasis. "You were all here a little while ago for the . . . um . . . discussion about patient care that occurred between Ms. Reyes and myself. Well, I have all the lab work and the CT back on our patient. I would like to inform you that there is nothing abnormal on any of them. Nothing. Charlie here has just what I said he had--just what he always has, Ms. Reyes--an alcohol-induced headache. He had a blood alcohol of one hundred and ninety when he came in, and I don't suspect it's much lower now, since he just managed to get at the pint of Thunderbird in the jacket in his clothing bag. Bev, please discharge this man for the second time. Be sure to fill out an incident report. "Ms. Reyes, go home. I don't ever want to see you on my service again." Copyright © 2007 by Michael Palmer. All rights reserved.
Read More Show Less

Customer Reviews

Average Rating 4
( 73 )
Rating Distribution

5 Star

(41)

4 Star

(16)

3 Star

(8)

2 Star

(8)

1 Star

(0)

Your Rating:

Your Name: Create a Pen Name or

Barnes & Noble.com Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & Noble.com that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & Noble.com does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at BN.com or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation

Reminder:

  • - By submitting a review, you grant to Barnes & Noble.com and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Noble.com Terms of Use.
  • - Barnes & Noble.com reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & Noble.com also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on BN.com. It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

 
Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously
See All Sort by: Showing 1 – 20 of 73 Customer Reviews
  • Posted November 13, 2008

    more from this reviewer

    WOW!!

    This book keeps you on your toes. The book is so good I had chills down my spine the whole time. I couldn't put this one down! I would recommend this one to anyone out there that likes medical inspired thrillers!!!

    3 out of 3 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted September 1, 2008

    Difficult to put down!

    This is a scary sort of thriller because it is the thing that could happen. We hear about people being kidnapped and their body parts stolen. What if someone specifically targeted you because they know you are a match for someone else? The author brings a very realistic approach to this frightening thought and uses three main characters to battle the bad guys. There is Natalie, the former world class runner who is trying to get through medical school, Ben the private detective hired by a foundation that suspects that someone is stealing body parts and Anson a researcher who has perfected the next wonder drug but is in need of a new lung. The story winds to an exciting conclusion with a lot of action.

    3 out of 4 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Posted September 14, 2009

    more from this reviewer

    I Also Recommend:

    morality vs availability ... Who has the right to life?

    the fifth vial hits a little to close to home and takes the reader down pathways they might never think of or admit are possible. The suspense mounts as the characters progress
    in their quest toward an inevitable mix. Excellent THINK book ... shakes
    your views on organ donation and moral judgement with a unique twist at the end ...

    1 out of 1 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Posted March 4, 2009

    more from this reviewer

    Plausible...

    but I hope not probable. Good story line that makes you think. The "bad guys" were a bit psycho and some of the physical antics of the main character, "Natalie" were a little far fetched; but all-in-all, a good read.

    1 out of 1 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted February 23, 2009

    The Fifth Vial

    The Fifth Vial starts with a bang, and doesn't let up until the conclusion. A very thought provoking topic. I thought the plot moved well, and the characters were well described. No dull moments in this one!

    1 out of 2 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted October 22, 2008

    Great Read

    A fast paced, well-written book that will make you think twice every time you get your blood drawn. Definately a worth-while read.

    1 out of 1 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted October 7, 2008

    Excellent page turner!

    This is the first Palmer novel I have read. What I liked about this book was the union of simultaneous stories. Each story is excellent and all build to conclude an excellent story that grabs you from the very first page.

    1 out of 1 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Posted March 1, 2013

    Great Book

    Great Book, fast shipping

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted February 15, 2012

    Best book ever

    Can't wait for the movie

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted December 11, 2011

    Very good

    I enjoyed this book. It held my interest throughout. However, I have one criticism. It stretched credability in a number of instanses. You want a little more believability in a story.

    Was this review helpful? Yes  No   Report this review
  • Posted June 4, 2011

    Different story settings

    I enjoyed this one! Fast paced!

    Was this review helpful? Yes  No   Report this review
  • Posted August 27, 2010

    more from this reviewer

    Like Robin Cook in his prime

    This book is the tale of three unrelated characters: a med student with a temper, a non-inspired detective and a very inspired MD with a terminal lung condition. This book tells the tale of worse-than-black market organ donation. With an insidious, yet brilliant, plan to track the HLA status on unsuspecting Americans and then snatch them as unwilling organ donors for the chosen ones.
    This book reminded me of Robin Cook books when he was in his prime and not so stale. It was hard to put the book down and I read it in two early mornings

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted April 9, 2010

    Be very careful when having blood drawn!

    It has been a while since I've read Michael Palmer and I am very glad that I picked up this book. I was hooked almost immediately and took the book with me everywhere to find out what would happen next. It is truly scary when you think that something we take for granted - i.e., that the blood being drawn for tests our doctors ordered will be used for the purposes of our own good - and not to find out what will best serve the elite. Count those vials!

    Was this review helpful? Yes  No   Report this review
  • Posted December 26, 2009

    more from this reviewer

    GOOD BOOK MOW-HAHAHA

    THIS WAS A GOOD BOOK TO READ! I WOULD RECOMMEND IT FOR YOUR LIBRARY

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted September 5, 2009

    One of my new favorites

    I am a big mystery fan. I had never read anything by Michael Palmer and bought this on sale at B&N on line. It is an edge of your chair mystery with the added PUNCH near the end that I never saw coming! Let's just say the next time I have blood taken I am going to watch very, very closely!

    Was this review helpful? Yes  No   Report this review
  • Posted August 31, 2009

    more from this reviewer

    Could this truly happen?

    Kept wondering when we'd find out how the characters would marry up in the end. Glad I kept reading. Made for great reading and kept you guessing. Also made you think that maybe some day this could really happen, or may already be happening someplace in the world.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted August 4, 2009

    Excellent!

    I really enjoyed this book. Thought provoking storyline, with twists, turns, and surprises, I could not put it down. Absolutely wonderful reading. --K--

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted July 20, 2009

    Very good

    I really liked this one, I must admit that it took me awhile to get into it. In fact I read the first 70 or so pages, and put it down because I couldn't get into it, then one night I had nothing else to read and within the next 15 pages or so it really picked up and never stopped. I regretted putting it down at first, because it was worth the read. I was a little disappointed in the ending, as it seemed a little rushed in my opinion, but it didn't ruin it for me. Great Read.

    Was this review helpful? Yes  No   Report this review
  • Posted July 19, 2009

    more from this reviewer

    I couldn't out this down

    I loved everything about this book! The characters, the setting, the plot... All of it was fantastic! It really opened my eyes to the black market world, and I would love to a find another book very similar to this... An exceptional read! I would highly highly recommend this book!

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted June 21, 2009

    WOW! Anyone in the medical field its a must read

    WOW this book was awesome. Such a thriller and the suspense just keeps you on your tip toes you can not seem to put this book down really anyone wanting to read it i would suggest dont think about it twice it is a great book to read on those rainy days or when you just want to spend sunday morning in bed I do have be honest though i had to read the first 3 chapters about 2 times till i got who was who but other than that the book was totally awesome

    Was this review helpful? Yes  No   Report this review
See All Sort by: Showing 1 – 20 of 73 Customer Reviews

If you find inappropriate content, please report it to Barnes & Noble
Why is this product inappropriate?
Comments (optional)