Pain Management (Burke Series #13)

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Overview

Andrew Vachss’s previous novel, Dead and Gone, prompted the Rocky Mountain News to say, “Starting a Vachss novel is like putting a vial of nitroglycerine into your pocket and going for a jog.” With his latest thriller, Vachss turns the heat up a notch by dropping his career criminal and ultimate urban survivalist, Burke, in the middle of some of the most dangerously determined humans he has ever faced.

Editorial Reviews

From Barnes & Noble
Following a failed assassination attempt, shadowy New York City man-for-hire Burke is laying low in the Pacific Northwest. But that all changes when the professional border-crosser who calls herself Burke's wife brings him a job tracking a runaway teen. It doesn't take long for Burke to establish his presence on the streets. And it's only a matter of days before Burke is introduced to a fanatical group of criminal Samaritans dedicated to supplying adequate drugs to those suffering from chronic pain. Now, trapped in unfamiliar territory, Burke is on his own, navigating in darkness to rescue a girl who may not want to be saved.
Publishers Weekly
Fans of the Burke series who cheered the author's sudden relocation of his surly protagonist to the Pacific Northwest in Dead and Gone (2000) will be pleased by this latest installment. Burke, the sociopath ex-con with a reputation for hunting down "freaks" with an appetite for children, lands a new job combing Portland's seamy underbelly for a runaway teenager. Cut off from the members of the outlaw New York "family" who graced his earlier adventures, Vachss's postmodern Robin Hood continues to develop his web of West Coast contacts. A tip from his new lady love, Gem (who managed to survive the previous book when Burke himself nearly did not), leads the mauled Burke into a labyrinth of prostitution, deception and murder. Besides dealing with the oddities in the runaway's family, Burke must divine the motives of a cop chasing a serial killer preying on prostitutes, a stylish pimp with a long and dangerous reach, and a crusader against pain (or is she just a drug runner?) for whose mission the book is named. Providing clues as always through stepped-on snatches of dialogue, here Vachss finally lets his secondary characters speak for themselves, as opposed to being wholly defined by Burke's inner growl. While the dark worlds through which Burke journeys are not for the squeamish (Vachss draws upon his own experiences as an attorney for abused children), the author has managed to keep his violent series alive and vigorously kicking. 40,000 first printing. (Sept.) Forecast: Vachss's ultra-loyal readers seem unfazed by Burke's retreat from New York, and can be reliably expected to flock to this latest tale of the hard-boiled semi-hero's adventures. Copyright 2001 Cahners Business Information.
Library Journal
Fans of Vachss will be thrilled to see that Burke is back in action. Presumed dead after an assassination attempt in Dead and Gone, Burke has gone into hiding in Oregon with his partner, Gem, who calls herself his wife. Biding his time in the hope of eventually making it back to New York, he takes on the task of tracking down a runaway teenage girl. As he scours the streets of New YorkBurke stumbles upon a clandestine society that illegally obtains prescription drugs for people suffering from extreme pain. Believing that they may ultimately hold the key to finding the runaway, he reluctantly agrees to help them obtain a stash of a revolutionary new drug. As Burke becomes drawn into the society's cause, what he finds instead is that he must deal with his own "pain management." Even though he has taken Burke out of his usual surroundings, Vachss has written another winner. For larger fiction collections. Jeff Ayers, Seattle P.L. Copyright 2001 Cahners Business Information.
Kirkus Reviews
In a weirdly unexpected spin on the saga of ultra-tough Burke, Vachss drops his freelance avenger onto the mean streets of Portland, and produces his most conventional case to date. Burke's left the Big Apple behind, along with his Gotham menagerie-Max the Silent, Clarence, the Mole, Mama, Wolfe-and most recently his stint in prison. Rest and rebuild, comes the word from his regulars back home. So while he's thieving and shacking up with Gem, the woman who calls herself his wife, Burke decides to take the most old-fashioned kind of case a private eye ever gets: a vanished daughter. Rosebud Carpin, 16, has packed her guitar and knapsack, left a note for her parents, arranged to keep in touch surreptitiously with her girlfriend, and quietly disappeared. Her moneyed father, a one-time political activist turned architect, is worried about what she might be up to and with whom, but Burke's nightly patrols of Portland's red-light district don't turn up Rosebud, or any reassuring news about her. What they do turn up is one Ann O. Dyne, a flamboyant pain-management guru who's devoted herself to stealing pharmaceuticals and dispensing them to near-death patients whose access to painkillers is limited by their wallets or HMO's or various laws. Ann insists that she can get a line on Rosebud for a price Burke is in a unique position to pay: some professional help in heisting a truckload of drugs that would do her network of clients a lot more good than their official addressees. The result is the usual elaborate series of no-trust trades, many of them even more muffled by testosterone than usual, before a nifty climactic surprise worthy of the retro whodunits Burke wouldn't look at twice. Bettergrab this round of the usual Burke pleasures fast before the hardcase settles down in a suburban tract house with a white picket fence. First printing of 40,000

Product Details

  • ISBN-13: 9780375726477
  • Publisher: Knopf Doubleday Publishing Group
  • Publication date: 10/8/2002
  • Edition description: Reprint
  • Pages: 336
  • Sales rank: 895,668
  • Series: Burke Series , #13
  • Product dimensions: 5.19 (w) x 7.96 (h) x 0.70 (d)

Meet the Author

Andrew Vachss, an attorney in private practice specializing in juvenile justice and child abuse, is the country’s best recognized and most widely sought after spokesperson on crimes against children. He is also a bestselling novelist and short story writer, whose works include Flood (1985), the novel which first introduced Vachss’ series character Burke, Strega (1987), Choice of Evil (1999), and Dead and Gone (2000). His short stories have appeared in Esquire, Playboy, and The Observer, and he is a contributor to ABA Journal, Journal of Psychohistory, New England Law Review, The New York Times, and Parade.

Vachss has worked as a federal investigator in sexually transmitted diseases, a caseworker in New York, and a professional organizer. He was the director of an urban migrants re-entry center in Chicago and another for ex-cons in Boston. After managing a maximum-security prison for violent juvenile offenders, he published his first book, a textbook, about the experience. He was also deeply involved in the relief effort in Biafra, now Nigeria.

For ten years, Vachss’ law practice combined criminal defense with child protection, until, with the success of his novels, it segued exclusively into the latter, which is his passion. Vachss calls the child protective movement “a war,” and considers his writing as powerful a weapon as his litigation.

Read an Excerpt

Burke is back, but still lurking in the shadows, unable to return home. He is prowling the unfamiliar streets of Portland, Oregon, in search of a runaway teen. By all accounts, Rosebud Carlin is a happy, well-adjusted girl. She doesn't fit the profile of the runaway kids Burke knows so well...and once was. But there's something about her father...
Burke knows the street script, but the actors are all strangers. Cut off from his family and his network of criminal contacts, Burke is forced into a dangerous alliance with a renegade group dedicated to providing relief to those in intractable pain by any menas necessary. A bargain is struck, and the fuse is lit. Heart-stopping and hard-hitting, Pain Management is the latest bout in Andrew Vachss's thrilling reign as undisputed champ of brass knuckles noir.

Table of Contents

Customer Reviews

Average Rating 5
( 9 )

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Sort by: Showing all of 9 Customer Reviews
  • Anonymous

    Posted January 6, 2006

    Touching and inspirational

    Pain Management is touching and inspirational. Out of one of the grimmest parts of society, goodness blossoms in an effort to save people from deadly pain. Burke is his endearing self, as always. I recommend the novel as heartily as Andrew Vachss' other books which are also excellent.

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  • Anonymous

    Posted January 26, 2002

    Master of His Craft

    Vachss has produced yet another insightful, enlightening work with his new Burke-series novel, Pain Management. The by-now infamous anti-hero/protagonist, Burke, greets this new book with yet another issue that will resonate with many readers on multiple levels--the concept that the war on drugs so beloved and embraced by the medical establishment and government alike, in actuality denies those suffering at the hands of interminably painful *terminal* illness without benefit of copious and much-needed old and newly experimental drugs due to the nonsensical idea that taking these drugs with abandon will only result in drug addiction. . . a strange proposition considering that individuals in this situation are more than likely going to face their makers any day now in any case. . .Vachss is known for writing with not only amazing knowledge and breadth of information, but entertaining while doing so, with dark humor, minimalist-style clipped sentences, that leave the reader alive with the prospect of what will come down the pike at the turn of the next page. . . although his subject matter is all inclusive of issues that are perhaps too directly hard-hitting for those not wanting to venture into the mean world of child sexual abuse, domestic violence, . . well, abuse of *any* kind, and would rather limit their diets to evening news snippets and mild conversations and move on to the rest of their lives, most readers and fans of Vachss' prose realize the import of these books. . .not only as a source of reading pleasure but, more importantly, an invaluable resource for enlisting those in the world population against the war on abuse, for children in particular, and anyone who is deemed defenseless. . . in this case, Pain Management scores highly, as do all of Vachss' preceding works of fiction. For the novice to Vachss' books, both his urban style and sophisticated level of humor might intimidate, but will surely bring the reader back for more. . And, for those inveterate Vachss' fans who await Burke's return to NYC, there is more than an intimation in Pain Management that that is precisely where his next book will take place, hopefully with his usual familial cohorts, and the always hard-edged streets of New York to keep the reader off-balance and panting in the race against whatever new villain(s) Vachss' conjures. The mere fact that the Burke series has endured for such lengthy period is nothing less than grand testament to its ineradicable nature to impart readers with more than just another book of crime fiction--it can anger, all the while displaying astonishing poignancy. . This book is yet another example of Vachss' uncanny ability to rope the reader in with headline-glowing issues, while maintaining unique intrigue and interest in characters and story alike.

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  • Anonymous

    Posted November 30, 2001

    Burke and the Series Continue to Grow ... Excellent!!!

    The search for a missing teenage girl propels Burke on a journey where he encounters the fall-out from 1960's radicalism, the disappearance of prostitutes, and a disparate group dedicated to relieving the suffering of those in pain. More is revealed of the complex emotional make-up of PAIN MANAGEMENT's 'protagonist,' Burke, as he continues his evolution in this, the thirteenth novel of the series. Mr. Vachss has created yet another novel rich in both information and entertainment value. Enthusiastically recommended to both fans of the series and newcomers alike ... a highly imaginative and important book.

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  • Anonymous

    Posted November 13, 2001

    A START IN THE RIGHT DIRECTION!!!

    Before I start in on the review of the newest novel by Andrew Vachss, let me first say that the Four-star rating I¿ve given this book is a marginal one. A three-and-a-half star rating would¿ve been closer to what I feel it deserves. My gripe with the present ¿Burke¿ novels is that since the death of Wesley, Mr. Vachss has taken the series in a different direction. The violence and darkness that was so powerful in the earlier books has gradually been toned down, and Burke has become more introspective and philosophical. Even Max the Silent has been more or less eased out of the last few novels with only an occasional cameo appearance. In other words, the author slowly removed the things that made the ¿Burke¿ series stand out in the world of fiction and that gave it the solid punch in the gut that other novels seemed to lack. That¿s my complaint for better or worse. With regards to PAIN MANAGEMENT, I can say that I enjoyed this novel slightly more than I did the last one. Burke is still living in the Portland area of Oregon with his Cambodian girlfriend, Gem. Feeling bored and not having much to do, Burke decides to accept a job from Kevin Carpin to find his missing teenage daughter, Rosebud. It appears that Rosebud is a runaway, and no one has the slightest idea where she¿s gone or why. Burke questions her family, then the teachers at her school, and then her best friend. He begins to gradually pick up clues that lead him to the writer of a comic book series that Rosebud liked to read. In time, he runs into Peaches, a lone, sexy female who knows the dark streets of Portland and where the action in the city is located. Peaches is also a drug runner, but not in the normal sense of the term. She hijacks, with the help of friends, truckloads of medical drugs so that people in the area who are dying of AIDS and have terminal cancer can receive the necessary medication they need to ease their suffering. Burke eventually agrees to assist Peaches in a hijacking in return for her help in finding Rosebud. At the same time, as Burke continues his search in the red-light district of Portland, he discovers that a couple of guys just out of prison are threatening the prostitutes on the street with outright violence in order to get a percentage of their nightly earnings. Deciding to take out the two scumbags, Burke reverts to his old ways (Yeah!!!) as he teaches the guys the true meaning of violence. In the background of all of this is still the mysterious reason as to why Rosebud ran away and where she¿s hiding. In PAIN MANAGEMENT, a large part of the novel is spent with Burke simply driving around and asking questions. At least he¿s doing something this time around! The book doesn¿t have a lot of action, but what there is reminded me of the earlier novels. A great deal of information is given about the plight of sick people in our country who are unable to get the necessary drugs to alleviate their pain and how little the government is doing about it. There¿s also a bit of information concerning the mean streets of Portland and what one can expect to see should a visit to the area ever come about. Burke and Gem (she¿s pushing hard for some kind of commitment from him) are definitely not getting along, and our dark knight thinks about returning to New York, where his chosen family is, a number of times throughout the book. One can only hope! I have no complaints about the writing style of Mr. Vachss. He¿s an exceptional author who knows how to create dark and intriguing characters, as well as a brooding atmosphere for his stories. The only thing I ask for is more action in the books. Bring back Burke¿s family, especially Max the Silent. Even that may not be enough, however. All of the original characters seem to be too comfortable and complacent in their present lives. Wesley is definitely the one to bring back! Since his death several years ago was left open-ended, it could easily be done. I even think Mr

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  • Anonymous

    Posted October 2, 2001

    Burke is the Best!

    What a great book ... Vachss has done a masterful job of spinning an intricate web of betrayal, lies and pain. Burke is back hunting on the mean streets of Portland ... and he's determined to find the missing Rosebud, a young girl running from an unknown pain. The trail leads Burke to some very different and unique outlaws. Every one could spell Burke's doom. And it's not just the enemies, perhaps it will be Gem, the woman who says she's Burke's wife, who will bring him down? But you're going to have to read the book to unravel this web. A fantastic read for everyone!

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  • Anonymous

    Posted October 2, 2001

    Lucky Burke -- 13th and best so far!

    Burke is back on the job, scamming, stealing and doing what he does best: tracking a missing girl who may be running from a pain no one can imagine--except Burke. All while out of his native New York and without the protection of his family of choice. New friends and enemies abound in this 'not always what it seems' story of betrayal and risk taking, that finds Burke trying to operate in a very different Portland than the tour guides depict. The search for the missing girl, Rosebud, is the obvious, but along the way are twists and turns that could cost Burke his freedom, and maybe even his life. Great characters, both new and old, bring a seemingly straight-forward story to life. But Vachss never fails to add an unexpected element to their motivations or their personal pain. Are the girl's parents being honest about why they want Rosebud back so badly? Who is the chameleon-like Ann O. Dyne ... friend or foe? And what of Gem, the woman who calls herself Burke's wife, is her past going to destroy Burke's future? More mystery than some of his previous outings, Vachss has done a fantastic job of weaving a story that you won't be able to put down. Definitely a must for Burke and Vachss fans and anyone else who wants a sharp, well-written and stunning in its conclusion story by one of the masters of the crime-fiction genre.

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  • Anonymous

    Posted September 26, 2001

    Burke at his best!

    I loved this Burke novel! Vachss has written a powerful mystery tale that covers a lot of ground for the 'violence-for-money' outlaw Burke. Vachss writes characters of great strength ... and pain, which may ultimately trap Burke in a web of betrayal that even he can't escape. Gem, the border-crosser who says she's his wife, is back and crossing borders between the past and future. Ann O. Dyne the samaritan with a dangerous mission ... will she be the one who takes Burke down? Maybe it will be the pimp, Kruger, or the seemingly good-guy cop Hong with his own personal agenda .. or vendetta? Then there's the girl, Rosebud, what pain is she running from and why? A fabulous, edge-of-your-seat ride to a stunning and totally unexpected conclusion. You won't be able to put this one down.

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  • Posted December 9, 2008

    more from this reviewer

    powerful Burke tale

    Still healing from the Hunt¿s Point New York ambush, Burke decides to remain in hiding in Portland, Oregon a bit longer. His new web is still tentative and being formed unlike that waiting for his return to the East Coast.

    Burke¿s West Coast woman Gem, a Khmer Rouge survivor with her own ¿business¿ sends work to the still injured sociopath vigilante. The job is to find a missing runaway teen, whose parents already went the full law enforcement route including a high priced private detective agency filled with former cops. They all failed. Gem heard the street whispers about the unsuccessful search and offered the parents an unlicensed detective who accepts cash only to find the teen. Desperate the parents jump at the opportunity to search anew and hire Burke who begins his trek to find Rose. An underground series of clues seems serpentine and circular leaving Burke to wonder if he will adjust to the confusing environs of the Pacific even as he slowly unravels the truth about why Rosebud ran away from an allegedly loving home.

    The latest Burke tale, PAIN MANAGEMENT, is a powerful entry in this long running series starring a different kind of hero. The story line engages those readers who do not mind violence. Andrew Vachss modifies his approach by adding a different type of depth with this novel as readers hear the voices of key cast members not filtered through Burke¿s interpretation. The answer to why is fabulous and keeps the audience sitting until Burke metes out justice his style.

    Harriet Klausner

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  • Anonymous

    Posted December 12, 2010

    No text was provided for this review.

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