Toxin

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Overview

Newly divorced surgeon Dr. Kim Regis is determined to remain a good father to his only son, Selden. On a special night out, Kim takes Seldon to his favorite fast-food restaurant for a feast of burgers and fries. But the good time turns to tragedy: the young boy becomes gravely ill and dies as a result of poisoning by E. coli. bacteria found in the meat. Was Seldon's death a result of shoddy food-handling practices? Or was it a sophisticated case of product tampering - by a rival fast-foot giant or a disgruntled employee? Or perhaps by someone with a score to settle with Kim? Taking a leave from his surgical practice, Kim devotes his energies to solving the mystery full time. But he immediately hits a brick walls: a code of silence more impenetrable than anything he has ever encountered in his medical career. Instead of a cold-shoulder reception, however, Kim is soon met with a boot and a fist as thugs attempt to quash his inquiry. Aided by his ex-wife, Kim pursues a trail of deadly evidence, uncovering complicity and guilt stretching from the slaughterhouse floor to the corporate boardroom. Racing against time before more are poisoned, the two come face-to-face with the shocking and elusive truth. And in their life-and-death search for answers, they rediscover the reasons they first fell in love. With trademark pulse-pounding flair, Robin Cook delivers a cutting-edge thriller, borrowing from today's fears and tomorrow's medical technology.

Editorial Reviews

Library Journal
Cook cooks up another medical thriller, with a bunch of E.coli bacteria as villain, an underdone hamburger as murder weapon, and a little boy as victim. His doctor-father soon discovers that something far more sinister than bad hygiene is the cause. A Literary Guild, Doubleday Book Club, and Mystery Guild main selection.

Product Details

  • ISBN-13: 9780425166611
  • Publisher: Penguin Group (USA) Incorporated
  • Publication date: 2/28/1999
  • Format: Mass Market Paperback
  • Pages: 448
  • Sales rank: 139,143
  • Product dimensions: 4.34 (w) x 6.64 (h) x 1.20 (d)

Interviews & Essays

On March 27, 1998, barnesandnoble.com on AOL welcomed Robin Cook to our Authors@aol series to talk about his latest novel, TOXIN. The bestselling novelist is currently on leave from the Massachusetts Eye and Ear Infirmary. In the past two years, four of his novels have been made into highly successful movies for television. Three more are in production for NBC. His latest novel, TOXIN, is available at Keyword: bn.



AOLiveMC10: Welcome to America Online and AOL Live, Robin Cook.

Robin Cook: Hello, everyone. I hope there are some people that have already read TOXIN.


AOLiveMC10: Here's our first question, Robin.

Question: Why did you decide to write about E. coli bacterial poisoning? Do you think this is a real danger to the general public?

Robin Cook: I know it is a real danger to the general public. The CDC estimates that there are up to 20,000 cases every year, with hundreds of deaths.


Question: Do you think that medical thrillers are at a peak with the popularity of "ER" and "Chicago Hope"? Do you watch either of those two shows?

Robin Cook: I think medical thrillers were popular even before "ER" and "Chicago Hope." But both of these shows have certainly increased the popularity. I have seen both shows, but I don't watch them on a regular basis.


Question: I loved TOXIN! I read it in one night. You could have not written a book in a more timely fashion, what with the whole Oprah versus the meat industry situation. What is your opinion of the meat industry here in the United States? Do you think it is as bad as you portray it in TOXIN?

Robin Cook: I believe the meat industry has been asked to provide a large quantity of meat at a very low price, which they have done very well. The problem is that with this intensive methodology there is a great risk of contamination with fecal material. That's the source of the problem. I'm hoping that people will heed the warnings from the meat industry to cook the meat adequately, particularly ground meat. But I'm also hoping that the general public will make an outcry that they would like to have the choice of paying more and having meat and chicken that's uncontaminated.


AOLiveMC10: Robin, what's your opinion on irradiated foods?

Robin Cook: I have trouble with the idea of irradiation because I believe it's an attempt to fix a problem by dealing with the symptom only. I would rather think of ways to eliminate the chances of bacteria being in the meat during the slaughtering and the processing.


Question: Robin, how did you get your ideas for your medical bestsellers over other subjects? Thanks.

Robin Cook: I'm trained as a physician, and it was my discovery that there was a big gap in the general knowledge about medicine between us physicians and the general public. It was my feeling that an interesting and fun way to attempt to rectify this situation was to write novels and movies that were entertaining but also informing.


Question: Have you written medical thrillers to warn us about what really is happening in biomed?

Robin Cook: Yes. My thrillers are cautionary tales, an attempt to alter public opinion and public behavior.


Question: How are stories selected?

Robin Cook: I select the issue first -- like with TOXIN, the issue is food poisoning -- and then design the story to elucidate the subject.


Question: Any plans on bringing TOXIN to the big screen? In general, were you satisfied with the TV movies they made out of your books?

Robin Cook: I am presently negotiating a contract for TOXIN. And as for the TV movies, I have been quite satisfied. I feel the movies have stayed quite true to the issue at hand.


Question: How common is E. coli?

Robin Cook: As I mentioned in the beginning, the CDC estimates the incidents to be up to 20,000 cases per year.


Question: Will you be doing a signing tour for this book?

Robin Cook: Yes. I am presently doing a small tour, but I'm only visiting a handful of cities. I will be in St. Louis tomorrow, Naples, Florida, on Sunday, and Boston at the end of next week. And Los Angeles toward the end of April.


Question: I hear that you have some NBC TV movies coming out in the near future. Is there any truth to this rumor? Is TOXIN one of these upcoming movies?

Robin Cook: No. At the present we're negotiating for TOXIN to be a movie for the big screen.


Question: As you're the father of the medical thriller, I am curious to get your opinion on some other medical thriller authors, like Michael Palmer. Do you read a lot of your genre?

Robin Cook: I don't read a lot of the genre, although I read some books from just about each one of the authors.


Question: How true to life are the cost-cutting situations that you write about in TOXIN?

Robin Cook: The research that I did for TOXIN involved reading a number of nonfiction books, which included, specifically, a book called SPOILED by Nicols Fox that I cited at the end of TOXIN. And I truly recommend readers interested in the issue to look at this nonfiction book.


Question: What type of medical research do you do for your books?

Robin Cook: Medical research that I do for my books obviously varies from book to book. But I invariably will either talk at length to a specialist in the arena that I'm writing about or actually go into a clinical setting or medical-examiner setting and experience directly.


AOLiveMC10: Robin, do you think it is relatively safe to go out and get a burger dinner?

Robin Cook: Yes. I think it's relatively safe, provided you make sure that the burger is cooked adequately by breaking it open and making sure that it is not pink.


Question: Any chance they will rerelease COMA on the big screen? How has your view of the medical community changed since you wrote COMA so many years ago?

Robin Cook: I don't know of any specific plans to rerelease COMA, although the issue is just as cogent today as it was when COMA came out some 20 years ago. The fears that I had about the incursion of business into medicine have materialized.


Question: Are you currently practicing medicine?

Robin Cook: I don't have a private practice. But I maintain my academic medical connections. And I stay very current, so that I could go back to medicine at any time.


Question: Do you have any fears of getting sued by any organizations such as the USDA over a book like this one?

Robin Cook: After Oprah was sued, there's that worry. But what I have written is ultimately fiction.


Question: Robin, what is your opinion on imported meat?

Robin Cook: Imported meat disturbs me because the ability to track where the meat came from is even more difficult than it is in this country.


AOLiveMC10: Have you had any comments from the meat industry or the government?

Robin Cook: No, I have had no comments from either the meat industry or the government. And I don't expect any. But I should mention that Senator Orrin Hatch has read the book and is planning on giving a copy of the book to every member of Congress.


Question: How contaminated did you find the meat industry to be when researching your current novel?

Robin Cook: The data that I saw varied greatly depending upon the methodology of testing for the microbes. Some of the methods showed up to -- I believe it was 25 percent of the packages that were tested. Other tests showed much less. But there is a great variation in these results depending upon who it is that's reporting them. And once again, I refer any interested readers to the nonfiction book SPOILED.


AOLiveMC10: Robin, what other bacteria present a danger to our food supply?

Robin Cook: Salmonella, camplyobacter, cyclospora, listeriosis, and E. coli. Those are the main ones that I'm concerned about right now.


Question: Are you now a vegetarian after researching E. coli, Mr. Cook?

Robin Cook: No. I still eat meat. But I have become even more careful after doing my research than I was before. I'm particularly concerned about problems of cross-contamination in the kitchen.


Question: This is more of a medical question than a question about TOXIN. My pet bird was diagnosed with E. coli. Can a person catch the bacteria from their pet?

Robin Cook: I don't know of any case of this specific strain of E. coli being spread by a domestic pet. I'd have to defer that to a veterinarian.


Question: Have you written a script or do you only write novels?

Robin Cook: I have written a number of scripts.


Question: In general, how many hours a day do you write?

Robin Cook: When I'm actually writing a novel, I write in very concentrated periods of time, up to 12 hours a day. At that intensity, I can write a novel in about five to six weeks. But I don't start writing until I have a very extensive outline. Some of my outlines have been as large as 250 typed pages.


Question: Mr. Cook, do you feel that programs like HMOs force the issue of cutting corners in the medical field?

Robin Cook: Yes. I believe that when the bottom line is the major consideration, corners will invariably be cut.


Question: Does it frighten you that your books could actually become a reality of sorts?

Robin Cook: I have seen a lot of my books come to pass in some form or fashion. And that scares me.


AOLiveMC10: Robin, is there a threat in eating raw fruit or vegetables?

Robin Cook: Unfortunately, yes, as demonstrated by the cyclospora outbreak last year from Guatemalan raspberries. The problem with E. coli comes from contamination with bovine feces. And there have been outbreaks from such things as unpasteurized cider where the apples had been picked up from the ground.


Question: What is your specialized field of expertise in medicine?

Robin Cook: I trained in general surgery and ophthalmological surgery. I also took a course in forensic pathology prior to writing the book BLINDSIGHT.


AOLiveMC10: We have time for one more question.

Question: Are you pretty safe eating chicken?

Robin Cook: Chicken has been found to be generally the most contaminated product in the grocery store. It is my understanding that it's 90-plus percent contaminated with some serious bacteria. So I recommend that you be particularly careful with chicken in the kitchen to avoid cross-contamination.


AOLiveMC10: Robin, any closing comments?

Robin Cook: Thanks to everybody who participated, and I hope a lot of people get to read TOXIN. And I hope everybody is careful in the kitchen.


Customer Reviews

Average Rating 4
( 41 )

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See All Sort by: Showing 1 – 20 of 41 Customer Reviews
  • Posted July 8, 2011

    Wow what a book

    I couldn't quite reading. It was one of the best he ever wrote.

    2 out of 2 people found this review helpful.

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  • Posted January 30, 2012

    more from this reviewer

    Could not put this book down.

    I don't think I want to eat hamburg again after reading this book. It was well written and I could not stop reading it. I wanted to find out what happened net.

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted September 10, 2011

    INCREDIBLE

    I loved this book. The second I started reading, I couldn't put it down. The characters lock you in from the beginning and twists are crazy.

    1 out of 1 people found this review helpful.

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  • Posted August 23, 2011

    Great Read!

    I may be a little partial because I myself feel I'll to an Ecoli infection at age 8, and thanks to a wonderful doctor survived with only slight lifelong side effects, but this novel is an excellent adventure into a family struck own by an invisible deadly disease and their path through diagnosis, investigation, and getting to the other side. I read the book approximately 10 years ago so I have forgotten some of the details,but I know I will be reading the rest of his novels as I continue through my To Read list.

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted September 24, 2008

    Fantastic

    I just finished reading this book in Med-Tech English. A little on the descriptive side but highly addicting with great characters. I don't think I'll be having a burger any time soon.

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted October 29, 2006

    i loved it

    i really liked this book. at first it was kind of slow but it got really addicting after the first 150 pages.

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted August 18, 2005

    Great page-turner

    I really enjoyed Toxin by Robin Cook. The book vividly describes the effects and dangers of e-coli. Once I started reading it, I couldn't put it down. I enjoyed Cook's characters and the way he applies his medical knowledge in his story. Great Read!

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted August 9, 2004

    Excellent Book!

    I started out reading Toxin in high school, it was a AWESOME book, I couldn't put the book down... and I'm not one to read books! I caught myslef reading the book in my other classes as well. A GREAT, NON-STOP THRILLER!!!

    1 out of 2 people found this review helpful.

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  • Anonymous

    Posted May 22, 2004

    Toxin- A Great Suspenseful Read!

    Cook delivers a very true and shocking story that has taught me a lesson about the meat packing industry and also all these burger chains. He brings to the point that mishaps like the one discussed in this book are kept a secret. He brings to life what ever American needs to realize not all meat is safe. A Great Read.. Couldn't put the book down. Would recommend to anyone!

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted September 8, 2003

    CAPTIVATING!!!!!& SUSPENSEFULL!!!

    Overall, 'Toxin' is outstanding!!. This medical thriller exemplifies gut-wrenching action and drama along with murder, chaos, horror, and conspiracy!! Discussing and confronting the deadly virus E.coli, 'Toxin' reveals the truth behing America's corrupt meat industry. An awesome read and a real winner!!

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted August 9, 2001

    One of the best books that I read in a long time

    I read TOXIN in a matter of four hours because I couldn't put the book down once I started it. After reading it, I immediately got on the internet and started searching for information that the book speaks about and I was very suprised to see the amount of information there was on it. Although the book is fiction, it is based on actual documentation. Robin Cook's storytelling is superb. I recommend everyone to read this book and research the information for yourselves. You will be surprised by what you see.

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted March 9, 2001

    OUTSTANDING!

    In this novel, Cook has proven once again that the medical field and suspense are totally compatible with each other. I loved this book for a couple different reasons: One, I am fascinated with the battles that are constantly waged underneath our skin between our immune systems and intruders from the outer world. And second, Cook has taken everyday things we don't think about much to levels above and beyond our grasp. Cook's thorough medical expertise makes an excellent combination when implemented into a modern-day thriller, as all his novels do. 'Toxin' will make you think twice about what you eat and where it comes from.

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted May 28, 2008

    Not Good

    Please don't waste your time with this book. It is overly descriptive with too many medical terms. I also found many parts of it to be highly unrealistic. It does however make you think twice before eating a hamburger though.

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  • Anonymous

    Posted July 2, 2006

    AWFUL!!!!!

    UNREALISTIC and just completely awful. The only reason I finished it was because I wanted to know what happened, but it was truly dreadful.

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  • Anonymous

    Posted March 25, 2005

    Good book

    I recommend this book to all those who can really get into a book. This one will catch your attention quickly and keep you reading. Dr. Regis is the determined and worried father who is after the truth of what caused his daughter to become infected with E.Coli.

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  • Anonymous

    Posted March 17, 2004

    Poor Ending

    As always an excellent book, but unlike his other books he leaves you hanging. What happened to Kim & Tracy Reggis, Caroline Anderson ???

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  • Anonymous

    Posted August 13, 2002

    great book

    overall a great book. although a little hard to read in places it took me no time to finish it! also, 'reviewer' a little harsh dont you think? you seem strangely outnumbered... but thats my opinion. this is a must read book for any long time cook fan!!!

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  • Anonymous

    Posted July 13, 2001

    Toxic: This Novel

    While the story had potential and the information presented was interesting, the novel itself was predictable and unrealistic. The characters were wooden and not believable and the dialogue was bland and unfeeling. I never had the sense that I could actually relate to Dr. Kim, Tracy, or any of the other troops that paraded throughout this novel. I don't know if I'll read any more of Dr. Cook's 'thriller suspense novels,' but if they're anything like THIS one, I'd suggest that the author stick to writing prescriptions...

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  • Anonymous

    Posted January 10, 2001

    Highschool female in suprisingly impressed.

    I thought Toxin was a really neat book. It had great twists and truns that kept me, a sophomore cheerleader, interested. I would find myself staying up late to try to finish the chapter. I thought it was mostly easy reading and an enjoyable book. I did think the ending was week thought. I would have like there to be more closure with what happens to Kim and Tracy, also I would have like to know what goes on with the investigation. You never know, maybe there is room for a sequal.

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  • Anonymous

    Posted January 5, 2001

    EXCELLENT BOOK!!!!!

    As a student of Microbiology, especially the field of infectious pathogens, I truely loved this book. This book brought the field to life, and made everyone aware of the dangers that are out there in our food supply if we don't take action.

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