Twice Dying [NOOK Book]


Outside San Francisco, a sting of NGI's--violent sociopaths found not guilty by reason of insanity--have been sent back into society, and, one by one, mysteriously disappeared....

Beautiful psychologist Alison Chapley wants to know why and sets off on a search for answers that lures her and her former lover, medical examiner Carroll Monks, into a menacing and increasingly macabre dance with a brilliant psychopath known only as Naia....

Naia's ...

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Twice Dying

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Outside San Francisco, a sting of NGI's--violent sociopaths found not guilty by reason of insanity--have been sent back into society, and, one by one, mysteriously disappeared....

Beautiful psychologist Alison Chapley wants to know why and sets off on a search for answers that lures her and her former lover, medical examiner Carroll Monks, into a menacing and increasingly macabre dance with a brilliant psychopath known only as Naia....

Naia's perverse and carefully chosen clues--plaster masks, a snuff videotape, a deadly cobra--draw Alison into a psychological seduction she's powerless to resist. Running out of time, Monks's only chance to save Alison is to outwit this twisted mastermind in a deranged and deadly game of cat-and-mouse.

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Editorial Reviews

From Barnes & Noble
In Neil McMahon's dark and disturbing first novel, Twice Dying, the top dog at a hospital for NGI's (those found not guilty by reason of insanity) begins to release his psychotic tenants prematurely. Already suspicious, one nurse becomes horrified when those recently freed turn up dead. Now she and her ex-love must prep for the killer's blade.
Phillip Margolin
A chilling and fast-moving thriller.
Bonnie MacDougal
E.R. meets Psycho...terse, moody, compelling.
James Welch
The ending will knock your socks off.
Boston Teran
Twice Dying is a triumph of character, plot, and passion.
—(Boston Teran, author of God Is a Bullet)
Publishers Weekly - Publisher's Weekly
There are a lot of skeletons in the closets of this taut, spare debut, but the dark and creepy side of this thriller, where everyone has something to hide, is subsumed by the very sparseness that initially gives the book its unique voice. All the right elements for a suspenseful tale are present. Psychiatrist Alison Chapley learns that at Clevinger Hospital's psych unit, Dr. Francis Jephson has been diagnosing murderous sociopaths as suffering from mild schizophrenia, and then releasing them back into the world. She calls upon her former lover, San Francisco malpractice investigator Carroll Monks, to help. Years ago, Monks and Chapley's relationship was erotically charged with hints of violence, and the psychology of their love connection evolves intriguingly. Soon their sleuthing reveals a link among Jephson; the corrupt, powerful Vandenard family; and a mysterious criminal mastermind who calls herself Naia, Queen of Cobras. As Monks and Chapley close in on a network of psychotic killers, they find themselves in Naia's crosshairs. McMahon's clean and concise style is refreshing, helping to build tension, but as things start to get scary for Monks and Chapley, the narrative remains steady and stark, never ascending to a truly suspenseful pitch. When one of the main characters suffers a potentially transforming ordeal, it happens, like a death in Greek tragedy, offstage; and the novel ends with a clinical, distant finale. Though the skeletons in the closet are revealed with cleverness and expertise, they don't come to terrifying life. Author tour. (Mar.) Copyright 2000 Cahners Business Information.|
Chicago Tribune
“Reads like a cross between Raymond Chandler and Thomas Harris. More Monks please, Mr. McMahon.”
“A fast-paced, intelligent medical thriller that gives Michael Palmer . . . a run for [his] money and catapults McMahon miles ahead of Robin Cook.”
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Product Details

  • ISBN-13: 9780062031600
  • Publisher: HarperCollins Publishers
  • Publication date: 12/14/2010
  • Series: Carroll Monks Series, #1
  • Format: eBook
  • Pages: 288
  • Sales rank: 154,784
  • File size: 3 MB

Meet the Author

Neil McMahon holds a degree in psychology from Stanford and was a Stegner fellow. He has published ten novels, in addition to the bestselling thriller Toys, coauthored with James Patterson. He lives in Missoula, Montana, where his wife directs the annual Montana Festival of the Book.

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Read an Excerpt

Chapter One

The emergency room at San Francisco's Mercy Hospital I was mid-range, with fifteen beds and Level 11 trauma capability, equipped to handle whatever came through the doors as long as there was not too much of it at once.

Business was usually brisk, and the general degree of tension moderate. Death was not common, although when it did come it tended to happen quickly.

This was a fact that Carroll Monks never lost sight of.

The evening had been crisis-free, and Monks was allowing himself a break, in the faint hope that things would stay that way. His gaze caught the raised hand of Leah Horvitz, the ER's charge nurse, beckoning him. He walked to the admitting desk.

"A woman just left a phone message for you," Leah said. "She asked you to go look in your car."

"In my car? My car is locked, Mrs. Horvitz."

"I'm just repeating the message."

"That's all? She didn't leave a name?"

"She said you'd know."

"Did she hit my vehicle?"

"If she did, Doctor, I'm sure she came out second best."

Monks caught grins on the faces of staff within hearing range.

"I'll ignore that, Mrs. Horvitz. All right. I'll be back in a minute."

It was a damp night, mid-November, with fog rolling in, high thin clouds that might or might not burn off with tomorrow's sun. Monks walked through the parking lot with vague apprehension, possibilities turning in his mind: a prank, a setup for a mugging, a disgruntled patient who had planted a bomb. His vehicle, a 1974 Ford Bronco made of old-fashioned Detroit iron and the heart of a Percheron, was parked in the physicians' section. As usual, the nearby Saabs andLexuses had given it a wide berth. There were no signs of a collision.

But a white gift box, a little bigger than a deck of cards, rested on the driver's seat.

Monks tried the door. It was locked, the way he had left it.

He turned slowly, his gaze searching the parking lot. There were no other human beings in sight.

He opened the door and cautiously picked up the box. It had a good weight, the feel of something solid. He scanned the parking lot again, then took off the lid.

Inside was an antique straight razor. Its smooth-worn ivory handle was inlaid with a silver caduceus: the winged staff with two entwined snakes, symbol of the medical profession. It was easy to imagine as a prized possession of a doctor from an older generation.

Easier yet to think of the only other person who still had keys to things of his.

Six years ago, a psychologist named Alison Chapley had been called in to consult on a case with a malpractice insurance group which Monks worked for as expert witness/consultant/investigator. She was very attractive, very sharp, and more than ten years younger than he. The richness and promise of her life seemed apparent, and it never occurred to him that she might see him as anything but an amusing curmudgeon.

One Friday afternoon, he had walked out of the company's offices on Montgomery Street and found Alison waiting, leaning back against the building in a pose he would come to know well, one hand cupping the other elbow, cigarette held between two fingers.

He said, "Could I give you a ride someplace?"

"I think you're a cripple, Dr. Monks."

Monks blinked in astonishment, then set his jaw. "Is that a free diagnosis, Dr. Chapley?"

"It's never free. What do you like?"

"I'm not sure what you mean."

"You know what I mean." She pushed away from the wall and handed him a business card with an address hand-written on back. "Drop by. Tomorrow would be fine."

Her house was near Bolinas, secluded from its neighbors, on a low bluff overlooking the Pacific. Her car was there, but she did not answer the door. Monks hesitated, but then stepped inside and walked through, calling her name. A pair of French doors opened onto a deck. He saw that she was sunbathing in a lounge chair, her back to him.

He did not realize she was nude until he said hello, and she leaped to her feet, gasping, hands flying to cover herself.

Monks said, "You shouldn't leave your door unlocked. Anybody could come walking in."

Beneath the sheen of oil she was flushed-vibrant, he would realize later, from the drug XTC.

"I like surprises," she said, and let her hands fall to her sides.

Alison had surprised him many times after that: sometimes by leaving a gift in his vehicle. He began to glean that each one had a significance that only she understood. A photograph. A book. A spike-heeled shoe.

A black silk scarf, embroidered with gold.

The parking lot's argon lights, blurred and diffused by fog, colored the night a garish pink-orange, bringing to mind his ticket home from eight months of war: falciparum malaria, tiny mosquito-borne protozoa that invaded the liver and burst forth to storm the bloodstream, killing a million human beings per year and forcing fevered delirium on hundreds of millions more.

He remembered his last vision of Alison, burned into his mind through a fierce haze of vodka on a night he could almost believe was one of those hallucinations: his hands tightening that scarf around her throat, urging her slowly and not ungently to the floor beneath him, with her choked sounds that might have been fear, or pleasure, or laughter. That had been five years ago. He had not seen her or spoken to her since.

Monks gazed into the night with the dense weight of the razor clasped in his palm, rubbing the smooth ivory between thumb and forefinger, as if it were a talisman that could help him see into the reason behind this new offering.

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Table of Contents

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Customer Reviews

Average Rating 4.5
( 5 )
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Sort by: Showing all of 5 Customer Reviews
  • Anonymous

    Posted March 3, 2000

    Twice Dying

    Read this on the plane from SF to NOLA--straight through--and loved it. THe style is lean and strong, like James Lee Burke's first novel (Lost Getback Boogie) only more gothic. Trrific read, really enjoyed it, totally was surprised by the ending. Highly recommended.

    3 out of 3 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Posted December 9, 2008

    more from this reviewer

    Exciting dark thriller

    Dr. Carroll Monks works in the emergency room of San Francisco Mercy Hospital. He is a dedicated and responsible physician, but Carroll remains lonely. However, his loneliness ends when Dr. Alison Chapley reenters his life. Carroll shared a brief fling years ago with his colleague, who provides consulting services to the notorious Clevenger Hospital, home of dangerous murderers who have pleaded ¿not guilty by reason of insanity¿ (NGI). Founder Dr. Francis Jephson runs the NGI program but doesn¿t allow Alison to him help him. <P>Dr. Jephson places sociopaths in his program by labeling them as schizophrenics or manic-depressives. He treats his patients for two years before discharging them as being cured. Thus, cold-blooded killers stalk the streets of San Francisco and other cities waiting for the chance to murder again. Alison once revered Dr. Jephson but now wants the dangerous program ended and asks Carroll to help her attain evidence that will do just that. Unbeknownst to the two physicians, an unknown assailant awaits in the shadows with a strategic plan that includes the pair. <P>In a relatively short novel, Neil McMahon provides quite a powerful left hook to the gut of lovers who demand high quality psychological suspense thrillers. The seemingly straightforward plot spins into a totally unexpected but clever and welcome path that will shock but please the audience. TWICE DYING stars an interesting protagonist who alternately will receive pity and warmth as his obvious flaws make him feel like a friend. The intense story line is dark, chilling, and belies the fact that this is Mr. McMahon¿s debut novel. Anyone who enjoys an intense medical thriller with legal overtones will relish this terrific tale. <P>Harriet Klausner

    3 out of 3 people found this review helpful.

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  • Anonymous

    Posted May 9, 2000


    An excellent book for a new author, or for that matter an old author. Mr. McMahon's style, creating a combination medical thriller/psychological thriller in TWICE DYING reminds me of Charles Wilson in his scary debut NIGHTWATCHER and, his later DONOR, maybe Wilson's best overall book.

    2 out of 2 people found this review helpful.

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  • Anonymous

    Posted July 22, 2012

    Awesome but

    Great read that i couldnt put down
    I didnt see the ending coming and when it did it finished very quickly

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted March 15, 2000

    Twice Dying

    A really spooky book w/ an evil genius you don't guess, lots of surprises. I thought this was better than HANNIBAL by a mile--still not as good as RED DRAGON though, but a close runner-up. Kinda sexy too.

    1 out of 1 people found this review helpful.

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