• by Michael Palmer
  • Narrated by Michael Palmer
  • 13 hrs and 4 mins
  • Unabridged Audiobook

Publisher's Summary

The master of medical suspense brings us yet another novel of controversy, biology, and human greed. Internist and emergency specialist Matt Rutledge has spent the last five years of his life in Belinda, West Virginia, trying to find the links between the deaths of his father and his (Matt's) wife. He suspects the Belinda Coke and Coal Company has released toxic chemicals into the environment that have caused the "Belinda Syndrome," a miasma of symptoms that include violent and deadly paranoia in some, Ebola-like hemorrhaging in others. But he lacks proof. Meanwhile, two women come to Belinda, each pursued by violent death. Together with Matt Rutledge, they must get to the bottom of the "Belinda Syndrome" and avert a potential plague, while under mortal threat themselves.


What the Critics Say

"[Palmer's] most riveting book yet, leaving hardly enough time to take a breath." (Denver Post)


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Customer Reviews

Most Helpful

A great audiobook by my favortie medical author!

Palmer has long been my favorite author in the medical thriller genre. "Fatal" was one of the few books I had not yet read. I was happy to find the unabridged version on Audible (I hate abridged audiobooks).
"Fatal" did not disappoint. The interplay between the characters, the medical and political corruption, and the seemingly insurmountable challenge faced by the hero... this is classic Palmer. I've read most of his other books (paperbacks), and this is my first audiobook by Palmer I've listened to. The narrator did a very good job, I have no complaints. He carried the story along very nicely.
It's a great story, about a corrupt coal mine and a killer vaccine. Sort of two sub-plots that play along side by side. The author keeps both stories moving nicely till they intersect at the end.
I loved this audiobook, but I'm disappointed that his other audiobooks available are all abridged versions.
The "Extreme Measures" audiobook is only 3 hours? Give me a break!
Please audible, release more unabridged Palmer books!
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- Barry


I enjoyed this book by Michael Palmer,and give it a 10+ rating. It kept my interest with plenty of twists and turns in the plot. Anyone whom enjoys Medical related mysteries will enjoy this novel.
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- Pamela

Book Details

  • Release Date: 09-15-2003
  • Publisher: Books on Tape