Former romance author and medical doctor Tess Gerritsen is writing in a new genre: medical suspense. Advertised as her "first novel," Harvest jumped onto the New York Times bestseller list and thus legions of new fans were introduced to the work of this talented author. Gerritsen's second thriller, Life Support, is as moving as any of her romances. Dr. Toby Harper works the night shift in an emergency room. More comfortable with the steady horror and tedium of emergency care than with a normal lifestyle, Toby alienates herself socially from her peers and from her sister. She spends her daytime hours alone with her mother who suffers from Alzheimer's disease. When elderly Alzheimer's patients from the same retirement home start dying mysteriously, Toby is the only one suspicious enough to investigate. As a result she finds herself, her mother, and her own sanity at risk.

From Library Journal
Another medical thriller from Gerritsen, who one-upped Robin Cook with her best-selling first novel, Harvest.Copyright 1997 Reed Business Information, Inc.

From Booklist
Brant Hill Clinic and Residential Care Facility houses wealthy elderly persons who want to find the fountain of youth. Coincidentally, the home-care aide for emergency room doctor Toby Harper's mother is an associate of researcher Carl Wallenberg, who, with fetal brain tissue implants, seeks the same spring. Toby herself eventually strikes most of the other characters in Gerritsen's cleverly developed thriller as paranoid (of course, she's not). The story leading to that suspicion opens in the ER with Toby's embarrassment when the son of a patient asks to see his father, present only a moment ago. Then two prostitutes give birth to ugly somethings, neither monsters nor tumors. There must be answers to these mysteries. Trying to find them, however, Toby and medical examiner Dan Dvorak nearly die as the trail winds to--ta-da!--Brant Hill. The second medical thriller from internist Gerritsen, who has ditched medicine for full-time writing, seems scarcely to need the aggressive marketing campaign scheduled for it. Reader word-of-mouth alone ought to move it. William Beatty

From Kirkus Reviews
Former internist Gerritsen follows Harvest (1996) with another far-fetched but effective medical thriller. Toby Harper is an idealistic emergency-room physician who has chosen to work the graveyard shift so she can care for her Alzheimer's-afflicted mother. When a disoriented old man walks out of the ER and disappears, Toby finds that she cannot let the case go. She sniffs around Brant Hill, the ultra-upscale retirement village where he lived. Then another Brant Hill resident ends up in the ER with symptoms of disorientation and seizures: Toby worries that some unknown toxin at Brant Hill might be to blame. Or perhaps there's a problem with an experimental hormone protocol being used to restore youth to elderly residents? When the new patient dies, the snooty and evasive medical director for the complex denies the need for an autopsy, but willful Toby diverts the body to the medical examiner, Daniel Dvorak, who also happens to be handsome and divorced. Daniel finds that the old man died of Creutzfeldt- Jakob Disease, an extremely rare condition. When another CJD autopsy report shows up for a Brant Hill resident, Toby steps up her investigation. But she is also having trouble at home: The woman she's just hired to help care for her mother has told police that Toby has been physically abusing her parent. However beleaguered, Toby continues her detecting. A local prostitute gives birth to a strange one-eyed baby, who turns out to be a genetically altered factory of sorts, producing multiple pituitary glands. Could the Brant Hill gang be using this fetal tissue as part of their fountain-of-youth protocol, and could an unhealthy embryo have been behind the CJD outbreak? The climactic showdown hyperventilates to the point of silliness, but realism's not the point here. A satisfyingly nefarious scheme, some tentative romance, and enough medical rushing-about to satisfy hardcore ER fans add up to a lively ride. (Author tour) -- Copyright ©1997, Kirkus Associates, LP. All rights reserved.

Review
Margaret Cannon Toronto Globe & Mail Praise for Tess Gerritsen's New York Times bestseller: HARVEST. "Terrifying...One of the most accomplished first novels I've read in years."

Book Description
Dr. Toby Harper works the night shift in an emergency room. She spends her daytime hours alone with her mother who suffers from Alzheimer's disease. When elderly Alzheimer's patients from the same retirement home start dying mysteriously, Toby is the only one suspicious enough to investigate. As a result she finds herself, her mother, and her own sanity at risk.

Simon & Schuster

The overnight ER rotation at Springer Hospital is a calm one, which suits Dr. Toby Harper just fine. While Toby is fiercely proud of the stripes she earned as a resident in a big-city ER, she's come to appreciate the pace at Springer. But no hospital could have been prepared for the man Toby admits one quiet night. Delirious and in critical condition from a possible viral infection of the brain, he barely responds to treatment. And then he disappears without a trace.

Under fire from the hospital administration for literally losing a patient, and fearful that she's missed a life-threatening diagnosis, Toby knows she must find the patient. Her hunt is intensified when a second delirious patient dies in the hospital's care. But even more chilling is the discovery that the infection can only be spread through direct tissue exchange.


About the Author
Tess Gerritsen left a successful practice as an internist to raise her children and concentrate on her writing. She is also the author of the bestsellers Bloodstream, Gravity, and The Surgeon. Tess Gerritsen lives in Maine.

FROM THE PUBLISHER

The overnight ER rotation at Springer Hospital is a calm one, which suits Dr. Toby Harper just fine. While Toby is fiercely proud of the stripes she earned as a resident in a big-city ER, she's come to appreciate the pace at Springer. But no hospital could have been prepared for the man Toby admits one quiet night. Delirious and in critical condition from a possible viral infection of the brain, he barely responds to treatment. And then he disappears without a trace. Under fire from the hospital administration for literally losing a patient, and fearful that she's missed a life-threatening diagnosis, Toby knows she must find the patient. Her hunt is intensified when a second delirious patient dies in the hospital's care. But even more chilling is the discovery that the infection can only be spread through direct tissue exchange.

FROM THE CRITICS

People

Richly drawn hospital scenes....Chilling science...and breathless ER-style pacing....A quick, delightfully scary read.

Publishers Weekly

Proving that the world of microbiology is a fertile medium for horror, Gerritsen follows Harvest, her bestselling hardcover debut, with this spine-tingling medical chiller. Toby Harper, an overworked 38-year-old night-shift ER physician at a private Boston hospital, inadvertently allows a 76-year-old man with strange neurological symptoms to wander off and disappear into the night. She soon finds herself caught in a web of intrigue that centers around experimental anti-aging treatments administered by Dr. Carl Wallenberg, an imperious endocrinologist at Brant Hill, a retirement community catering to aging but upscale clientele. After a second elderly man from the same residential population dies with similar symptoms, Harper, fearful of a threat to public health, demands an autopsy over Dr. Wallenberg's objections. The postmortem reveals the cause of death as Creutzfeldt-Jakob (Mad Cow) Disease, and Harper wins an ally in the medical examiner. Despite the best efforts of the Brant Hill management to thwart her, Harper uncovers a trail pointing to the "age rejuvenation" experiments. Suddenly but not surprisingly, her already overburdened life falls apart. A sympathetic Brant Hill doctor is murdered while trying to reach her; and she is accused of the physical abuse of her Alzheimer's-afflicted mother. Underlying the chase is a subplot involving a pair of mysteriously impregnated prostitutes. The pieces in this adeptly crafted medical Rubik's cube don't click into place until the final page. Gerritsen, who was a practicing physician, and who honed her novelistic skills writing Harlequin Romances, adeptly integrates medical details into a taut and troubling thriller. Author tour; simultaneous S&S audio release. (Sept.)

Library Journal

Another medical thriller from Gerritsen, who one-upped Robin Cook with her best-selling first novel, Harvest.

Kirkus Reviews

Former internist Gerritsen follows Harvest (1996) with another far-fetched but effective medical thriller.

Toby Harper is an idealistic emergency-room physician who has chosen to work the graveyard shift so she can care for her Alzheimer's-afflicted mother. When a disoriented old man walks out of the ER and disappears, Toby finds that she cannot let the case go. She sniffs around Brant Hill, the ultra-upscale retirement village where he lived. Then another Brant Hill resident ends up in the ER with symptoms of disorientation and seizures: Toby worries that some unknown toxin at Brant Hill might be to blame. Or perhaps there's a problem with an experimental hormone protocol being used to restore youth to elderly residents? When the new patient dies, the snooty and evasive medical director for the complex denies the need for an autopsy, but willful Toby diverts the body to the medical examiner, Daniel Dvorak, who also happens to be handsome and divorced. Daniel finds that the old man died of Creutzfeldt- Jakob Disease, an extremely rare condition. When another CJD autopsy report shows up for a Brant Hill resident, Toby steps up her investigation. But she is also having trouble at home: The woman she's just hired to help care for her mother has told police that Toby has been physically abusing her parent. However beleaguered, Toby continues her detecting. A local prostitute gives birth to a strange one-eyed baby, who turns out to be a genetically altered factory of sorts, producing multiple pituitary glands. Could the Brant Hill gang be using this fetal tissue as part of their fountain-of-youth protocol, and could an unhealthy embryo have been behind the CJD outbreak?

The climactic showdown hyperventilates to the point of silliness, but realism's not the point here. A satisfyingly nefarious scheme, some tentative romance, and enough medical rushing-about to satisfy hardcore ER fans add up to a lively ride.