4 stars out of 5
I love medical mysteries and thrillers, so it’s no surprise that this author has been a favorite for a long time – ever since his 1977 best-seller, Coma, in fact. I’ve read two others in the series featuring forensic pathologists Drs. Jack Stapleton and his wife, Laurie Montgomery (this is the 15th) and looked forward to reading another. It was enjoyable, yes, but it’s by far my least favorite of those I’ve read. My sentiments exactly? At one point, Jack expressed them for me by calling himself “stupid but lucky.”The plot for the most part was intriguing, though wading through endless descriptions of the surroundings and what people were doing and wearing that were unrelated to the story made it drag a bit for me. Essentially, a group of white extremists known as the Diehard Patriots live in a renovated mansion in remote Essex Falls, New York – normally minding their own business except for late-night artillery exercises. Now, it seems they’ve brought in arms “experts” from another country to teach the scraggly group the art of the battle. Inexplicably, the “instructors” have set up a brewery in an outbuilding, but since the local community pretty much leaves the Patriots to themselves, no one seems to question why.
Recent events – specifically, the bizarre deaths of two of the Patriots – has caught the attention of local doctor Robert Neilson. And since he happens to be an old school friend, he calls Jack and asks for help. Besides those two deaths, the small community has been plagued by deaths as a result of early-onset dementia that progresses at an alarming rate. Conveniently, Jack and Laurie feel the need of a break from their busy routine at the Office of the Chief Medical Examiner in New York City, where Laurie is the chief ME, so they head upstate to Essex Falls. There, they fawn over the property, scenery and opportunities for Jack to practicing his beloved cycling (and trying to figure out where to stash it when he’s out in public so it won’t get stolen). Amid all this, he finds time to wonder what’s up with the increasing number of dementia patients. Other sleuthing around, mostly while Laurie is off with friends, leads to the possibility that all is not as it seems with the Patriots’ visitors and that what’s being concocted in that brewery may be some kind of bioweapon that threatens lives not just in this little backwoods community, but the entire country.
More details, of course, would spoil the adventure for others, so I’ll stop right here. Overall, it’s an intriguing tale, and I thank the publisher, via NetGalley, for providing me with the opportunity to get in on the action by way of a pre-release copy.
Spasm by
Robin Cook (G.P. Putnam’s Sons, December 2025); 352 pp.























