A chilling real-life medical thriller, Coronary chronicles the story of two highly respected heart doctors who violated the most sacred principle of their profession: First, do no harm. In the summer of 2002, fifty-five-year-old John Corapi, a Catholic priest with a colorful background, visited Dr. Chae Hyun Moon, a celebrated cardiologist in Redding, California. Corapi had been suffering from exhaustion and shortness of breath, and although a physical examination and a conventional stress test revealed nothing abnormal, Moon insisted that the calcium level in Corapi's coronary arteries called for a highly invasive diagnostic test: an angiogram. A chain-smoking Korean immigrant known for his gruff bedside manner, Moon performed the procedure briskly and immediately handed down a devastating diagnosis: "I'm sorry; there is nothing I can do for you. You need a triple bypass tomorrow morning." He then abruptly left the room. Several hours later, however, Moon inexplicably decided the surgery could wait until Corapi returned from a previously scheduled cross-country trip. Unnerved by the dire diagnosis and also by Moon's inconsistent statements, Corapi sought other opinions. To his amazement, a second, third, and fourth doctor found that his heart was perfectly healthy. In fact, for a man his age, Corapi's arteries were remarkably free of disease. Sensing a cause more disturbing than human error, Corapi took his story to the FBI. As local agent Mike Skeen soon discovered, Corapi was one of a number of people who had suspicions about Moon and Moon's go-to cardiac surgeon, Dr. Fidel Realyvasquez, an equally respected member of the close-knit northern California community. Working at a hospital owned by Tenet Healthcare, Moon would make the diagnoses and Realyvasquez would perform the surgeries. Together, these leaders of the Redding medical establishment put hundreds of healthy people at risk, some of whom never recovered. Soon Skeen launched a major investigation, interviewing numerous doctors and patients, and forty federal agents raided the hospital where the doctors worked. A timely and provocative dissection of America's medical-industrial complex, Coronary lays bare the financial structures that drive the American healthcare system, and which precipitated Moon's and Realyvasquez's actions. In a scheme that placed the demands of Wall Street above the lives of its patients, Tenet Healthcare rewarded doctors based on how much revenue they generated for the corporation. A meticulous three-year FBI investigation and hundreds of civil suits culminated in no criminal charges but a series of settlements with Tenet Healthcare and the doctors that totaled more than $450 million and likely put an end to Moon's and Realyvasquez's medical careers. The case's every twist and turn is documented here. A riveting, character-rich narrative and a masterpiece of long-form journalism, Coronary is as powerful as it is alarming. This is a hair-raising story of the hundreds of men and women who went under the knife, not in the name of medicine, but of profit and prestige. Brilliantly told, Stephen Klaidman's Coronary is a cautionary tale in the age of miracle medicine, and a shocking reminder to always get a second opinion.
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这本书的叙事节奏把握得极其精准,每一个章节的推进都像是精心设计的音乐进行,高潮与低谷的转换自然流畅,毫不突兀。作者似乎对读者的心理有着深刻的洞察力,总能在你快要按捺不住好奇心的时候,给予恰到好处的信息增量,让你在悬念和满足感之间反复拉扯。我尤其欣赏它在构建世界观上的细腻之处,那些看似不经意的环境描写,实则为后续情节的爆发埋下了深远的伏笔。比如,开篇对那座古老图书馆的描绘,那种潮湿、霉变的空气感,读起来仿佛能透过纸页闻到气味,这种强烈的代入感极大地增强了故事的真实性。人物的刻画也绝非扁平化符号,每一个配角都有其复杂而令人信服的动机,他们之间的互动火花四溅,贡献了许多意想不到的转折点。整部作品读完后,留给我的不是一个简单的故事结局,而是一系列关于人性选择的深刻反思,那种余韵久久不散,让人忍不住想回头重读,去捕捉那些之前可能错过的蛛丝马迹。它成功地做到了这一点:让你在享受阅读快感的同时,也被迫进行更深层次的思考。
评分老实说,我一开始是被这本书的封面和那句颇具挑衅性的宣传语吸引的,本以为会是一部情节老套、充斥着廉价煽情桥段的通俗小说,但事实完全出乎我的意料。作者在语言运用上的功力简直达到了炉火纯青的地步,尤其是在描绘情感张力时,他总能找到一种既克制又极具穿透力的词汇组合。那些细腻的内心独白,没有冗长拖沓的自我剖析,而是通过精准的动作捕捉和微妙的眼神交流来体现角色的内心翻涌,这种“少即是多”的叙事哲学我非常推崇。书中关于时间流逝和记忆模糊这一主题的处理尤其高明,它不是用直接的叙述来告诉我们“时间改变了一切”,而是通过不同时间点对同一事件的不同回忆版本,让读者自己去拼凑那个看似确定却又摇摆不定的“真相”。我花了很长时间才从最后几页带来的那种震撼中抽离出来,那种感觉就像是看完一场精彩绝伦的戏剧,灯光熄灭后,你仍然坐在那里,回味无穷,甚至忍不住想为那些幕后操纵者鼓掌。
评分我读这本书的过程,更像是一场与作者进行的漫长而精妙的“猫鼠游戏”。这位创作者显然不满足于讲述一个好故事,他更热衷于挑战阅读的既有范式。书中对于“不可靠叙述者”的运用达到了新的高度,你很难确定哪个角色说的是真话,哪个角色又在精心编织谎言,甚至连叙事的声音本身似乎也摇摆不定。这种不确定性营造了一种持续的、令人不安的氛围,让你从心底感到一种微妙的疏离感。特别是在处理那些道德灰色地带的冲突时,作者展示了惊人的勇气和洞察力,他拒绝给出简单的“好人”与“坏人”的标签,而是深入挖掘了环境、恐惧和欲望如何将普通人推向极端。每一次我以为我已经看穿了某人的意图时,作者总能用一个意想不到的转折将我的判断彻底推翻。这种颠覆性的叙事策略,使得这本书拥有了极高的重读价值,因为你知道,在你第一次错过的地方,一定藏着另一个你尚未发现的真相。
评分这部作品的结构设计,简直是文学建筑学上的一个奇迹。它不像传统的线性叙事那样平铺直叙,而是采用了多重视角和时间线交错的手法,乍一看可能会让人有些迷失方向,但一旦适应了作者设定的阅读节奏,你会发现所有的碎片信息都像被看不见的磁力牵引着,最终汇聚成一幅宏大而清晰的图景。我必须承认,开头的确需要读者付出额外的专注力去适应这种跳跃感,但我保证,一旦跨过了最初的“适应期”,随之而来的回报是巨大的。作者在铺陈背景信息时极为巧妙,避免了传统小说中常见的“信息倾泻”问题。他不是一次性将所有设定和历史背景一股脑砸给你,而是将它们分散、融入到日常的对话和行动之中,让你在不经意间完成了知识储备。对于那些追求智力挑战的读者来说,这本书无疑是一个绝佳的选择,它要求你全程保持警觉,像侦探一样收集证据,每一次成功的推理都带来了巨大的成就感,远胜于那些把答案直接写在你脸上的作品。
评分如果你期待的是那种情节跌宕起伏、动作场面连绵不绝的类型,那么这本书可能会让你感到略微的“沉闷”。但请相信我,这种“沉闷”是精心炮制的,它服务于一种更为深邃的主题:存在本身的虚无感和现代都市生活的疏离。作者笔下的世界是高度风格化的,充满了一种近乎仪式感的重复性动作和对日常细节的放大,比如对光线、阴影以及特定气味的反复强调。这种风格化处理,使得故事的推进速度非常缓慢,但却赋予了每一个场景极强的象征意义。与其说它在讲一个故事,不如说它在描绘一种心理状态,一种被困在无限循环中的焦虑感。我喜欢作者对白的处理方式,那些话语往往充满了潜台词,角色的真正意图总是隐藏在那些看似平淡无奇的交流之下,需要你用全部的注意力去解码。这是一部需要静下心来,沉浸其中才能体会到其魅力的作品,它不是提供即时的娱乐,而是提供了一场持久的精神洗礼。
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