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A Case of Need

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A Case of Need
First edition cover
AuthorMichael Crichton(writing as Jeffery Hudson)
LanguageEnglish
GenreMystery novel,
Medical thriller
Published1968
PublisherWorld Publishing Co.
Publication placeUnited States
Media typePrint (Hardcover)
Pages243
LC ClassPS3553.R48
Preceded byEasy Go
Followed byZero Cool

A Case of Needis amedical thriller/mystery novelwritten byMichael Crichton,his fourth novel and the only under thepseudonymJeffery Hudson.It was first published in 1968 by The World Publishing Company (New York) and won anEdgar Awardin 1969.[1]

The novel was adapted into the 1972 filmThe Carey Treatment,and the book was re-released in 1993 under Crichton's own name. The novel tackles the issues ofabortionandracismas they were in late 1960s America.

Plot summary

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Dr. John Berry, the protagonist, is apathologistworking inBostonduring the 1960s, a time whenabortion was illegal in the United States.The story opens with an introduction of the various requirements and challenges of the medical profession during the era. Subsequently, Dr. Berry is notified that his friend, anobstetriciannamed Arthur Lee, has been arrested and accused of performing an illegal abortion that led to the death of Karen Randall, a member of a prominent Boston medicaldynasty.Berry does not believe the allegations, but the situation is further complicated by the fact that Lee is already well-known within the medical community as an abortion provider and that Berry has in the past helped Lee disguise medical samples to hide the fact that Lee'sdilation and curettagepatients were pregnant.

After visiting his friend in jail, Berry sets out to prove Lee's innocence. He investigates the personal life of the dead woman, creating an accurate portrait of her past,psychology,andcharacter.During his search, which lasts several days, vandals attack Lee's home. The protagonist's knowledge of medicine and law are helpful in overcoming various barriers in his search, including a hostile police captain and bribes from the scion of the Randall family itself: Karen's father, a well-established (though mediocre) doctor.

Eventually, with the aid of an unscrupulous lawyer named Wilson, Berry is able to obtain solid evidence showing Karen Randall's uncle (who had already performed three previous abortions for her) to be the culprit. Nonetheless, Berry is troubled by this conclusion and continues his investigation despite Wilson's displeasure. Eventually, he discovers that Karen's drug-dealing friends, Roman and Angela, performed the botched abortion, but Berry is attacked and sent to the hospital before he can reveal his discovery. Subsequently, Berry's attacker, who turns out to be Karen's African-American boyfriend, is also brought in an ambulance, dead after a fatal fall. The actual abortion care provider attempts to commit suicide. Berry forces her to confess in the hospital by threatening her with what she believes is an excruciatingly painful dose ofNalorphine(but is actually water).

Berry continues to be suspicious about Karen's boyfriend's death, and ultimately forces one of his old friends and colleagues (the uncle of the woman who did Karen's abortion) to admit to his involvement before turning him in to the police. However, despite being proven innocent, Lee's reputation has been ruined, and he decides to move toCalifornia.The novel ends with severalappendicesdescribing some lesser-known aspects of the medical profession and apostscriptdiscussing current problems in medicine, including abortion.

Background

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Crichton had published several novels under the pseudonym John Lange but felt since this one was more serious than the Lange books it needed to come out under a different name. He planned to write further Jeffrey Hudson books aboutmedical fiction,but this did not come about.[2]The pen nameJeffrey Hudsoncame from the name of adwarfin the time ofKing Charles I of England,who was served to the monarch in apieand later captured byBarbary Pirates.[3]

The novel was republished inhardcoverunder Crichton's name in 1993. Crichton was furious at this, called the action "despicable", and said it misled the public into thinking it was a new novel.[4]

References

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  1. ^Hubin, Allen J. (15 November 1970)."Criminals At Large".The New York Times.
  2. ^Seligson, Marcia (8 June 1969). "The Versatile Crichton".Chicago Tribune.Chicago. p. k6.
  3. ^Shenker, Israel (8 June 1969)."Michael Crichton (rhymes with frighten); Michael Crichton".The New York Times.
  4. ^Streitfeld, David (22 June 1993)."A Case of Greed?: Crichton Calls Publisher's Reissue of '68 Novel 'Despicable'".Washington Post.