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Book Reviews

Now It’s Inescapable

Sep 1, 2017
by Diane McCurdy, Film and Book Reviews

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Bill McCausland, the author of Now It’s Inescapable, is somewhat of an enigma. Apparently, a local resident and psychologist at Kaiser-Permanente not much further information has been revealed other than he is a Vietnam vet with PhD in clinical psychology and a Master of Fine Arts in creative writing. He has written seven books of fiction and one of non-fiction. Most of his protagonists are also veterans. Many have psychoactive disorders which the author is board certified to treat in his actual practice. Generally, it has been conceded that the highest rate of addiction amongst professionals lies with those involved with the medical profession. Why? Access. The author has treated many addicted physicians in his practice and this his latest novel deals with exactly that situation.

Dr. Glen Coyle is one of those people that we all secretly envy or maybe are overtly jealous of. He appears to have it all. He is a respected plastic surgeon as well as the director of a pain clinic. He doesn’t have to worry about paying bills. He has a beautiful, loving wife who is somewhat of a facilitator. But, his bedside manner seems to be lacking. Some patients have complaints about infections and he seems impatient with them. Also there is that dalliance with his attractive nurse. Ultimately, the DEA shows up because the drugs and the numbers don’t add up. Documented are many denials and furtive forays seeking the forbidden. Agreeing to enter rehab comes only after desperation. He emerges a new man but addicts will confirm that sobriety sometimes changes previous relationships.

McCausland’s writing is straight forward maybe too straight forward but when he tries to inject some more poetic language it seems strained. The main character’s side trip to Mexico and a flirtatious friendship that belies a healthier connection that may occur later on seems tacked on. The cover and the title itself are unfortunate reflections of pulp fiction. But, if the reader wants to be privy to the wiles of addicts lusting after an abusive substance by using whatever means possible the author elucidates that syndrome thoroughly as he knows it so well. Another important aspect is we are shown that drug abuse is a classless disease. It is not relegated to the lower regions of gang members and junkies in alleyways but it is a problem that resides in the higher echelons of society as well. This book gives insights into the mind of an addict and may provide a more compassionate perspective of the opioid crisis that is affecting our country today.

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