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Pain Management: A Burke Novel, by Andrew Vachss
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Burke is back, but still lurking in the shadows, unable to return home. He is prowling the unfamiliar streets of Portland, Oregon, in search of a runaway teen. By all accounts, Rosebud Carlin is a happy, well-adjusted girl. She doesn’t fit the profile of the runaway kids Burke knows so wellÉand once was. But there’s something about her fatherÉ
Burke knows the street script, but the actors are all strangers. Cut off from his family and his network of criminal contacts, Burke is forced into a dangerous alliance with a renegade group dedicated to providing relief to those in intractable pain by any means necessary. A bargain is struck, and the fuse is lit. Heart-stopping and hard-hitting, Pain Management is the latest bout in Andrew Vachss's thrilling reign as undisputed champ of brass knuckles noir.
- Sales Rank: #1271857 in Books
- Published on: 2002-10-08
- Released on: 2002-10-08
- Original language: English
- Number of items: 1
- Dimensions: 7.99" h x .70" w x 5.18" l, .57 pounds
- Binding: Paperback
- 307 pages
Amazon.com Review
When last encountered (2000's Dead and Gone), career criminal Burke was on the rebound from a nearly successful assassination attempt, lying low and licking his wounds in Portland, Oregon. Severed from his connections in NYC, Burke survives on jobs--"violence for money" mostly--brokered by his live-in lover, Gem, an Asian beauty with a painful, larcenous past and a present to match.
At hand is a task Burke has done before: the recovery of a runaway, a 16-year-old girl named Rosebud. But Burke, an assassin with scruples, knows when things aren't right. Rosebud's father, Kevin, has a '60s-era contempt of "The Man" that doesn't jibe with his obvious wealth. Mother Maureen limps through life on pharmaceutical crutches. Younger sister Daisy and best friend Jennifer know things but won't share. As his search spirals out from Portland's mean streets, Burke encounters a mysterious young woman, Ann O. Dyne, who offers to help for a price. Her raison d'être is pain management--securing and dispensing medications vital to the terminally ill but held beyond their reach by a largely uncaring cadre of doctors, lawyers, and politicians. Eventually, of course, this plot line connects with Rose's whereabouts.
Andrew Vachss's MO here, as usual, is a mystery (Rosebud's disappearance) plus an actual cause célèbre (humane pain management). It's a risky formula that aims both to entertain and to enlighten. With its believably unbelievable characters, Vachss's spare noir, and steely pacing that counterpoints a bolt-upright climax, Burke's 13th outing is every bit as satisfying as the dozen that came before. --Michael Hudson
From Library Journal
Fans of Vachss will be thrilled to see that Burke is back in action. Presumed dead after an assassination attempt in Dead and Gone, Burke has gone into hiding in Oregon with his partner, Gem, who calls herself his wife. Biding his time in the hope of eventually making it back to New York, he takes on the task of tracking down a runaway teenage girl. As he scours the streets of New YorkBurke stumbles upon a clandestine society that illegally obtains prescription drugs for people suffering from extreme pain. Believing that they may ultimately hold the key to finding the runaway, he reluctantly agrees to help them obtain a stash of a revolutionary new drug. As Burke becomes drawn into the society's cause, what he finds instead is that he must deal with his own "pain management." Even though he has taken Burke out of his usual surroundings, Vachss has written another winner. For larger fiction collections. Jeff Ayers, Seattle P.L.
Copyright 2001 Reed Business Information, Inc.
From Booklist
Burke, thug with a heart of gold, guardian angel of victimized women and children, resurfaces in Portland, Oregon, after an assassin left him for dead in New York. He's living from hand to mouth when he stumbles into a missing-child case. Burke suspects parental involvement in the disappearance of young teen Rosa, but nothing supports the theory. The trail leads first to Portland's red light district, where he hears about a serial killer whom the cops seem unwilling or unable to catch, and then to a deadly conspiracy involving illicit prescription drugs being peddled to victims of AIDS, MS, and cancer. This latest Burke novel once again addresses the series' common themes: personal isolation, distrust of authority, and the shameless exploitation of the defenseless by the powerful. Sometimes the exploiters are organized criminals, and sometimes they are cops; in this case, it's the medical establishment. Burke's world is harsh and unforgiving, but so is Burke. It's a match made in hell, and a growing contingent of dedicated noir fans wouldn't want it any other way. Wes Lukowsky
Copyright © American Library Association. All rights reserved
Most helpful customer reviews
1 of 1 people found the following review helpful.
A SLOW RETURN TO THE OLD BURKE!!
By Wayne C. Rogers
Before I start in on the review of the newest novel by Andrew Vachss, let me first say that the Four-star rating I've given this book is a marginal one. A three-and-a-half star rating would've been closer to what I feel it deserves. My gripe with the present "Burke" novels is that since the death of Wesley, Mr. Vachss has taken the series in a different direction. The violence and darkness that was so powerful in the earlier books has gradually been toned down, and Burke has become more introspective and philosophical. Even Max the Silent has been more or less eased out of the last few novels with only an occasional cameo appearance. In other words, the author slowly removed the things that made the "Burke" series stand out in the world of fiction and that gave it the solid punch in the gut that other novels seemed to lack. That's my complaint for better or worse. With regards to PAIN MANAGEMENT, I can say that I enjoyed this novel slightly more than I did the last one. Burke is still living in the Portland area of Oregon with his Cambodian girlfriend, Gem. Feeling bored and not having much to do, Burke decides to accept a job from Kevin Carpin to find his missing teenage daughter, Rosebud. It appears that Rosebud is a runaway, and no one has the slightest idea where she's gone or why. Burke questions her family, then the teachers at her school, and then her best friend. He begins to gradually pick up clues that lead him to the writer of a comic book series that Rosebud liked to read. In time, he runs into Peaches, a lone, sexy female who knows the dark streets of Portland and where the action in the city is located. Peaches is also a drug runner, but not in the normal sense of the term. She hijacks, with the help of friends, truckloads of medical drugs so that people in the area who are dying of AIDS and have terminal cancer can receive the necessary medication they need to ease their suffering. Burke eventually agrees to assist Peaches in a hijacking in return for her help in finding Rosebud. At the same time, as Burke continues his search in the red-light district of Portland, he discovers that a couple of guys just out of prison are threatening the prostitutes on the street with outright violence in order to get a percentage of their nightly earnings. Deciding to take out the two scumbags, Burke reverts to his old ways (Yeah!!!) as he teaches the guys the true meaning of violence. In the background of all of this is still the mysterious reason as to why Rosebud ran away and where she's hiding. In PAIN MANAGEMENT, a large part of the novel is spent with Burke simply driving around and asking questions. At least he's doing something this time around! The book doesn't have a lot of action, but what there is reminded me of the earlier novels. A great deal of information is given about the plight of sick people in our country who are unable to get the necessary drugs to alleviate their pain and how little the government is doing about it. There's also a bit of information concerning the mean streets of Portland and what one can expect to see should a visit to the area ever come about. Burke and Gem (she's pushing hard for some kind of commitment from him) are definitely not getting along, and our dark knight thinks about returning to New York, where his chosen family is, a number of times throughout the book. One can only hope! I have no complaints about the writing style of Mr. Vachss. He's an exceptional author who knows how to create dark and intriguing characters, as well as a brooding atmosphere for his stories. The only thing I ask for is more action in the books. Bring back Burke's family, especially Max the Silent. Even that may not be enough, however. All of the original characters seem to be too comfortable and complacent in their present lives. Wesley is definitely the one to bring back! Since his death several years ago was left open-ended, it could easily be done. I even think Mr. Vachss has been considering the possibility of doing this for the last couple of novels. Wesley is the only character that can raise the stakes, kick some righteous butt from one end of the city to the other, and give the old-time readers an adrenaline rush that will knock them right out of their seats. Andrew Vachss is a remarkable author who's already proven his ability to write the best hardcore action-thrillers in the business, and he can definitely do it again!
1 of 1 people found the following review helpful.
Vachss is at the top of his form!
By Stew Weldon
I found this to be a very "pure" Burke novel, stripped down to the bare bones, with very few supporting characters and even a pretty minimal "plot". Within these narrow parameters, the power of the writing frankly astounded me. Vachss' ability to sustain tention and consequently interest in a small space rivals what Hitchcock could do in the film media. I am also very interested in how Vachss has been using the "form" of the text as a device to tell the story in his recent Burke novels; playing around with faded text and the like is really fascinating and serves to draw the reader even further IN. I expect it is Vachss' recognition of the graphic novel as a valid form of expression that infulences such novel (pun intended) approaches. Great stuff.
While still lamenting the loss of Burke's much loved canine companion and the seperation from his family, I found this novel to be my personal favorite in the last four or five installments of this always top-notch series. Vachss' ability to continually reinvent this character is most impressive indeed.
0 of 0 people found the following review helpful.
Good Book
By Lockwhip
Not as great as his early novels, but entertaining.
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