This was as disjointed as a book can be. No character development, unbelievable story line that was so far out there, I couldn't stay focused on the book. ( Really, the first lady bit!) I was appalled that Michael Palmer, who has written some good medical mysteries in the past put his name on this one. Don't bother wasting your time.
I should have learned by now to take endorsements from otherwise credible sources with a grain of salt. The best I can say about this overrated/overhyped book is that the story line was interesting and character development good, however it quickly became disjointed and, frankly, boring. The primary narrator was pretty good---in fact he should have done the entire recording, because the second narrator, assuming the role of the scribe, was just awful----to the extent that I couldn't stand to listen to it. Thankfully, it was a short book but I was still unable to stick with it to the end.