The Tumor: A Non-Legal Thriller, by John Grisham

Three stars

In a break from his usually thrilling legal novels, Grisham dusts off his soap box and presents this piece on cancer and focused ultrasound treatment. The reader is introduced to Paul, a father of three living the idyllic life until he suffers a seizure, which ends up being the early indicator of a brain tumour, a glioblastoma. Paul undergoes the best available treatment in 2015, has the invasive tumour removed, but it recurs and he is eventually forced to come to terms with the end of life. Paul dies and Grisham presents the cost of treatment while stressing that the agony of his family cannot be priced. Grisham postulates that Paul’s outcome could have been much different, had he been born and diagnosed ten years later, in 2025. In that time period, a procedure called focused ultrasound treatment would be the mainstream accepted means by which tumours, both benign and malignant, are treated. With this technique, sound and various other waves are used to permeate the tumour and surrounding areas, thereby reducing the intrusive nature of surgery and helping to limit recovery time. Repetitive use of the treatment, for recurring tumours, can be done with ease and Paul would live at least another 50 years to see his children grow. Plain and simple…life is good and the reader can see the benefits of this treatment that remains new and effective. Grisham spends the latter portion of the book arguing that medical and technological logjams are keeping the procedure from reaching those who need it most, at this time, so everyone ought to learn more about it and push the discussion into the mainstream forums, so we can all utilise this procedure with ease. A happy story all around on which everyone can pride themselves for doing their part.

When I stumbled upon this book when perusing Amazon, I was unclear what this was all about. I took the time to access it, for free, and chose to read it in a single sitting. It reads easily and is fairly clear. It is, however, not a Grisham type book. By that, I mean that it does not develop characters or use a strong narrative with nuances that pulls the reader in and makes them feel at one with the topic. Where Grisham has shown readers the troubles with capital punishment, segregation, the falsely accused, and class-action lawsuits, this book fails to do so in a strong fictional (or non-fictional) manner. It reads like a middle school book, complete with hokey photos and diagrams, using easy to comprehend jargon and short explanations. At times, I pined for a subtler approach by Grisham, who could have used a booklet like this as a primer for a wonderful short story and offered the same end result, with the writing flair for which he is so well known. Even if Grisham had ghost written this for the Focused Ultrasound Foundation, I would have had little issue. However, this is not Grisham at his best or even his worst. This is him standing atop a soap box and being preachy without the filter of a well-crafted story to veil the force-feeding approach.

Before I submit this review, I would like to clarify one thing. The poor star allocation that I have offered this piece should not denote my disinterest in cancer treatment or recovery. I must use the quality of Grisham’s past work as my threshold, which forces me to allocate so low a mark for this piece. I fully support technological advancements in medicine, especially those who alleviate pain, suffering, and the chance of death. However, writing pamphlets should be left to those who have something to peddle, not New York Times bestselling authors. This is a case of James Patterson Syndrome, where something will sell not for its content, but because a famous author has put his or her name to it. It dishearten me to see that neither the Focused Ultrasound Foundation nor John Grisham himself would have remained truthful and kept this technique from sullying the message.

For shame, Mr. Grisham for using your name to advance something in such a deceptive manner. The cover peddles your celebrity nature and you choose to denote that this is “the most important book I’ve ever written”. While that may be, it was by no means the one with the greatest impact.