From the Paperback edition.
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The reason I gave the book 4 stars is because I feel Segal did not properly finalize the future of each character. The reader, as it should be, gets attached and curious about each one of the doctors but we only really get to say farewell to a couple of them. Also, some characters undergo a great personality change eg. Palmer - from a wonderful man to a complete scoundrel without much of an explanation but just so that the story line would fit. Still, no book is perfect, I think it is a wonderful read and warmly recommend it.
I think the only thing that detracted from the realism is that many chapters explored the characters lives in what was years in a chapter, but this was necessary or the book would have been at least ten times longer.