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CN-085 — A Particularly Nasty Case — Adam Kay Coleman’s Notes — The Reader’s Companion Digital Reader’s Companion | £6.95

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A dead medical director. A troubled doctor. A hospital full of secrets.

Consultant rheumatologist Eitan Rose is attempting to rebuild his career following a serious mental-health crisis.

But his return to St Jude’s Hospital becomes considerably more complicated when medical director Douglas Moran suddenly dies, apparently from a heart attack.

Everyone else seems prepared to accept the obvious explanation.

Eitan isn’t.

His medical knowledge tells him something is wrong. Unfortunately, his previous illness, damaged reputation and increasingly obsessive behaviour mean that persuading anyone else may prove almost as difficult as finding the truth.

Adam Kay combines medicine, murder and dark humour in a mystery that also explores mental-health stigma, professional hierarchy, class, grief and institutional power.

Coleman’s Notes CN-085 takes you beyond the plot to examine the clues, characters, relationships and bigger questions behind the novel.

Your Reader’s Companion Includes

✓ Extended Plot Summary

✓ Detailed 17-Part Episode-by-Episode Reading Guide

✓ Deeper episode-by-episode analysis

✓ Main Character Studies

✓ Character Relationship Map

✓ Medical & NHS Essential Reference Guide

✓ Evidence File

✓ Suspects and Red Herrings

✓ Eitan Rose — credibility, illness and self-sabotage

✓ Mental health and professional stigma

✓ St Jude’s Hospital and NHS culture

✓ Medical ethics and professional hierarchy

✓ Class, privilege and exclusion

✓ Cole/Donal and the central mystery

✓ Mo, Fiona and Margaret

✓ Douglas Moran and Annabel Stein

✓ Elodie, grief and guilt

✓ Dark humour and satire

✓ Documentary evidence and competing versions of truth

✓ Clue Trail

✓ Major Turning Points

✓ Re-reading Guide

✓ Reader’s Evidence Checklist

✓ The Meaning of the Title

✓ Ending Explained

✓ Memorable Moments

✓ Further Reading & Discussion Context

✓ 25 Book-Club Questions

✓ Quick Recall

Made for Book-Club Discussion

Who should we believe when a person with a history of mental illness makes an extraordinary claim?

Are Eitan’s colleagues protecting him, protecting patients — or protecting the institution?

How does the hospital hierarchy influence who is noticed and who is overlooked?

Why is Eitan so vulnerable to being discredited?

How does Adam Kay use dark humour alongside murder, grief and mental-health crisis?

And after the mystery has been solved, what does Eitan still need to resolve within himself?

This Reader’s Companion gives your group the analysis, context and 25 dedicated discussion questions to explore the novel well beyond the final page.

Richard & Judy Collection 2 — £25.95

CN-083 — The Day I Lost You — Ruth Mancini

CN-084 — The Great Alone — Kristin Hannah

CN-085 — A Particularly Nasty Case — Adam Kay

CN-086 — We Are All Guilty Here — Karin Slaughter

CN-087 — Swept Away — Beth O’Leary

Individual Reader’s Companion: £6.95

Five individually: £34.75

Complete five-title collection: £25.95 — Save £8.80

Digital product — no physical book will be supplied. The original novel is not included.

Read • Reflect • Explore • Understand

Coleman’s Notes is an independent publication and is not affiliated with, authorised by or endorsed by Adam Kay, his publishers, or the Richard & Judy Book Club.


You will get a PDF (560KB) file