This book irritated the crap out of me. There was so much fluff that it could have been 100 pages shorter.
I kept thinking that the amount of detail he was putting into the writing was going to be reflected in the main character's personality and it was sort of, but not really. The amount of mundane detail to Noah's life and happenings felt like a real time documentation. It left me completely bored. I nearly bailed on this book. But my prior history of reading Robin Cook kept me there, hoping that it would be a compelling read. It fell flat

I never felt there was a truly likable character in this narrative. You get close with Noah, but even still there was the sense that something was off with him. We do get a clear villain to hate in Dr Mason.

On the positive: I think Robin Cook did a great job of the use of the title of this book, especially in regards to how he built the personas of the characters in this book. If you keep telling yourself the lie, soon enough you start to believe it as true. So for that part I think it was masterfully done.