Valley of the Dolls the Mount Everest of her dreams, only to find herself back in the valley of the dolls. Susann had apparently been thinking about the novel for some time. Some years earlier, she had begun "Underneath the Pancake", a show business novel, with her actress friend Beatrice Cole (c. 1910–1999). Later, she considered writing a novel about drug usage in show business to be called "The Pink Dolls". "Valley of the Dolls" is considered to be a "roman à clef", with its characters based on famous figures such as Judy Garland, Carole Landis, Dean Martin, and Ethel Merman. In 1973, after
Once Is Not Enough frontal nudity, in a complex story which reflects the social upheavals of the late 1960s and early 1970s. Jacqueline Susann initially called the novel "The Big Man", but changed her mind after visiting comedian Joe E. Lewis on his deathbed. Lewis, who had famously said, "You only live once - but if you work it right, once is enough," apparently reconsidered, for he told Susann, "Once is "not" enough." Susann was diagnosed with cancer two months before the book's scheduled publication date. Her usual efforts at promotion—including a grueling book tour—had to be curtailed. But Susann soldiered on; as her