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Tonie Aaf _onie_ — "It was clear to him that he had lost something irretrievably that day, and that now he wanted to make up for the loss with minor, inconsequential, and most importantly, belated measures." (p. 264) I'm not sure how I received my first impression of this book when I bought it some six or so years ago, but I always associated it with the kind of tone that one attributes to Dostoevsky, being that it will be a devastating and heartrending trudge of a classic. And while it lives up to that at times, this is something of a schizophrenic novel that occasionally reminded me of A Confederacy of Dunces in its tone. The structure is also interesting with its narrator who's over-dominant and then entirely disappears for lengthy stretches, the mix of humor and the serious, chapter-length excerpts from the novel within the novel, etc. This book goes from the philosophical conversations of Pontius Pilate and the weepy melodrama of penniless love to a giant cat shooting it out with the police. If this sounds to you like some interesting lunacy, then you and this book will get along just fine.

Jeffrey Wong jeffreykhwong — Elizabeth Letts is a remarkable author. Her first novel "Quality of Care" established her as a powerful new voice in fiction. This second novel is a compelling page-turner. From back cover: "The nurse practitioner at El Centro, a not-for-profit women's health center in rural Pennsylvania, Charlotte Hopper is responsible for the well-being of her patients, as well as her dedicated staff. Especially since the clinic's doctor is usually absent-and drunk. But soon Charlotte's carefully constructed life begins to unravel. Her old college friend moves next door and resurrects a secret so devastating that Charlotte's husband leaves rather than face the past. And after a heartbreaking discovery is made on the grounds behind the clinic, the women of El Centro must contend with being in the media spotlight-and being suspected of a terrible crime. Caught in a whirlwind of tragedies both large and small, Charlotte will learn just how much of herself she can give-and how much she must keep..."