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From Publishers Weekly
Medicine, magic, the biblical story of Noah and sociological ruminations about Americans in the throes of the apocalypse come together in physician Adrian's hip, wry and ambitious debut. When the world is submerged beneath seven miles of water, only those aboard the Children's Hospital, a working medical facility and ark built by architect turned prophet John Grampus (who was ordered by God "to save the kids") survive. Four chatty, digressive and at times grimly comic angels (the recorder, the preserver, the accuser and the destroyer) narrate this epic tale, which follows heart-sick medical student Jemma and the hospital's other unlikely inhabitants (such as the overly-cutely-named Dr. Snood and Ethel Puffer) as they attempt to ensure humanity's survival and live by virtue of the ship's "replicators," heaven-sent devices that can make "apples out of old shoes; shoes out of poo poo." Eventually, Jemma discovers her magical ability to heal the sick. As fragments of her tragic past come to light, so do clues about humanity's future, and, after 200 days at sea, what part Jemma will finally play in it. This dense and lengthy satirical-but-sincere novel may challenge readers' patience with its fairy-tale-like characters and its long-windedness, but Adrian's knack for surprise and his ability to find meaning in seemingly ridiculous situations is rewarding.