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You would think that any novel attempting to conflate the best elements of Scrubs, Noah's Ark, and Lord of the Flies would necessarily be too overwrought and/or gimmicky, but this story is intensely compelling from its first pages. Adrian is obviously well-versed in medical terminology, but it never overwhelms the sheer force of the plot or undermines his finely honed characters. Yes, it's long, but you won't put it down ? I promise.