Publisher's Weekly Review
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 "[a]pples out of old shoes; shoes out of shit." 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. Copyright 2006 Reed Business Information.
Booklist Review
In Adrian's second novel, an elegant and enormously wondrous monstrosity, the world comes to an end, drowned beneath seven miles of water. All that is preserved is a solitary children's hospital and its occupants. Presiding over the apocalypse are four angels who often are indistinguishable from demons: one to chronicle and one to accuse, one to protect and one to punish. Within the floating hospital, medical student Jemma Claflin discovers that a fearsome healing fire burns within her, a fire that she uses to cleanse the hideously diseased children of their wrongness. It is useless, however, against the greater wrongness of the rest of her ark mates, who struggle to maintain some semblance of normalcy amidst the confounding swirl of the end-time. Adrian, poetically and with exacting precision, has crafted a prophetic, difficult novel of compassion and healing, but with a keen eye fixed on the damning reach of divine wrath. The scalpel's edge between grace and violence, between healing and putrefaction, can scarcely distinguish life as an obscene abomination from the miracle it suffers to be. Adrian attempts a near-impossible summit, and delivers a devastating, transformative work that is certain to burn in the minds of readers long after the final page's end of the end of the world. --Ian Chipman Copyright 2006 Booklist
Library Journal Review
Adrian follows up his 2001 novel, Gob's Grief, with another blend of fantasy and straightforward fiction. Although Adrian boasts an impressive r?sum?, having just finished his pediatric residency at the University of California, San Francisco, and now matriculated at Harvard Divinity School, his newest attempt fails to impress. That said, the premise is wonderfully imaginative: a children's hospital is the only building intact after a massive flood, and everyone who was inside before the storm survives and is now floating above seven miles of water. The patients, parents, doctors, and others must then form a new community inside the destruction and in the face of impending doom. Throw in a few supernatural occurrences, and you have a novel riddled with biblical references and philosophical musings, which would be intriguing if Adrian had allowed readers to indulge in the wonders of this idea. Instead, he spends too much time trying to wow us with medical jargon, which slows the pace. Sadly, not recommended. Stephen Morrow, Columbus, OH (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.