From 1900 to 1977, a Saint Thomas Christian family on a Kerala estate called Parambil lives with a private terror: in every generation, at least one person drowns. A twelve-year-old bride grows into the matriarch known as Big Ammachi; a Glasgow surgeon washes up in Madras with burned hands; a granddaughter opens a skull and finally gives the family curse a medical name. Verghese's novel is a long, watery hymn to faith, caste, monsoon country, and the stubborn work of medicine.
“This is the covenant of water: that they're all linked inescapably by their acts of commission and omission, and no one stands alone.”
