I never connected with this book. I do not think it is a bad book. It did have a few moments. The medical information that this author excels at is there but it does not feel as consequential or central to the story as it was in Cutting for Stone. Medical emergencies just pop up at random.  Plus, the book is a generational story with side POVs tacked on, making connecting with any of the characters really difficult. I found myself not really caring who died or how the whole thing ended so I'm putting it down. I'd still recommend Cutting for Stone by the same author.