Author of the much-praised medical memoir My Own Country, Verghese, who is a doctor as well as an author, now offers an expertly composed first novel about missionaries in India and Africa. In 1947, Sister Mary Joseph Praise leaves her missionary post in India to take a new position in Yemen. Traveling by ship to her new home, she saves the life of a fellow passenger--an English physician named Thomas Stone. Their meeting proves a fateful one, as Sister Praise comes to realize when she and Thomas are reunited at a hospital in Addis Ababa. Years later, she dies giving birth to twins--sons named Shiva and Marion, who are raised in Addis Ababa in an atmosphere of political upheaval. Their adopted parents are doctors at the local hospital, and the boys are raised within the confines of the medical complex. Marion serves as narrator for this poignant novel, recounting the story of how his foster parents met. As the two brothers become doctors themselves, they find that their destinies are bound up in each other and in the place they call home. Covering a 50-year span, Verghese's accomplished novel has plenty of narrative momentum, moving smoothly between exotic locales and exploring ambitious themes of race, identity and family. An insightful and assured writer, Verghese writes from the heart about medicine and politics--timely topics that are clearly dear to him.