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Mark Leyner has a gift for prose and uses it along with cultural icons to create smart, if sometimes near-incoherent fiction. I remember reading this to a class of computer music students after class and they were laughing so hard they were near tears.
Perhaps it is a love/hate thing but there is no denying Leyner can conjure up some witty situations and absurdist comedy. It isn't that Leyner is a bad writer, rather it is readers expectations that make "My Cousin, My Gastroenterologist" polarizing. Leyner's metaphors are great fun, he does not spend much time with scenic description unless it has significant import to the story. The dialog is crisp and, well weird, but in a droll way. His choices of charaters and their stories are funny and merit re-reading.
If you can check the book out try the first page or two. If you find it funny or engrossing you probably won't be let down. If it makes no sense you might as well put the book down as it's not going to get any easier to deal with.
To the right minded reader this book is a treasure.
I say "Ole`!" to this author. (That's a good thing.) And, I recommend this book to everyone I meet, pass by, or steal from.
My rating?
Two fists up.