Review
The Children's Hospital has echoes of a children's book, as it takes on questions of good and evil with an earnestness rare in adult fiction, while remaining seriously fun to read; the funky everyday cohabits naturally with the miraculous. -- Los Angeles Times
One of the most revelatory novels in recent memory... Cleverly conceived and executed brilliantly. -- San Francisco Chronicle
This novel is a singular event: Massive, recondite, often electrifying. -- Bookforum
To read Chris Adrian is to take part in the exciting process of watching a talented and original writer gain mastery of his powerful gifts. -- Myla Goldberg, New York Times Book Review
[Adrian] is a writer of prodigious talent who holds your heart in his hands ... And despite or because of his unlikely world view, he is irresistible. He sails into the inexplicable, seeking meaning; and the reader, gripped by curiosity and admiration, scrambles on board. Adrian's prose here is writing at its best--medical magical realism, you might call it ... We will be lucky as long as he continues to write. -- Boston Globe
From the Back Cover
"Chris Adrian's life is a dedicated exploration of the things that matter most, and his writing is his companion and interlocutor, his guide and interpreter, as he travels a landscape not before seen by other eyes. And every report he makes of that world enriches and enlarges our own sense of the world we thought we knew."
--MARILYNNE ROBINSON
"Chris Adrian is a novelist, a doctor, a philosopher, a literary explorer, the humble clear-eyed prophet of our time. He is an eloquent anatomist of loss, naming and labeling the bones and sinews of grief; he is a comedian dressed in sackcloth, a winking Virgil leading us through the circles of our own earthly hell. But he is ultimately a healer; the genius of his writing lies in its compassion, its ability to make what is broken whole again. To read him is to be understood: to know you are not alone in your misery, your self-doubt, your sins of pride, your wild joys, your insomnia, your madness, your desire."
--JULIE ORRINGER
"Chris Adrian is truly brilliant. I'm not saying this because he's a writer, and a pediatrician, and now in divinity school. I simply believe him to be a person with a unique way of processing the world around him and the ability to communicate that vision back to us in what is often a startlingly beautiful manner."
--NATHAN ENGLANDER
From The Washington Post
Many novelists set themselves the task of confronting the world's ills in their fiction. Fewer attempt to actually cure them, as Chris Adrian does in his second novel, The Children's Hospital, a sprawling and impassioned morality tale in which a catastrophe of biblical scale wipes out nearly all life, human and otherwise, on Earth. Adrian has an impressive CV for a young writer: The author of a critically acclaimed debut novel, Gob's Grief, and short fiction that has appeared in the New Yorker and the Paris Review, he's also a pediatrician now studying at Harvard Divinity School. All of these experiences bear fruit in The Children's Hospital, though that fruit may be a specialized taste, more durian or rambutan than apple or plum. After a brief prologue spoken by an angel, we're thrust into the middle of a children's delivery room where Jemma Claflin, a third-year medical student, assists at yet another difficult birth. Outside, "lightning arched overhead and showed her a vast parking lot, empty except for a few dozen dead cars stranded in water up to their headlights." Inside, Jemma hurries from the birth of a "gruesome baby . . . so unique that she was her very own syndrome." Jemma is in a rush to meet her lover, Rob, another med student; they have wild sex in a locked room. Timing is everything, even -- especially -- at the end of the world: Moments after they make love, the hospital is rocked from its foundations and a voice announces:
"Creatures, I am the preserving angel. Fear not, I will keep you. Fear not, I will protect you. Fear not, you will bide with me. Fear not, I will carry you into the new world."
Miles of water have flooded the Earth. Nothing appears to have survived this cataclysm -- no plants, no mammals, not even any fish. Only the children's hospital floats across this eerie marine wasteland, its patients and residents and support staff miraculously preserved by a small but hard-working supernatural cohort ("it takes four angels to oversee an apocalypse").
The first half of this novel is superb. Adrian's account of the medical staff's day-to-day battles -- with disease, with each other, with the demanding parents of their young patients -- is gripping and intensely humane, despite the frank and often horrific descriptions of the disorders that brought these children to the hospital in the first place. The exhausted workers stumble zombie-like through their rounds and tend to the sickest children whenever they hear "the soft tinkling bell of the code bell, and the angel's calm alarum: 'A child is dying.' "
The irony, of course, is that their jobs aren't much different from the way they were before the flood (which everyone calls "the Thing"). The mediating angels helpfully provide replicators that produce any food or comfort item the humans desire. But not even angels, it seems, can cure cancer or insert an IV into a wizened neonate's arm.
The stressed-out, winsomely pragmatic Jemma is at the center of the novel's huge cast of characters, mortal and semi-divine. She's death-haunted: Her beloved brother was a suicide and is now himself an angelic figure; their father died of lung cancer; their mother self-immolates in a house fire; Jemma's first love expires in a car crash. Is Rob doomed, too? Is everything bad really her fault? A lot of women feel this way but, given the circumstances, it's hard to argue with her.
Jemma isn't just the book's palpitating, tell-tale heart. She's also its gravid, symbol-laden vessel. Pregnant with Rob's child -- someone's child, anyway, or Something's -- she develops miraculous powers of healing. These eventually explode in an extraordinary extended sequence, a literary tour-de-force in which Jemma weaves together broken synapses, inflates collapsed lungs and burns away all the diseases and disorders of the sick children -- the harrowing of the hospital, or Thing Two, as it's quickly named.
But Adrian's carefully calibrated balance between the miraculous and the mundane begins to wobble in his depiction of the post-Thing Two world. The novel's baggy structure can't support the symbolic weight of all those angels and miracle children, who take center stage as the hospital's mortal, adult staff begins to sicken. There are haunting set pieces in the latter pages, but Adrian kills off much of the tension along with his flawed but riveting medical personnel.
Still, despite its weaknesses, The Children's Hospital establishes Chris Adrian as a remarkable American fabulist in the tradition of Melvin Jules Bukiet and Tony Kushner, writers who define and confront the terrifying moral choices of a new century. In what may be a terminally sick world, it's good to have a doctor in the house.
Reviewed by Elizabeth Hand
Copyright 2006, The Washington Post. All Rights Reserved.
