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Blood is thicker than water, and more copious, in this expansive novel about identical twin boys born in Addis Ababa in 1954 and instantly orphaned--their mother dies, their father flees. Raised by doctors at the hospital, Shiva and Marion soon begin practicing medicine themselves, but their lives unhappily diverge. The twins have a telepathic connection, and Marion, the narrator, believes he can recall their relationship in the womb. Verghese, a doctor, has an affinity for unstinting detail and unscientific ...