Like nothing I've ever read. To read this book is to get lost in the madness of the yarn, as one does Dostoevsky or Nabokov, and with much the same mix of joy and frustration. You can laugh as you do at Gilliam's film Brazil, with a hollow feeling in your stomach and a sob in your chest and your mind saturated with ideas.
Despite dealing with the end of the world in a second divine flood and the transformation of a hospital into an ark, its concerns are very real, earthy and dark. Exceptional prose. Overtly American, too: this may not please those for whom the appearance of the occasional pop reference is toxic. For me the latter always has been--until now. Like the best novels almost always do, this one has its deep annoyances. But Adrian's vision redeems everything it touches, up to and including apocalypse. Not to be overlooked.