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"The Covenant of Water" by Abraham Verghese, an Oprah's Book Club selection, is a sweeping family saga set in Kerala, South India, spanning from 1900 to 1977. The novel traces three generations of an Orthodox Saint Thomas Christian family, focusing on a mysterious affliction called "The Condition," where at least one family member drowns in each generation.
The story begins with 12-year-old Mariamma, known as Big Ammachi, who marries a much older widower. Throughout the narrative, themes of love, faith, loss, and resilience intertwine against the backdrop of medical progress and social changes in India. The plot follows family members, including Mariamma's stepson JoJo, her children, and descendants, as they navigate personal and collective tragedies.
One significant storyline involves Mariamma's daughter, who becomes a doctor and uncovers that "The Condition" is Neurofibromatosis type II. The book also explores complex relationships, including that of a Scottish physician, Digby Kilgore, and the family. Alongside its rich historical and cultural detail, the novel evokes deep emotional and spiritual currents, culminating in revelations about identity, healing, and survival.
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