Sister Mary Joseph Praise gives birth to twin boys, slightly joined at the skull, Shiva and Marion. Horrorstruck, the father vanishes. Bound together by a preternatural connection and a shared fascination with medicine, the twins come of age as 1950s Ethiopia hovers on the brink of revolution. It will be their passion for the same woman that will tear them apart and force Marion, fresh out of medical school, to flee his homeland and find refuge as an intern at a New York City hospital. When the past catches up to him, Marion must entrust his life to the two men he thought he trusted least in the world: the father who abandoned him and the brother who betrayed him. The medical detail is stunning in this unforgettable story.