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Most of it was unbelievable to me..even though it's fiction.
It was difficult to follow what part of the story I was in.
I enjoyed the medical aspect thoroughly. Having no background in the African culture I was not a good judge of the authenticity of portions of the story.
The goodwill supposedly linked to the main character was questionable at times for me.
I have read quite a lot of the authors books and I would say this one is just average by far not his best.