This novel is written mostly in dialogue -- not in snippets, not in realistic dialogue at all, really -- in dialogue where the characters go on so long it's dueling monologues, and also through letters one character is sending the other. There's also a long part where Dixon tells the story of one character's day going backwards: going through a scene, then jumping back to the one before, and so on. At times it seems hurried, like someone rambling on speed. It was interesting to see it done, and to see that a novel could be done this way, and I suppose the method frequently worked to reflect the subject and "themes" (to put it in a ninth grade sorta way) of the novel, since a lot of the story is about the loss of communication ability, due to disease, of one friend in a pair of writer friends. The story also hits on: disease more generally, the loneliness of a life without family v. the hard work required to keep a family healthy, the isolation and poverty of the writing life. Some dashes of funny, some parts that seemed very true. I also appreciated Dixon's ability to capture his characters' frustrations with people and cynicism without apology -- they seemed real in their complaints, very real as people.