In her second novel, Daviau gives us the visceral, funny, and unique story of Nina Simone Blaine, a 39-year-old woman who was born with A12 Syndrome (a made-up disease that is slightly Marfan Syndrome-y), caused by the advanced age of her not-particularly-successful Vegas crooner father and her much younger Dallas beauty queen mother. The disease comes with a lot of features including missing fingers on one hand and a likely expiration date of 40 years of age. In addition, Nina had been told that giving birth could kill her and yet here, at the assumed end of her life, she finds herself having just given birth to a daughter she conceived with fellow A12-er, her (post-separation from her stable and milquetoast long time husband) charismatic and abusive late-life lover, Cole. The book is Nina's letter to her long-time doctor at the UCLA Rare Disorders Clinic, Dr. Tabitha Chen, who will also be the adoptive mother of Nina's daughter. If this sounds complicated, it is, but Daviau masterfully turns this into a page-turner that is both hilarious and devastating. Certain set-pieces, particularly relating to Cole, are absolutely brutal, but we never lose the grasp of the characters -- anchored by our flawed but lovable protagonist, Nina. As a person who is deep inside the medical industrial complex and who also has a life-limiting disease, the doctor-patient relationship and the complicated support Nina has from a group of other A12-ers her age, brought together by Dr. Chen, really hit home. If you want a barn burner of a one-of-a-kind literary novel that tears you down and lifts you up, this is the one.