This is one of those huge novels that follow a family through major historical events, in the style of a soap opera. It starts in the 1660s, with Lucas Turner and his sister coming over from England, by way of Holland, and settling in New Amsterdam. Their descendants move through conquest by England, Indian wars, slave uprisings, and the American Revolution, but these events take a back seat to all the backstabbing, conspiring, and pairing up that goes on. A few actually historical people make appearances or get name checked along the way.
The story is interesting enough to keep plowing through the 600-odd pages, but I'm not motivated to follow these people through another THREE books of equal length. For one thing, it is exhausting to read about all the sexual assault that goes on - stranger rape, marital rape, pedophilia, prostitution, statutory rape - it all makes an appearance and in many cases is told in brutal detail. Very few women make it through the book without having some kind of horrible sexual experience, which they then bounce back from alarmingly easily. Yes, attitudes about sexual agency were different in the past, but I also feel like some authors like to throw in some rape as a cheap way to add a sense of "historical authenticity" to their book.
I would recommend this book to anyone who is interested in the history of medicine, as the Turner family maintains this occupation through the centuries. There is a mention of: surgeons vs barbers vs physicians, the four humors, tourniquets, cancer, malaria, trepanning, pest houses, autopsies, blood transfusions, contraception, abortion, herbalism, laudanum, etc. That part of it seemed to be well researched, but I'm really not sure about the rest of the book.