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There’s too many POV, Amanda, Ruth, Farrow and then now Scott??

The book is moving too slowly

Amanda - some guy killed her daughter resulting in suicide of her husband

Ruth - home invasion causing major injuries esp in uterine organ causing her unable to have kids which is what she’s always wanted to

This is my second round of trying to finish this book, I am unable to. The plot feels very external, I don’t feel the connection to Semiramis. I don’t know what she’s thinking, I’m putting this down as DNF.

Genet finds Marion via Tsigie, they have an inter course Marion becomes sick with viral hepatitis, shiva donates a lobe od his liver, shivas recovery is complicated by blood clot ending up dying with a brain bleed, Marion ends up living

As per PI finds out genet died in prison

Thomas stone!! He’s been hiding in this American hospital all this time…coward

BC explains to Marion the reason why they have all foreign doctors in Ellis Island Hospital is no American doctor graduate would want to intern in small dangerous neighbourhoods.

Foreigners are the supply for areas that Americans doesn’t want to go

Ghosh dies, Marion is left with a mission to find Thomas stone, and forgive shiva

Marion understands the meaning of loss

“When Ghosh died, I stopped being a son”

“Life is full of signs the truck is know how to read them - heuristics method for solving a problem which no formula exists

Shiva not virgin, took Genet’s virginity bc she asked, Marion accused, Rosina sterilized Genet, genet gets sepsis but gets better Rosina kills herself

Rebels and government/royalty fighting, Ghosh arrested/imprisoned. Shiva’s brother accidentally kills one of the soldiers, for the first time he feels “absent pulse”

Adam, world’s greatest one eyed clinician - “sob are you?” “But still mama fed to run up the hill and get fourth card of the day”

Ghosh gifted Marion a stethoscope- felt like he can be himself.

Nam et ipsa scientia potestas est - knowledge is power in Latin - pg 274

Marion and Shiva are older.
Ghosh and Hema kills the puppies of their dog staring Missing cannot handle more dogs, Shiva talks in a sentences for the first time “will you forget if someone kills me or Marion?” - pg 248

Shiva then takes off his anklet

Gannet and Shiva plays hide and seek, ends up kissing.

Subprabhatam - Ethiopian word for an invocation and wake up call for lord venkafeswara

Ghosh and Hema tag teaming when Shiva has premature apnea

Page 41: sound of nurse sense - common sense, page 49: sound of nursing sense also means nurse knowing her limits (when Matron was assisting in stabilizing sister Mary Joseph)
Page 75: a fool with a tool is still a fool
Page 115: with difficult decisions think aloud helps clarify

Internal medicine doctor had to perform surgery on twisted bowel as dr stone could not be found this is in the chapter Praise in the arms of Jesus

Pg 115- With difficult decisions think aloud

Pg. 73 - “flatus, fluid, feces, foreign body and fetus feel better out than in” - Dr stone talking about the crowning baby

Pg 76 - “a fool with a tool is still a fool” matron talking about Dr Stone allowing his instruments to do the thinking for him

Sound nursing sense also means you know you’re limit, Matron didn’t yell at Dr Stone saying “she needs a c-section” she just said “dr stone, your pt” to sort of ground him bc she understands yelling at him will do the opposite

Sound nursing sense - only knowledge enhances it, it’s like sailer at sea in a seaworthy vessel but without map, sextant, or compass