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This isn't what I usually think of as science fiction. The science that was in it was medical and felt paranormal, in the realm of witchcraft. It was very disturbing. This felt more like it belonged in the horror genre, but not really good like Stephen King. I enjoyed most of the book as I read it, but it left me with an unpleasant feeling in the end, like having a bad taste in my mouth after eating something. He is a good author and the book was well written, and the suspense built and held me really well. But, when I saw what was really going on, rather than scream, I thought "eww."