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    9780735277731 9780735277724 EPUB 9780735277748 Downloadable audio file 9780735277755 Downloadable audio file
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    Distributor: Random House, Inc. Availability: Not yet available On Sale Date: Feb 28, 2023 Carton Quantity: 12
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On the Ravine
A Novel
By (author): Vincent Lam
Vincent Lam

Imprint:

Knopf Canada

ISBN:

9780735277717

Product Form:

Hardcover
Hardcover
English

Audience:

General / adult
Feb 28, 2023
$34.95 CAD
Forthcoming

Dimensions:

9.34in x 6.23 x 1.38 in | 1.2 lb

Page Count:

368 pages
Knopf Random Vintage Canada
Knopf Canada
FICTION / Literary
From the bestselling, Giller Prize-winning author of Bloodletting & Miraculous Cures comes an exquisitely crafted novel, piercing in its urgency and breathtaking in its intimacy, about the devastating experience of addiction.

In his downtown Toronto condo, Dr. Chen awakens to the sound of streetcars below, but it is not the early morning traffic that keeps him from sleep. News banners run across his phone: Fentanyl Crisis; Toxic Drug Supply; Record Number of Deaths. From behind the headlines, on the same screen, glow the faces of his patients, the faces of the what-ifs: What if he had done more, or less? Or something different? Would they still be alive?

Claire is a violinist; she feels at one with her music, taking flight in its melody, free in its movement. But now she rises and falls with the opioids in her system, becoming increasingly reckless. After two overdoses in twenty-four hours, she sits in the blue light of her computer, searching a notice board for recommendations: my doctor saved my life; my doctor is just another dealer. And then another message catches her attention, about Chen’s clinic: be a guinea pig—why not get paid to take it?

When Claire’s life intersects with Chen’s, the doctor is drawn ever more deeply into the complexities of the doctor-patient relationship, the implication and meaning of his intention to treat. Chen must confront just how far he would go to save a life. 

Combining the depth of his experience as a physician with the brilliance of his literary talent, Vincent Lam creates a world electric in its precision, radiant in its detail. On the Ravine is a gripping novel of profound emotional force, a soaring achievement from a singular voice in Canadian fiction.

Story Locale: Toronto, ON



    UNIQUELY TALENTED AUTHOR: Vincent Lam broke onto the Canadian literary scene in 2006 with Bloodletting & Miraculous Cures, to date one of the top selling Giller-winning titles in the history of the prize. The book was extraordinary for the pairing of Lam’s experiences as a medical student and ER doctor with his literary talent. In On the Ravine, Lam hits that same remarkable chord, combining expertise and empathy. He gives voice to the experiences of both a patient and a doctor, in exploring his work in addictions medicine.



    UNIQUELY POSITIONED AUTHOR ON SUBJECT OF GROWING URGENCY: The opioid crisis has had a devastating impact on communities throughout North America. In the United States, the CDC reported over 100,000 overdose deaths in 2021; in Canada between January to March 2021, 1,720 opioid toxicity deaths were reported, approximately nineteen deaths per day. In the often contentious discussions about the causes and solutions to the crisis, Vincent Lam has become a leading voice noted for his compassion and the integrity of his approach. He is also an editor and author of a forthcoming textbook Opioid Agonist Therapy: A Prescriber’s Guide to Treatment, which will be published by CAMH in 2022.



    REMARKABLE TALENT JOINING THE KNOPF CANADA LIST: Vincent Lam joins Knopf Canada on the occasion of its 30th anniversary. To celebrate the place he will have in the imprint’s future, we will be publishing Bloodletting & Miraculous Cures on the Vintage Canada list for the first time.

VINCENT LAM’s first book, Bloodletting & Miraculous Cures, won the 2006 Scotiabank Giller Prize, and was adapted for television and broadcast on HBO Canada. The Headmaster’s Wager, Dr. Lam’s first novel, was shortlisted for the 2012 Governor General’s Literary Award and the 2013 Commonwealth Book Prize. Dr. Lam is also the co-author of The Flu Pandemic and You, a non-fiction guide to influenza pandemics, which received a Special Recognition Award by the American Medical Writers’ Association in 2007. He served as executive editor and co-author of the textbook, Opioid Agonist Therapy: A Prescriber’s Guide to Treatment, published in 2022. In 2011, he published a biography of Tommy Douglas, “father of medicare,” for Penguin Canada’s Extraordinary Canadians Series. Dr. Lam is an emergency physician and addictions physician who lives in Toronto. He is the medical director of the Coderix Medical Clinic.

Author Residence: Toronto, ON

Author Hometown: London, Ontario

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